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Japanese

Title 今後の治療や生活について意思決定した肺がん疑いの高齢患者との関わり
Subtitle 原著
Authors 阿部浩美
Authors (kana)
Organization JR仙台病院緩和ケア認定看護師
Journal 交通医学
Volume 78
Number 3/4
Page 86-89
Year/Month 2024 / 7
Article 原著
Publisher 日本交通医学会
Abstract 「要約」病期の告知を受けた患者に対し, フィンクの危機理論モデルに合わせた介入を行いながら, 患者がその後の治療や生活について自ら意思決定できるように関わった. 徐々に自分の「大切にしていること」や「希望」を表出し, 退院後の療養を決めることができた. 告知後のケアを行うことは, 危機介入だけではなく患者の意思決定支援となり, 最後までその人らしい生活を送ることに繋がる.
Practice 臨床医学:外科系
Keywords がん告知, フィンクの危機理論モデル, 意思決定支援, 合意モデル, cancer announcement, Fink's crisis theory model, decision support, consensus model

English

Title RELATION OF AN ELDERLY PATIENT WITH SUSPICIOUS LUNG CANCER WHO HAVE MADE DECISIONS ABOUT FUTURE TREATMENT AND LIFE
Subtitle Original Articles
Authors Hiromi ABE
Authors (kana)
Organization JR Sendai Hospital Palliative Care Certified Nurse
Journal The Journal of Transportation Medicine
Volume 78
Number 3/4
Page 86-89
Year/Month 2024 / 7
Article Original article
Publisher Japanese Association of Transportation Medicine
Abstract An eldly patient with suspicious lung cancer was involved in interventions tailored to Fink's crisis theory model for patients who had been diagnosed with cancer, while helping them make their own decisions about their subsequent treatment and life. Gradually, she was able to express her "values" and "hopes" and decide on her medical treatment after being discharged from the hospital. Providing care after the announcement is not only crisis intervention, but also supports the patient's decision-making, leading to a life that is unique to the patient.
Practice Clinical surgery
Keywords cancer announcement, Fink's crisis theory model, decision support, consensus model
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