Current status of the death confirmation at home care for terminal patients and the role of the Tokutei Kangoshi(TK)

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  • 在宅における終末期患者の死亡確認の現状と特定看護師の役割
  • - 訪問看護師のインタビューから -
  • - From interviews with visiting nurses -

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Abstract

The purpose of this study was to clarify the current status of terminal care by visiting nurses and to examine the role of the Tokutei Kangoshi (TK) in end-of-life care at home. We carried out semi-structured interviews of 10 nurses who had experienced end-of-life care, and extracted categories after encoding clauses of narratives which had similar contents. A total of three categories were extracted, <case management coordination of visiting nurses for end-of-life patients>, <responding to end-of-life patient families>, and <end-of-life patients living at home until death>. About the difficulty of the time of death confirmation, <timely death confirmation>, <between doctors and nurses were extracted as categories. We found that for ideal end-of-life care at home, it is necessary to enhance cooperation between doctors and nurses and to control symptoms through sensitive intervention by TKs cooperating with doctors. In addition, although nurses are required to help during the death watch because doctors are often busy and not available to be in attendance, it is very difficult for them.

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