본문 바로가기
  • Home

The Behind-the-Scenes of Advance Care Planning in Clinical Practice: A Case Study

  • Korean Journal of Medical Ethics
  • Abbr : 의료윤리
  • 2025, 28(1), pp.23~28
  • Publisher : The Korean Society For Medical Ethics
  • Research Area : Medicine and Pharmacy > General Medicine
  • Received : February 3, 2025
  • Accepted : March 17, 2025
  • Published : March 31, 2025

Wonho Choi 1 남승민 2

1서울대학교병원
2교토대학 문학연구과

Accredited

ABSTRACT

This paper examines the practical challenges of respecting patient autonomy in life-sustaining treatment (LST) decisions through a real clinical case. While Korea’s Life-Sustaining Treatment Decision Act provides a legal framework for withholding and withdrawing LST, its implementation in clinical settings remains complex. This case study illustrates the intricate decision-making dynamics among patients, healthcare providers, and caregivers, highlighting the need for more nuanced ethical deliberation in Advance Care Planning (ACP). The absence of ACP that fully reflects patients’ preferences and values can hinder optimal end-of-life care. This study argues for a more practical approach to balancing patient autonomy and best interests, offering recommendations to enhance ACP integration in clinical practice.

Citation status

* References for papers published after 2023 are currently being built.