日本におけるPrimary Palliative Care : プライマリ・ケア医によるPrimary Palliative Careの普及と発展  [in Japanese] Primary Palliative Care in Japan  [in Japanese]

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Abstract

わが国における死亡者数は, 今後急速に増加することが予想されている. 生命を脅かす疾患を持つ人々への緩和ケアの提供は重要と認識されているものの, 十分に応えられていない可能性が国際的に指摘されている. 近年, “Primary Palliative Care”という概念が国際的に提唱され, プライマリ・ケア医などが, (1) 生命を脅かす疾患を持つ患者をケアする, (2) 疾患の早期から緩和ケア・アプローチを提供する, (3) 身体的, 心理社会的, 社会的, 霊的な側面の全てのニーズに対応する, (4) 地域でEnd of Life Careを提供することを意味する用語として使用されている. 多死時代に向かうわが国において, プライマリ・ケアの現場でわが国の医療システム, 国民性に適したPrimary Palliative Careが構築され, 普及することで患者・家族のニーズに応じて適切な時期に緩和ケアが提供され, 地域社会に貢献できる可能性がある.

The mortality rate in Japan due to life-threatening illnesses is predicted to increase rapidly. Delivering appropriate care for people with terminal illness is an important, but largely neglected, role of the health care system in many countries. Recently, the concept of “Primary Palliative Care” has been proposed internationally, and is commonly used as a generic term regarding the activities of primary care physicians and home care nursing services. The tasks of primary palliative care include : 1) caring for people with life-threatening illnesses ; 2) contributing a palliative care approach early in the disease process ; 3) embracing all dimensions of care, including physical, psychological, social, and spiritual ; and 4) providing end-of-life care in the community. By building a system of primary palliative care that is consistent with our nation's medical system and values, care that meets the individual and familys' needs can be provided in the primary care setting which will further enable us to contribute to the community.

Journal

  • An Official Journal of the Japan Primary Care Association

    An Official Journal of the Japan Primary Care Association 37(3), 268-272, 2014

    JAPAN PRIMARY CARE ASSOCIATION

Codes

  • NII Article ID (NAID)
    130004691988
  • NII NACSIS-CAT ID (NCID)
    AA12479442
  • Text Lang
    JPN
  • ISSN
    2185-2928
  • NDL Article ID
    025835905
  • NDL Call No.
    Z19-983
  • Data Source
    NDL  J-STAGE 
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