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Development of analysis and coordination tools of clinical ethics in critical care medicine

Yamaguchi medical journal Volume 71 Issue 1

We have developed ACTce‑CCM̶ Analysis and Coordination Tools of Clinical Ethics in Critical Care Medicine. The preparation process was carried out in four stages:construct setting and prototype creation, application of prototype version to fictitious cases, clarification of the construct based on focus group interviews, and a fact-finding survey on ethical issues and ethical adjustment. The completed version of ACTce-CCM consists of information organization and assessment frameworks, problem analysis and integration, problem lists, goals, care practices, and ethical adjustment. There are six frameworks for information organization and assessment:pathology and treatment, QOL and QOD, patient intention, family psychosocial situation, medical team situation, and the surrounding situation. The problem lists include those related to the patient, the family, and the medical staff. Goals include those of the medical team and the expected outcomes for the patient/family. Care practices and ethical adjustment consist of three aspects: direct patient care, direct family care, and medical team adjustment.

Decision making support in end-of-life care for patients with non-cancer respiratory disease in Japan : a literature review

山口医学 Volume 70 Issue 3

Creators : Ishikawa Yoshiko | Ito Misae Publishers : 山口大学医学会 Date Issued : 2021-09-01

A case of raspberry-like foveolar-type gastric adenocarcinoma resected by strip biopsy

山口医学 Volume 70 Issue 1

Determination of compatibility of fosaprepitant dimeglumine and magnesium sulfate injections by high-performance liquid chromatography

The bulletin of the Yamaguchi Medical School Volume 66 Issue 3-4

Creators : Ozaki Masakazu | Kouda Kyoji | Furukawa Hiroyuki | Kitahara Takashi Publishers : Yamaguchi University School of Medicine Date Issued : 2019

Utility of real-time tissue elastography in the sequential evaluation of liver fibrosis in patients with chronic hepatitis C

The bulletin of the Yamaguchi Medical School Volume 66 Issue 1-2

A case of large breast spindle cell carcinoma which resected pulmonary metastasis 3 years after the primary surgery

山口医学 Volume 67 Issue 3

Effect of low-grade exercise on echocardiographic indexes in healthy young adults

The bulletin of the Yamaguchi Medical School Volume 65 Issue 1-2

Evaluation of support training to improve new nurses' fundamentals

山口医学 Volume 67 Issue 1

Creators : Yamashita Junko Publishers : 山口大学医学会 Date Issued : 2018-02-01

An invited review following the Soujinkai Fujiu Memorial Award : development of a neurorehabilitation system for effective functional recovery after spinal cord injury : approach to clinical application from basic research

The bulletin of the Yamaguchi Medical School Volume 64 Issue 3-4

An invited review following the Soujinkai Award : tissue-specific expression of estrogen receptor1 is regulated by DNA methylation in a T-DMR