실제 말기환자의 사례를 통해 알아본 한국의사전돌봄계획에 대한 문제점과 개선 방안
Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea
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Since the implementation of the Life-Sustaining Treatment Decision Act, a lack of clear clinical guidelines has made it difficult to address conflicts that arise in the decision-making process concerning life-sustaining treatment. This study examines the current state of advance care planning in Korea through a clinical case concerning a terminally ill cancer patient, identifying the causes of inadequate decision-making and potential areas for improvement. Using the four-topic approach, the analysis reveals that discussions on life-sustaining treatment are often delayed due to the emphasis on diagnosing terminal illnesses, where accurately predicting survival time can be challenging. As a result, decisions regarding life-sustaining treatment are frequently made without a full understanding of the patient’s preferences and values, contradicting the original intent of the Act. This case study illustrates some of the challenges and complexity of clinical decision-making concerning life-sustaining treatment and highlights the urgent need for clearer guidelines to ensure optimal patient-centered care.
Abstract
Since the implementation of the Life-Sustaining Treatment Decision Act, a lack of clear clinical guidelines has made it difficult to address conflicts that arise in the decision-making process concerning life-sustaining treatment. This study examines the current state of advance care planning in Korea through a clinical case concerning a terminally ill cancer patient, identifying the causes of inadequate decision-making and potential areas for improvement. Using the four-topic approach, the analysis reveals that discussions on life-sustaining treatment are often delayed due to the emphasis on diagnosing terminal illnesses, where accurately predicting survival time can be challenging. As a result, decisions regarding life-sustaining treatment are frequently made without a full understanding of the patient’s preferences and values, contradicting the original intent of the Act. This case study illustrates some of the challenges and complexity of clinical decision-making concerning life-sustaining treatment and highlights the urgent need for clearer guidelines to ensure optimal patient-centered care.