特集名 | 超高齢化時代の透析看護 | |
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題名 | 超高齢透析患者の家族支援(在宅死) | |
発刊年月 | 2000年 10月 | |
著者 | 相澤 きみか | 永生会多胡腎・泌尿器クリニック・看護婦 |
【 要旨 】 | 「在宅で人生の最期を迎えたい」という透析患者も存在する.われわれの施設で経験した高齢慢性腎不全患者の在宅ターミナルケアの実践を通して,在宅支援のあり方を考察した.事例1,2は血液透析患者で,献身的な家族介護のもとで在宅死を迎えることができた.事例3は在宅APDを行った患者で,長期にわたる家族の大きな負担のため,希望していた在宅療養を放棄せざるをえなくなり,入院施設内死亡となった. 在宅支援にあたっては,社会的サービスに関する情報の収集はもちろん,家族との確固とした信頼関係を前提として,患者本人の安寧の維持と看取る家族のケアが主体となる. |
Theme | Degree of Dialysis Nursing Care for Old-old Population is Growing Rapidly | |
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Title | Family support for extremely senile patients wanting to die at home | |
Author | Kimika Aizawa | Department of Nursing, Tago Kidney and Urology Clinic |
[ Summary ] | Dialysis patients exsist who want to die at home. We will report on how home support for senile dialysis patients should be performed, through the actual home terminal care cases we experienced. Case 1 and 2, who had been receiving regular hemodialysis, chose to terminate their lives while under the devoted home care given by their families. However, case 3, who had been on APD, died in the hospital, because the patient's family could not accept the heavy burden of planned terminal home care. With home support, it is necessary to collect all the information from social care services and make an effort to construct a reliable relationship with the patient's family. Futher more, it is especially important to maintain the patient's comfort in the terminal stage and take care of their families psychologicall conditions. |