{"id":1794,"date":"2024-04-11T17:06:12","date_gmt":"2024-04-11T08:06:12","guid":{"rendered":"https:\/\/www.jpscs.org\/?p=1794"},"modified":"2024-04-11T17:06:12","modified_gmt":"2024-04-11T08:06:12","slug":"dnar","status":"publish","type":"post","link":"https:\/\/www.jpscs.org\/?p=1794","title":{"rendered":"DNAR"},"content":{"rendered":"\n

DNAR<\/p>\n\n\n\n

DNAR<\/p>\n\n\n\n

\u5b9a\u7fa9
\u6b7b\u304c\u4e0d\u53ef\u907f\u3067\u3042\u308a\uff0c\u5fc3\u80ba\u8607\u751f\u304c\u6210\u529f\u3059\u308b\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u5834\u5408\u3084\uff0c\u5fc3\u505c\u6b62\u306e\u72b6\u614b\u3068\u306a\u3063\u305f\u5834\u5408\u306b\uff0c\u5fc3\u80ba\u8607\u751f
\u3092\u8a66\u307f\u306a\u3044\u3053\u3068\u3092\u6307\u793a\u3059\u308b\u3053\u3068\u3092\u793a\u3059\u8a00\u8449\u3067\u3042\u308b 1)<\/sup>\uff0e
\u89e3\u8aac
Do not attempt resuscitation \u306e\u982d\u6587\u5b57\u3092\u3068\u3063\u305f\u3082\u306e\u3067\u3042\u308b\uff0e\u60a3\u8005\u672c\u4eba\u307e\u305f\u306f\u60a3\u8005\u306e\u5229\u76ca\u306b\u304b\u304b\u308f\u308b\u4ee3
\u7406\u8005\u306e\u610f\u601d\u6c7a\u5b9a\u3092\u3046\u3051\u3066\u5fc3\u80ba\u8607\u751f\u6cd5\u3092\u304a\u3053\u306a\u308f\u306a\u3044\u3053\u3068\u3067\u3042\u308a\uff0c\u60a3\u8005\u306a\u3044\u3057\u4ee3\u7406\u8005\u306e\u30a4\u30f3\u30d5\u30a9\u30fc\u30e0\u30c9\u30fb
\u30b3\u30f3\u30bb\u30f3\u30c8\u3068\u60a3\u8005\u306e\u533b\u7642\u62d2\u5426\u6a29\u306e\u4fdd\u969c\u304c\u524d\u63d0\u3068\u306a\u308b 2)<\/sup>\uff0eDNAR \u6307\u793a\u306f\u5fc3\u505c\u6b62\u6642\u306e\u5fc3\u80ba\u8607\u751f\u306e\u958b\u59cb\u306e\u307f\u306b
\u6709\u52b9\u3067\u3042\u308a\uff0c\u305d\u306e\u4ed6\u306e\u6cbb\u7642\u884c\u70ba\u306e\u4e0d\u958b\u59cb\u3084\u5dee\u3057\u63a7\u3048\uff0c\u4e2d\u6b62\u306f\u3053\u308c\u306b\u542b\u307e\u308c\u306a\u3044 3)<\/sup>\u3068\u3055\u308c\u3066\u3044\u308b\u304c\uff0c
DNAR \u6307\u793a\u304c\u305d\u306e\u4ed6\u306e\u6cbb\u7642\u884c\u70ba\u306e\u4e0d\u958b\u59cb\u3084\u5dee\u3057\u63a7\u3048\uff0c\u4e2d\u6b62\u306b\u3064\u306a\u304c\u308a\uff0c\u8aa4\u3063\u305f\u6982\u5ff5\u306b\u3088\u3063\u3066\u4e00\u4eba\u6b69\u304d\u3057
\u3066\u3044\u308b\u9762\u304c\u3042\u3063\u305f\uff0e\u305d\u3053\u3067\uff0c\u65e5\u672c\u81e8\u5e8a\u502b\u7406\u5b66\u4f1a\u306f\uff0c\u5fc3\u80ba\u8607\u751f\u6cd5\u4ee5\u5916\u306e\u533b\u7642\u51e6\u7f6e\u306b\u3064\u3044\u3066\u3082\u5177\u4f53\u7684\u6307\u793a\u3092
\u793a\u3059\u300c\u65e5\u672c\u7248 POLST(Physician Orders for Life Sustaining Treatment)(DNAR \u3092\u542b\u3080)\u4f5c\u6210\u6307\u91dd\u300d\u3092\u516c
\u958b\u3057\u305f\uff0e\u3053\u306e\u6307\u91dd\u3067\u306f\uff0cPOLST \u306e\u4f5c\u6210\u306b\u3042\u305f\u3063\u3066\uff0c\u60a3\u8005\u306e\u81ea\u5f8b\u5c0a\u91cd\uff0c\u533b\u7642\u8005\u9593\u306e\u5171\u901a\u7406\u89e3\uff0c\u5bfe\u8a71\u3084\u9069
\u5207\u306a\u8aac\u660e\u7b49\u306e\u502b\u7406\u7684\u306b\u9069\u5207\u306a\u4f5c\u6210\u30d7\u30ed\u30bb\u30b9\u3092\u8e0f\u3080\u3053\u3068\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u308b\u304c\uff0c\u305d\u308c\u306f POLST \u304c\uff0c\u305d\u306e\u60a3
\u8005\u306b\u3068\u3063\u3066\uff0c\u305d\u306e\u6642\u70b9\u3067\uff0c\u6700\u3082\u3075\u3055\u308f\u3057\u3044\u533b\u7642\u30b1\u30a2\u3092\u60a3\u8005\u3068\u5171\u306b\u8003\u3048\u308b\u3053\u3068\u3092\u91cd\u8996\u3057\u3066\u3044\u308b\u305f\u3081\u3067\u3042
\u308b\uff0e
\u53c2\u8003\u6587\u732e
1) \u7af9\u4e4b\u5185\u6c99\u5f25\u9999\uff0e\u4e8b\u524d\u6307\u793a\u3068\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff0e\u5150\u7389\u8061\uff08\u7de8\u96c6\u4ee3\u8868\uff09\uff0e\u4f50\u85e4\u6075\u5b50\uff0c\u7af9\u4e4b
\u5185\u6c99\u5f25\u9999\uff0c\u677e\u6751\u7531\u7f8e\uff08\u7de8\u96c6\uff09\uff0e\u4eac\u5927\u5f0f\u81e8\u5e8a\u502b\u7406\u306e\u30c8\u30ea\u30bb\u30c4\uff0e\u91d1\u82b3\u5802\uff0c\u4eac\u90fd\uff0cp.127-138, 2023.
2) \u65e5\u672c\u9662\u5185\u6551\u6025\u691c\u8a0e\u59d4\u54e1\u4f1a\uff0eDNAR \u30aa\u30fc\u30c0\u30fc\u3068 RRS. https:\/\/www.ihecj.jp\/rrs\/rrs5[\u30a2\u30af\u30bb\u30b9\u65e5
2023.05.07]
3) \u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\uff0e Do Not Attempt Resuscitation(DNAR)\u6307\u793a\u306e\u3042\u308a\u65b9\u306b\u3064\u3044\u3066\u306e\u52e7\u544a
(2017). https:\/\/www.jsicm.org\/news-detail.html?id=7
https:\/\/www.jsicm.org\/pdf\/DNAR20170105.pdf[\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]
4) \u65e5\u672c\u81e8\u5e8a\u502b\u7406\u5b66\u4f1a\uff0e\u65e5\u672c\u7248 POLST (DNAR \u6307\u793a\u3092\u542b\u3080)\u4f5c\u6210\u6307\u91dd. https:\/\/cethics.jp\/deliverables\/detail02\/ [\u30a2\u30af\u30bb\u30b9\u65e5 2023.05.07]<\/p>\n\n\n\n

\u672c\u7528\u8a9e\u306b\u5bfe\u3059\u308b\u3054\u610f\u898b\u304c\u3054\u3056\u3044\u307e\u3057\u305f\u3089\u3001\u3053\u3061\u3089\u304b\u3089\u304a\u5bc4\u305b\u304f\u3060\u3055\u3044\u3002<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

DNAR DNAR \u5b9a\u7fa9\u6b7b\u304c\u4e0d\u53ef\u907f\u3067\u3042\u308a\uff0c\u5fc3\u80ba\u8607\u751f\u304c\u6210\u529f\u3059\u308b\u53ef\u80fd\u6027\u304c\u4f4e\u3044\u5834\u5408\u3084\uff0c\u5fc3\u505c\u6b62\u306e\u72b6\u614b\u3068\u306a\u3063\u305f\u5834\u5408\u306b\uff0c\u5fc3\u80ba\u8607\u751f\u3092\u8a66\u307f\u306a\u3044\u3053\u3068\u3092\u6307\u793a\u3059\u308b\u3053\u3068\u3092\u793a\u3059\u8a00\u8449\u3067\u3042\u308b 1)\uff0e\u89e3\u8aacDo not attempt resuscita […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1794","post","type-post","status-publish","format-standard","hentry","category-7"],"_links":{"self":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1794","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1794"}],"version-history":[{"count":2,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1794\/revisions"}],"predecessor-version":[{"id":1822,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=\/wp\/v2\/posts\/1794\/revisions\/1822"}],"wp:attachment":[{"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1794"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1794"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.jpscs.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1794"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}