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Nami Imai, Ph.D, RN Mie University, JAPAN

The Construction of the Nursing Care System for Chemical Sensitivity Syndrome Patients at the Local Area. Nami Imai, Ph.D, RN Mie University, JAPAN. Introduction. Multiple Chemical Sensitivity (MCS) MCS patients have symptoms associated with low-level exposure to a variety of substances.

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Nami Imai, Ph.D, RN Mie University, JAPAN

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  1. TheConstruction of the Nursing Care System for Chemical Sensitivity Syndrome Patients at the Local Area Nami Imai, Ph.D, RN Mie University, JAPAN

  2. Introduction Multiple Chemical Sensitivity (MCS) MCS patients have symptoms associated with low-level exposure to a variety of substances. ◆　Significant medical problem caused by environment 　　◆　10% of the general population in North America 　　◆　Many cases switch from SHS to CS or MCS in Japan 　　◆　Not generally well known disorder in Japan 　　◆　Some physicians lack recognition of MCS in Japan

  3. What’s happen in Japan?2001～2003 Investigation into the actual conditions

  4. Background 1 • A lack of knowledge illness • Role in the society and family SHS CS Can not go Specialized Hospital for SHS, CS General Hospital Be late for diagnosis Can not go Can not treat MCS • Poor stamina • Restricted movement • Economic crisis Psychosocial aggravating factors of MCS in Japan Imai N, et al. J. Jpn Int. Illness Nurs. Soc. 2004

  5. Why dose the condition aggravate?2004～2006 The Qualitative Method

  6. Background 2 Prolongation of exposure to toxic chemicals Difficulties taking radical measures to improve the environment Difficulties establishing a diagnosis Lack of knowledge about disorder Moving into the house diagnosis Taking measures Time axis Time course of the appearance of psychosocial aggravating factors of sick house syndrome in Japan Imai N, et al. Nurs.& Health Sciences, 2008.

  7. What can a nurse do? 2006～2008 The Intervened Method The Action Research

  8. Method 1 Consultation at NursingCounseling Room email telephone Fax counseling What are nurses’ roles for CS patients and people of related to CS patients? Research I To clarify users’ expectations of NCR Are there any effects by nursing intervention? Research II To verify the effect of nursing intervention for MCS

  9. Consultation at Nursing Counseling Room Method 2 • First counseling session • Check the health condition with QEESI • Interview with the user If the users need more counseling, repeat counseling by nurses • Final counseling • Check of health condition with QEESI • Interview with the user • Evaluate the effect of the nursing interventions

  10. The Check of Health Status for Patients Tool QEESI Quick Environment Exposure SensitivityInventory developed by Ashford and Miller (1998) The 10 items include, Each item 0-10 rating 1 Head-related 2 Cognitive 3 Affective 4 Neuromuscular 5 Musculoskeletal 6 Skin 7 Genitourinary 8 Gastro internal 9 heart /chest-related 10 Airway or mucous membrane-related Symptom severity scale

  11. Users’ Demands to Nurse Result 1 Users:70，code:179 46％ 22％ 21％ 11％ Nami Imai, QHR, Banff, 2008.

  12. Outcome of QEESI and main intervention Result 2 Case A: SHS Case B: CS Nami Imaiet al. Jpn J Clin Ecol Vol17(1) 2008.

  13. Appendix International Program of Psycho-Social Health Research, Podcast #52 Living in a Chemical World: Psycho-Social Factors Aggravating the Symptoms of Sick House Syndrome

  14. What can nurses do in society? 2009～2013 The Intervened Method The Action Research (Expansion Sphere of Activity to Regional Society)

  15. Patients Support System NCR TAKAOKA CLINIC at Tsu, Mie, JAPAN

  16. なせば成る 為さねば成らぬ何事も 成らぬは人の為さぬなりけり上杉鷹山

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