Development of the Support System for Elderly Cancer Patients to Informed Concent

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The Purpose of this study was to develope the support system for elderly cancer patients to informed concent (IC), toward the best treatament and their own QOL.We investigated following four phases to develope the support system and verify it, in a geriatric hospital in Tokyo :1) Characteristics of experiences and needs of elderly cancer parients about ICWe interviewed 51 elderly cancer patients and analyzed qualitative data. We identified characteristics of elderly experiences such as that Doctor's explanation was not enough, that patients couldn't agree to treatment plans of doctors, the type of IC,possibility of the case which a self was able to decide, and various needs and ideas about IC.2) Clarification of role and subject of nursing to support elderly cancer patients to IC6 focused group interviews with 10 expert nurses were organized. We clarified 4 function 21 items as role function, 4 domains of role, 21 items of role contents and 5 subjects on role accomplishment to support elderly cancer patients to IC.3) Analysis of important mattes and structure pursued in the support system, and trial produce of the support systemWe enforced investigation same as above. 6 important mattes and Structure to consist of core system and backup system were needed for the support system. On the basis of the result, we produced the support system on trial which consisted of five subsystems.4) Verification of the support system of elderly cancer patients to ICWe enforced the support to 21 elderly cancer patients using the support system, and investigated about 3 side of the system, structure, process and outcome. The propriety and the effectiveness were almost verified, and Some improvement points became clear.