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首页> 外文期刊>癌と化学療法 >Palliative home care of a breast cancer patient with esophageal metastasis after the operation of gastric fistula and tracheotomy--a case study
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Palliative home care of a breast cancer patient with esophageal metastasis after the operation of gastric fistula and tracheotomy--a case study

机译：胃瘘和气管切开术后食管转移的乳房癌患者的姑息家庭护理 - 以案例研究

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摘要

A 66-year-old woman felt dysphagia gradually seven years after an operation of breast cancer. We diagnosed her with esophageal metastasis of the breast cancer, and carried out irradiation and outpatient chemotherapy. Because her general condition became worse after the treatment for about four years, we performed an operation of gastric fistula and tracheotomy to manage her nutrition and of an accidental swallowing. Although the patient and her family resisted a discharge from hospital due to the progressive nature of her illness and change in physical surroundings, she was eventually switched to take a homecare medical treatment with the support of a team care approach. The main purposes of the homecare treatment were to manage gastric fistula including the administration of anti-cancer drugs, cervicobrachial pain control and tracheal cannula exchange. Though she was mentally stable and got along well with the family during the home stay, she was hospitalized again two months after the homecare treatment because of aggravated symptoms and the family's fatigue. We respected the value of her quality of life and gave careful considerations to support her during the entire period of re-hospitalization. She gently died two months after re-hospitalization. We considered that this palliative home care could be realized with the palliative team care, nursing intervention visit and family support.
机译：一名66岁的女子在乳腺癌的运作后七年逐渐感受到吞咽困难。我们诊断出乳腺癌食管转移，进行辐照和门诊化疗。由于她的一般病症在治疗后大约四年后变得更糟，我们进行了胃瘘和气管切开的操作，以管理她的营养和意外吞咽。虽然患者和她的家人由于她的疾病的渐进性和身体周围的变化而抵抗了医院的排放，但她最终转型为HomeCare医疗，并在支持团队护理方法。 HomeCare治疗的主要目的是管理胃瘘，包括抗癌药物，宫颈疼痛控制和气管套管交换。虽然她在家庭住宿期间和家人和家人相处得很好，但由于症状加剧和家庭的疲劳，她再次住院两月后再次住院。我们尊重她的生活质量的价值，并在整个重新住院期间仔细考虑了她支持她。再次住院后，她在两个月后轻轻地去世了。我们认为，这种姑息家庭护理可以通过姑息的团队护理，护理干预访问和家庭支持来实现。

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