New Viewpoints Regarding Emergency Patient Treatment Decision Making with the Family

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  • 救急医療における患者・家族の治療に対する意思決定支援への新たな視座
  • 大会長講演 救急医療における患者・家族の治療に対する意思決定支援への新たな視座
  • タイカイチョウ コウエン キュウキュウ イリョウ ニ オケル カンジャ ・ カゾク ノ チリョウ ニ タイスル イシ ケッテイ シエン エ ノ アラタ ナ シザ

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Abstract

<p>The three of clinical study on which I have worked up to now about a decision making to treatment of a patient in emergency medical care and the family, 1. After the back and that by which the family is a decision making for a doctor, it is not discussed, but after the family decides, feeling is shaken, 2. The family is anxious and decides about a surrogate, and by which the decision is heavy responsibility. 3. Though a nurse recognized that the care of a decision making was important, the contents which hold difficulty and discord were not made sufficiently, and became clear. However, it is based on various mental influence by a surrogate decision making, and the new question to which I say “Do a patient and the family wish for participation in a decision making really?” has formed. A Nudge-like decision making is also argued with the relation between decision capability and a stress and also the one of the good deed of a medical person as a new viewpoint to the research question.</p>

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