사례를 통해 살펴본 임상현장에서의 사전돌봄계획 수립의 이면
The Behind-the-Scenes of Advance Care Planning in Clinical Practice: A Case Study
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This paper examines the practical challenges of respecting patient autonomy in life-sustaining treatment (LST) decisions through a real clinical case. While Korea’s Life-Sustaining Treatment Decision Act provides a legal framework for withholding and withdrawing LST, its implementation in clinical settings remains complex. This case study illustrates the intricate decision-making dynamics among patients, healthcare providers, and caregivers, highlighting the need for more nuanced ethical deliberation in Advance Care Planning (ACP). The absence of ACP that fully reflects patients’ preferences and values can hinder optimal end-of-life care. This study argues for a more practical approach to balancing patient autonomy and best interests, offering recommendations to enhance ACP integration in clinical practice.
Abstract
This paper examines the practical challenges of respecting patient autonomy in life-sustaining treatment (LST) decisions through a real clinical case. While Korea’s Life-Sustaining Treatment Decision Act provides a legal framework for withholding and withdrawing LST, its implementation in clinical settings remains complex. This case study illustrates the intricate decision-making dynamics among patients, healthcare providers, and caregivers, highlighting the need for more nuanced ethical deliberation in Advance Care Planning (ACP). The absence of ACP that fully reflects patients’ preferences and values can hinder optimal end-of-life care. This study argues for a more practical approach to balancing patient autonomy and best interests, offering recommendations to enhance ACP integration in clinical practice.