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Clinical Practice Guideline for Care in the Last Days of Life

한국호스피스완화의료학회지 2020년 23권 3호 p.103 ~ 113
신진영, 장윤정, 박소정, 최진영, 김선현, 최윤선, 김남희, 염호기, 남은미, 박명희, 문나연, 문지연, 강희택, 강정훈, 박재민, 이청우, 김선영, 이은정, 고수진, 김용환, 조명진, 송유현, 심재용,
소속 상세정보
신진영 ( Shin Jin-Young ) - Konkuk University School of Medicine Department of Family Medicine
장윤정 ( Chang Yoon-Jung ) - National Cancer Center National Hospice Center
박소정 ( Park So-Jung ) - National Cancer Center National Hospice Center
최진영 ( Choi Jin-Young ) - National Cancer Center National Hospice Center
김선현 ( Kim Sun-Hyun ) - Catholic Kwandong University College of Medicine International St. Mary’s Hospital Department of Family Medicine
최윤선 ( Choi Youn-Seon ) - Korea University Guro Hospital Department of Family Medicine
김남희 ( Kim Nam-Hee ) - Maumtodac Psychiatric Clinic
염호기 ( Yum Ho-Kee ) - Inje University Seoul Paik Hospital Department of Internal Medicine
남은미 ( Nam Eun-Mi ) - Ewha Womans University College of Medicine Department of Internal Medicine
박명희 ( Park Myung-Hee ) - Catholic University Hospice and Palliative Care Unit
문나연 ( Moon Na-Yeon ) - Veterans Health Service Medical Center Department of Family Medicine
문지연 ( Moon Jee-Youn ) - Seoul National University College of Medicine Department of Anesthesiology and Pain Medicine
강희택 ( Kang Hee-Taik ) - Chungbuk National University College of Medicine Department of Family Medicine
강정훈 ( Kang Jung-Hun ) - Gyeongsang National University School of Medicine Department of Internal Medicine
박재민 ( Park Jae-Min ) - Yonsei University College of Medicine Gangnam Severance Hospital Department of Family Medicine
이청우 ( Lee Chung-Woo ) - Korea University College of Medicine Department of Family Medicine
김선영 ( Kim Seon-Young ) - Chonnam National University Medical School Department of Psychiatry
이은정 ( Lee Eun-Jeong ) - Korea University Guro Hospital Hospice and Palliative Care Center
고수진 ( Koh Su-Jin ) - University of Ulsan College of Medicine Ulsan University Hospital Department of Hematology and Oncology
김용환 ( Kim Yong-Hwan ) - Chungbuk National University Hospital Department of Family Medicine
조명진 ( Cho Myong-Jin ) - Anyang Sam Hospital Department of Internal Medicine
송유현 ( Song You-Hyun ) - Yonsei University College of Medicine Severance Hospital Department of Family Medicine
심재용 ( Shim Jae-Yong ) - Yonsei University College of Medicine Severance Hospital Department of Family Medicine

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.

키워드

Terminal care; Symptom assessment; Communication; Decision making; Education

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