2016 年 42 巻 2 号 p. 122-128
We experienced the case of a woman with colorectal cancer in the end period being treated by a community palliative care team and hospital pharmacists, using a medical social networking service (SNS). The patient was experiencing somnolence, disturbance of consciousness and convulsion-like attacks at discharge. Based on information on the patient exchanged through SNS, we judged that she was receiving an excess dose of narcotic analgesics, and after suggesting a reduction in the dose of oxycodone, her level of consciousness and attack symptoms improved, and she experienced a painless condition. By using information sharing systems to support community palliative care teams, including community pharmacists, hospital pharmacists can contribute to the development of effective community medicine.