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End-of-life Decision in Korea

Heo DS

There are more than 65,000 cancer deaths per year in Korea. To what extent should we continue aggressive treatment in terminal patients? In the course of clinical care of a...
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Ethical and legal consideration on medical realities and ethical debates about withholding or withdrawing treatment in end-of-life care

Kim MH, Baik S

It is natural for all human beings to die; hence, death is an inevitable event. However, advances in medical technology are changing the meaning of natural death. These advanced treatments...
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Withholding Futile Interventions from Terminally Ill Cancer Patients

Heo DS

With development of new techniques for medical intervention, there has been a big dilemma for physicians about their decision when to stop treatment. Application of life-sustaining device sometimes results in...
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Idiopathic Proximal Hemimegacolon in an Adult Woman

Noh JW, Rhee PL, Son SY, Ok CS, Lee G, Min BH

  • KMID: 2326144
  • J Neurogastroenterol Motil.
  • 2010 Apr;16(2):203-206.
Idiopathic proximal hemimegacolon is a disorder characterized by bowel dilatation proximal to the splenic flexure. It is a very rare and therefore a poorly understood clinical entity. This report describes...
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Triage Decision for ICU Admission and Patients' Outcome

Lee JH, Shin CS, Han S, Koh SO

BACKGROUND: We constructed a prospective study to evaluate the outcome of patients referred to an intensivist for ICU admission as well as the factors associated with ICU admission refusal. METHODS: Patients...
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Deciding not to Operate in Head Injuries and Legal Considerations

Choi I, Lee KS, Shim JJ, Choi WR

  • KMID: 2189207
  • J Korean Neurosurg Soc.
  • 2007 Aug;42(2):135-140.
It is not the best way to treat a hopeless patient with life-sustaining medical devices until the heart beats stop. Advanced medical technology may prolong the life for a significant...
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Do-not-resuscitation in Terminal Cancer Patient

Kwon JH

For patients who are near the end of life, an inevitable step is discussion of a do-not-resuscitate (DNR) order, which involves patients, their family members and physicians. To discuss DNR...
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Hemodialysis as a life-sustaining treatment at the end of life

Shin SJ, Lee JH

The Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life came into effect on February 4th, 2018, in South Korea....
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Court decisions on withdrawal of life sustaining treatment and related problems associated with legalization

Kim JH

The development of life sustaining treatment technology including artificial ventilation has given us the moral problem, considering the human dignity and futility of medical treatment, until when these treatments could...
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Evaluation of Prescribing Medications for Terminal Cancer Patients near Death: Essential or Futile

Lee HR, Yi SY, Kim DY

  • KMID: 2167630
  • Cancer Res Treat.
  • 2013 Sep;45(3):220-225.
PURPOSE: The purpose of this study is to evaluate the prescription of essential or futile medications for terminal cancer patients during their final admission. MATERIALS AND METHODS: We conducted a retrospective...
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Survey of Emergency Medical Ethics in Korea

Cha JH, Kim MR, Kim YW, Jeon BM

  • KMID: 2331921
  • J Korean Soc Emerg Med.
  • 2007 Dec;18(6):598-608.
PURPOSE: Ethical problems are common in the emergency department (ED)- much more common than is usually recognized. However, the difficult ethical dilemmas and unique aspects of ethics in emergency medicine...
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Epidural Catheter Length That Can be Threaded without Coiling in Lumbar Epidural Space

Kim HS, Lim YJ, Kim CS

BACKGROUND: The difficulty in advancing the epidural catheters to hoped-for levels after successful demonstration of loss of resistance in the epidural space has well been known. This study was undertaken...
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Experience of Smoking Cessation

Choi KW, Kim KB

  • KMID: 2291080
  • J Korean Acad Adult Nurs.
  • 2002 Dec;14(4):521-531.
PURPOSE: This study was to identify the meaning of the lived experiences, to describe of the meaning structures and to develop the strategies of nursing intervention centering to these meanings...
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Factors determining the establishment of DNR orders in oncologic patients at a university hospital in Korea

Song T, Kim K, Koh Y

  • KMID: 2305866
  • Korean J Med.
  • 2008 Apr;74(4):403-410.
BACKGROUND/AIMS: Do-Not-Resuscitate (DNR) orders have been one of the critical issues considered in futile medical management, but they have not been legally defined in Korea. The aim of this study...
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Recognition of Good Death, Attitude towards the Withdrawal of Life-Sustaining Treatment, and Attitude towards Euthanasia in Nurses

Kim SN, Kim HJ

PURPOSE: To provide practical data for bioethics education, we identified correlations between recognition of good death, attitude towards withdrawal of meaningless life-sustaining treatment, and attitude towards euthanasia in nurses. METHODS: Using...
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A Retrospective Analysis to Determine Criteria for Termination of Resuscitation (TOR) for a Patient with an Out-of-Hospital Cardiac Arrest (OHCA) who Presents at the Emergency Department (ED)

Kang HJ, Eo EK, Jung JH, Bae HA

  • KMID: 1997734
  • J Korean Soc Emerg Med.
  • 2010 Oct;21(5):546-553.
PURPOSE: As public awareness of medical futility increases, more studies on pronouncement of death and related protocols in the field have been conducted overseas. However, it appears to be hard...
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Medications at the End of Life Care for Terminal Cancer Patients during Their Last Admission

Kim DY

  • KMID: 2305364
  • Korean J Hosp Palliat Care.
  • 2010 Mar;13(1):7-12.
PURPOSE: To evaluate medications at the end of life care for terminal cancer patients during their last admission. METHODS: Medical records of terminal cancer patients during their last admission from July...
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Characteristics and Outcomes of Potentially Inappropriate Admissions to the Intensive Care Unit

Sin S, Lee SM, Lee J

BACKGROUND: Admission of patients perceived as potentially inappropriate for intensive care is a very sensitive and controversial issue. We aimed to evaluate the use of medical resources in the intensive...
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Loss in the Elderly

Lee KH, Oh HK

  • KMID: 2297242
  • J Korean Acad Nurs.
  • 2001 Dec;31(7):1197-1201.
The purpose of this study is to seek the nursing intervention for the elderly people's positive lives by investigating the causes for their loss and its meanings. The method of...
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The Medico-Legal and Ethical Problems of Withholding / Withdrawing of Futile Life-Sustaining Mechanical Respirator treatment

KIM KY

The first and the longest criminal indictment case of Korean medico-legal battle, so called BORAMAE Hospital Incident, was finally on its end by Korean Supreme Court's decision on June 24,...
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