| Theme |
The management of the end of life in hemodialysis patients |
| Title |
Decision-making process in emergency and critical care medicine |
| Author |
Kenichi Matsuda |
Department of Emergency and Critical Care Medicine, University of Yamanashi School of Medicine |
| Author |
Takeshi Moriguchi |
Department of Emergency and Critical Care Medicine, University of Yamanashi School of Medicine |
| [ Summary ] |
Case-based management in the individual case is recommended for the terminal stage of the patients, because there are various backgrounds to emergency medicine and critically ill patients. Hemodialysis patients should communicate to family members and health professionals, their care needs for their terminal stage in emergency and critical care medicine. Additionally, they should prepare the living will as an advance directive. The program of palliative care for dialysis patients should be developed as soon as possible. Moreover, all staffs of hemodialysis should complete the program for their dialysis patients. |