Journal of Hospice and Palliative Care

Korean Society for Hospice and Palliative Care (한국호스피스완화의료학회)
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Clinical Practice Guideline for Care in the Last Days of Life

  • Shin, Jinyoung (Department of Family Medicine, Konkuk University School of Medicine) ;
  • Chang, Yoon Jung (National Hospice Center, National Cancer Center) ;
  • Park, So-Jung (National Hospice Center, National Cancer Center) ;
  • Choi, Jin Young (National Hospice Center, National Cancer Center) ;
  • Kim, Sun-Hyun (Department of Family Medicine, International St. Mary's Hospital College of Medicine, Catholic Kwandong University) ;
  • Choi, Youn Seon (Department of Family Medicine, Korea University Guro Hospital) ;
  • Kim, Nam Hee (Maumtodac Psychiatric Clinic) ;
  • Yum, Ho-Kee (Department of Internal Medicine, Seoul Paik Hospital, Inje University) ;
  • Nam, Eun Mi (Department of Internal Medicine, Ewha Womans University College of Medicine) ;
  • Park, Myung Hee (Hospice & Palliative Care Unit, The Catholic University of Korea, Seoul St. Mary's Hospital) ;
  • Moon, Nayeon (Department of Family Medicine, VHS Medical Center) ;
  • Moon, Jee Youn (Department of Anesthesiology and Pain Medicine, Seoul National University School of Medicine) ;
  • Kang, Hee-Taik (Department of Family Medicine, Chungbuk National University College of Medicine) ;
  • Kang, Jung Hun (Department of Internal Medicine, Gyeongsang National University College of Medicine) ;
  • Park, Jae-Min (Department of Family Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine) ;
  • Lee, Chung-Woo (Department of Family Medicine, Korea University, College of Medicine) ;
  • Kim, Seon-Young (Department of Psychiatry, Chonnam National University Medical School) ;
  • Lee, Eun Jeong (Hospice & Palliative Care Center, Korea University Guro Hospital) ;
  • Koh, Su-Jin (Department of Hematology and Oncology, Ulsan University College of Medicine, Ulsan University Hospital) ;
  • Kim, Yonghwan (Department of Family Medicine, Chungbuk National University Hospital) ;
  • Cho, Myongjin Agnes (Department of Internal Medicine, Anyang Sam Hospital) ;
  • Song, Youhyun (Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine) ;
  • Shim, Jae Yong (Department of Family Medicine, Severance Hospital, Yonsei University College of Medicine)
  • Received : 2020.04.16
  • Accepted : 2020.06.24
  • Published : 2020.09.01
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Abstract

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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References

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