Information sharing tool for facilitating discharge adjustment

In order to live like a person at home where they are accustomed to living even though they have a disease, medical and nursing care professionals related to patients work together to facilitate information sharing. Map "and" Information Sharing Sheet at Hospitalization / Discharge Information Sharing Sheet at Hospitalization / Discharge Information Sharing Sheet "
By using each tool by the care manager, the necessary medical information is shared with hospitals, etc., and facilitates appropriate support for patients and families and preparations for home life after discharge are smooth.
※Published in June 2017 (revised in 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 admission and discharge (PDF: 237KB)
・Information sharing sheet at the time of admission and discharge (Excel: 54KB)

In order to support those who spend the nursing care period at home, it is important that the support team (medical and nursing care workers) work together to provide support.
We have created a support map so that caregivers can understand the general process and care points during the nursing care period and have a common image with medical professionals. Please use it for information sharing and cooperation 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 in the final stage of your life you want and repeatedly discussing and sharing with your family and medical / care team. (nicknamed "Life Conference")
We have created a home care care map 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 the care period (PDF: 2,415KB)