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Ju HN, Lee SH, Kim YJ, Lee SY, Lee JG, Yi YH, Cho YH, Tak YJ, Hwang HR, Park EJ, Lee YI. Act on Decisions on Life-Sustaining Treatment and Timing of Referral to Hospice. KOREAN JOURNAL OF FAMILY PRACTICE 2021; 11:331-337. [DOI: 10.21215/kjfp.2021.11.5.331] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/07/2019] [Revised: 08/18/2021] [Accepted: 08/22/2021] [Indexed: 08/30/2024]
Affiliation(s)
- Han-na Ju
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
| | - Seung Hun Lee
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
| | - Yun-Jin Kim
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
- Department of Family Medicine, Yangsan, Korea
| | - Sang-Yeoup Lee
- Department of Medical Education, Pusan National University School of Medicine, Yangsan, Korea
- Department of Family Medicine, Yangsan, Korea
- Obesity, Nutrition and Metabolism Clinic, Yangsan, Korea
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Jeong-Gyu Lee
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
- Department of Family Medicine, Yangsan, Korea
| | - Yu-Hyeon Yi
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
| | - Young-Hye Cho
- Department of Family Medicine, Yangsan, Korea
- Obesity, Nutrition and Metabolism Clinic, Yangsan, Korea
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
| | - Young-Jin Tak
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
| | - Hye-Rim Hwang
- Department of Family Medicine, Pusan National University Hospital, Busan, Korea
| | - Eun-Ju Park
- Department of Family Medicine, Yangsan, Korea
- Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan, Korea
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Choi JJ, Kim SH, Kim SW. [Reversals in Decisions about Life-Sustaining Treatment and Associated Factors among Older Patients with Terminal Stage of Cardiopulmonary Disease]. J Korean Acad Nurs 2019; 49:329-339. [PMID: 31266929 DOI: 10.4040/jkan.2019.49.3.329] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2019] [Revised: 05/02/2019] [Accepted: 05/08/2019] [Indexed: 11/09/2022]
Abstract
PURPOSE The purpose of this study was to investigate the frequency, patterns, and factors of reversals in decisions about life-sustaining treatment (LST) among older patients with terminal-stage chronic cardiopulmonary disease. METHODS This was a retrospective correlational descriptive study based on medical chart review. De-identified patient electronic medical record data were collected from 124 deceased older patients with terminal-stage cardiopulmonary disease who had made reversals of LST decisions in an academic tertiary hospital in 2015. Data were extracted about the reversed LST decisions, LST treatments applied before death, and patients' demographic and clinical factors. Multivariate logistic regression analysis was used to identify the factors associated with the reversal to higher intensity of LST treatment. RESULTS The use of inotropic agents was the most frequently reversed LST treatment, followed by cardiopulmonary resuscitation, intubation, ventilator therapy, and hemodialysis. Inconsistency between the last LST decisions and actual treatments occurred most often in hemodialysis. One-third of the reversals in LST decisions were made toward higher intensity of LST treatment. Patients who had lung diseases (vs. heart diseases); were single, divorced, or bereaved (vs. married); and had an acquaintance as a primary decision maker (vs. the patients themselves) were significantly more likely to reverse the LST decisions to higher intensity of LST treatment. CONCLUSION This study demonstrated the complex and turmoil situation of the LST decision-making process among older patients with terminal-stage cardiopulmonary disease and suggests the importance of support for patients and families in their LST decision-making process.
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Affiliation(s)
- Jung Ja Choi
- College of Nursing, Kyungpook National University, Daegu, Korea
| | - Su Hyun Kim
- College of Nursing, Kyungpook National University, Daegu, Korea.
| | - Shin Woo Kim
- Department of Internal Medicine, Kyungpook National University Hospital, Daegu, Korea
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Lee JY, Lee YM, Jang JI. Intensive Care Nurses’ Experiences of Death of Patients with DNR Orders. ACTA ACUST UNITED AC 2017. [DOI: 10.14475/kjhpc.2017.20.2.122] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Affiliation(s)
- Ji Yun Lee
- Department of Nursing, Kangwon National University, Chuncheon, Korea
| | - Yong Mi Lee
- Department of Nursing, Kangwon National University, Chuncheon, Korea
| | - Jae In Jang
- Department of Nursing, Kangwon National University, Chuncheon, Korea
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Kim J, Lee J, Choi S, Lee J, Park YS, Lee CH, Yim JJ, Yoo CG, Kim YW, Han SK, Lee SM. Trends in the Use of Intensive Care by Very Elderly Patients and Their Clinical Course in a Single Tertiary Hospital in Korea. Korean J Crit Care Med 2016. [DOI: 10.4266/kjccm.2016.31.1.25] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Junghyun Kim
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Jungkyu Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul Metropolitan Government-Seoul National University Boramae Medical Center, Seoul, Korea
| | - Sunmi Choi
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Jinwoo Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Young Sik Park
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Chang-Hoon Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Jae-Joon Yim
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Chul-Gyu Yoo
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Young Whan Kim
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Sung Koo Han
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
| | - Sang-Min Lee
- Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Seoul National University Hospital, Seoul, Korea
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Park JH, Koh SO, Cho JS, Na S. Evaluation of Informed Consent for Withholding and Withdrawal of Life Support in Korean Intensive Care Units. Korean J Crit Care Med 2015. [DOI: 10.4266/kjccm.2015.30.2.73] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/21/2022] Open
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Shin K, Mok JH, Lee SH, Kim EJ, Seok NR, Ryu SS, Ha MN, Lee K. The Current Status of Medical Decision-Making for Dying Patients in a Medical Intensive Care Unit: A Single-Center Study. Korean J Crit Care Med 2014. [DOI: 10.4266/kjccm.2014.29.3.160] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Kyunghwa Shin
- Department of Internal Medicine, Daedong Hospital, Busan, Korea
| | - Jeong Ha Mok
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Sang Hee Lee
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
| | - Eun Jung Kim
- Medical Intensive Care Unit, Department of Nursing, Pusan National University Hospital, Busan, Korea
| | - Na Ri Seok
- Medical Intensive Care Unit, Department of Nursing, Pusan National University Hospital, Busan, Korea
| | - Sun Suk Ryu
- Medical Intensive Care Unit, Department of Nursing, Pusan National University Hospital, Busan, Korea
| | - Myoung Nam Ha
- Medical Intensive Care Unit, Department of Nursing, Pusan National University Hospital, Busan, Korea
| | - Kwangha Lee
- Department of Internal Medicine, Pusan National University School of Medicine, Busan, Korea
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Kim M, Noh S, Ryu E, Shin S. Research Trend Analysis of Do-Not-Resuscitate Decision: Based on Text Network Analysis. ASIAN ONCOLOGY NURSING 2014. [DOI: 10.5388/aon.2014.14.4.254] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Miji Kim
- Graduate School of Nursing, Chung-Ang University, Seoul, Korea
| | - Sangmi Noh
- Graduate School of Nursing, Chung-Ang University, Seoul, Korea
| | - Eunjung Ryu
- Department of Nursing, Chung-Ang University, Seoul, Korea
| | - Sangmoon Shin
- Graduate School of Information, Yonsei University, Seoul, Korea
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8
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Affiliation(s)
- Jae Young Moon
- Division of Pulmonary and Critical Care Medicine, Chungnam National University Hospital, Daejeon, Korea
| | - Yong Sup Shin
- Department of Anesthesiology and Pain Medicine, Chungnam National University College of Medicine, Daejeon, Korea
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Moon JY, Lee HY, Lim CM, Koh Y. Medical Residents' Perception and Emotional Stress on Withdrawing Life-Sustaining Therapy. Korean J Crit Care Med 2012. [DOI: 10.4266/kjccm.2012.27.1.16] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Affiliation(s)
- Jae Young Moon
- Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Hee Young Lee
- National Health Insurance Corporation Research Fellow, Seoul, Korea
| | - Chae-Man Lim
- Division of Pulmonary and Critical Care Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
| | - Younsuck Koh
- Department of Medical Humanities and Social Sciences, University of Ulsan College of Medicine, Seoul, Korea
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Koh Y. Current status of end-of-life care in Korean hospitals. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 2012. [DOI: 10.5124/jkma.2012.55.12.1171] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Affiliation(s)
- Younsuck Koh
- Department of Pulmonary and Critical Care Medicine, University of Ulsan College of Medicine, Seoul, Korea
- Medical Humanities and Social Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea
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Park YR, Kim JA, Kim K. Changes in how ICU nurses perceive the DNR decision and their nursing activity after implementing it. Nurs Ethics 2011; 18:802-13. [PMID: 21974942 DOI: 10.1177/0969733011410093] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
This study investigated the perceptions and attitudes of ICU nurses towards the 'do not resuscitate' (DNR) decision and changes in their nursing activities after implementation of the DNR decision in South Korea. A data survey was conducted in South Korea between August and October 2008, with a convenience sample of 252 ICU nurses who had more than one year of clinical experience. The data were collected via a self-administered questionnaire. Most of the nurses perceived the necessity of the DNR decision in cases where there would be no chance of patient recovery despite massive efforts. Very few of the nurses' activities changed, either passively or actively, after implementation of the DNR decision. Moreover, the findings of this research provide suggestions for the future direction of the DNR decision and ethical nursing guidelines in South Korea. Further investigations are needed for the development of decision-making skills and intervention guidelines for end-of-life nursing.
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Koh Y. Physician's Role and Obligation in the Withdrawal of Life-sustaining Management. JOURNAL OF THE KOREAN MEDICAL ASSOCIATION 2009. [DOI: 10.5124/jkma.2009.52.9.871] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Affiliation(s)
- Younsuck Koh
- Department of Pulmonary and Critical Care Medicine, Ulsan University College of Medicine, Korea.
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