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J UOEH ; 31(4): 359-64, 2009 Dec 01.
Artigo em Japonês | MEDLINE | ID: mdl-20000010

RESUMO

We report two patients with terminal stage cancer who spent some days at their home after a physical therapist, occupational therapist, nurse, and medical social worker all visited the patients' homes and advised the patients' family in regard to the appropriate care before the patients were discharged as a strategy for palliative rehabilitation. Case 1: A patient suffering from terminal stage cancer was bed-ridden because of a pathological fracture of the femur. After palliative rehabilitation, the patient was able to get out of the bed and improved her daily living activity level through physical therapy. She spent some days at home according to the results of the pre-discharge home visit guidance to her family. Case 2: A patient suffering from terminal stage cancer manifested symptoms of fatigue and generalized muscular weakness. After palliative rehabilitation, her muscle strength and physical endurance were improved by physical therapy and adjustment of the bed height. Because she was eager to go home, we took her to her home before being discharged, and she was able to spend a few hours at home. Pre-discharge home visit guidance by a nurse and rehabilitation staff members to the patient' s family in regard to appropriate home care may therefore be a good means of satisfying such patients' desire to see their home once more and thereby improve their quality of life.


Assuntos
Neoplasias da Mama/reabilitação , Fraturas do Colo Femoral/reabilitação , Serviços de Assistência Domiciliar , Comunicação Interdisciplinar , Neoplasias Hepáticas/reabilitação , Neoplasias Hepáticas/secundário , Cuidados Paliativos , Neoplasias Pancreáticas/reabilitação , Equipe de Assistência ao Paciente , Modalidades de Fisioterapia , Especialidade de Fisioterapia , Assistência Terminal , Atividades Cotidianas , Idoso de 80 Anos ou mais , Neoplasias da Mama/complicações , Feminino , Fraturas do Colo Femoral/etiologia , Humanos , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros , Satisfação do Paciente , Qualidade de Vida
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