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救急医療現場における成年患者の自己決定権~法的事項のまとめと臨床適用について~
https://redcross.repo.nii.ac.jp/records/17728
https://redcross.repo.nii.ac.jp/records/17728d9e2eb3a-7aac-4dc5-8d3d-c1e76a473c4d
名前 / ファイル | ライセンス | アクション |
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Wakayama38_06 (878.0 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2021-05-24 | |||||
タイトル | ||||||
タイトル | 救急医療現場における成年患者の自己決定権~法的事項のまとめと臨床適用について~ | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | The rights of self-determination in emergency medicine and application for emergency adult patients. | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | インフォームド・コンセント | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 憲法 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 医事法学 | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | informed consent | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | Constitution of Japan | |||||
キーワード | ||||||
言語 | en | |||||
主題Scheme | Other | |||||
主題 | medical laws | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
著者 |
浜崎, 俊明
× 浜崎, 俊明× 稲田, 麻衣子× 山田, 万里央× 東, 秀律× 久保, 真佑× 室谷, 知孝× 益田, 充× 宇山, 志朗 |
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著者別名 | ||||||
姓名 | HAMASAKI, Toshiaki | |||||
著者別名 | ||||||
姓名 | INADA, Maiko | |||||
著者別名 | ||||||
姓名 | YAMADA, Mario | |||||
著者別名 | ||||||
姓名 | HIGASHI, Hidenori | |||||
著者別名 | ||||||
姓名 | KUBO, Mayu | |||||
著者別名 | ||||||
姓名 | MUROTANI, Tomotaka | |||||
著者別名 | ||||||
姓名 | MASUDA, Mitsuru | |||||
著者別名 | ||||||
姓名 | Uyama, Shiro | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 自分の治療方針を自分で決定するという医療の自己決定権は当然のこととなっている。この自己決定権は、憲法13条の幸福追求権から導かれている。自己決定権を行使するためには、病状の説明、複数の治療方針の提示、それぞれの利点と欠点、予後について十分な説明を受け、納得した上で決定することが必要である。しかし、救急医療の現場では、病状が時間経過とともに変化し、診断が不確定な状況や、患者—医師の人間関係が不十分なままでも診療を進めなければならないという難しさがある。意思能力がある患者に対しては、十分な説明を行った上で自己決定権を行使するように努めなければならない。意思能力が低下していれば、検査や治療の意向を親族等に確認しながら診療を進めていくが、あくまでも推定の意思であり、患者にとって最大限利益になる治療方針を選択すべきである。 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | At present, the right of medical self-determination to decide one's own treatment policy is a matter of course. This right to self-determination is derived from the right to pursue happiness in Article 13 of the Constitution. In order to exercise the right to self determination, it is necessary to receive a thorough explanation of the medical condition, presentation of multiple treatment policies, the advantages and disadvantages of each, and the prognosis, and then make a convincing decision. However, in the field of emergency medical care, there is also the difficulty that the medical condition changes over time, the diagnosis is uncertain, and the medical treatment must proceed even if the patient-doctor relationship is inadequate. For adult patients with capacity, we will try to exercise our right to self-determination after giving sufficient explanation. If the capacity of the patient is weakened, the patient should confirm the intention of the examination and treatment with relatives, etc., but the intention should be estimated and the treatment policy should be selected to maximize the benefit to the patient. | |||||
書誌情報 |
日本赤十字社和歌山医療センター医学雑誌 en : Medical Journal of Japanese Red Cross Wakayama Medical Center 巻 38, p. 37-43, 発行日 2021-03-31 |
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出版者 | ||||||
出版者 | 日本赤十字社和歌山医療センター | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1341-9927 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN1051395X | |||||
権利 | ||||||
権利情報 | 日本赤十字社和歌山医療センター | |||||
情報源 | ||||||
関連名称 | 日本赤十字社和歌山医療センター | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
見出し | ||||||
大見出し | 原著 | |||||
言語 | ja |