内容紹介
Summary
In order to relieve distressing symptoms of cancer patients at end of life, administering PRN medicines adequately is essential. It is the distinctive feature of home medical care that patients and their caregivers become primary persons who administer PRN medicines. The process of PRN medication is constituted of 3 parts, preparation period, administering period, and assessment period sequentially. There are several things medical staffs should do at each period. Among them the most important point to be done is to adaptively support the persons who administer PRN medicines, namely, patients and their caregivers. Those supports include to inform the patient and the caregivers about symptoms that likely occur, to explain details of how to administer PRN medicines, to write them on paper to review the medicines, and to assure them that they can contact medical staffs by phone and they can receive home visit anytime when they need help.
要旨
終末期症がん患者の症状を緩和するのに,臨時投与薬の果たす役割は大きい。在宅医療の現場においては,その与薬者に患者・介護者がなることが特徴である。臨時投与の流れは,① 症状発現前(準備段階),② 症状発現時(投薬時),③ 症状発現後(評価段階)の三段階に分かれる。臨時投与を適切に行うためには段階ごとに要点がいくつかあるが,なかでも与薬者をいかに医療者が支援できるかが鍵である。支援の内容としては,「起こる可能性の高い症状を前もって説明しておく」,「投与方法は具体的に伝える」,「振り返りができるように薬に関する情報は紙面に残す」,「連絡をいつでも受け,必要な時には臨時訪問するという保証を与える」などである。
目次
In order to relieve distressing symptoms of cancer patients at end of life, administering PRN medicines adequately is essential. It is the distinctive feature of home medical care that patients and their caregivers become primary persons who administer PRN medicines. The process of PRN medication is constituted of 3 parts, preparation period, administering period, and assessment period sequentially. There are several things medical staffs should do at each period. Among them the most important point to be done is to adaptively support the persons who administer PRN medicines, namely, patients and their caregivers. Those supports include to inform the patient and the caregivers about symptoms that likely occur, to explain details of how to administer PRN medicines, to write them on paper to review the medicines, and to assure them that they can contact medical staffs by phone and they can receive home visit anytime when they need help.
要旨
終末期症がん患者の症状を緩和するのに,臨時投与薬の果たす役割は大きい。在宅医療の現場においては,その与薬者に患者・介護者がなることが特徴である。臨時投与の流れは,① 症状発現前(準備段階),② 症状発現時(投薬時),③ 症状発現後(評価段階)の三段階に分かれる。臨時投与を適切に行うためには段階ごとに要点がいくつかあるが,なかでも与薬者をいかに医療者が支援できるかが鍵である。支援の内容としては,「起こる可能性の高い症状を前もって説明しておく」,「投与方法は具体的に伝える」,「振り返りができるように薬に関する情報は紙面に残す」,「連絡をいつでも受け,必要な時には臨時訪問するという保証を与える」などである。