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말기와 임종과정에 대한 정의 및 의학적 판단지침 / 이상민, 김수정 외

20 죽음과 죽어감 조회 수 521 추천 수 0 2019.02.01 17:29:27

도서관사서 *.121.130.253 https://www.nibp.kr/xe/info4_3/128273

발행년 :	2018
구분 :	국내학술지
학술지명 :	대한의사협회지
관련링크 :	http://www.riss.kr/link?id=A105915796

말기와 임종과정에 대한 정의 및 의학적 판단지침

= Consensus guidelines for the definition of the end stage of disease and last days of life and criteria for medical judgment

http://www.riss.kr/link?id=A105915796

저자명 : 이상민 ,김수정 ,최윤선 ,허대석 ,백수진 ,최보문 ,김대균 ,문재영 ,박소영 ,장윤정 ,황인철 ,권정혜 ,김선현 ,김유정 ,박진노 ,안호정 ,이현우 ,권복규 ,김도경 ,김옥주 ,유상호 ,정유석 ,고윤석

학술지명 : 대한의사협회지(Journal of the Korean Medical Association)
권호사항 : Vol.61 No.8 [2018]
발행처 : 대한의사협회
자료유형 : 학술저널
수록면 : 509-521(13쪽)
언어 : Korean
발행년도 : 2018년

초록

In Korea, the Hospice, Palliative Care, and Life-sustaining Treatment Decision-making Act was enacted in February 2016 in order to ensure that the patientʼs self-determination in end-of-life care processes is respected. To enhance physicians’ understanding of this act and to provide proper criteria for medical judgment in variety of clinical settings, consensus guidelines were published in November 2016. In this article, the characteristics of these guidelines and related issues regarding the definitions of ‘the end stage of disease’ and ‘last days of life’ and the criteria for medical judgment are presented and summarized. According to the guidelines, the term ‘end stage of disease’ refers to a state in which there is no possibility of a fundamental recovery and the symptoms are expected to worsen within months. The terms ‘the last days of life’ and ‘the final days of life’ refer to a state in which, despite treatment, the patientʼs condition is worsening and death is impending, with no possibility of recovery. The attending physician and another relevant specialist should both judge a patient’s medical condition as either ‘end stage of disease’ for hospice/palliative care or ‘the last days of life’ for dying patient care according to the law. Caregivers should provide appropriate medical information to eligible patients for palliative or ‘end stage of disease’ care through advance care planning. Therefore, it is critically necessary that caregivers understand the legitimate process of hospice/palliative and dying patient care based on the patient’s wishes and best interests. Physicians should apply these consensus guidelines to eligible patients considering their clinical course and the patients’ wishes.

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