The design of the guideline towards individual discharge planning support program creation of the patient who undergoes invasive medical treatment

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In the individual hospital discharge program creation of the patient who underwent -medical treatment (surgical operation), as an influence factor, wearing of tubes, such as thoracic surgery and abdominal surgery, oral ingestion start time, the necessity for wound care at the time of leaving hospital, and tube-feeding, is the factor which lives a life after leaving hospital difficult, and it was sometimes an important item in leaving hospital instruction from 1 reference examination as it is clear. 2) From the listening comprehension investigation to the outpatient after an operation, listening comprehension investigation to 11 esophagus cancer postoperative patients was conducted. Consequently, adaptation in the life after the fall of physical strength, the troublesomeness of tube nutrition, the bottom difficulty of swallowing, diarrhea condition, etc. leaving hospital was obstructed. 3) From experience investigation of the operation patient who has the diabetes as complications, the thing with uneasy "to" recurrence and transition was also. In the life after leaving hospital, the impatience which cannot increase weight is felt so that it may consider from balance with diabetes, and it cannot be carrying out from restriction of activity with the pain of a crack in many cases, getting to know the necessity for an exercise cure. An operation patient's individual leaving hospital support program creation started with a patient's hospitalization, and the existence of the way type in connection with a meal and complications (especially diabetes) had had big influence on the life after leaving hospital. Based on these, the individual support program in early time was created, and the patient education which was consistent from before an operation became clear determining the effect of a program.