{"created":"2023-06-19T10:30:50.018372+00:00","id":2985,"links":{},"metadata":{"_buckets":{"deposit":"513c0b09-a271-4ddd-a833-156bffd542f3"},"_deposit":{"created_by":31,"id":"2985","owners":[31],"pid":{"revision_id":0,"type":"depid","value":"2985"},"status":"published"},"_oai":{"id":"oai:kwmed.repo.nii.ac.jp:00002985","sets":["1709617079800:35:800"]},"author_link":["130612","130613","130614","130615","130616","130617","130618","130619","130620","130621","130622","130623"],"item_10001_alternative_title_1":{"attribute_name":"その他(別言語等)のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"End-of-life care provided in our palliative care ward for patients with multiple pulmonary metastatic gallbladder cancer requiring high-flow oxygen","subitem_alternative_title_language":"en"}]},"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"39","bibliographicPageStart":"35","bibliographicVolumeNumber":"47","bibliographic_titles":[{"bibliographic_title":"川崎医学会誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Kawasaki medical journal","bibliographic_titleLang":"en"}]}]},"item_10001_description_33":{"attribute_name":"記事種別(日)","attribute_value_mlt":[{"subitem_description":"症例報告","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10001_description_34":{"attribute_name":"記事種別(英)","attribute_value_mlt":[{"subitem_description":"Case Report","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"川崎医学会","subitem_publisher_language":"ja"}]},"item_10001_relation_14":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.11482/KMJ-J202147035","subitem_relation_type_select":"DOI"}}]},"item_10001_relation_17":{"attribute_name":"関連サイト","attribute_value_mlt":[{"subitem_relation_type_id":{"subitem_relation_type_id_text":"https://igakkai.kms-igakkai.com/wp/wp-content/uploads/2021/KMJ-J202147035.pdf","subitem_relation_type_select":"URI"}}]},"item_10001_relation_35":{"attribute_name":"医中誌ID","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"2022194410","subitem_relation_type_select":"ICHUSHI"}}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00045593","subitem_source_identifier_type":"NCID"},{"subitem_source_identifier":"AN12940574","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0386-5924","subitem_source_identifier_type":"PISSN"},{"subitem_source_identifier":"2758-089X","subitem_source_identifier_type":"EISSN"}]},"item_10001_text_31":{"attribute_name":"著者所属(日)","attribute_value_mlt":[{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院看護部"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学臨床腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学臨床腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学附属病院看護部"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学臨床腫瘍学"},{"subitem_text_language":"ja","subitem_text_value":"川崎医科大学臨床腫瘍学"}]},"item_10001_text_32":{"attribute_name":"著者所属(英)","attribute_value_mlt":[{"subitem_text_language":"en","subitem_text_value":"Nursing Department of Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Clinical Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Clinical Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Nursing Department of Kawasaki Medical School Hospital"},{"subitem_text_language":"en","subitem_text_value":"Department of Clinical Oncology, Kawasaki Medical School"},{"subitem_text_language":"en","subitem_text_value":"Department of Clinical Oncology, Kawasaki Medical School"}]},"item_10001_textarea_5":{"attribute_name":"抄録(英)","attribute_value_mlt":[{"subitem_textarea_language":"en","subitem_textarea_value":"　A palliative care ward was established in our hospital in July 2018. In our palliative care ward, the patient’s wishes are confirmed with the patient and their family. Based on their preferences, palliative care is proactively planned and practiced toward realizing that goal and improve the quality of life of patients suffering from various end-of-life hardships through drug treatments, oxygen therapy, rehabilitation, and nutritional management. \n　The current paper reports on end-of-life care provided to patients with multiple pulmonary metastatic gallbladder cancer requiring high-flow oxygen. The case was a woman in her 50s. There was a severe cough due to multiple pulmonary metastasis. At rest, the 10L/min reservoir mask was used to give SPO2 of 91%. During exertion, it decreased to 86% with deteriorating respiratory distress. Corticosteroid and opioid administration were initiated for general malaise and respiratory distress, respectively, to manage respiratory distress. After the management of respiratory distress, the patient’s desire for a “short trip to Kyoto” and to “have dinner with my son’s fiancé’s family” was confirmed. These goals were realized through planning preparations with palliative care staff, including medical social workers and rehabilitation therapists, in cooperation with relevant institutions."}]},"item_10001_textarea_6":{"attribute_name":"抄録(日)","attribute_value_mlt":[{"subitem_textarea_language":"ja","subitem_textarea_value":"　2018年７月から当院に緩和ケア病棟が開設された．当院の緩和ケア病棟では，患者の希望を患者と家族に確認し，どのような希望であってもその目標に向けて，終末期のさまざまな苦痛に 苦しむ患者の生活の質を，薬物療養，酸素療法，リハビリテーションや栄養管理などで積極的に改善させる緩和ケアを計画し実践している． 　\n　今回，我々は高流量酸素投与を必要としていた多発肺転移胆嚢癌患者へ実践できた終末期ケアについて報告する．症例は，50歳代女性．多発肺転移病変のため，重い咳症状があり，安静時は10 Ｌ / 分リザーバーマスクにて SPO2 91% で，労作時は86％まで低下し呼吸苦も増悪した．全身倦 怠感に対してコルチコステロイド投与を開始し，呼吸苦に対してオピオイド投与を開始し呼吸苦を調整した．調整後，「短期京都旅行」や「息子の婚約者家族との会食」をしたいという本人の思いを確認し，医療ソーシャルワーカー，リハビリセラピストを含めた緩和ケア病棟スタッフで準備計画し，関係機関と連携しながら，実現することができた．"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"小橋, 典子","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐野, 史典","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡脇, 誠","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"出口, 美穂","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永坂, 岳司","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山口, 佳之","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KOBASHI, Noriko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SANO, Fuminori","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OKAWAKI, Makoto","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"DEGUCHI, Miho","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"NAGASAKA, Takeshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshiyuki, YAMAGUCHI","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2022-04-01"}],"displaytype":"detail","filename":"KMJ-J202147035.pdf","filesize":[{"value":"2.6 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"PDF","objectType":"fulltext","url":"https://kwmed.repo.nii.ac.jp/record/2985/files/KMJ-J202147035.pdf"},"version_id":"41ea9222-ec83-4e69-812d-c47299922e53"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"終末期ケア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"終末期がん患者","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"緩和ケア","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"End-of-life care","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"End-of-life cancer patients","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Palliative care","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"当院緩和ケア病棟にて高流量酸素投与を必要とした多発肺転移胆嚢癌患者へ行うことができた終末期ケア","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"当院緩和ケア病棟にて高流量酸素投与を必要とした多発肺転移胆嚢癌患者へ行うことができた終末期ケア","subitem_title_language":"ja"}]},"item_type_id":"10001","owner":"31","path":["800"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2022-04-01"},"publish_date":"2022-04-01","publish_status":"0","recid":"2985","relation_version_is_last":true,"title":["当院緩和ケア病棟にて高流量酸素投与を必要とした多発肺転移胆嚢癌患者へ行うことができた終末期ケア"],"weko_creator_id":"31","weko_shared_id":-1},"updated":"2024-04-19T04:22:03.996638+00:00"}