Information sharing tools for smooth discharge adjustment

In order to live like a person at home where you are accustomed to living even though you have a disease, during the transition period from the hospital, medical and nursing staff related to patients cooperate and facilitate information sharing, "Inpatient / Discharge Support Map "and" Information Sharing Sheet at Hospital / Discharge "has been created.
By using each tool by a care manager, the necessary medical information is shared with hospitals, etc., and appropriate support for patients and their families and preparations for home life after discharge are smooth.
※Published in June 2017 (revised March 2021)

You can download it from here.

・Hospitalization and discharge support map (PDF: 2,575KB)

You can download it from here.
・Information sharing sheet at the time of hospitalization and discharge (PDF: 237KB)
・Information sharing sheet at the time of hospitalization and discharge (Excel: 54KB)

In order to support those who spend their nursing care at home, it is important that support teams (medical and nursing staff) cooperate and support.
We have created a support map so that caregivers can understand the general process and points of care during the nursing care period and have a common image with the medical staff. By all means, please use it to share information and collaborate with medical professionals.
※Published in March 2019 (revised in March 2021)

You can download it from here.
・Home care support map for nursing care workers (PDF: 2,565KB)

"Advanced Care Planning (ACP)" refers to an effort to think in advance about medical care and care at the final stage of life that you want, and to repeatedly discuss and share with family members and medical / care teams. (nicknamed "Life Conference")
We have created a care map for home care so that we can understand the general progress of the nursing care period and the points of care, and have a common image with family and care teams.
※Published in April 2021

You can download it from here.
・Home care care map for the elderly during nursing care (PDF: 2,415KB)