{"id":501,"date":"2011-12-19T15:23:42","date_gmt":"2011-12-19T06:23:42","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=501"},"modified":"2015-08-06T15:25:00","modified_gmt":"2015-08-06T06:25:00","slug":"polstphysician-orders-for-life-sustaining-treatment-ohsu%e3%81%a7%e3%81%ae%e7%b5%82%e6%9c%ab%e6%9c%9f%e3%83%bb%e5%bb%b6%e5%91%bd%e6%b2%bb%e7%99%82%e3%81%ab%e3%81%a4%e3%81%84%e3%81%a6%e3%81%ae","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=501","title":{"rendered":"&#8216;POLST'(Physician orders for Life-Sustaining Treatment) OHSU\u3067\u306e\u7d42\u672b\u671f\u30fb\u5ef6\u547d\u6cbb\u7642\u306b\u3064\u3044\u3066\u306e\u53d6\u308a\u7d44\u307f"},"content":{"rendered":"<p>\u3010\u6982\u8981\u3011POLST\u3068\u306f<br \/>\n\u3000<br \/>\n\u30fbPhysician Orders for Life-Sustaining Treatment\u306e\u7565\u8a9e\u3000<br \/>\n\u3000<br \/>\n\u30fb&#8217;End of life'(\u6562\u3048\u3066\u7d42\u672b\u671f\u3068\u8a33\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002)\u306b\u304a\u3051\u308b\u533b\u7642\u306e\u8cea\u306e\u6539\u5584\u306e\u305f\u3081\u306b\u8003\u616e\u3055\u308c\u305f\u30d7\u30ed\u30b0\u30e9\u30e0\u3067\u3001\u60a3\u8005\u306e\u5e0c\u671b\u3092\u805e\u304d\u51fa\u3059\u305f\u3081\u306e\u52b9\u679c\u7684\u306a\u30b3\u30df\u30e5\u30cb\u30b1\u30fc\u30b7\u30e7\u30f3\u3001\u8272\u5f69\u304c\u306f\u3063\u304d\u308a\u3057\u305f\u7d19\u3078\u306e\u884c\u3044\u305f\u3044\u533b\u7642\u306e\u8a18\u8f09\u3001\u305d\u306e\u5e0c\u671b\u306b\u5bfe\u3059\u308b\u533b\u7642\u8005\u306e\u9075\u5b88\u304c\u571f\u53f0\u3068\u306a\u3063\u3066\u3044\u308b\u3002<\/p>\n<p>\u30fb1991\u5e74\u306b\u3001\u30aa\u30ec\u30b4\u30f3\u306b\u3066\u5ef6\u547d\u6cbb\u7642\u306b\u5bfe\u3059\u308b\u60a3\u8005\u306e\u5e0c\u671b\u304c\u5c0a\u91cd\u3055\u308c\u3066\u3044\u306a\u3044\u3053\u3068\u306b\u554f\u984c\u610f\u8b58\u3092\u611f\u3058\u305f\u533b\u7642\u502b\u7406\u5206\u91ce\u306e\u5c02\u9580\u5bb6\u304c\u6d3b\u52d5\u3092\u958b\u59cb\u3057\u30011995\u5e74\u306bForm(\u66f8\u5f0f)\u304c\u521d\u3081\u3066\u51fa\u7248\u3055\u308c\u305f\u3002<br \/>\n\u3000<br \/>\n\u30fb\u73fe\u5728\u3067\u306f\u3001\u30aa\u30ec\u30b4\u30f3\u5dde\u3067\u306f\u3001POLST\u3092\u7528\u3044\u3066\u3044\u308b\u3053\u3068\u304c\u3001\u30b1\u30a2\u306e\u57fa\u6e96\u3068\u3057\u3066\u53d7\u3051\u5165\u308c\u3089\u308c\u3066\u304a\u308a\u3001\u5168\u3066\u306e\u30db\u30b9\u30d4\u30b9\u306895\uff05\u306e\u9ad8\u9f62\u8005\u65bd\u8a2d\u306b\u304a\u3044\u3066\u63a1\u7528\u3055\u308c\u3066\u3044\u308b\u30022004\u5e74\u306b\u306fPOLST\u306e\u30e1\u30f3\u30d0\u30fc\u304c\u3001US\u306e\u56fd\u306e\u30bf\u30b9\u30af\u30d5\u30a9\u30fc\u30b9\u3068\u3057\u3066\u3001\u56fd\u5185\u3078\u306e\u6d41\u5e03\u30fb\u653f\u7b56\u6574\u5099\u30fb\u30ea\u30b5\u30fc\u30c1\u306e\u5b9f\u65bd\u306e\u305f\u3081\u306b\u3001\u6d3b\u52d5\u3092\u958b\u59cb\u3057\u305f\u3002<\/p>\n<p>\u30fb\u73fe\u5728\u306eUSA\u306b\u304a\u3051\u308b\u3001POLST\u30d7\u30ed\u30b0\u30e9\u30e0\u306e\u63a1\u7528\u72b6\u6cc1\u306f\u56f31\u306e\u3068\u304a\u308a\u3067\u3042\u308b\u3002<\/p>\n<p>\u3010POLST Form\u306e\u8a18\u8f09\u5185\u5bb9\u3011<\/p>\n<p>\u30fb\u300cPOLST Oregon sample\u300d\u300cPOLST newest \u65e5\u672c\u8a9e\u300d\u306b\u305d\u308c\u305e\u308c\u30aa\u30ec\u30b4\u30f3\u5dde\u306e\u30b5\u30f3\u30d7\u30eb\u3068\u305d\u306e\u65e5\u672c\u8a9e\u8a33\u304c\u3042\u308a\u307e\u3059\u3002<br \/>\n\u3000<br \/>\n\u30fb\u78ba\u8a8d\u3059\u308b\u306e\u306f\u4e3b\u306b\u4ee5\u4e0b\u306e3\u70b9<br \/>\n\u3000\u3000<br \/>\n\u2460\u5fc3\u80ba\u505c\u6b62\u72b6\u614b\u306e\u6642\u306eCPR\u3092\u3059\u308b\u304b\u3069\u3046\u304b\u3000\u65e5\u672c\u3067\u306e\u5f93\u6765\u7684\u306aDNAR\u304b\u3069\u3046\u304b\u3001\u306b\u8a72\u5f53\u3057\u307e\u3059<br \/>\n\u3000\u3000<br \/>\n\u2461\u2460\u3067\u306f\u306a\u304b\u3063\u305f\u6642\u306e\u3001\u533b\u7642\u3092\u3069\u3053\u307e\u3067\u5e0c\u671b\u3059\u308b\u304b<br \/>\n\u3000\u3000\u3000\u30001.\u7de9\u548c\u51e6\u7f6e\u306e\u307f\u65bd\u884c\u3000\u3000\u3000\u3000\u3000\uff1b\u5bfe\u75c7\u7642\u6cd5\u306e\u307f<br 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\/>\n\u53c2\u8003\uff1bhttp:\/\/www.ohsu.edu\/polst\/developing\/core-requirements.htm<br 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src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/111219.png\" alt=\"111219\" width=\"700\" height=\"525\" class=\"alignnone size-full wp-image-502\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/111219.png 700w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2015\/08\/111219-300x225.png 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u3011<br \/>\n2011\u5e7412\u67087\u65e5<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3010\u6982\u8981\u3011POLST\u3068\u306f \u3000 \u30fbPhysician Orders for Life-Sustaining Treatment\u306e\u7565\u8a9e\u3000 \u3000 \u30fb&#8217;End of life'(\u6562\u3048\u3066\u7d42\u672b\u671f\u3068\u8a33\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002)\u306b\u304a\u3051\u308b &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=501\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">&#8216;POLST'(Physician orders for 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