Guideline

1. Provide appropriate information from physicians and other health care professionals on the current situation, options for medical treatment, and future projections.

2. The individual receiving medical treatment and care and the family members who support the individual will be able to fully discuss the situation with the medical and care team, which consists of medical and nursing professionals of various specialties.

3. The goal is to make decisions that are acceptable to the family and the health and care team, with the patient's wishes as the highest priority.

4. Recognizing that wills can change, repeated discussions with the patient and family members are ensured.

5.Discussions are recorded in the medical record and information is shared with the medical and care team.

6.The decision to initiate, not initiate, change, or discontinue medical treatment or care during the final stage of life is carefully made by the medical and care team based on medical appropriateness and appropriateness.

7.If the patient's will cannot be confirmed, the following procedures will be used to determine the best course of action for the patient.
(1) If the family can presume the will of the person, the presumed will is respected.
(2) If the family members cannot presume the will of the individual, the family members and the individual's guardian will be fully consulted in place of the individual.
(3) If there is no family member or if the family member delegates the decision to the medical and care team, the medical and care team will fully discuss the matter.