Yamaguchi Medical Journal
Online ISSN : 1880-4462
Print ISSN : 0513-1731
ISSN-L : 0513-1731
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Development of a Real-Image Construction Method for Creating a Caring Model for End-of-Life Cancer Nursing Care
Hitoshi OGAWAAiko TANAKAChizuru NAGATAMiyuki GOTO
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2025 Volume 74 Issue 2 Pages 95-102

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Abstract
During cancer patients’ final stage of life, it is essential to provide nursing care that enables them to live their remaining days according to their wishes. However, delivering such care is often challenging. To address this, the authors developed a “real-image construction” method, which models cases of optimal care and structures the entire process in a clear and comprehensible manner. Additionally, a case study was developed to demonstrate how a patient's wishes were realized through the real-image construction method. The real-image construction method involves outlining facts, external factors, and foundational aspects, then combining these elements to establish a comprehensive framework for naming the care model. By summarizing individual cases using this approach, it becomes possible to identify the characteristics of a care model and apply these insights to similar cases. Additionally, as more models are developed in future, it will be possible to analyze them beyond the framework of facts, external factors, and foundational aspects. By categorizing models based on the similarity of their naming terms, new keywords critical to caregiving can be identified, leading to the creation of new, integrated care models.
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© 2025 by Yamaguchi University Medical Association
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