Clinical Practice Guideline for Care in the Last Days of Life
A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients' physic...
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| Published in | Han'guk Hosup'isu Wanhwa Uiryo Hakhoe chi = The Korean journal of hospice and palliative care Vol. 23; no. 3; pp. 103 - 113 |
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| Main Authors | , , , , , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
Korean Society for Hospice and Palliative Care
01.09.2020
한국호스피스완화의료학회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1229-1285 2287-6189 2765-3080 |
| DOI | 10.14475/kjhpc.2020.23.3.103 |
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| Abstract | A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients' physical and mental symptoms, psychological support, appropriate decision-making, family care, and clearly-defined team roles. Although there are limits to the available evidence regarding medical issues in patients facing death, the final recommendations were determined from expert advice and feedback, considering values and preferences related to medical treatment, benefits and harms, and applicability in the real world. This guideline should be applied in a way that takes into account specific health care environments, including the resources of medical staff and differences in the available resources of each institution. This guideline can be used by all medical institutions in South Korea. |
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| AbstractList | A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients’ physical and mental symptoms, psychological support, appropriate decision- making, family care, and clearly-defined team roles. Although there are limits to the available evidence regarding medical issues in patients facing death, the final recommendations were determined from expert advice and feedback, considering values and preferences related to medical treatment, benefits and harms, and applicability in the real world. This guideline should be applied in a way that takes into account specific health care environments, including the resources of medical staff and differences in the available resources of each institution. This guideline can be used by all medical institutions in South Korea. KCI Citation Count: 0 A clinical practice guideline for patients in the dying process in general wards and their families, developed through an evidence-based process, is presented herein. The purpose of this guideline is to enable a peaceful death based on an understanding of suitable management of patients’ physical and mental symptoms, psychological support, appropriate decision-making, family care, and clearly-defined team roles. Although there are limits to the available evidence regarding medical issues in patients facing death, the final recommendations were determined from expert advice and feedback, considering values and preferences related to medical treatment, benefits and harms, and applicability in the real world. This guideline should be applied in a way that takes into account specific health care environments, including the resources of medical staff and differences in the available resources of each institution. This guideline can be used by all medical institutions in South Korea. |
| Author | Choi, Jin Young Lee, Eun Jeong Shim, Jae Yong Moon, Jee Youn Nam, Eun Mi Kang, Jung Hun Moon, Nayeon Park, Myung Hee Song, Youhyun Kim, Seon-Young Yum, Ho-Kee Koh, Su-Jin Kim, Yonghwan Park, So-Jung Kim, Sun-Hyun Park, Jae-Min Choi, Youn Seon Cho, Myongjin Agnes Kang, Hee-Taik Lee, Chung-Woo Kim, Nam Hee Shin, Jinyoung Chang, Yoon Jung |
| AuthorAffiliation | Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea Department of Family Medicine, Korea University, College of Medicine, Seoul, Korea Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Korea Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea Department of Hematology and Oncology, Ulsan University College of Medicine, Ulsan University Hospital, Ulsan, Korea Hospice & Palliative Care Center, Korea University Guro Hospital, Seoul, Korea Maumtodac Psychiatric Clinic, Ansan, Korea Hospice & Palliative Care Unit, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, Korea Department of Family Medicine, VHS Medical Center, Seoul, Korea Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea Department of Internal Medicine, Gyeongsang National Unive |
| AuthorAffiliation_xml | – name: Department of Anesthesiology and Pain Medicine, Seoul National University School of Medicine, Seoul, Korea – name: Department of Psychiatry, Chonnam National University Medical School, Gwangju, Korea – name: Department of Family Medicine, Korea University Guro Hospital, Seoul, Korea – name: Maumtodac Psychiatric Clinic, Ansan, Korea – name: National Hospice Center, National Cancer Center, Goyang, Korea – name: Department of Internal Medicine, Anyang Sam Hospital, Anyang, Korea – name: Department of Internal Medicine, Gyeongsang National University College of Medicine, Jinju, Seoul, Korea – name: Hospice & Palliative Care Unit, The Catholic University of Korea, Seoul St. Mary’s Hospital, Seoul, Korea – name: Department of Family Medicine, VHS Medical Center, Seoul, Korea – name: Department of Internal Medicine, Seoul Paik Hospital, Inje University, Seoul, Korea – name: Department of Family Medicine, Konkuk University School of Medicine, Seoul, Korea – name: Department of Hematology and Oncology, Ulsan University College of Medicine, Ulsan University Hospital, Ulsan, Korea – name: Department of Family Medicine, Chungbuk National University Hospital, Cheongju, Korea – name: Department of Family Medicine, Korea University, College of Medicine, Seoul, Korea – name: Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea – name: Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea – name: Department of Family Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea – name: Department of Family Medicine, International St. Mary’s Hospital College of Medicine, Catholic Kwandong University, Incheon, Korea – name: Department of Family Medicine, Chungbuk National University College of Medicine, Cheongju, Korea – name: Hospice & Palliative Care Center, Korea University Guro Hospital, Seoul, Korea |
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| Cites_doi | 10.1200/JCO.2011.37.3795 10.1093/annonc/mdu238 10.1136/bmjresp-2016-000170 10.1016/j.clnu.2016.07.001 10.1038/ajg.2016.28 |
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| Copyright | Copyright © 2020 by Korean Society for Hospice and Palliative Care. Copyright © 2020 by Korean Society for Hospice and Palliative Care 2020 |
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| Keywords | Terminal care Decision making Education Symptom assessment Communication |
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| Notes | This clinical practice guideline was produced by the Korean Society for Hospice and Palliative Care and the National Cancer Center with support from the Ministry of Health and Welfare National Health Promotion Fund (#1860540-1). The guideline was evaluated and approved by the Korean Academy of Medical Sciences (March 10, 2020). The full text is available at https://www.guideline.or.kr/guide/view.php?number=1108&cate=A. |
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| Title | Clinical Practice Guideline for Care in the Last Days of Life |
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