KJCKorea
Journal Central

@article{ART003189429},
author={Hongyeul Lee},
title={Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea},
journal={Korean Journal of Medical Ethics },
issn={2005-8284},
year={2025},
volume={28},
number={1},
pages={41-60},
doi={10.35301/ksme.2025.28.1.41}

TY - JOUR
AU - Hongyeul Lee
TI - Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea
JO - Korean Journal of Medical Ethics
PY - 2025
VL - 28
IS - 1
PB - The Korean Society For Medical Ethics
SP - 41
EP - 60
SN - 2005-8284
AB - Since the implementation of the Life-Sustaining Treatment Decision Act, a lack of clear clinical guidelines has made it difficult to address conflicts that arise in the decision-making process concerning life-sustaining treatment. This study examines the current state of advance care planning in Korea through a clinical case concerning a terminally ill cancer patient, identifying the causes of inadequate decision-making and potential areas for improvement. Using the four-topic approach, the analysis reveals that discussions on life-sustaining treatment are often delayed due to the emphasis on diagnosing terminal illnesses, where accurately predicting survival time can be challenging. As a result, decisions regarding life-sustaining treatment are frequently made without a full understanding of the patient’s preferences and values, contradicting the original intent of the Act. This case study illustrates some of the challenges and complexity of clinical decision-making concerning life-sustaining treatment and highlights the urgent need for clearer guidelines to ensure optimal patient-centered care.
KW - advanced care planning;decision making shared;hospice care;terminal care
DO - 10.35301/ksme.2025.28.1.41
ER -

Hongyeul Lee. (2025). Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea. Korean Journal of Medical Ethics , 28(1), 41-60.

Hongyeul Lee. 2025, "Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea", Korean Journal of Medical Ethics , vol.28, no.1 pp.41-60. Available from: doi:10.35301/ksme.2025.28.1.41

Hongyeul Lee "Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea" Korean Journal of Medical Ethics 28.1 pp.41-60 (2025) : 41.

Hongyeul Lee. Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea. 2025; 28(1), 41-60. Available from: doi:10.35301/ksme.2025.28.1.41

Hongyeul Lee. "Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea" Korean Journal of Medical Ethics 28, no.1 (2025) : 41-60.doi: 10.35301/ksme.2025.28.1.41

Hongyeul Lee. Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea. Korean Journal of Medical Ethics , 28(1), 41-60. doi: 10.35301/ksme.2025.28.1.41

Hongyeul Lee. Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea. Korean Journal of Medical Ethics . 2025; 28(1) 41-60. doi: 10.35301/ksme.2025.28.1.41

Hongyeul Lee. Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea. 2025; 28(1), 41-60. Available from: doi:10.35301/ksme.2025.28.1.41

Hongyeul Lee. "Challenges and Proposed Improvements in Advance Care Planning: Insights from a Real Clinical Case of a Terminally Ill Patient in Korea" Korean Journal of Medical Ethics 28, no.1 (2025) : 41-60.doi: 10.35301/ksme.2025.28.1.41