完全独立型緩和ケア病院で理学療法を受けた脳卒中後重度片麻痺を合併する終末期がん患者のADLとQOLの経過：一症例報告

[Purpose] We report the impact of physical therapy on Activities Daily Living (ADL) and Quality Life (QOL) a terminal cancer patient with severe hemiplegia due to brain hemorrhage being treated in fully independent palliative care hospital. [Participant Methods] A man his 60s presenting was diagnosed lung adenocarcinoma, metastasis, multiple metastases following cerebral hemorrhage. The subject Performance Status 4 transferred hospital where he received for 8 weeks. [Results] At start after transfer (day 51), ADL 23 points Functional Independence Measure (FIM) motor items, 31 FIM cognitive items 26 QOL as measured by Comprehensive Outcome short version. After weeks, improved 28 points, 39 points. [Conclusion] Physical patients disability may contribute improvement mobility QOL.