Shared decision making for the initiation and continuation of dialysis: a proposal from the Japanese Society for Dialysis Therapy
نویسندگان
چکیده
Abstract Background In Japan, forgoing life-sustaining treatment to respect the will of patients at terminal stage is not stipulated by law. According Guidelines for Decision-Making Process in Terminal-Stage Healthcare published Ministry Health, Labor and Welfare 2007, Japanese Society Dialysis Therapy (JSDT) developed a proposal that was limited did explicitly cover with dementia. This shared decision-making process regarding initiation continuation maintenance hemodialysis 2014. Methods results response changes social conditions, JSDT revised 2020 provide guidance which healthcare team can best management care patient's through advance planning decision making. For all end-stage kidney disease, including those nonterminal dementia, includes conservative management. Conclusions The based on consensus rather than evidence-based clinical practice guidelines. therefore guaranteed be legally exempt if patient dies after policies are implemented must respond appropriately discretion each institution.
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ژورنال
عنوان ژورنال: Renal Replacement Therapy
سال: 2021
ISSN: ['2059-1381']
DOI: https://doi.org/10.1186/s41100-021-00365-5