The Japanese Journal of Clinical Dialysis Vol.28 No.1(9)

Theme Problems Involved with Dialysis Therapy in the Elderly Medicine
Title Current conditions and problems with end-of-life medical care
Publish Date 2012/01
Author Seiji Ohira Sapporo Kita Clinic
[ Summary ] Twelve topics are presented which will become increasingly important in end-of-life medical care. The current situation with this subject and possible future problems in Japan are also discussed. The results of an evaluation of end-of-life care by the Economist Intelligence Unit in 2010, which included 40 countries, are introduced. Death is inevitable yet continues to be a subject which most people avoid thinking about. In modern societies, with self assertion for life choises and respect for individuals' self determination in all matters, it will become increasingly necessary for them to consider factors related to their own death. The process of dying makes associated preparations, a social obligation. Along the journey to death, some may seek the aid of others, so-called midwives to the dying. With their help, preparations for dying may be accomplished more easily. Medical care givers can be one type of midwife. As a result, we should make increased efforts to be of assistance to these patients.
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