A FORENSIC STUDY ON DEATH DIAGNOSIS AND THE ISSUANCE OF A DEATH CERTIFICATE BY NURSES:

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  • NISHIDA Yukinori
    Department of Legal Medicine, Showa University School of Medicine
  • SATO Keizo
    Department of Legal Medicine, Showa University School of Medicine
  • FUJISHIRO Masaya
    Department of Legal Medicine, Showa University School of Medicine
  • NEMOTO Noriko
    Department of Legal Medicine, Showa University School of Medicine
  • ADACHI Hiroshi
    Department of Legal Medicine, Showa University School of Medicine
  • IWATA Hiroko
    Department of Legal Medicine, Showa University School of Medicine
  • YONEYAMA Yuko
    Department of Legal Medicine, Showa University School of Medicine
  • LEE Xiao-Pen
    Department of Legal Medicine, Showa University School of Medicine
  • MATSUYAMA Takaaki
    Department of Legal Medicine, Showa University School of Medicine
  • KURIHARA Tatsuya
    Department of Hospital Pharmaceutics, Showa University School of Pharmacy
  • FUJIMIYA Tatsuhiro
    Department of Hospital Pharmaceutics, Showa University School of Pharmacy
  • ASAMI Shogo
    Department of German Studies, Faculty of Foreign Studies, Sophia University

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Other Title
  • 看護師による死亡診断，死亡診断書作成の是非についての法医学的一考察
  • 看護師による死亡診断,死亡診断書作成の是非についての法医学的一考察 : 医学生,一般学生の意識調査をもとに
  • カンゴシ ニ ヨル シボウ シンダン,シボウ シンダンショ サクセイ ノ ゼヒ ニ ツイテ ノ ホウイガクテキ イチ コウサツ : イガクセイ,イッパン ガクセイ ノ イシキ チョウサ オ モト ニ
  • —医学生，一般学生の意識調査をもとに—
  • BASED ON RECOGNITION BY MEDICAL STUDENTS AND NON-MEDICAL STUDENTS

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Abstract

Japan is under a circumstance in that the number of deaths will continue to increase up to the year 2040. The aim of this study is to suggest the development of a new system of death diagnosis and the issuance of a death certificate under such circumstances. This study was to assess the recognition by medical students and non-medical students of the idea of a death diagnosis and the issuance of a death certificate by nurses. In the case of a terminally ill patient undergoing medical treatment who dies at home in the company of a nurse, 46.3％ of medical students and 61.5％ of non-medical students felt that the nurse may diagnose the patient’s death. In addition, under these circumstances, 32.2％ of medical students and 39.0％ of non-medical students felt that the nurse may issue a death certificate. Interestingly, at this time, Japan is undergoing a review process of how doctors work, including task shift; advanced medical treatment is becoming recognized as the work of a nurse according to the Act on Public Health Nurses, Midwives and Nurses. Further, a comprehensive community care system, which aims for the continuation of patients to live in a familiar area until the end of life, has been promoted. In addition, several western countries or states have legalized death diagnosis by nurses. On the basis of our results and consideration, we suggest revision of the law to allow nurses to make a death diagnosis, including the judgement of an abnormal death, in the case of terminally ill patients dying at home.

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