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KMID : 0895320150240010003
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Korean Journal of Research in Gerontology
2015 Volume.24 No. 1 p.3 ~ p.24
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The Concept and Current State of Advance Directives: Focusing on Korea, Japan, USA, and Netherlands
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Jung Young-Mi
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Abstract
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Over the past decade in Korea, discussions on advance directives (ADs) have increased. This paper was to systematically review the concept and current state of ADs in South Korea, Japan, the USA, and the Netherlands. ADs are one method proposed to facilitate the process of communication among patients, families, and health care providers regarding the plan of care of a patient who has lost the ability to communicate. ADs might be useful in the Korean setting
when an individual wishes to either 1) not provide a lot of leeway to surrogates and/or caregivers, and/or 2) ensure his or her directives in the cases of terminal illness, brain death, pain treatment, and information disclosure. Health care provider roles are vague in terms of responsibility for ADs discussion and education in Korea. Further exploration of the attitudes, knowledge, and practices concerning ADs of nurses and primary health care providers is recommended to provide focal points for future research in order to facilitate peace of mind at end-of-life for patients and families.
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KEYWORD
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