Policy & Legislations

Life-Sustaining Treatment Plans

Site Information

Preparation of LST Plan

Significance

  • Life-sustaining Treatment Plan refers to a written plan prepared by a doctor in charge for matters concerning the decision to withdraw or withhold LST and hospice care for a patient according to the intention of a terminal patient or a patient at the end stage of life.
  • If a life-sustaining treatment plan is prepared for a certain patient, the decision to withdraw or withhold LST can be implemented immediately after the patient is assessed as a patient at the end stage of life.
STEP 1
Confirmation of
Eligibility
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STEP 2
Counseling
/ Explanation
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STEP 3
Preparation
(Amendment,
Withdrawal)

and Registration
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STEP 4
Notification

Eligibility

  • Life-sustaining Treatment Plan can be prepared for a terminal patient or a patient at the end stage of life.
  • Before preparing the life-sustaining treatment plan, the doctor in charge can provide the patient with information about life-sustaining treatment and hospice care and check if the patient has ever prepared an advance directive on life-sustaining treatment.
Terminal Patient, Patient at the End Stage of Life - Target Disease, Condition, Target Disease
Terminal Patient Patient at the End Stage of Life
Target Disease Cancer, Acquired Immunodeficiency Syndrome(AIDS),
Chronic obstructive respiratory disease,
Chronic liver cirrhosis
(Disease restriction removed on March 28, 2019)
No disease restrictions
Condition The patient is expected to die within a few months because there is no possibility of a fundamental recovery, and the symptoms gradually worsen despite proactive treatment The patient is in a state of imminent death, in which there is no possibility of revitalization or recovery despite treatment, and symptoms worsen rapidly
Target Disease ▲ Clinical symptoms
▲ Existence of other diseases or illnesses
▲ Degree of improvement by drug administration or procedure
▲ Progression of previous medical treatment
▲ Diagnosed by the doctor in charge and one medical specialist in the relevant field comprehensively in consideration of the possibility of other treatments
Assessed by the doctor in charge and
one medical specialist in the relevant field