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Information sharing tool to facilitate discharge adjustment

Final update date May 19, 2021

Inpatient / discharge support map, information sharing sheet at the time of hospitalization / discharge

Overview

In order to live like a person at home where they are accustomed to living even though they have a disease, during the transition period from the hospital, medical and nursing staff related to patients work together to facilitate information sharing. Map "and" Information sharing sheet at the time of hospitalization and discharge ".
By using each tool by a care manager, necessary medical information will be shared with hospitals, etc., and appropriate support for patients and families and preparations for living at home after discharge will be smoother.
※Issued in June 2017 (issued in March 2021)

Hospitalization and discharge support map


Hospitalization / Discharge Support Map (Omote)


Hospitalization / Discharge Support Map (Ura)

Information sharing sheet at the time of hospitalization and discharge


Information sharing sheet at the time of hospitalization and discharge [Table]


Information sharing sheet at the time of hospitalization and discharge [back]

Home care support map for nursing care staff

Overview

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

Home care support map for nursing care staff


Home care support map for nursing care staff (Omote)


Home care support map for nursing care staff (Ura)

Home care care map for elderly people

Overview

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

Home care care map for elderly people


Home care care map for elderly people (Omote)


Home care care map for elderly people

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Inquiries to this page

Medical Care Bureau Disease Control Department Cancer and Disease Control Division Home Health Care Section

Telephone: 045-671-244444

Telephone: 045-671-244444

Fax: 045-6644-3851

Email address: [email protected]

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Page ID: 318-423-8115

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