Ethical Issues involved when patients refuse treatment for life-threatening conditions

Among the contents of the

right

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to self-determination, it is not clear whether the "

treatment

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method" includes the

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to determine what

treatment

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to receive in terms of the

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or not, and the interpretation of whether

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authority can be viewed as a

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to demand a decision that harms the

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. In the case of emergency

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whose lives are in danger, it has been judged that the doctor's obligation to protect the

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's life takes precedence over the

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's

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to self-determination. Considering these points, it is necessary to provide sufficient information on the

patient

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's disease condition and necessary

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when refusing

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, and if the

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refuses

further

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treatment

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even though he/she has tried his/her best, a voluntary

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letter is required. Basically, the description of the following items should be recorded in the child's

discharge

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form

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. Like the

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's decision-making ability-diagnostic name-

treatment

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plan-alternative

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method-expected progress, benefit, and risk-tracking test after

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-the

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's decision-making ability requires his or her consent.

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the legal effect of the self-

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form

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itself is not yet clear in Korea, it is meaningful in that it is documented that an agreement has been reached through sufficient communication between the

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and the medical

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if the explanation process is included and the

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's consent is included. Each hospital can choose its own

discharge

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form

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depending on circumstances, but it is necessary to use a habitat containing the essential elements of the above-mentioned

discharge

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form

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, and it is important to include the process of medical

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doing their best for the safety and benefit of

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. If you refuse to sign a pledge or take a non-cooperative attitude toward the instructions of the medical

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, replace it with a verbal signature and record the related process in detail in the medical record. Necessary parts of the contents not included in the voluntary

discharge

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form

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must

also

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be recorded in the medical records. Even after deciding to

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the

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's interest because it is judged that it is impossible to persuade them to minimize the risk by providing the best alternative

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possible for the

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, which is an expert responsibility as a medical professional. Some medical

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are concerned about the implementation of non-standard

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,

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apply

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or are reluctant to provide alternative

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because they think it is a

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to refuse

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that deviates from the current recommended guidelines, but

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approach is ineffective and may be dangerous to

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. Even if optimal

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is rejected, medical

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should provide

patients

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with

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plans that can replace optimal

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,

such

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as alternative

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and follow-up examination recommendations. Due to the nature of the emergency room, it is difficult to predict clinical results due to unclear diagnosis of the

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, and there is room for subjective factors of the medical

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to be involved in the

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's decision-making ability.

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, it is expected that the guidelines proposed in the text will be used as a systematic approach to

patients

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who demand voluntary

discharge

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from the emergency room, thereby ensuring the safety of both

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and

medical

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the medical

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staff

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in charge.