| Collaboration with multiple occupations in team care | * Know the local resources and the level of understanding of lymphedema in medical and welfare personnel and examine the possibilities and methods of collaboration. * Assess whether or not there are specialty outpatient clinic visits and the possibility and content of collaboration. | * Report to the attending physician in detail about the patient’s condition and care in home-visit nursing. * Consider strategies for coping until the next visit with family, caregivers, and care managers. | * Consider and collaborate with other occupations (physiotherapists, practitioners of acupuncture, moxibustion, and massage, care workers) with respect to the division of care. * If the patient visits a specialty outpatient clinic, evaluate the conditions at the time of consultation and exchange and share information with the clinic. * Combine visits with those of a physiotherapist (hereinafter PT) to create relationships that allow consultations regarding changes in care methods and stockings to be used. |
Problems of the home-visit nursing system | * Consider coordination with care other than lymphedema care based on the level of care required, frequency of visits, and visit time. * Assess the staff’s ability to care for lymphedema. | * Confirm the presence of support from people other than immediate family members (care managers, relatives who live elsewhere, neighbors) and establish a monitoring system for times without a visiting nurse. * Decide which care should be prioritized and devise methods (Do... while doing...). | * Share information among visiting staff and make the care consistent. * Delegate care for conditions other than lymphedema to other occupations. * If it is difficult to finish in time, request a review of the care plan. * Implement and participate in training for visiting nursing staff to improve individual skills. |