選択的治療停止と終末期医療

概要

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A serious decision is urged on families and doctors about treatment and the life-prolonging procedure in the infant with serious illness, patients with the end.stage cancer, the senior citizen or the newborn baby with the serious illness trouble whose recovery cannot be expected. It has been divided among the medical institutions how the life-prolonging procedure should be done to the patient and the child with a hopeless current state. There have appeared some institutions in which hospital indicator or ethical committee for the interests of patients has been set up. The indicator in the United States and Canada decided that cooperation between family and physician is necessary when they decide the discontinuation of the life-sustaining treatment. However, there is a point of problem that the policy is perhaps different in one hospital to another. The author experienced pediatric patients with serious newborn disease or end stage of malignant disease in whom the life-prolonging medical treatment were stopped. In this paper, I consider the judge in the medical treatment done on each occasion to be correct or not by comparing them with a present indicator. In addition, I turn around about the selective treatment stop and the terminal care in the future.
鳴門教育大学の論文