Patient Autonomy and Advance Directives in Korea
Journal of the Korean Medical Association
;
: 865-870, 2009.
Article
in Korean
| WPRIM
| ID: wpr-32201
ABSTRACT
There has been a controversy in Korea regarding a 'death with dignity' in comparison to a 'natural death'. However, the issue of patient autonomy is often overlooked. Decision on withholding or withdrawing life-sustaining treatment should be based on the patients' selfdetermination, prefereably in the form of advance directives. Consensus developed by the National Evidence -based Healthcare Collaborating Agency is as follows (1) a doctor should offer a detailed explanation to patients, including about hospice-palliative care and advance directives, (2) when a terminally ill patient expresses reluctance regarding cardiopulmonary resuscitation or an artificial respirator in advance, such medical actions can be removed, with basic nutrition supply and pain control maintained. However, more discussions should be made in the case of a patient in "persistent vegetative state".
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Ventilators, Mechanical
/
Advance Directives
/
Cardiopulmonary Resuscitation
/
Terminally Ill
/
Delivery of Health Care
/
Consensus
/
Korea
Type of study:
Practice guideline
/
Prognostic study
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Journal of the Korean Medical Association
Year:
2009
Type:
Article
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