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Hemodialysis as a life-sustaining treatment at the end of life
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Type
Academic journal
Author
신성준 (동국대학교 일산병원) Je-HakLee (동국대학교 일산병원)
Journal
대한신장학회 Kidney Research and Clinical Practice Kidney Research and Clinical Practice Vol.37 No.2 KCI Accredited Journals
Published
2018.1
Pages
112 - 118 (7page)

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Hemodialysis as a life-sustaining treatment at the end of life
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Abstract· Keywords

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The Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life came into effect on February 4th, 2018, in South Korea. Based on the Act, all Koreans over the age of 19 years can decide whether to refuse life-sustaining treatments at the end of life via advance directive or physician orders. Hemodialysis is one of the options designated in the Act as a life-sustaining treatment that can be withheld or withdrawn near death. However, hemodialysis has unique features. So, it is not easy to determine the best candidates for withholding/withdrawing hemodialysis at the end of life. Thus, it is necessary to investigate the meaning and implications of hemodialysis at the end of life with ethical consideration of futility and withholding or withdrawal of intervention.

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References (44)

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Rietjens JAC / 2017 / Definition and recommendations for advance care planning: an international consensus supported by the European Association for Palliative Care / Lancet Oncol 18:e543~e551 Crossref Culver CM / 1990 / Beyond the living will: making advance directives more useful / Omega (Westport) 21:253~258 Crossref Griffith R / 2013 / When does life-sustaining treatment become futile? / Br J Nurs 22:590~591 Crossref Scherer JS / 2016 / The role of time-limited trials in dialysis decision making in critically Ill patients / Clin J Am Soc Nephrol 11:344~353 Crossref Sprung CL / 2003 / End-of-life practices in European intensive care units: the Ethicus Study / JAMA 290:790~797 Crossref

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