Journal of Japan Society for End-of-Life Care
Online ISSN : 2758-3570
Print ISSN : 2433-2763

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Thoughts on Choosing and Discussing Future Treatment for Long-Term Dialysis Patients
Reiko SUZUKI Mariko TANIMOTO
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JOURNAL FREE ACCESS Advance online publication

Article ID: 090107

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Abstract

[Purpose] This study aimed to understand the thoughts and desired support of long-term dialysis patients regarding their future treatment choices and discussions. Additionally, this is to obtain suggestions for support for future treatment modification and discussions.

[Methods] Semi-structured interviews were conducted with 10 hemodialysis patients who had been on dialysis for more than 10 years. Interviews were analyzed qualitatively and descriptively.

[Results] Seven categories of thoughts about future treatment choices emerged, two of which included: “If I lose consciousness and freedom of movement, I want you to respect my decision.” Also, seven categories of discussions emerged, one of which was, “I want to talk with people who know me well about my treatment and myself in preparation for the future.”

[Conclusion] Future treatment choices are influenced by the desire for informed decision-making based on current and potential circumstances. However, some patients are hesitant to consider or discuss end-of-life treatment options. Therefore, thoughtful dialogue and support tailored to individual needs are crucial.

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