Practical Guidance for Palliative Care Unit

Practical Guidance for Palliative Care Unit

  • Upload
    others

  • View
    2

  • Download
    0

Embed Size (px)

Citation preview

Practical Guidance for Palliative Care Unit

.

.

.

PPI PPS PaPS KPS

STAS-J

STAS-J

-2-

-3-

-4-

-5-

QOL

ADL

ADL

-6-

DNAR

-7-

1

-8-

Palliative Prognostic Index PaPS Palliative Prognostic Score

STAS-J Support Team Assessment Schedule-Japan E-SAS

[ ]

. , 2014

. , 2014

STAS-J http://plaza.umin.ac.jp/stas/

. E-SAS http://www.japanpt.or.jp/esas/05_download/index.html

-9-

-10-

[ ]

. 18.suppl 144-145, 2008

, , , 2012

. Jonsen AR, Siegler M, Winslade

William , , , 1997

.

http://www.l.u-tokyo.ac.jp/dls/cleth/tools/tools.html

http://square.umin.ac.jp/masashi/4box.html

-11-

QOL

STAS-J

QOL

2014

2011

2011

-12-

2010

2013

2 .

, 2010

. , , 2013

3 . , , , , ,

2013

. , ,

, 2014

10 . , 2013

11 . , 2014

-13-

-14-

[ ]

(OPTIM ).

http://gankanwa.umin.jp/pamph.html

J HOPE

, 2012

. , , 2002

.

, 2008

-15-

-16-

[ ]

. , 17 Suppl, 2007

.

,

2010

.

, 2013

, .

” http://www.hospat.org/from-now-on.html

. , 2014

-17-

-18-

[ ]

. , 2011

. , 22(6) 486-521, 2012

. , 2014

http://www.hpcj.org/med/ns_cur.html

-19-

-20-

http://www.hpcj.org/what/pcu_list.pdf

http://www.hpcj.org/info/teigen/20110304.pdf

-21-

-22-

Palliative Prognostic Index : PPI

Palliative Performance Scale PPS

-23-

Palliative Prognostic Score PaP S)

30

Karnofsky Performance Scale

1 2 8.5

3 4 6

5 6 4.5

7 10 2.5

11 12 2

12 0

10 20 2.5

30 0

1.5

1

11000 1.5

8501 11000 0.5

0 11.9 % 2.5

12 19.9 % 1

Karnofsky Performance Scale

(%)

30 95%

0 5.5 70% 67 87

5.6 11 30 70% 28 39

11.1 17.5 30% 11 18

100

90

80

50

40

30

10

207-16

50-9070

60

8-50

-24-

-25-

-26-

-27-

STAS-J

-28-

-29-

-30-

-31-