痴呆を有する口腔癌患者の3例―管理上の問題点について―:―管理上の問題点について―  [in Japanese] Three Cases of Oral Cancer in a Patient with Dementia-The Problems in Patient Management During Hospitalization-:—The Problems in Patient Management During Hospitalization—  [in Japanese]

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Author(s)

    • 横地 恵 Yokochi Megumi
    • 信州大学医学部歯科口腔科学教室 Denpartment of Dentistry and Oral Surgery, Shinshu University School of Medicine
    • 栗田 浩 Kurita Hiroshi
    • 信州大学医学部歯科口腔科学教室 Denpartment of Dentistry and Oral Surgery, Shinshu University School of Medicine
    • 酒井 洋徳 Sakai Hironori
    • 信州大学医学部歯科口腔科学教室 Denpartment of Dentistry and Oral Surgery, Shinshu University School of Medicine
    • 倉科 憲治 Kurashina Kenji
    • 信州大学医学部歯科口腔科学教室 Denpartment of Dentistry and Oral Surgery, Shinshu University School of Medicine

Abstract

高齢化社会を迎え, 痴呆症を有し口腔癌を発症する高齢者も増加してきている。この様な患者の治療は大変困難である。<BR>最近われわれは, 痴呆を有する高齢者の口腔癌患者を3症例経験し, 様々な治療上の問題点が明らかとなった。<BR>痴呆症を有する患者との意思の疎通は困難であり, 疾患・診療に対する理解が得られないため, 入院管理が非常に困難である。合併症や痴呆に起因する様々な要因により, 治療法の選択に制約がある。またさらに家族の治療への積極的な協力が得にくく, 治療はより難しくなる。<BR>痴呆を有する患者の治療方針を決定する際には, 腫瘍の進展度全身状態, 合併症だけでなく, 年齢, 痴呆の重症度患者のQOL, 家族の意向等を考慮することが重要であると考えられた。

As the number of elderly people has increased, the number of oral cancer patients who are of advanced age and with dementia has increased. From the experience of three cases of oral cancer patients with dementia, the following issues were revealed.<BR>It is very difficult to take care of the patients during hospitalization, because there is difficulty in communicating with them and they cannot understand their disease and necessity of the treatment. Treatment is severely restricted due to various factors including physical conditions and dementia. Furthermore, it is difficult to gain positive cooperation of family members, which makes the treatment harder.<BR>When making the treatment plan for patients with dementia, it is important to consider not only the stage of the tumor, general condition and complications, but also age, degree of dementia, QOL and family's preference.

Journal

  • Journal of Japanese Society of Oral Oncology

    Journal of Japanese Society of Oral Oncology 17(2), 131-136, 2005

    Japanese Society of Oral Oncology

Codes

  • NII Article ID (NAID)
    130004040095
  • Text Lang
    JPN
  • ISSN
    0915-5988
  • Data Source
    J-STAGE 
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