| Theme | Initiation, Maintenance and Discontinuation of Dialysis Therapy | |
|---|---|---|
| Title | Advance directive and withdrawal of dialysis in Japan | |
| Publish Date | 1998/07 | |
| Author | Yasuhiko Miura | Department of Internal Medicine, Sakura National Hospital |
| Author | Yoshindo Kawaguchi | The Second Department of Internal Medicine, The Jikei University School of Medicine |
| Author | Tatsuo Hosoya | The Second Department of Internal Medicine, The Jikei University School of Medicine |
| [ Summary ] | An advance directive is a statement that a mentally competent patient makes about his/or her preferences for life sustaining treatment in the event that he/or she becomes mentally incompetent. Advance directives can be not only formal written statements (living wills), but also can be oral statements made by the patient or a durable power of attorney for health care. In this literature, I will explain our recent studies about advance directive in Japan (1-3) and will review some literature about withholding or withdrawing dialysis treatment. 1. The actual feelings of healty Japanese people about advance directives and death with dignity. 2. A survey study of American, German and Japanese nephrologists concerning their attitudes toward advance directives and death with dignity. 3. A survey study of American and Japanese dialysis patients concerning their attitudes toward advance directives and death with dignity. |
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