Problems related to responding to sudden changes in residents who do not wish to be resuscitated in elderly facilities from the perspective of end-of-life care

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  • Fujino Tomoki
    Graduate School of Health and Sport Science of Nippon Sport Science University
  • Yokota Hiroyuki
    Graduate School of Health and Sport Science of Nippon Sport Science University
  • Suzuki Kensuke
    Graduate School of Health and Sport Science of Nippon Sport Science University

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Other Title
  • 高齢者施設において急変時心肺蘇生を望まない入所者の対応に関する課題～看取り介護加算の視点から～

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<p>Summary Introduction : In Japan, which has become aging society, there have been discussions in various forums have discussed how to deal with cases in which a patient has expressed ″do not attempt resuscitation″ order when a sudden change is anticipated, based on the premise of advance care planning. Against this background, an “Additional End-of-Life Care” has been formulated with the aim of assisting residents to meet their final days peacefully, but the actual situation is not yet clear.</p><p>Purpose : The purpose of this study is to examine the current status and problems of the additional end-of-life care program.</p><p>Methods : A questionnaire survey was conducted at 241 elderly care facilities in Sagamihara City located at the northern part of Kanagawa Prefecture, to determine whether end-of-life care differs depending on whether end-of-life care fees are calculated or not.</p><p>Conclusion : Although a high percentage of facilities in the “Calculated facilities” confirmed the residents intention in advance, many facilities transported the residents to emergency hospitals as in the “non-Calculated facilities “ in the event of a sudden change in condition, thus failing to fulfill the original purpose of the Additional end-of-life care.</p>

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