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KMID : 1011120190130010101
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Bioethics Policy Studies
2019 Volume.13 No. 1 p.101 ~ p.116
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Respect for self-determination on Life-Sustaining Treatment Act and Protection of right in a Patient with disability
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Baik Su-Jin
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Abstract
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After a long debate related between old concepts leading to euthanasia, dignity, discontinuation of lifelong treatment, and meaningless lifelong treatment, it was established for legislation on life-sustaining medical decisions of dying patients in medical institutions. However, the law is criticized for lack of understanding of clinical sites and insufficient recognition of the terminal patient’s self-determination. The current law has controversial criteria for who can write the life-sustaining treatment plan with the his/her doctor. On the other hand, it does not include evaluating criteria for who prepared by a person aged at least 19 on his/her own determination to terminate, etc., life-sustaining treatment and hospice care has mental capacity. The purpose of this Act is to prescribe matters necessary for hospice and palliative care and life-sustaining treatment for patients at the end of life, determination to protect the dignity and the best interests of the patients. The same is true for patients with disabilities, but it is necessary to consider the characteristics of their each patient.
It is necessary to be improved many perceptions and culture of clinical settings. And, for In the case of patient with disabilities above all, it may be important to provide the proper medical services before that they have a chance of determine on their end of life treatment.
However, it must also to be considered for each patient with disabilities.
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KEYWORD
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Patient with disability, Self-determination, Self-determination on Life- Sustaining Treatment, Respect for autonomy, Best Interest
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