Diabetes treatment support outpatient clinic

It is estimated that there are currently around 20 million people in Japan who have diabetes or are at risk of developing it. Diabetes can now be considered a national disease, but there are a wide variety of reasons for developing diabetes (type of diabetes), physical conditions, complications, etc., and treatment varies from person to person.

Diabetes is also a disease that requires long-term living. Self-management in daily life, such as improving diet and exercise habits, taking oral medication and insulin injections, is very important. However, just as each person's physical condition is different, each person's life is also different, including their lifestyle, work, family, and personal life. I believe that there will be times in the course of a long life when recovery and treatment do not go well.

At the "Diabetes Care Support Outpatient Clinic," nurses with specialized diabetes knowledge provide consultation and guidance to patients and their families living with diabetes, so that they can live a life of recuperation while managing their diabetes in a way that is more true to themselves. While the focus is primarily on providing care support to those with type 1 or type 2 diabetes who are receiving insulin injections, the clinic also provides care support for those with gestational diabetes, as well as guidance on preventing dialysis and foot care to prevent complications.

We work in collaboration with a variety of professionals both inside and outside the hospital, including the patient's doctor, registered dietitian, pharmacist, physical therapist, administrative and social worker, and take into consideration the patient's lifestyle, striving to provide support that ideally enables them to live a better life while managing diabetes.

Consultation date and time	Monday to Friday 9:00 to 16:00 (excluding 12:00 to 13:00)
place	2nd floor Block A Interview Room 2 / Nursing Consultation Room 3
medical treatment	Insurance-covered medical treatment, reservation required
Target Audience	Diabetes treatment guidance Those who self-inject insulin or incretin drugs, or those who are starting to use them for the first time Diabetic patients currently visiting our hospital and their families who wish to receive nursing care, as well as those whose doctors have determined that nurse intervention is necessary others Those who are currently visiting our hospital for gestational diabetes or pregnancy complicated by diabetes Those who have been judged by a doctor to require foot care or dialysis prevention guidance to prevent complications
Care content	Support and consultation for medical treatment and blood sugar control Instruction on self-administration of insulin and self-monitoring of blood glucose Preventive dialysis guidance and foot care to prevent diabetes complications Mental support and medical guidance for families
Fee	Home care guidance fee 170 points: 510 yen (if paying 30% of the cost) Diabetes complication management fee 170 points: 510 yen (if you pay 30% of the cost) Corn and callus treatment 170 points: 510 yen (if you pay 30% of the cost)
in charge	Certified Diabetes Nurse, Japanese Diabetes Care Educator

Our hospital holds diabetes classes to teach basic information about diabetes. No reservations are required and anyone can participate free of charge, so please feel free to come along.
More informationInformation on various courses and classesPlease see.

Smoking cessation support outpatient clinic

Kitano Hospital began offering smoking cessation outpatient services in October 2001 for patients who wish to quit smoking. The smoking cessation support outpatient service is staffed by nurses who have undergone training in smoking cessation support and are certified as smoking cessation supporters.

Many people may think, "I can't quit smoking because I have a weak will..." However, it has recently become clear that smoking is a disease of nicotine addiction, and that psychological and habitual addictions on top of that make it difficult to quit smoking. At our clinic, we work with doctors to implement smoking cessation programs based on standard smoking cessation procedures, with the aim of helping patients successfully quit smoking.

We want to support patients who have a variety of thoughts, such as "I want to quit smoking," "I want to quit smoking but I don't know how," or "I'm trying to quit smoking but I can't succeed," and help them achieve their goal of quitting smoking on their own. Please feel free to contact us. We look forward to seeing you.

Consultation date and time	Monday and Tuesday 13:00-16:00
interview	30-60 minute individual interview
place	2nd floor Block A, next to the central treatment room, Interview Room 1
medical treatment	Insurance-covered treatment (if the medical interview does not meet the conditions for insurance-covered treatment, treatment will be at your own expense), reservation-only
How to make a reservation	2nd floor Block A central treatment room reception
Target Audience	Those who wish to quit smoking *Those who can attend the smoking cessation program five times over a three-month period
Care content	Measurement of exhaled carbon monoxide concentration Advice for quitting smoking Choosing a smoking cessation aid
Fee	Approximately 20,000 yen (if you pay 30% of the cost)
in charge	Smoking cessation support specialist (nurse), smoking cessation instructor

Stoma outpatient clinic

A stoma is an artificial opening created by surgically directing the digestive tract or urinary tract outside the body (mainly into the abdomen). It is also called an artificial anus or artificial bladder. At our stoma outpatient clinic, we provide support regarding stoma care so that people with stomas can live more comfortable daily lives. We mainly provide advice on daily life, skin care methods, introduce new products, and suggest the best stoma appliances.

We will accommodate each person for 30 minutes to 1 hour. Reservations are required, so please arrive before your scheduled time.

During the outpatient visit, we will change your appliance and check the condition of your stoma and skin, and whether there are any problems with using the appliance, so please bring your current stoma appliance and other items with you.

Consultation date and time	Monday, Tuesday, Friday 9:00-16:00
place	2nd floor Nursing Consultation Room 2
medical treatment	Insurance-covered medical treatment, reservation required
Target Audience	Those who have received instructions from a doctor after visiting the gastrointestinal surgery department *As a general rule, this applies to patients who have had a stoma added at our hospital.
Care content	Stoma care support Preoperative stoma orientation Prevention and care of stoma complications How to choose and wear a stoma appliance Daily living support and introduction to social resources
Fee	Home care guidance fee (170 points): 510 yen (30% copayment) 70 points for one stoma, 100 points for two stomas
in charge	Certified skin and excretion care nurse, participant of the Kansai Stoma Training Seminar

Lymphedema Outpatient Clinic

What is lymphedema?

This refers to swelling in the arms, legs, and other parts of the body due to poor lymphatic flow. This condition is more likely to occur after lymph node removal during cancer surgery or radiation therapy. There are also primary conditions where the cause is unclear.

Lymphedema treatment (complex treatment)

1. skin care
2. Manual lymphatic drainage
   It guides accumulated lymph fluid in the right direction, reducing swelling and improving skin condition.
3. Compression therapy
   Elastic bandages and clothing (sleeves and stockings) are worn to prevent lymphatic fluid from reaccumulating.
4. Compression therapy
   Post-compression exercise therapy promotes lymphatic drainage.
5. We aim to improve patients' quality of life by providing guidance on daily living.

Consultation date and time	Tuesday and Thursday 13:00-16:00
place	2nd floor Nursing Consultation Room 1
medical treatment	Private medical treatment, reservation only [Out-of-hospital referral] Plastic surgery appointment via the Regional Medical Service Center [Hospital introduction] After undergoing the necessary tests, a reservation is made with the doctor's permission.
Target Audience	Those who have undergone surgery for breast cancer, uterine cancer, prostate cancer, etc., and have undergone lymph node dissection or radiation therapy, and who have developed lymphedema and whose doctor has determined that they need to visit the lymphedema nursing clinic. Those with primary (congenital) or idiopathic lymphedema who have been determined by their doctor to require consultation at the lymphedema nursing clinic
Care content	Complex treatment of patients with lymphedema (complex physiotherapy) Guidance on the selection and application of compression garments and bandages
Fee	First visit: 7,700 yen (tax included) Follow-up examination: Upper limbs 4,950 yen, lower limbs 5,500 yen (tax included) Stocking self-care instruction: 3,300 yen (tax included)
in charge	Lymphedema therapist, medical lymphatic drainage training graduate

Our hospital holds lymphedema classes to discuss the basics of lymphedema. No reservations are required and anyone can participate free of charge, so please feel free to come along.
More informationInformation on various courses and classesPlease see.

Foot Care Clinic

At our foot care nursing outpatient clinic, we provide foot care at our own expense to patients who are experiencing problems with their feet, such as being unable to cut their own nails after hip or knee surgery, having thick nails that are difficult to cut, or having calluses or corns that are painful and make it difficult to walk. Many patients who suffer from recurring calluses and corns have foot deformities such as hallux valgus as the cause, and changing their footwear can help alleviate the symptoms. We also offer advice on choosing and wearing footwear.

The staff in charge are foot care instructors and have completed training from the Japan Foot Care Society.

Anyone wishing to see a doctor must first obtain instructions and permission from a doctor. Reservations can be made with instructions from a doctor in the dermatology, plastic surgery, or orthopedic department. Feet are so important that they are sometimes called the second heart. Please take advantage of our outpatient clinic to receive proper foot care and ensure you can walk on your own two feet no matter how old you are.

If you would like to be examined, please contact Outpatient Block D. Brochures are available.

Consultation date and time	Friday 12:30-16:30
place	2nd floor Central treatment room Nursing consultation room
medical treatment	Private medical treatment, reservation only
Target Audience	Those who do not have diabetes or lower limb blood flow insufficiency and who have been instructed by our dermatologist, orthopedic surgeon, or plastic surgeon
Care content	Nail clipping, thickened nail filing Callus and corn treatment Heel callus care Self-foot care instruction Shoe Instructions
Fee	First visit: 5,500 yen (tax included) Follow-up visit: 3,300 yen (tax included) [Additional charges apply depending on the treatment] Painful corn: 1,100 yen (tax included) Calluses (all) 2,200 yen (tax included) Thickened Nail File 2,200 yen (tax included) Heel callus care 2,200 yen (tax included)
in charge	Foot care instructor, training graduate

Breast Nursing Consultation

Consultation date	Mondays and Wednesdays (Mondays and Thursdays on the fourth week only)
place	2nd floor Block B Nursing Consultation Room
medical treatment	Insurance accepted, reservations required
Target Audience	Those currently undergoing breast surgery at our hospital
Care content	Concerns and consultations regarding breast tissue
Fee	*Depending on the content of your consultation. *For cancer patients, a cancer patient guidance and management fee may be added.
in charge	Breast cancer nursing certified nurse

Kidney disease guidance clinic

Kidney disease guidance clinic

We provide outpatient nursing care to patients with chronic kidney disease (CKD) and their families.
Nurses with specialized knowledge will explain how to slow the progression of chronic kidney disease and what precautions to take in daily life so that you can gain a deeper understanding.

One of the complications of diabetes is nephropathy, and we provide preventive dialysis guidance to slow its progression.
Furthermore, if kidney failure occurs, renal replacement therapy (hemodialysis, peritoneal dialysis, or kidney transplant) will be required to supplement the kidney's function. We will support patients by helping them carefully consider the characteristics of each treatment and lifestyle changes.

I try to take as much time as possible to talk individually with patients about any questions they might not have had the opportunity to ask in detail during their regular doctor's examinations, or about anything they are unsure of where to turn for advice on.

Chronic renal failure testing and education hospitalization

Educational hospitalization involves a one-week hospital stay for instruction and consultation for patients diagnosed with chronic kidney disease (CKD).
If you are already undergoing treatment but would like to review or consult about your lifestyle habits, please consult your outpatient doctor about educational hospitalization.

Consultation date	Weekdays 11:00-15:00
place	6th floor Blood Purification Center
medical treatment	Reservations only
Target Audience	Patients with chronic renal failure and diabetic nephropathy
Care content	Lifestyle guidance for patients with chronic renal failure in the conservative stage Renal replacement therapy selection Kidney disease education and guidance during hospitalization Guidance on preventing dialysis due to progression of diabetic nephropathy
in charge	Nurses who have undergone the required training

Post allogeneic transplantation (LTFU) outpatient clinic

The Kitano Hospital Department of Hematology provides transplant medicine and hospitalizes patients undergoing hematopoietic stem cell transplants. Patients' treatment continues not only during their hospital stay but also after discharge. We wanted to respond to a variety of consultations, including those regarding the long-term administration of immunosuppressants, infectious diseases, worries about daily life and reintegration into society, and concerns about managing their own health.
Therefore, in April 2018, we opened the "Post-Allogeneic Transplant Outpatient Clinic (LTFU Outpatient Clinic)" with the aim of providing support as a team, focusing on the lives of patients after they are discharged from the hospital.
The nurses in charge of outpatient care after allogeneic transplants are staff who work in the hematology ward and have received the appropriate training in transplant medicine. First, we will interview patients about their progress after the transplant and monitor their physical condition, such as the condition of their skin, oral cavity, and dry eyes. Based on this information, we will provide specialized explanations about preventing post-transplant infections and complications, depending on the patient's lifestyle and the content of their consultation.
We hope to use the consultations we receive through our nursing outpatient clinic as an opportunity to review the nursing support provided during post-transplant hospitalization and to improve the quality of life after discharge.
For us nurses, meeting patients after they have been discharged from the hospital is a very joyful and precious experience. We hope to continue providing services that will satisfy even more patients. We will support you as a team. Please feel free to contact us. We look forward to hearing from you.

Consultation date	1st Tuesday, 2nd Wednesday, 3rd Thursday, 4th Monday
place	2nd floor Nursing Consultation Room 1
medical treatment	Private medical treatment, reservation only
How to make a reservation	Your doctor will make appointments for you three months, six months, one year after the transplant, and then annually thereafter. You can also make reservations if you wish, other than those listed above.
Target Audience	Patients who have undergone hematopoietic stem cell transplantation
in charge	Nurses and hematologists who have undergone the required training

Heart failure nursing outpatient clinic

Certified heart failure nurses and heart failure treatment instructors will support you in your daily life to help you identify the triggers and symptoms of worsening heart failure in your daily life.
Please feel free to contact us with any problems or concerns you may have in your daily life.

Date and time	2nd Monday, 2nd and 4th Thursday 9:00-12:00 Fourth Monday 13:00-16:00
place	Main Building 2nd Floor, Nursing Consultation Room 1 (in front of the Hematology Consultation Room)
Fee	Insurance-covered medical treatment available
medical treatment	Reservations only (Consultations require an order from a cardiologist. If you wish to be examined, please consult with your cardiologist.)
Main target audience	Those who have been hospitalized for heart failure in the past year (excluding the most recent hospitalization) Those who have been hospitalized for heart failure Those who are at risk of developing heart failure and whose cardiologist has determined that they need treatment
in charge	Certified chronic heart failure nurse, certified nurse, outpatient nurse, heart failure care instructor