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Palliative care is care that supports patients and their families with life-threatening diseases such as cancer by alleviating their holistic suffering and helping them realize their wishes. In cancer treatment, palliative care is provided in parallel with anti-cancer treatment and is involved from the early stages of diagnosis.
Holistic suffering includes not only physical pain and other distress, but also mental distress such as emotional distress and delirium, social distress such as financial anxiety and choosing a place for treatment, and existential anguish (spiritual pain) such as loss of meaning in life. Hope is "a wish that is meaningful to the individual and can be realized by acting on it." We listen to the wishes of patients and their families from the first consultation and provide assistance with the aim of realizing them. As alleviating such pain and realizing hopes is difficult for doctors alone, we form a palliative care team with nurses, pharmacists, therapists, nutritionists, psychologists, welfare workers, and others to provide better team medical care.
Director of Palliative Care
Toru Kajiyama
Pain, difficulty breathing, nausea/vomiting, abnormal bowel movements, abdominal distension, loss of appetite, general fatigue, fever, ascites, edema, loss of consciousness, decreased activities of daily living, etc.
Relief of anxiety, depression, insomnia, delirium, etc., counseling, transactional analysis, self-coping, coaching, etc.
Introducing treatment facilities, arranging transfers to other hospitals, providing support for home care, nursing care, employment support, and easing financial worries.
Supportive communication such as receptive listening and empathic understanding, narrative approach, grief care, clinical meditation, etc.
Support for changing gears, post-diagnosis care, end-of-life care, sedation therapy, family care, bereaved family care, staff care, etc.
He holds specialist qualifications from the Japanese Society for Palliative Medicine, and regularly provides guidance and lectures to palliative care teams at other cancer center hospitals, serves as a lecturer at palliative care training seminars, and organizes palliative care-related study groups. He also serves as the representative organizer of the Naniwa Palliative Care Conference, which has been held since 2009, and presides over a palliative care mailing list attended by over 600 medical, nursing, welfare, and psychological professionals.
He gives lectures on spiritual care and grief care at Sophia University Grief Care Research Institute, the Japan Spiritual Care Association, and the Kyoto Grief Care Association.
Director of Palliative Care
Toru Kajiyama
If you would like to consult about the care details mentioned above, please first inform your current doctor that you would like to be examined at the Palliative Care Department.
For more information about our multidisciplinary palliative care team, please see the link below.
