Experience of End-of-Life Home Care in an Acute General Community Hospital in Japan

Hideaki Kawabata, Kazumi Kitamura, Yoshiki Yamamoto, Yohei Okamoto, Ayaka Shimaji, Kaoru Aoki, Yoko Kato, Yoko Tokuyama, Yoshihiro Shimizu


We sometimes encounter situations in which it is impossible to find appropriate home care clinics despite patients wish of spending end of life (EOL) at home. We herein report our experience in cases of EOL home-based care managed by medical staff in an acute general community hospital. We retrospectively reviewed the clinical data of five cancer patients who received EOL home care managed by our institution between May 2016 and October 2018. We assessed the background characteristics and clinical course, how medical staff managed the patients and degree of satisfaction in the EOL care we provided, based on impressions interviews with the patients and their families. The median duration between the final examination by doctors in the hospital and death was 5 days (range: 7 h - 5 days). Regarding the visits to the four patients other than the one who died during her outing, home-visit nurses visited the patients homes every day in three of four patients, and both a care manager and a medical social worker (MSW) tried to evaluate the condition of the remaining patient by visits and phone calls. Information on the patients condition at home was given to the medical staff in order to discuss optimal home care. When they died, a doctor, a home-visit nurse, a nurse belonging to the palliative care team and a MSW visited in all cases. All patients spent their EOL calmly at home, and their families were pleased with their EOL and grateful to the medical staff who supported the patients. We supported patients EOL by managing home-based medical care in cooperation with multi-occupational staff. We should organize a system for meeting patients changing wishes flexibly.

J Med Cases. 2019;10(3):75-77
doi: https://doi.org/10.14740/jmc3263


End-of-life home care; Deathbed; Acute general hospital; Home-visit nurse

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.