Document Detail

End-of-life care and advance directives in Japan.
MedLine Citation:
PMID:  16637138     Owner:  KIE     Status:  MEDLINE    
This paper examines the ethical issues concerning Advance Directives (ADs) and surveys the current Japanese situation. ADs were devised as a means of expressing the refusal to live in deep unconsciousness. This is validated as the patient's self-determined right to end his/her life in America. This trend affects Japan as well, where the move toward legislation for ADs is seen at present. Many Japanese people think that ADs should be respected because wishes in advance comprise the patient's autonomous decision concerning life-sustaining treatment and death with dignity. However, there are some ethical issues with ADs. The situation surrounding ADs is very uncertain. We cannot prove that a wish in deep unconsciousness and wish in advance are the same. In addition, medical prognoses are not always right. Such uncertainty gives rise to the ethical issue of consistency of advance autonomous decisions. It appears that many people are not aware of the ethical issues, and that there is little public discussion on ADs. Therefore, this paper explores why the Japanese have not argued the ethical issues concerning ADs. Finally, I speculate on the major problems and asks of ADs, and provide materials for the future examination of ADs.
Toshiko Hattori
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal international de bioéthique = International journal of bioethics     Volume:  16     ISSN:  1145-0762     ISO Abbreviation:  J Int Bioethique     Publication Date:    2005 Mar-Jun
Date Detail:
Created Date:  2006-04-25     Completed Date:  2006-06-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9015754     Medline TA:  J Int Bioethique     Country:  France    
Other Details:
Languages:  eng     Pagination:  135-42, 198     Citation Subset:  E    
Osaka University Graduate School of Medicine, Japan.
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MeSH Terms
Advance Directives / ethics,  legislation & jurisprudence*
Euthanasia, Passive
Public Policy
Societies, Medical

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