Application of Advance Directives for Patients with End Stage Renal Disease.
- Author:
Yang Hoon NAM
1
;
In Suk SEO
;
Ji Hwan LIM
;
Jun Hyuk CHOI
;
Jang Eon KIM
;
Jin Ho CHOI
;
Ji Min OH
;
Kyu Heum KWON
;
Su Jin YOON
;
Sung Min YOON
Author Information
1. Department of Internal Medicine, Seoul Medical Center, Korea. eoot35@hanmail.net
- Publication Type:Original Article
- Keywords:
Advance directives;
Hemodialysis;
End stage renal disease
- MeSH:
Advance Directives;
Cardiopulmonary Resuscitation;
Chronic Disease;
Female;
Humans;
Kidney Failure, Chronic;
Korea;
Male;
Palliative Care;
Patient Preference;
Quality of Life;
Renal Dialysis
- From:Korean Journal of Nephrology
2008;27(1):85-93
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: In other countries, government guidelines related to chronic illness are being used to enhance supportive care of renal patients. In Korea, the number of old ages and hemodialysis patients with many complications has been increased. But we don't have any guidelines for palliative care of end stage renal disease. This paper reports a study exploring decisions about end-of-life treatment (e.g. cardiopulmonary resuscitation, renal replacement therapy) via routine use of advance directives in people with end stage renal disease undergoing hemodialysis. METHODS: 1) We revised advance directives in Seoul Medical Center. 2) We recommended the routine use of advance directives to patients who were treated in hemodialysis room of Seoul Medical Center from Jan, 2007 to Jun, 2007. So 35 patients were enrolled. 3) They had been interviewed about end- of-life treatment plans and filled up advance directives. RESULTS: 23 males and 12 females in total were enrolled. The advance directives include 18 questions about patient preferences for treatment of end-of-life. The majority of hemodialysis patients replied "I will follow doctor's decisions including cardiopulmonary resuscitation and renal replacement therapy" 8 females (67%), 15 diabetes (53%) and 11 geriatric patients above 60yrs old (52%), however, were against cardiopulmonary resuscitation. CONCLUSION: Routine use of advance directives will provide basic sources for end-of-life decisions in the care of end stage renal patients. And they would like to keep the high quality of life with the help of prepared therapeutic plan of care and well-dying presented advance directives.
