RESUMO
We have provided home health care to 42 patients with terminal cancer over the past five years. The pancreas was the most common site of the primary cencers (9 cases). The average age of the dead was 74.6 years, which was younger than that from heart failure or brain infarction. The average duration of stay of home was 60.1 days. The average frequency of visit to a patient's home was 15.8 times. In 52.4% of the cases, morphine were administered for pain control. The average dose was 48.2 mg per day, and term of administration was 30.6 days. In most cases, those who looked after the patients were daugh-in-laws or wives.<BR>In some cases, a local government lent a bed to a patient. Of the patients 21.4% were fold by their physicians what they are up to were. In conclusion, home health care of cases of terminal cancer will be more important in the future. Pain control by morphine, support for those who look after the patients by frequent visits, practical use of the welfare system and full-time medical care system which meets patients' need are thought to be necessary.
RESUMO
The Saku Central Hospital started a joint undertaking for home health care with four village offices of Minamisaku-gun, Nagano Prefecture, from 1988. From 1995, the joint project was taken over by its satellite institution, Koumimachi Clinic. During the year, care services were provided in patients' homes by a full-time visiting nurse 665 times. She helped physical therapist with rehabilitation 228 times, attended many meetings related to health care with local people and public health nurses, and held case conferences about patients. The joint undertaking for home health care with local goverments may be important for better home health care.