Guidance of palliative care center

• What is palliative care?
• Palliative Medicine Outpatient Department
• Palliative care team
• Palliative care ward
• Home-visit nursing and home-visit medical care
• FAQ

What is palliative care?

Palliative care is care that alleviates the physical and mental pain of patients with serious illnesses and their families so that they can lead a more fulfilling life.
Palliative care is not only provided at the end of life, but at any stage of a medical condition.

The goal of our palliative care center is to "support patients and their families so that they can receive appropriate palliative care regardless of their illness or place of treatment."

For this reason, departments related to palliative care, such as the palliative care outpatient department, the palliative care team, and the palliative care wards and beds, work together to provide treatment.

Palliative Medicine Outpatient Department

The palliative care center focuses on outpatient palliative care.Regardless of cancer treatment or medical condition, if you have physical or mental pain, you can reduce the pain by visiting an outpatient clinic.In addition, if the pain intensifies during outpatient visits and it is judged that it is difficult to alleviate the pain in the outpatient clinic, we have a system in place for hospitalization in the palliative care ward.

Palliative care consultation and outpatient appointment

Outpatient reservation

1. Referral from a medical institution
2. Regional Cooperation Division(Direct phone: 029-858-5272)
   Mon-Fri 8:30-18:00 / Sat 8:30-12:30

Regarding the first appointment for the outpatient palliative care department, as a general rule, you will be referred by the medical institution, so please consult with your current primary care doctor.

• palliative care outpatientFirst visits are accepted only on Monday afternoons.
• In case of re-examination,Tuesday to Friday afternoonI have a reservation for
• Outpatient cost: The cost of the first outpatient visit at the palliative care department is the same as for regular outpatient care.

Palliative care consultation by a doctor

If you have not been treated by our hospital or are visiting another hospital, please contact the palliative care consultation first.It is also possible to consult only with family members.

1. patient and familyからAbout palliative care
   ConsultationContact information when receiving
2. Patient Family Counseling Support Center/Cancer Counseling Support Center(Direct phone: 029-858-5377)
   Mon-Fri 9:00-17:00

• If possible, please bring a letter of referral from your current medical institution.
• Consultation is not covered by insurancebecomes.In particular, if only family members are consulted, the actual cost (3,300 yen) equivalent to the initial consultation fee will be borne.

Implementation status of nerve blocks for intractable pain and affiliated medical institutions

At our clinic, we treat nerve blocks as follows.

1. Nerve block that can be performed in the hospital in cooperation with an anesthesiologist: Continuous epidural block
2. Nerve blocks that can be performed by requesting a cooperating medical institution: Sympathetic nerve blocks such as celiac plexus block and visceral nerve block Sensory nerve blocks such as subarachnoid phenol block and nerve root block Continuous subarachnoid block create)

Implementation status

2019

1 continuous epidural block, 1 nerve root block, 1 subarachnoid phenol block

2020

No implementation

2021

1 case of persistent subarachnoid block

2022

1 case of stellate ganglion block

Collaborating medical institution: Department of Anesthesiology, University of Tsukuba Hospital

Palliative care team

What is a mitigation team?

Guidance of the Palliative Care Team

Staff specializing in palliative care together with the attending physician will support patients and their families in cases of physical or mental distress due to cancer or non-cancer diseases (heart failure, chronic respiratory failure, etc.).

Patients who are hospitalized in clinical departments other than palliative medicine are eligible.

For example,

• Dealing with painful physical symptoms
• mental care
• Support for problems in social life (nursing care, medical expenses, etc.)
• family care

I will help you.

For consultation with the palliative care team, please consult with your primary care physician or nurse.

Palliative care ward

What is a palliative care ward?

Guidance of palliative care ward

A ward that provides specialized palliative care to relieve the patient's physical and mental pain, support the patient and their family.

Palliative Care Ward Admission and Discharge

If you are receiving medical treatment from the palliative medicine department or the palliative care team at our hospital, you can be admitted to the hospital in the following cases.

• If you need professional palliative care for physical/mental symptoms or psychosocial problems associated with cancer
• If the cancer condition is expected to change within 1 month

After being admitted to the palliative care ward, we will consult with you about discharge or transfer in the following cases.

• If symptom relief and problem resolution are attempted
• When the patient or family wishes to be discharged
• If the cancer condition is expected to be stable for more than 1 month

Please refer to "Introduction to the Palliative Care Ward" below for details of the ward.

The family waiting room was renewed in July 2022 with the support of the local community through crowdfunding.

Palliative care ward staff

• The doctor's role is to relieve pain and alleviate other symptoms such as dyspnea and nausea, as well as anxiety and worry.Communicate closely with patients and families to discuss goals and aspirations.
• Nurses play the most important role in patient care in the palliative care unit.The number of nurses assigned is 1 or more for every XNUMX patients.Each nurse in the palliative care ward is highly skilled in relieving symptoms and assisting with daily living.We also strive to help our patients live as comfortably as possible.
• A pharmacist manages medications for hospitalized patients.In particular, we carefully manage medical narcotics among pain relievers and provide explanations to patients.We also give advice and pay attention to the side effects and interactions of medicines from a professional standpoint.
• Physiotherapists, occupational therapists, and speech pathologists provide rehabilitation while respecting the patient's wishes.In the palliative care ward, we focus on rehabilitation so that patients can live comfortably until the end of their lives.Rehabilitation for cancer patients can help alleviate body pain, swelling of the limbs, and weakness of the limbs.
• A dietician provides consultation on diet and nutrition for patients and their families.In addition, we try to make daily meals as seasonal as possible so that you can enjoy your recuperation life.
• Social workers provide counseling on life-related concerns (money, nursing care, work, etc.) related to illness.We strive to reduce the burden and worries of not only patients but also their families.

The staff of the palliative care ward and palliative medicine department strive to examine not only the patient's "disease" but also the "person" who has the disease.We want our patients to spend quality time with their families.

need to be hospitalized

Hospitalization expenses for palliative care wards are paid by health insurance at a fixed amount on a daily basis.The copayment is 3% for national insurance and social insurance, and 1-2% for the latter-stage elderly insurance.High-cost medical expenses system* is applied to both health insurances. [Paid private room fee] 9,900 yen / day (TV fee: free)
*Excluded from the high-cost medical care benefit system: Fees for dietary therapy, private rooms, daily necessities, medical certificates, etc. will be charged separately as necessary.
*If you have any questions, please ask a medical social worker or ward administrative staff.

Home-visit nursing and home-visit medical care

Having a cancer patient recuperate at home is a heavy burden not only for the patient but also for the family.In order to lighten the burden even a little, you can receive home-visit nursing care and home-visit medical care.
The Tsukuba Medical Center has a "Visiting Nursing Fureai""Satellite Nanohana” and in charge of the Joso area ”Visiting Nurse IshigeThere are three home-visit nursing stations.We also work with visiting nursing stations in other regions.
If there is hope of patient, family, we request visit medical treatment from clinic.By receiving these home medical care and outpatient visits together, patients and their families can receive treatment at home with peace of mind.
Medical expenses at home: Home-visit nursing and medical treatment are also covered by health insurance.
For more informationPatient Family Counseling Support Center/Cancer Counseling Support CenterPlease contact

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FAQ

QHow can I get palliative care?

Ayour doctor orPatient Family Counseling Support Center/Cancer Counseling Support CenterPlease contact us.Depending on the condition of the patient, we will coordinate outpatient services for palliative care, home palliative care, and hospitalization.

QWhat should I do if I am under other medical care?

AFirst, the patient and familyPatient Family Counseling Support Center/Cancer Counseling Support CenterPlease contact us.We will make an appointment for the first visit to the palliative care outpatient department.At the time of your consultation, ask the hospital or clinic to issue a referral letter (medical information document) showing your medical condition and treatment course, and bring it with you or have it sent to you.

QCan I receive palliative care while undergoing chemotherapy?

AAt our hospital, you can receive a palliative care outpatient during cancer treatment.We also accept patients who are being treated at other hospitals.If you are hospitalized at our hospital, the palliative care support team will take care of you.

QWhat should I do if I want to stay at home?

AWe arrange home visit medical care and home nursing care, and coordinate home services so that you can spend your time at home with peace of mind.Regarding the use of long-term care insurance (rental of nursing care beds, etc.),Patient Family Counseling Support Center/Cancer Counseling Support CenterPlease contact us.

QHow much does it cost?

AThe costs of hospitalization, outpatient care, and home care are covered by health insurance.However, the copayment rate varies according to age and income.Please note that the paid private room fee and meal fee will be charged separately (see attachment).

QWhen can I be admitted to a palliative care ward/bed?

AYou can be hospitalized if you cannot control painful symptoms in an outpatient setting, if your physical strength suddenly declines and you are unable to continue your daily life at home, or if your cancer condition is expected to change within one month. .

QWhat kind of treatment and care can I receive in a palliative care ward/bed?

ATreatment and care are focused on relieving symptoms such as pain, nausea, fatigue, shortness of breath, anxiety, depression and confusion.We also help with activities of daily living such as eating, bathing and excretion.Rehabilitation will also be provided if necessary.

QCan I stay in the hospital for a long time?

AThe palliative care wards and beds of our hospital cannot be hospitalized for long-term medical treatment.If your cancer condition is expected to be stable for more than one month, we will consult with you about discharge or transfer to your home or a facility/hospital where you can recuperate.

QCan I stay out or leave the hospital?

AIf the symptoms and condition are calm, you can stay out or leave the hospital.If you are discharged from the hospital, we will arrange outpatient visits or home-visit medical care and home-visit nursing care.Readmission is possible if necessary.

• Facility information
• Guidance of palliative care center
• Medical/Dental Cooperation (Regarding Dental Consultations)
• List of Cancer Pharmacotherapy Regimens
• FAQ
• Inpatient statistics
• Cancer registration
• Prognostic survey statistics
• Patient Family Counseling Support Center / Cancer Counseling Support Center