Publications by authors named "Koichiro Itai"
Although there are many ethical issues related to amyotrophic lateral sclerosis, one of the most controversial issue is the withdrawal of ventilator support. This problem has a significant impact not only on the decision to "remove", but also on the decision to "wear" it. In particular, if the withdrawal of ventilator support was to be legalized, there is a concern that its legislation may exert a 'silent pressure.
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- The study investigates the decision-making processes of paediatricians when treating critically ill children and explores the associated psychosocial challenges they face.
- Using semi-structured interviews conducted between 2014 and 2015 with 15 experienced paediatricians, researchers identified various dilemmas related to patient care, including personal convictions and family dynamics.
- The findings reveal five key elements of decision-making dilemmas, which can be grouped into three main domains, emphasizing the need for support systems and structured education to help paediatricians make informed decisions for their patients.
We explored a principle of advance directives. Advanced directives are a tool to help execute a broader concept of advance care planning, which is included in advance life planning. Advance directives should be formed by consent with inter- and multi-disciplinary care teams on the basis of patient's intension, passing process such as medical treatment, patient care and mental supports.
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