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The Characteristics of Medical Care Provided During The Last Hospitalization Of Elderly Patients Who Died In Hospital In Japan

Research Project

Project/Area Number 26671034
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Community health nursing
Research InstitutionOsaka University

Principal Investigator

ITO MIKIKO  大阪大学, 医学(系)研究科(研究院), 准教授 (80294099)

Co-Investigator(Kenkyū-buntansha) HONDA Chika  大阪大学, 大学院医学系研究科, 特任准教授 (40625498)
SOBUE Tomotaka  大阪大学, 大学院医学系研究科, 教授 (50270674)
KITAMURA Yuri  大阪大学, 大学院医学系研究科, 准教授 (90294074)
HIRAI Kei  大阪大学, 大学院医学系研究科, 招聘教員 (70294014)
Okita Taketoshi  東北大学, 大学院医学系研究科, 助教 (70437325)
Project Period (FY) 2014-04-01 – 2016-03-31
Project Status Completed (Fiscal Year 2015)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2015: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Keywords超高齢者 / 人工的水分栄養補給 / 入院 / 看取り / 終末期医療 / 遺族 / 延命治療 / 医療・ケアの評価
Outline of Final Research Achievements

Improvement of prognosis is a priority, even regarding the end-of-life for older people in Japan. Tube feeding or percutaneous endoscopic gastrostomy is often provided. But due to aging, dementia, and multiple diseases, prolongation of survival time does not lead directly to an improvement of QOL of people 85 years old and older. The expected increase of older people with highly medical dependency will progress in this further aging society. Thus there is a need to the shift to "medical care that does not prolong life" and ‘de-hospitalization’ for oldest-old people at the end-of-life stage.
this study, we intend to assess and discuss the medical care for the oldest people in the terminal stages, based on interview research of the medical staff and bereaved families.

Report

(3 results)
  • 2015 Annual Research Report   Final Research Report ( PDF )
  • 2014 Research-status Report
  • Research Products

    (7 results)

All 2016 2015

All Presentation (7 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] The characteristics of the last hospitalization and nursing plans for Elderly Patients over 80 years old who died in a recuperation hospital in Japan2016

    • Author(s)
      Mariko Yamamoto, Tomoko Tamaki, Ryo Odachi, Yuki Maura ,Haruka Aga, Tomoe Shiromoto, Mikiko Ito
    • Organizer
      第19回東アジア看護学研究者フォーラム(EAFONS 2016)
    • Place of Presentation
      幕張メッセ(千葉県千葉市)
    • Year and Date
      2016-03-13
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 療養病床における終末期高齢者への看護実践の特徴と課題2015

    • Author(s)
      大達亮、玉木朋子、城本友恵、伊藤美樹子
    • Organizer
      第35回日本看護科学学会学術集会(広島)
    • Place of Presentation
      広島国際会議場(広島県広島市)
    • Year and Date
      2015-12-06
    • Related Report
      2015 Annual Research Report
  • [Presentation] 病院で死亡した80歳以上の高齢者に実施された医療とそれに対する看護師の評価:医療施設別の比較2015

    • Author(s)
      玉木朋子、大達亮、城本友恵、伊藤美樹子
    • Organizer
      第35回日本看護科学学会学術集会(広島)
    • Place of Presentation
      広島国際会議場(広島県広島市)
    • Year and Date
      2015-12-06
    • Related Report
      2015 Annual Research Report
  • [Presentation] 急性期病棟での終末期高齢者の肺炎治療の課題 80代の病院死亡事例より2015

    • Author(s)
      阿賀はるか、大達亮、玉木朋子、城本友恵、佐道准也、多田世奈、山本真理子、本多智佳、伊藤美樹子、喜多村祐里、祖父江友孝
    • Organizer
      第74回日本公衆衛生学会総会、長崎市
    • Place of Presentation
      ブリックホール(長崎県長崎市)
    • Year and Date
      2015-11-05
    • Related Report
      2015 Annual Research Report
  • [Presentation] The Characteristics of Medical Care Provided During The Last Hospitalization Of Elderly Patients Who Died In Hospital In Japan2015

    • Author(s)
      T. Tamaki, R. Odachi, T. Sobue, Y. Kitamura, K. Hirai, C. Honda, T. Okita, J. Sado,T.Shiromoto, M. It
    • Organizer
      The 10th International Association of Gerontology and Geriatrics Asia/Oceania Regional Congress
    • Place of Presentation
      タイ, チェンマイコンベンションセンター
    • Year and Date
      2015-10-05
    • Related Report
      2015 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 超高齢者の死亡場所の状況について―高齢化が進展した地域の事例から―2015

    • Author(s)
      伊藤美樹子、大達亮、城本友恵
    • Organizer
      第41回日本保健医療社会学会大会
    • Place of Presentation
      首都大学東京(東京都荒川区)
    • Year and Date
      2015-05-16
    • Related Report
      2015 Annual Research Report
  • [Presentation] 超高齢者の死亡場所の状況について2015

    • Author(s)
      伊藤美樹子、大達亮、城本友恵
    • Organizer
      第41回日本保健医療社会学会大会
    • Place of Presentation
      首都大学東京・荒川キャンパス
    • Year and Date
      2015-05-16
    • Related Report
      2014 Research-status Report

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Published: 2014-04-04   Modified: 2017-09-25  

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