Japan Geriatrics Society “Recommendations for the Promotion of Advance Care Planning”: <scp>End‐of‐Life</scp> Issues Subcommittee consensus statement

  • Masafumi Kuzuya
    Department of Community Healthcare & Geriatrics Nagoya University Graduate School of Medicine Nagoya Japan
  • Kaoruko Aita
    Uehiro Division, Center for Death & Life Studies and Practical Ethics, Graduate School of Humanities and Sociology The University of Tokyo Tokyo Japan
  • Yoko Katayama
    Department of Nursing Kagawa Prefectural University of Health Sciences Takamatsu Japan
  • Tomohiro Katsuya
    Katsuya Clinic Amagasaki Japan
  • Mitsunori Nishikawa
    Department of Palliative Care National Center for Geriatrics and Gerontology Obu Japan
  • Satoshi Hirahara
    Training/Research Center Tokyo Fureai Medical & Cooperative Society Tokyo Japan
  • Hisayuki Miura
    Department of Home Care and Regional Liaison Promotion National Center for Geriatrics and Gerontology Obu Japan
  • Hiromi Rakugi
    Department of Geriatric and General Medicine Osaka University Graduate School of Medicine Suita Japan
  • Masahiro Akishita
    Department of Geriatric Medicine, Graduate School of Medicine The University of Tokyo Tokyo Japan

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Abstract

<jats:p>The Japan Geriatrics Society has so far announced “The Japan Geriatrics Society Position Statement 2012” and “Guidelines for the Decision‐Making Processes in Medical and Long‐Term Care for the Elderly – Focusing on the Use of Artificial Hydration and Nutrition” related to end‐of‐life care for older adults. In 2018, the Ministry of Health, Labor and Welfare revised the “Guidelines for the Decision‐Making Processes in Medical and Long‐Term Care in the End of Life,” recommending the practice of advance care planning (ACP). This was the first time when the Japanese government publicized its stance on ACP. Immediately after the government's announcement, the Japan Medical Association announced its committee report, “The Super‐aged Society and the End‐of‐life Care,” which also recommended the practice of ACP. The guidelines were published when the society was experiencing substantial changes related to geriatric care in Japan, and required timely and ethically appropriate decision‐making processes. However, because ACP is a concept imported from English‐speaking countries, some Japanese people could find it difficult to understand the role and methodology of ACP because of differences in culture and the medical/long‐term care system. Therefore, the Japan Geriatrics Society has decided to publish the “Recommendations for the Promotion of Advance Care Planning” for medical and long‐term care professionals nationwide with the aim of using the recommendations on a daily basis. The society recognizes ACP as indispensable to improve end‐of‐life care for individuals, particularly for older adults. We anticipate that the recommendations will provide practical guidance for those strenuously working toward this goal. <jats:bold>Geriatr Gerontol Int 2020; 20: 1024–1028.</jats:bold>.</jats:p>

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