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American Journal of Hospice and Palliative Medicine®
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Prospective Evaluation of Transition to Specialized Home Palliative Care in Japan

Etsuko Kusajima, RN, PhD

Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, emaeyama-tky{at}umin.ac.jp

Masako Kawa, RN, PhD

Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Mitsunori Miyashita, RN, PhD

Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Keiko Kazuma, RN, PhD

Department of Adult Nursing/Palliative Care Nursing, School of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

Takeshi Okabe, MD

Soushukai Okabe Clinic, Miyagi, Japan

The aim of this study was to clarify patients' characteristics and the level of symptom management in the transition to specialized home palliative care, and to examine prospectively real-time evaluation of both terminal cancer patients and their families. This study was conducted at one of the largest institutions offering specialized home palliative care in Japan. We asked both the patient's and the family's health status at the initial assessment and 2 weeks later. One hundred sets of patients and their families were included in this study. Regarding patient characteristics at the time of referral to the specialized home palliative care service, patients referred from outpatient settings had more severe physical symptoms than patients referred from inpatient settings. The specialized home palliative care service could contribute to patients' symptom and families' psychosocial status.

Key Words: terminally ill • cancer • palliative care • home • prospective study

This version was published on June 1, 2009

American Journal of Hospice and Palliative Medicine®, Vol. 26, No. 3, 172-179 (2009)
DOI: 10.1177/1049909108330029
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