Takako Nakanishi has completed her Registered Nurse degree from Bell Land General Hospital in Japan, and Certified Nurse in Palliative Care from Japanese Nursing Association. She is a staff of Palliative Care Unit in NHOKMCCCC and a Lecturer at the Kure Nursing School. As for cancer counseling, she has published one paper in English and one book for citizen in Japanese.
In Japan, the Cancer Control Act was passed in 2006. Consequently, our center has been proactively conducting palliative care promotions. Concerning health insurance coverage, the “Cancer Counseling Fee” became payable for health insurance remuneration as of April 2010. The cancer counseling fee covers the service provided to patients diagnosed with malignant tumors in an environment with sufficient consideration of their psychological states. Physicians with experience in cancer treatment and full-time nurses with experience with cancer patients collaborate to explain and consult with patients to allow them to select a line of treatment upon full understanding of and consent to diagnoses and treatment methods. At our center, cancer patients are offered cancer counseling in all clinical departments and an explanation by a pathologist in a pathology clinic plays an important role in performing well-organized cancer counseling. When explaining the diagnosis to patients in the pathology clinic, the pathologist also attends to the patients’ emotions while listening to their anxieties and empathizing with their pain. Patients that accurately understand the conditions of their illness and the treatment’s policies and effects are more likely to consent to the explanation by the attending physician and proactively accept the standard therapy by the attending physician, which increases medical compliance. The combination of the explanation by a pathologist in the pathology
Mélanie Levasseur completed her Bachelor’s degree in Occupational Therapy at McGill University, a Master and Doctorate in Clinical research at the Université de Sherbrooke and a Postdoctoral fellowship in health promotion at the Institute of Public Health Research, Université de Montréal. Her research focuses on the social integration and participation of older people living at home, and interventions to promote health, including awareness of safe driving. She is a Fonds de la recherche en santé du Québec (FRQ-S) Junior 1 Researcher (#26815). She has published more than 45 papers in reputed journals and has been guest speaker in up to 45 events.
Objective: This study aimed to explore facilitators, barriers and needs to the use of compensatory driving strategies, i.e. conscious means used to adjust for diminished abilities, which can optimize the community mobility of older drivers. Methods: An exploratory qualitative clinical research design was conducted with 11 older drivers, 7 relatives and 14 driving professionals. Five focus group discussions were audio recorded, transcribed and analyzed. Results: Facilitators to the use of strategies are being a woman; perceiving dangers, usefulness of strategies and abilities as diminished; having disabilities or discomfort when driving; experiencing complex driving situations; receiving interventions of relatives and professionals; and having other transportation options. Barriers were unawareness of strategies; pride; lack of self-criticism; reluctance to intervene of relatives and physicians; costs; importance given to driving; complexity of using other transportation options; and lack of proximity to facilities and services. Increasing awareness with TV, radio, newspapers and information sessions about aging changes, community resources, compensatory strategies and their importance for safe driving could foster their use. Furthermore, to support older drivers in changing their driving habits and using compensatory strategies, it is important to involve their relatives and professionals. Conclusion: While promoting safe driving and the prevention of collisions and injuries on the roads, knowledge about facilitators and barriers to compensatory driving strategies could ultimately allow seniors to optimize their community mobility.