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KMID : 0856920200230030103
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Journal of Hospice and Palliative Care
2020 Volume.23 No. 3 p.103 ~ p.113
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Clinical Practice Guideline for Care in the Last Days of Life
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Shin Jin-Young
Chang Yoon-Jung
Park So-Jung
Choi Jin-Young
Kim Sun-Hyun
Choi Youn-Seon
Kim Nam-Hee
Yum Ho-Kee
Nam Eun-Mi
Park Myung-Hee
Moon Na-Yeon
Moon Jee-Youn
Kang Hee-Taik
Kang Jung-Hun
Park Jae-Min
Lee Chung-Woo
Kim Seon-Young
Lee Eun-Jeong
Koh Su-Jin
Kim Yong-Hwan
Cho Myong-Jin
Song You-Hyun
Shim Jae-Yong
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Abstract
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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.
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KEYWORD
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Terminal care, Symptom assessment, Communication, Decision making, Education
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