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.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

developing a pattern based on speech acts and language functions for developing materials for the course “ the study of islamic texts translation”

هدف پژوهش حاضر ارائه ی الگویی بر اساس کنش گفتار و کارکرد زبان برای تدوین مطالب درس "بررسی آثار ترجمه شده ی اسلامی" می باشد. در الگوی جدید، جهت تدوین مطالب بهتر و جذاب تر، بر خلاف کتاب-های موجود، از مدل های سطوح گفتارِ آستین (1962)، گروه بندی عملکردهای گفتارِ سرل (1976) و کارکرد زبانیِ هالیدی (1978) بهره جسته شده است. برای این منظور، 57 آیه ی شریفه، به صورت تصادفی از بخش-های مختلف قرآن انتخاب گردید...

15 صفحه اول

the search for the self in becketts theatre: waiting for godot and endgame

this thesis is based upon the works of samuel beckett. one of the greatest writers of contemporary literature. here, i have tried to focus on one of the main themes in becketts works: the search for the real "me" or the real self, which is not only a problem to be solved for beckett man but also for each of us. i have tried to show becketts techniques in approaching this unattainable goal, base...

15 صفحه اول

investigating the feasibility of a proposed model for geometric design of deployable arch structures

deployable scissor type structures are composed of the so-called scissor-like elements (sles), which are connected to each other at an intermediate point through a pivotal connection and allow them to be folded into a compact bundle for storage or transport. several sles are connected to each other in order to form units with regular polygonal plan views. the sides and radii of the polygons are...

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

ژورنال

عنوان ژورنال: Renal Replacement Therapy

سال: 2021

ISSN: ['2059-1381']

DOI: https://doi.org/10.1186/s41100-021-00365-5