Abstract
In the midst of the problems of end-of-life care, changes in the view of life and death, and changes in social conditions, we have examined how medical professionals should support decision-making at the end of life. As the view of life and death diversifies with changes in the social structure, how can we receive the thoughts and wishes of patients and provide end-of-life care that can respond to decisions according to each view of life and death? The challenge is how to incorporate the view of life and death into the Advance Care Planning (ACP) process.
Highlights
In recent years, I have come to hear the term "multi-death society" frequently
Issues in a multi-death society generally include the problem of end-of-life care and changes in the view of life and death
As the view of life and death diversifies with changes in the social structure, how can we receive the thoughts and wishes of patients and provide end-of-life care that can respond to decisions according to each view of life and death? The challenge is how to incorporate the view of life and death into the Advance Care Planning (ACP) process
Summary
I have come to hear the term "multi-death society" frequently. "Multi-death society" refers to a society in which the number of deaths increases and the population decreases due to the increase in the number of elderly people. Issues in a multi-death society generally include the problem of end-of-life care and changes in the view of life and death. Advance Care Planning (ACP) is a process of end-of-life decisionmaking that is close to and supports the patient. It has been pointed out that it is difficult to support decision-making regarding end-of-life care for the elderly such as teachers and their families. Specific support measures such as the use of tools for grasping intentions and conferences with medical teams have been tried as support to reach a better end in line with the intentions of the elderly, but the number of cases is still small and trial and error is being carried out. At that time, considering each person's view of life and death is considered to be an important key to grasping the hope for the end of life
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