ABSTRACT
<b>Introduction:</b> The regional palliative care support center (PCSC) has set the following palliative care goals for correction of misunderstanding and prejudice of the general community against palliative care, home care and home death of cancer patients: practice palliative care early after diagnosis, educate the community to understand palliative care and build a regional palliative care cooperation system.<b> Method:</b> This study reviewed four years (2009-2012) of data from the PCSC. Outcome data of the patients were collected during outpatient care, inpatient care, and in-home care that were supported by the PCSC. The PCSC managed palliative care based on patient conditions and symptoms in the early stage after diagnosis. The PCSC worked to spread the idea and importance of palliative care to the general community and health care professionals of the region, and also worked to promote the regional palliative care cooperation. <b>Result:</b> These efforts led to an increase in the number of first center visit of patients, especially introduction patients, and an extension of the period of treatments of both tumor department and palliative care department. These outcomes resulted in an increase in the rate of in-home care transitions, the length of in-home care and the number of deaths at home. These results suggest that the place of appropriate medical and caregiving treatments and the place of death are converting into home gradually from hospital.
ABSTRACT
A 51 years old farmer was in unconscious state when he was brought into our hospital. Four days before admission he handled “Nissol” and low toxic organophshor “Smithion” about 9 hours at his farm of apples.<BR>Three days before he noted nausea, vomiting, headache, dizzines, sweatiness and light fever. In the midnight convulsion of limbs occured. Two days before symptoms became progressively worse.<BR>Examinations on admission revealed depression of blood pressure (100-70), incipient rise of body temperature, low blood sugar level (45 mg/dl), concussion of eye-ball and Babinski's sign.<BR>Then as an intoxication of Nissol we treated the patient with glucose solution (5 or 50%), acetamide, antibiotics, phenobalbital, cardiac stimulants and atropin. Fourteen hours after admission he recovered consciousness.<BR>Low blood sugar level and depression of blood pressure continued while about 7 days.<BR>He was out of hospital on the 20 th day.