2020 Volume 71 Issue 1 Pages 9-14
The number of patients requiring home health care is on the increase, including bedridden patients and end-of-life patients in their last hours. The social demand for home health care calls for a prompt response. In order to meet this demand, multiple hospitals, clinics and visiting nursing stations have been closely coordinated to cooperate and complement each other in such home care management tasks. However, since the “training system for specified procedures performed by nurses” was implemented in Japan in October 2015, assistance in medical treatment by nurses has been limited. At the same time, there have been instances where the patient developed a lifethreatening situation, such as accidental withdrawal of a tracheal cannula. Behind the occurrence of such accidents seems to be a misconception of the training system for specific procedures performed by nurses. We, as researchers, have also been called on to maintain and improve the medical care technology of home health care doctors. The authors provide on-site training for doctors and nurses in charge of home health care concerning techniques necessary for tracheal cannula replacement and management. Here, we introduce our efforts to meet the needs of rural home health care.
