David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Ezio Di Nucci
Jonathan Jenkins Ichikawa
Jack Alan Reynolds
Learn more about PhilPapers
Journal of Medical Ethics 30 (3):264-267 (2004)
Objectives: To analyse the decision making for end of life care for patients with cancer at a teaching hospital in Japan at two periods 10 years apart.Design and setting: Retrospective study conducted in a 550 bed community teaching hospital in Okinawa, Japan.Patients: There were 124 terminally ill cancer patients admitted either in 1989 and 1999 for end of life care with sufficient data to permit analysis.Main measurements: Basic demographic data, notification to the patient that he or she had cancer, patient involvement in do not resuscitate orders, and various medical interventions which were performed in the month prior to the patient’s death were evaluated.Results: In 1989 none of the patients were notified of their diagnosis; in 1999 five patients were informed . Of the 113 patients with a written DNR order, none were involved in consenting to the DNR order. In the month before death, patients in both groups received non-palliative treatments such as feeding tube placements , total parenteral nutrition , and intravenous albumin infusion . Morphine use increased significantly in 1999 compared with the 1989 group.Conclusions: The majority of patients dying of cancer were still not informed of their diagnosis and were seldom involved in DNR decision making at a teaching hospital in Japan. There was no change in the number of potentially futile interventions that were performed but morphine use increased. Modern ethical education is urgently needed in Japanese medical practice to improve decision making process in the end of life care
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Myriam Skrutkowska & Charles Weijer, Do Patients with Breast Cancer Participating in Clinical Trials Receive Better Nursing Care?
Susan Gilbert (2010). Personalized Cancer Care in an Age of Anxiety. Hastings Center Report 40 (5):18-21.
Jennifer Bell, Psychosocial Care and Patient Autonomy: A Feminist Argument in Support of a "Meaning-Making" Intervention.
Greer Donley & Marion Danis (2011). Making the Case for Talking to Patients About the Costs of End-of-Life Care. Journal of Law, Medicine & Ethics 39 (2):183-193.
Timothy E. Quill (2012). Physicians Should “Assist in Suicide” When It Is Appropriate. Journal of Law, Medicine & Ethics 40 (1):57-65.
Rihito Kimura (1987). Bioethics as a Prescription for Civic Action: The Japanese Interpretation. Journal of Medicine and Philosophy 12 (3):267-277.
Laura Sheard, Hayley Prout, Dawn Dowding, Simon Noble, Ian Watt, Anthony Maraveyas & Miriam Johnson (2012). The Ethical Decisions UK Doctors Make Regarding Advanced Cancer Patients at the End of Life - the Perceived (in) Appropriateness of Anticoagulation for Venous Thromboembolism: A Qualitative Study. [REVIEW] BMC Medical Ethics 13 (1):22-.
D. Lyall (1985). Cancer Care: Proceedings of a Study Day for Hospital Chaplains. Journal of Medical Ethics 11 (3):165-165.
Stephen R. Latham (2011). The "Real-Life" Death Panel, Reformed. Hastings Center Report 41 (1):53-53.
Ruth McCorkle (1980). An Ethical Dilemma: Information Control in Cancer Care. [REVIEW] Bioethics Quarterly 2 (3):148-158.
Jakob Hohwy & David Reutens (2009). A Case for Increased Caution in End of Life Decisions for Disorders of Consciousness. Monash Bioethics 28 (2):13.1-13.13.
J. Ettema Eric, D. Derksen Louise & Evert van Leeuwen (2010). Existential Loneliness and End-of-Life Care: A Systematic Review. Theoretical Medicine and Bioethics 31 (2).
T. -H. Jaing, P. -K. Tsay, E. -C. Fang, S. -H. Yang, S. -H. Chen, C. -P. Yang & I. -J. Hung (2007). "Do-Not-Resuscitate" Orders in Patients with Cancer at a Children's Hospital in Taiwan. Journal of Medical Ethics 33 (4):194-196.
Mary Ann Baily (2011). Futility, Autonomy, and Cost in End-of-Life Care. Journal of Law, Medicine & Ethics 39 (2):172-182.
Added to index2010-08-24
Total downloads3 ( #658,674 of 1,937,245 )
Recent downloads (6 months)3 ( #217,211 of 1,937,245 )
How can I increase my downloads?