Case report on the legal assurance of Advance Care Planning in collective culture

This case report shows that there is a lack of a legal framework in Japan to protect patients' right during the end‐of‐life period, which hinders the implementation of ACP in medical practice. This report suggests that legal support can contribute to the advancement of ACP while addressing cult...

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Bibliographic Details
Published in:Clinical case reports 2022-04, Vol.10 (4), p.e05759-n/a
Main Authors: Miyatake, Hirotomo, Ozaki, Akihiko, Kotera, Yasuhiro, Sakamoto, Ryo, Bhandari, Divya, Uneno, Yu, Beniya, Hiroyuki
Format: Article
Language:English
Subjects:
ACP
Activities of daily living
Advance directives
Case Report
Case Reports
Constipation
culture
Decision making
Defecation
Emergency medical care
Families & family life
Health care
home care
Hospitals
legal assurance
Medical treatment
Nursing homes
Palliative care
Patients
Physicians
Prostate cancer
Urinary incontinence
Urination
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Summary:This case report shows that there is a lack of a legal framework in Japan to protect patients' right during the end‐of‐life period, which hinders the implementation of ACP in medical practice. This report suggests that legal support can contribute to the advancement of ACP while addressing cultural differences. Advance Care Planning has been widely advocated in Japan, but it has not yet taken root. The collective decision making culture in Japan may unconsciously overpower or ignore the patients' wishes, hence legal support can mitigate its negative impacts on ACP.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.5759