
[applause]
[musics]
Hello everyone now is kicked
I have been a doctor for over 40 years
And we enjoy every day of internal medicine clinic
As for why I say that my 40-year booking father has remarkable progress
You have the benefit of
I also together with the patient’s
It is because it has enjoyed it
Here at the site of hospice palliative care
No, I’m a staff to do a scare. Actually he is being healed
Your story further we
confronting
I would like to propose one proposal as to how to survive the super aging society
I will
Well is to say how much live
This graph shows
It was reported to him by the university
Half the number of children before 2007 will reach the age
It is those who guess to see considering the progress of medicine
It is like USA France including England etc.
Elementary school third grader of all developed countries
The actual age at which this guy takes a shot is over 100 years old
Although Japanese are shown in green, it is amazing data that is 107 years old
So in the near future we will live 100 years old
So to say and how healthy and whether the activities made in this 100-year-old we both
Now
We are research subjects
It is one of the problems I monkey Kupi Nya Freres
I am working on it
I would like to talk about this next opportunity
What is this 100-year-old life ?
I feel in my daily clinical It has been in the past 10 years, especially
Although you are in the progress has been made
Hypertension, diabetes and hyperlipidemia
It is a so-called lifestyle-related disease It is now very well controlled
The bleeding has already drastically decreased and renal failure due to diabetes
Patients with hemodialysis are decreasing year by year
It is even more cancer-san passed away patients
This also applies to
The eunuchs shown here are stomach cancers again due to the elimination of the city’s high virus
Helicobacter pylori bacterial
I think that it can be prevented if it is drastically reduced in the future by eradication treatment
Younger patients have suffered
Rheumatoid Arthritis Crohn ‘s Disease It is also a difficult illness called ulcerative colitis
You can concentrate on their studies more by the emergence of both tnf
It is time to engage in work as well
further
Development of regenerative medicine
We are depending on the appearance of a prophylactic agent of cognitive Alzheimer’s dementia
The wind of 100 years, let alone 110 years 120 years life
The time to live is expected to come
I have been working on this
I would like to introduce about the treatment of hepatitis c virus
Last year the discovery of the hepatitis virus in it was found in 1988 of 29 years ago
It is through
In 2015
Almost every patient’s hepatitis c is excluded by fluorescent drinking medicine
Breakthrough
Ah
There was a treasure treasure medical treasure I was inspired by it I was treated in our hospital for 27 years here
Attached to and
I examined it using a paper chart and an electronic medical record
First of all, it is treatment outcome
Four years after the discovery of hepatitis
I started to treat interferon
It is economically also very costly burden
Unfortunately, it was a physical as well such treatment
Until 2014
I could only grow 68%
But it will be 100% in 2014 and it will be in 2015 I will remove interferon
It is a wind grading that most people will heal with a fluorescent agent
On the other hand , for patients who passed away in the past 27 years
I searched
2066 patients are missing in our hospital
Approximately 10% 209 is better
It is not a liver disease
And 64% of them is gone in liver cancer by c hepatitis virus
By medical care the patients of this child hepatitis
I
Technology required for hospice palliative care and hospice mind
I learned that one
And then two eyes that say medical support snuggle to patients and families is a sufficient explanation
is not it
It helps patients to make self-determination
The third is representative for toys
It is to remove difficult painful symptoms promptly
With that in mind
You started in Tokushima, are not you?
Hospice Tokushima was able to be launched in 2002
this is
Have gotten had been active since 2000
The number is more of everyone’s in it your family’s is to lose the family in and hepatitis in this volunteer
Name
– you Ide
This is a night view of a petal without a book newly built in 2002
The third floor is the hospice Tokushima
I would like to mention a bit about the history of the hospice
Hospice care
It has been done in the monastery to think in medieval Europe
50 years ago from now 1940
1967 It is a hospice in London recently born
That is so the is the St. Christopher Hospice
It is a teacher self-respecting bullet selling sold to the country
I learned about this hospice care about two hundred and twenty years ago that one pillar
Is not it
I am buying of life with this
The second is
Team medical 1 patient is supported by multi-occupational staff
The third was a thorough medical narcotic material for cancer pain
this
You know hospice care
The path we have done Tosu
Even though I felt Fu that Do are very similar
Theoretical backing is very good I guess the quality of medical treatment
I was deepened .
It is 14 years of patient fuselage in Osu Tokushima but by March of last year
We analyzed from the points a look O is such impressions of the patient’s more than 1,700
Tokushima former rehabilitation network hosted by us
It is a comfortable committee of a certain power Museum
From the person in charge of the nursing department there was a question of the nurse manager who I wanted at our hospital
So many
Take a look at cancer patients
It is that selfishness are you care etc. Do not sound of mind of everyone of star nurse
Such a thing
The director of nursing department
We conducted a stard using a questionnaire method
He targets 22 nurses who work in care
Relaxing type hospital Hospice Healing activities performed in Tokushima Execution trees
Consular of the season, a letter of three months of March , etc.
A birth certificate
Then we decided questionnaire by taking that kind of item it is Toka conversation of sharpness
It is that do you think that he has been healed by the so called care
Very think and in
It is common do you think Tteyuu to have come to the bottom of the graph
As you can see there are quite a lot
You are the former nurse
You can see that say Yasazuru’
In other words, at the site of hospice palliative care
What to care for
Healing care what you do
And that is to be healed
I left an impression.
I will introduce a patient
A woman in the late stage of a 32- year-old cervical cancer has been renewed
The nurse in charge
When I heard various stories
It is right after getting married I do not have a wedding ceremony in a fighting illness living with illness
And we Well prepared heard to say
I made a proposal to do
so
The result is that all of the staff
We organized wedding planning and management
Because I was the one who was a Christian
I am tired of pushing pastor’s medicine
It was a wonderful wedding
Besides the bride and groom, families and new
It’s been very pleased those of relatives friends
In our staff
It was healed
The rainy season has better features
Honma noodles come to pick up the tray every year .
It is a palliative care ward opened two years ago of the Obon
The wife of the chairman told me
Husband in a minute I is the first time because I was married to my side
It is a private house eyes of Obon is said to
He died of cancer
After the
I have come every year to ask whether you do not you come to take in to the hospice
This is a festival of May at Dan
I am climbing the hospice garden
Koinobori This is Koinobori for Mr.
Coffin with a view from Aaron
With carp stream that swells and rebounds again
There is a patient who wrote a word .
Of 91-year-old
In the form of
It is said that the daughter-in-law one month we have garden
However
Hospice The life in Tokushima is enjoyed very much
We survive whopping 6 months
What I understood is also a haiku teacher and a tea teacher
It is also Japan side
The temple in Kyoto was a versatile one asked for fusuma painting from
Every day my daughter is coming to completion, but I do not buy it if 9 o’clock comes any matter how bad I am.
That’s the last day I said saying it
As expected , the chief nurse
You stopped today saying you should stop as well
I am 7 hemp
I went to a greeting
You are Oh
You are wearing a mash blazer on a red bow tie
It was because of calm
From my daughter
teacher
With eloquent father
He is a toast I told you to say thank you to each other and say good-bye
Was to say
It is selfish say and was toast with what liquor
Express
I to thank you I told you
Smiled
He is a very rumored patient
I’ve seen I thought that if they passed away quite a lot between
It is For the teeth
Although it is a sad thing
For the family relatives left behind
I feel that it is a big event that takes the next step
1990
I studied abroad at the time when I was 9 years old
Teacher Trading from Egypt and Professor Maria from Malaysia
Four people Te visiting nurses and
Do not you of trying to Tokushima on the afternoon of than Koaru Date
I went to a hat of a patient who is being treated at home .
It happened to be 89 years old
Ann who was already curing due to vascular disorder died and four people visited otaku
I would like to speak calm oral
That’s why I am two teachers.
In Tokushima who are all like this
With a calm face
It’s going to be without
As you ask in your country
Mr. Maria is squashed
Our cream is the same
You answered that this is English and peaceful face
It is very important that I say this piece race
To a human- machine
We recommend that relatives gather as much as possible
That is
Teeth are life
The fact that to be the baton touch is one of the major goals of the sound he is kicking
Is the mountain of the symbol of Tokushima city
I had a lung cancer yes gold new
Raw camera is the best shot involved
As we have talked to so far
Hospice palliative care
, Is not it
It will have human originally
Tteyuu is healing healed
When bringing out the relationship
I understood that
What we need for a super aging society in the future is a hospital
Then a naval facility
In addition, it is in the community
I think that it is important that the hospice palliative care is penetrated
If so, Tokushima where we live is also
The wind of becoming a prosperous society
Believe Thank you for your kind attention Have the activities in the future
[applause]
[musics]
tan
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