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Palliative care unit treatment and care for a terminal breast cancer patient with untreated obsessive-compulsive disorder

Published online by Cambridge University Press:  12 July 2023

Eriko Hayashi Open the ORCID record for Eriko Hayashi [Opens in a new window] ,
Tetsuya Matsuura ,
Junko Takano ,
Kaori Morofushi ,
Kaori Toriizuka ,
Fumiyasu Fukano  and
Hideki Onishi Open the ORCID record for Hideki Onishi [Opens in a new window]
Eriko Hayashi*
Affiliation:
Nursing Course, School of Medicine, Yokohama City University, Yokohama, Kanagawa, Japan Department of Nursing, Fujisawa Shounandai Hospital, Fujisawa-shi, Kanagawa, Japan
Tetsuya Matsuura
Affiliation:
Department of Palliative Care Unit, Fujisawa Shounandai Hospital, Fujisawa-shi, Kanagawa, Japan
Junko Takano
Affiliation:
Department of Palliative Care Unit, Fujisawa Shounandai Hospital, Fujisawa-shi, Kanagawa, Japan
Kaori Morofushi
Affiliation:
Department of Palliative Care Unit, Fujisawa Shounandai Hospital, Fujisawa-shi, Kanagawa, Japan
Kaori Toriizuka
Affiliation:
Department of Palliative Care Unit, Fujisawa Shounandai Hospital, Fujisawa-shi, Kanagawa, Japan
Fumiyasu Fukano
Affiliation:
Department of Palliative Care Unit, Fujisawa Shounandai Hospital, Fujisawa-shi, Kanagawa, Japan
Hideki Onishi
Affiliation:
Department of Psycho-oncology, Saitama Medical University International Medical Center, Hidaka City, Saitama, Japan
*
Corresponding author: Eriko Hayashi; Email: [email protected]
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Abstract

Objectives

Although palliative care units treat patients with various comorbidities, there are no reports of patients with obsessive-compulsive disorder (OCD).

Methods

The treatment and care of a breast cancer patient with OCD are presented.

Results

A woman in her 40s was admitted to the palliative care unit for terminal breast cancer. She spent most of the day cleaning the bath and bed areas, ignoring efforts to restrain her actions by the staff. After being diagnosed with OCD, the above symptoms improved through the coordinated action of the staff and medication.

Significance of results

This is the first report of the diagnosis and treatment of a patient with OCD in a palliative care unit. Early psychiatric diagnosis and subsequent staff response contributed to improvement in the patient’s quality of life.

Keywords

Obsessive-compulsive disorderTerminal cancerPalliative care unitPsycho-oncologyBreast cancer
Type
Case Report
Information
Palliative & Supportive Care , Volume 21 , Issue 6 , December 2023 , pp. 1097 - 1099
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Copyright
© The Author(s), 2023. Published by Cambridge University Press.

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References

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