Patient Support Center


手術を受けられる前の準備について知っていただきたく『どうして? 手術前に外すものがあるの?』を作成いたしました。ぜひご覧ください。




メディカルフィットネス にこっと様が作成された手術後の肺合併症予防「トライボールを使用しての訓練」についての動画です。ぜひご覧ください。






アリナミン製薬 健康サイトにて谷口英喜患者支援センター長が監修した「ヒートショックとは?どんな人がなりやすい?医師が症状や対策まで詳しく解説!」記事が公開されました。


時事メディカルにて「暑さに体慣らして熱中症予防 ~十分な睡眠・食事も重要~」記事が公開されています。Yahoo!ニュースにも転載されています。


NHKの首都圏NEWS WEB「『梅雨型熱中症』とは? 湿度が高いと熱中症のリスク高まる」記事に谷口英喜患者支援センター長のコメントが載っています。


アリナミン製薬 ブランドサイトにて谷口英喜患者支援センター長が監修した「食欲がないときの栄養補給の方法とは?食欲不振時に摂りたい栄養や食べ物を紹介」記事が公開されました。


谷口英喜患者支援センター長が執筆した『いのちを守る水分補給 熱中症・脱水症はこうして防ぐ』が発売されています。




アリナミン製薬 健康サイトにて谷口英喜患者支援センター長が監修した「季節の変わり目に起こる体調不良に注意!症状の対策や自律神経との関係を解説」記事が公開されました。







4月21日にテレビ朝日「スーパーJチャンネル」にて放送された「胃がんの最新治療 『歯科検診』に『ジム通い』…『チーム医療』で目指せ“早期回復”」をご覧いただけます。







ジャパンライム (株)主催:谷口英喜先生による管理栄養士のためのセミナー「栄養管理に役立つ画像診断」
~明日からつかえる! 術後疼痛への介入と嘔吐対策~これからの周術期管理のあり方

夕刊フジに谷口英喜患者支援センター長のコメント記事「要注意!お盆や行楽の渋滞車中、コロナ&熱中症〝W対策〟 適切な水分補給、エアコンと換気の両立がカギ」が掲載され、Yahoo!ニュースにも転載されました。

時事メディカルに谷口英喜患者支援センター長のコメント記事「暑さ、夜間屋内でも警戒を ~『災害』との認識必要~」が掲載され、Yahoo!ニュースにも転載されました。



患者支援センター 医療事務の職種説明を掲載しました。

患者支援センター 医長 鎌田高彰医師のプロフィールを掲載しました。


時事メディカル 連載・コラム『こちら診察室』つらくない手術を目指す 第4回「チーム医療で手術中、前後を支援 ~患者支援センターの実例~ 」がYahoo!ニュースに転載されました。


時事メディカル 連載・コラム『こちら診察室』つらくない手術を目指す 第2回「前進する手術後回復プログラム~働き方改革の切り札にも~」がアップされました。



時事メディカル 連載・コラム『こちら診察室』つらくない手術を目指す 第1回「『神の手』からシステムへ ~進歩する手術前後の医療~」がアップされました。



September 21, 2021
A commentary on infection control by Director Taniguchi and other staff members of this hospital was posted. Nursing Technology October 2021 Was published.

August 25, 2021
"" Written by Director Taniguchi "Clinical nutrition" separate volume Management of water and electrolytes for the first time Applied edition Infusion and acid-base equilibrium Was published.

June 24, 2021
"" Written by Director Taniguchi "Clinical nutrition" separate volume Water / electrolyte management basics for the first time Basics of water management and oral rehydration therapy Was published.

December 17, 2020
Yomiuri Shimbun December 17th evening edition " "Hidden dehydration" warning mask winter moisture enough A comment by Director Taniguchi was published in the article.

December 14, 2020
There is a comment from Director Taniguchi on the Facebook page of NHK NEWS WEB. "Poor physical condition in winter, in fact, may be caused by "concealed dehydration""(Video) has been uploaded.

December 10, 2020
The article by Director Tanigushi "Cancer pain management" was posted on Bunshun Mook "Latest Treatment Learned from Super Doctor 2021".

December 10, 2020
Column article "What is an oral rehydration solution that works for dehydration? Ask an expert for dehydration prevention and intake tricks." was posted.

December 2, 2020
Director Taniguchi was interviewed  by NHK News Up "Beware of "dehydration" in the winter of Corona" .

October 22, 2020
Q&A about transfusion management by pathological condition useful on the job Part came to be able to download. 
Part 1 / Part 2 / Part 3 / Part 4 / Part 5 

April 25, 2020
An English treatise on the effects of regular administration of acetaminophen intravenous infusion has been published.


October 21, 2019
【Call for Participation】11/9 (Sat) Kanagawa NST Forum "Let's experience the Executive Team Medical Skill Mix"


June 24, 2019
Directoe Taniguchi oversaw a part of the special topic on heat stroke "Health Graphic Magazine vol.34" (Published by Aisei Pharmacy Co., Ltd. ).

June 17, 2019

"Knowing the current state of perioperative nutrition management. With the aim of further improving the quality of anesthesia management. Perioperative Optimization Strategies has been released. 

April 15, 2019

"Clinical nutrition" separate volume , "the first research presentation and thesis writing" has been published.


November 13, 2018

Received the Excellence Award at the Kosaka Futami Memorial Award of the Japanese Society of Clinical Anesthesia. "Study on the spread and effect of ERASR in the anesthesia field in Japan" has been released.


February 21, 2018
"Perioperative nutritional strategy required for Anesthesiology was posted.


January 23, 2018
A treatise of Scheduled Intravenous Acetaminophen (SIVA) recommended by the APS of the Perioperative Support Center was accepted.


November 9, 2017
An English treatise on ERAS for esophageal cancer surgery has been published.
Effects of goal-directed fluid therapy on enhanced postoperative recovery: An interventional comparative observational study with a historical control group on oesophagectomy combined with ERAS program


October 10, 2017

Award-winning paper which is the top award of the 58th congress of the Japan Geriatrics Society has released. Development of a concealed dehdration check sheet for the self-reliant elderly adult at home. -A continued research about concealed dehdration study of resident at Intermediate Nursing Home- Journal of the Japan Geriatrics SocietyVol. 54 (2017) No. 3 p. 381-391 


February 6, 2017

We published research achievements

[Research paper] Surgical invasion and anesthesia management-Anesthesia management aimed at promoting postoperative recovery and reducing surgical invasion-Surgery and metabolism / nutrition volume50 NO.5 P255-264, 2016

[Book] Attempt of promoting postoperative recovery by Perioperative Support Center -DREAM project by TOPS- Clinical nutrition Vol. 130, No. 1, P40-47, 2017


▼APS 回診マニュアル ▼APS 告知ポスター ▼APS 回診記録用紙

▼術後疼痛管理計画書 ▼私のかいふく日記 ▼患者支援センター

Initiatives of the Patient Support Center

























































  • 普段内服している薬の確認
  • 看護師による検査治療の説明
  • 必要時、栄養士による栄養指導やアレルギー問診、薬剤師による休薬指導を行います

参考資料『禁煙について』/『手術前に休肝日が必要な理由』/『麻酔を受けられる方へ 術後の吐き気について』/『トライボール(呼吸訓練器具)の使い方』/『どうして? 手術前に外すものがあるの?

Background of establishment

In Japan, the range of surgical indications for patients has expanded with the improvement of surgical techniques of doctors and the progress of medical techniques such as endoscopes and laparoscopes. At our hospital, the length of hospital stay tends to be shortened as the number of operations increases. However, the quality of patient care before and after surgery must be maintained. To provide quality patient care, healthcare professionals need to improve intraoperative and postoperative safety for surgical patients and reduce perioperative complications. Efficient quality care requires a professional team approach in perioperative management. Due to such circumstances, we have decided to open our center.



Our center opened in August 2016, with the aim of "proposing the most suitable medical environment for patients undergoing surgery at our hospital, supporting safe and secure perioperative management, and promoting postoperative recovery of patients".

The nickname of this center is "To bu Hospital P atient S upport Center "abbreviated TOPS and set up an outpatient department for surgery preparation.

Center configuration

At Patient Support Center, we support the maintenance and improvement of patients' QOL from pre-hospital to discharge through three organizations: "surgery preparation outpatient", "preoperative oral rehydration therapy team", and "postoperative pain management team".​ ​




Our center is composed of Doctors, Registered Nurse, Pharmacist Clinical Dietitian, Dental Hygienist, Clinical Psychologist, Biomedical Laboratory Scientist and clerical staff, and its main roles are as follows.



Registered Nurse

Registered Nurse provide preoperative care and guidance to patients undergoing surgery, minimize anxiety about surgery, and provide close-knit nursing to the patient.

Collecting patient information
Understanding the physical and mental condition
Assessment by multiple occupations based on information
Thinking about life from hospitalization to after discharge with patients
Providing information on hospitalized life




The Pharmacist will endeavor to relieve the patient's anxiety and provide information with the following support so that the patient can undergo surgery safely and with peace of mind and have a comfortable hospitalized life after surgery.

 Check the medicines you usually take, and check the dosage and combination.
 Consider whether to continue, discontinue, or change the drug by the time you are hospitalized. If you need to cancel or change it, we will explain how to do it.
 If you have any allergies or side effects caused by the drug, take measures to avoid using it during hospitalization.


Clinical Dietitian

A Clinical Dietitian evaluates the nutritional status before surgery and provides appropriate support so that the patient can receive a safe and secure surgery with a nutritional status suitable for surgery.

 Pre-hospital nutrition screening, nutrition assessment
 Body measurement (height / weight / body composition / grip strength measurement)
 Checking the status of food intake at home
 Confirmation of food allergies
 Providing information on meals during hospitalization (explanation of preoperative and postoperative meals and preoperative oral rehydration therapy)
 Nutrition counseling for patients at risk of nutritional status


Dental Hygienist

Oral and Maxillofacial Surgery, the following treatment and guidance are used to prevent postoperative complications (aspiration pneumonia, etc.) caused by oral bacteria and oral problems (tooth loss / fracture) during hospitalization. We carry out oral management and support safe and high-quality medical care. Oral care is provided by a dentist and Dental Hygienist.

 Oral examination
 Check for the presence of mobile teeth (fix teeth if necessary, make mouthguard)
 Self-care guidance
 Professional oral care (removal of plaque and tartar that is difficult to remove by self-care)
 Extraction of teeth that are the source of infection
 Oral management in collaboration with family dentistry


Medical assistant

Doctor office work assistants are assigned to reduce the workload of doctors. Our main duties are to input electronic medical records for doctors, prepare any documents, and check for deficiencies in preoperative examinations. In addition, we work in collaboration with various occupations according to the instructions of doctors.

 Patient support
 Creating a list of consultations
 Doctor's electronic medical record proxy input
 Issuance of consent documents
 Preoperative examination check
 Issuance of information medical care provision form
 Creating an APS (Postoperative Pain Management) rounds list
 Participation in APS rounds






The doctor will determine the risk of surgery based on the information obtained from the staff, and will support the preparation for surgery in cooperation with the attending physician. If necessary, we will provide nutrition therapy and guidance on discontinued drugs. In addition, we will provide information from the standpoint of a doctor in response to anxiety and doubts from patients. We will share information with staff and provide support for postoperative recovery so that patients can get out of bed early and take orally after surgery.

Patient Support Center Director 
■ Hideki Taniguchi 
(谷口 英喜

 Graduated from Fukushima Medical University in 1991

Specialized field

Anesthesia, intensive care, nutrition, perioperative management

Board specialist / certified doctor

Japanese Society of Anesthesiologists specialist and guidance physician 
Japanese Society of Intensive Care Medicine specialist
 Japanese Association for Acute Medicine specialist
 Japanese Society for Parenteral and Enteral Nutrition certifying and guidance physician
 Japanese Surgery Metabolism and Nutrition Education Instructor
 Ministry of Health, Labor and Welfare, Department of Anesthesiology doctor



Specialized field


Board specialist / certified doctor


For those who undergo surgery at our hospital

We explain the flow of hospitalization → surgery → discharge, taking as an example patients who will undergo surgery by digestive surgery such as colorectal cancer and gastric cancer surgery.




Surgery preparation outpatient information

We explain the actual outpatient preparation for surgery.

PostoperativePain Service team (APS)

Having APS in thehospitalallows you to spend your time after surgery with peace of mind.

1. Postoperative pain is reduced

2. Postoperative nausea is reduced

3. If it hurts or feels uncomfortable, you can respond immediately

Global studies have shown that having APS in the hospital accelerates patient recovery (moving and eating). Since our hospital has APS (commonly known as APS), postoperative pain management (pain) and nausea and vomiting (disgusting) measures are adequately implemented. On the morning of the day after surgery (excluding Saturdays, Sundays, and holidays), an APS consisting of an Anesthesiology doctor, Pharmacist, Registered Nurse and registered Clinical Dietitian will visit the patient's bedside. We will ask you about pain and nausea after surgery, and if you feel pain or discomfort, we will respond immediately. APS supports patients so that they do not feel painful and immobile, or feel uncomfortable and unable to eat.

Since the APS of our hospital is composed of the same members as the staff of the outpatient department for surgery preparation, we will fully explain the degree of postoperative pain and nausea and the countermeasures in the outpatient department for surgery preparation. It is natural for patients to have anxiety about postoperative pain and nausea, and we ask them to resolve their anxiety and doubts and proceed to surgery with peace of mind.

TOPSAPSplays the following roles in the hospital.

1. Rounds of pain and nausea in the morning after surgery

2. Initial response when pain or nausea occurs after surgery

3. Recommendations for postoperative pain management in clinical pathways

Specific pain management

At our hospital, we carry out pain management even before the patient's pain appears. Pain is relieved by epidural anesthesia and intravenous anesthesia during surgery, and analgesics are regularly administered after surgery. Analgesics mainly use acetaminophen preparations, which are said to have the fewest side effects. In addition, various painkillers are selected depending on the degree of pain of the patient. (Fig. 1)

Specific measures against nausea

At our hospital, we will ask the patient about the risk of nausea when he / she visits the outpatient department for surgery preparation. If there is a high risk of nausea after surgery, the operating room will be contacted and an Anesthesiology doctor will take measures against nausea during and after surgery. In the unlikely event of nausea after surgery, we are ready to respond immediately. (Fig. 2)

Results of our hospital

APS make it possoble to achieve DREAM,  drink (Drinking), eat (Eating),move(Mobilizing) from  the earliest time after surgery. We reported to Japan Clinical Society of Anesthesiologists magazine that pain at next morning after surgey for Gastrointestinal Surgery (stomach, colon, esophagus, pancreas, etc.) patient is one person in 10, nausea is about two person in 10, and it is very few (2017).
Slide 3

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