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KMID : 0613620190390010452
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Health Social Welfare Review
2019 Volume.39 No. 1 p.452 ~ p.484
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A Case Study on Hospice Team’s Experience of the Decision of Patients’ Hospice and Life Sustaining Treatments
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Han Soo-Youn
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Abstract
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This study aims to analyze hospice teams’ interrelationship in the patients’ decision of hospice and life sustaining treatments. ePersonal, in-depth interviews were conducted of a total of 9 individuals from hospice team, including physicians, nurses, social workers with three open ended questionaries for the initiating point of decision making, primary decision maker, and contents of decision making. With the case study method, 86 concepts, 19 sub-categories, and 8 categories were derived. This study found the participants experienced that the decision was initiated by Oncologists’ discharge order after stop the treatments. And they experienced primary decision maker was the family rather than the patient. They also experienced it was confused what decisions made for. It was not one time process to consider patients’ medical and nonmedical matters such as life sustaining treatment, funeral plan, caring for dying, financial plan. They found the importance of their engagement to facilitate the decision between the patient and family members. Finally, there were limited options to make decisions by the restricted condition of the patient’s admission and lack of hospice services under the new Act. This study discussed the systematic, policy-wise, and implementation plans that could confirm of the consulting system, death education from life course perspective, hospice team engagement, and the amendment procedure to promote patients’ rights.
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KEYWORD
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Hospice Team, Physician, Nurse, Social Worker, Decision of Life Sustaining Treatment, Case Study, Death Education
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