지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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Agenerally accepted consensus of end-of-life (EOL) care decision-making did not appear in Korean medical society until the year 2009. To enhance physician’s ethical perception of EOL care, consensus guidelines to withdrawing life-sustaining therapies endorsed by Korean Medical Association, Korean Academy of Medical Science, and Korean Hospital Association,were published on October 13, 2009. In this article, the characteristics and issues with the guidelines are presented to improve understanding by physicians who interact with EOL patients. According to the guidelines, physicians should identify, document, respect, and act on hospitals inpatients’ needs, priorities, and preferences for EOL care. The guidelines advocate that competent patients express their right of self-determination in EOL care decisions through advance directives. However, there are barriers to adopting advance directives as a legitimate tool of EOL decision-making in our current society. The guidelines stressed the importance of open communication between care-givers and patients or their surrogates. Through communication,physicians can create a plan regarding how to manage EOL until the patients' last day of life. Concerted actions among the general public, professionals, other stake-holders for EOL care, and governmental organizations to improve EOL care in our society are also stipulated.
Physicians, who know the clinical meaning of the treatments available to EOL patients, should play a central role based on the consensus guidelines to help patients and their families make informed decisions about EOL care.
Keywords: Consensus guideline; End
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참고문헌 (30)
참고문헌 신청
Angus DC / 2004 / Robert Wood Johnson Foundation ICU End-Of-Life Peer Group. Use of intensive care at the end of life in the United States: an epidemiologic study / Crit Care Med 32:638~643
Sinuff T / 2009 / CARENET. “Living with dying”: the evolution of family members' experience of mechanical ventilation / Crit Care Med 37:154~158
Pochard F / 2005 / French FAMIREA study group. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study / J Crit Care 20:90~96
Truog RD / 2008 / End-of-life decision-making in the United States / Eur J Anaesthesiol Suppl 42:43~50
배종면 / 2010 / 전국 의료기관의 연명치료 대상자 입원 현황 / 대한중환자의학회지 25(1):16~20
Sinuff T / 2009 / CARENET. “Living with dying”: the evolution of family members' experience of mechanical ventilation / Crit Care Med 37:154~158
Pochard F / 2005 / French FAMIREA study group. Symptoms of anxiety and depression in family members of intensive care unit patients before discharge or death. A prospective multicenter study / J Crit Care 20:90~96
Truog RD / 2008 / End-of-life decision-making in the United States / Eur J Anaesthesiol Suppl 42:43~50
배종면 / 2010 / 전국 의료기관의 연명치료 대상자 입원 현황 / 대한중환자의학회지 25(1):16~20
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