{"id":163,"date":"2026-08-27T09:00:00","date_gmt":"2026-08-27T00:00:00","guid":{"rendered":"https:\/\/phc-ogikubo.com\/blog\/?p=163"},"modified":"2026-09-03T09:15:10","modified_gmt":"2026-09-03T00:15:10","slug":"post-163","status":"publish","type":"post","link":"https:\/\/phc-ogikubo.com\/blog\/post-163\/","title":{"rendered":"\u3010\u5b8c\u5168\u4fdd\u5b58\u7248\u3011\u3082\u3057\u3082\u306e\u305f\u3081\u306e\u300c\u4eba\u751f\u4f1a\u8b70\uff08ACP\uff09\u300d\u3068\u3001\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u300cAD\u300d\u300cDNAR\u300d\u3092\u3084\u3055\u3057\u304f\u89e3\u8aac\uff01"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u3000\u7a81\u7136\u3067\u3059\u304c\u3001\u307f\u306a\u3055\u3093\u306f\u300c\u3082\u3057\u3082\u306e\u3068\u304d\u3001\u3069\u3093\u306a\u533b\u7642\u3084\u30b1\u30a2\u3092\u53d7\u3051\u305f\u3044\u304b\u300d\u3092\u5bb6\u65cf\u3084\u5927\u5207\u306a\u4eba\u3068\u8a71\u3057\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\uff1f<br><br>\u3000\u300c\u307e\u3060\u5143\u6c17\u3060\u304b\u3089\u95a2\u4fc2\u306a\u3044\u3088\u300d\u300c\u7e01\u8d77\u3067\u3082\u306a\u3044\uff01\u300d\u3068\u601d\u3046\u65b9\u3082\u591a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3067\u3082\u3001\u4eba\u751f\u4f55\u304c\u8d77\u3053\u308b\u304b\u308f\u304b\u308a\u307e\u305b\u3093\u3088\u306d\u3002<br><br>\u3000\u4eca\u56de\u306f\u3001\u6700\u8fd1\u533b\u7642\u3084\u4ecb\u8b77\u306e\u73fe\u5834\u3067\u3068\u3066\u3082\u5927\u5207\u306b\u3055\u308c\u3066\u3044\u308b<strong>\u300c\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff08ACP\uff09\u300d<\/strong>\u3001\u305d\u3057\u3066\u4e00\u7dd2\u306b\u30bb\u30c3\u30c8\u3067\u8a9e\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u3044<strong>\u300cAD\u300d<\/strong>\u3084<strong>\u300cDNAR\u300d<\/strong>\u3068\u3044\u3046\u8a00\u8449\u306b\u3064\u3044\u3066\u3001\u5c02\u9580\u7528\u8a9e\u3092\u4f7f\u308f\u305a\u306b\u308f\u304b\u308a\u3084\u3059\u304f1\u518a\u306e\u672c\u306e\u3088\u3046\u306b\u307e\u3068\u3081\u307e\u3057\u305f\u3002<br><br>\u3000\u3053\u308c\u304b\u3089\u306e\u4eba\u751f\u3092\u3042\u306a\u305f\u3089\u3057\u304f\u3001\u305d\u3057\u3066\u5927\u5207\u306a\u5bb6\u65cf\u306e\u5fc3\u3092\u5b88\u308b\u305f\u3081\u306e\u30d2\u30f3\u30c8\u3068\u3057\u3066\u3001\u305c\u3072\u6700\u5f8c\u307e\u3067\u304a\u8aad\u307f\u304f\u3060\u3055\u3044\u3002<br><br><strong>1. \u305d\u3082\u305d\u3082\u300c\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff08ACP\uff09\u300d\u3063\u3066\u306a\u306b\uff1f<\/strong><br><br>\u3000\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff08Advance Care Planning\uff1a\u7565\u3057\u3066ACP\uff09\u3092\u4e00\u8a00\u3067\u3044\u3046\u3068\u3001\u300c\u5c06\u6765\u306e\u533b\u7642\u3084\u30b1\u30a2\u306b\u3064\u3044\u3066\u3001<strong>\u524d\u3082\u3063\u3066\uff08Advance\uff09<\/strong>\u307f\u3093\u306a\u3067\u8a71\u3057\u5408\u3044\u3001<strong>\u8a08\u753b\u3059\u308b\uff08Care Planning\uff09<\/strong>\u300d\u3053\u3068\u3067\u3059\u3002<br><br>\u3000\u539a\u751f\u52b4\u50cd\u7701\u306f\u3001\u3053\u306e\u53d6\u308a\u7d44\u307f\u3092\u3082\u3063\u3068\u8eab\u8fd1\u306b\u3001\u89aa\u3057\u307f\u3092\u6301\u3063\u3066\u3082\u3089\u3048\u308b\u3088\u3046\u306b<strong>\u300c\u4eba\u751f\u4f1a\u8b70\u300d<\/strong>\u3068\u3044\u3046\u611b\u79f0\u3092\u3064\u3051\u3066\u3044\u307e\u3059\u3002<br><br>\u300c\u305d\u3093\u306a\u4f1a\u8b70\u3001\u307e\u3060\u5148\u306e\u8a71\u3067\u3057\u3087\uff1f\u300d\u3068\u601d\u308f\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u5b9f\u306f\u6c7a\u3057\u3066\u4ed6\u4eba\u4e8b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u5927\u75c5\u3092\u60a3\u3063\u305f\u3068\u304d\u3084\u547d\u306e\u5371\u6a5f\u304c\u8feb\u3063\u305f\u3068\u304d\u3001\u306a\u3093\u3068\u7d047\u5272\u306e\u4eba\u304c\u300c\u81ea\u5206\u3067\u610f\u601d\u6c7a\u5b9a\u304c\u3067\u304d\u306a\u304f\u306a\u308b\uff08\u81ea\u5206\u306e\u610f\u601d\u3092\u81ea\u5206\u306e\u53e3\u3067\u4f1d\u3048\u3089\u308c\u306a\u304f\u306a\u3063\u3066\u3057\u307e\u3046\uff09\u300d\u3068\u8a00\u308f\u308c\u3066\u3044\u308b\u304b\u3089\u3067\u3059\u3002<br><br><strong>\u4eba\u751f\u4f1a\u8b70\uff08ACP\uff09\u3068\u306f\uff1a<\/strong><br><br>\u3000\u3042\u306a\u305f\u304c\u5927\u5207\u306b\u3057\u305f\u3044\u3053\u3068\u3084\u3001\u300c\u3082\u3057\u3082\u306e\u3068\u304d\u300d\u306b\u671b\u3080\u533b\u7642\u30fb\u30b1\u30a2\u306b\u3064\u3044\u3066\u3001\u3042\u306a\u305f\u81ea\u8eab\u304c\u8003\u3048\u3001\u5bb6\u65cf\u3084\u4fe1\u983c\u3067\u304d\u308b\u4eba\u3001\u533b\u7642\u30fb\u4ecb\u8b77\u30c1\u30fc\u30e0\u3068\u4f55\u5ea6\u3082\u8a71\u3057\u5408\u3063\u3066\u304a\u304f\u30d7\u30ed\u30bb\u30b9\u306e\u3053\u3068\u3092\u3044\u3044\u307e\u3059\u3002<br><br>\u3000\u300cACP\u300d\u3068\u300c\u4eba\u751f\u4f1a\u8b70\u300d\u306f\u57fa\u672c\u7684\u306b\u306f\u540c\u3058\u6982\u5ff5\uff08\u610f\u5473\u5408\u3044\uff09\u3092\u6307\u3059\u8a00\u8449\u3067\u3059\u304c\u3001\u5b9f\u969b\u306e\u73fe\u5834\u3067\u306f\u4ee5\u4e0b\u306e\u3088\u3046\u306b\u4f7f\u3044\u5206\u3051\u3089\u308c\u308b\u3053\u3068\u304c\u591a\u304f\u3042\u308a\u307e\u3059\u3002<br><br>\u3000<strong>\u2022\tACP<\/strong>\uff1a \u4e3b\u306b\u533b\u7642\u73fe\u5834\u306b\u304a\u3044\u3066\u3001\u9032\u884c\u6027\u306e\u75c5\u6c17\u3092\u6301\u305f\u308c\u305f\u65b9\u304c\u300c\u5c06\u6765\u3069\u306e\u3088\u3046\u306b\u6cbb\u7642\u8a08\u753b\u3092\u7acb\u3066\u3001\u904e\u3054\u3057\u3066\u3044\u304f\u304b\u300d\u3092\u8a71\u3057\u5408\u3046\u5834\u9762\u3067\u4f7f\u308f\u308c\u307e\u3059\u3002<br>\u3000<strong>\u2022\t\u4eba\u751f\u4f1a\u8b70<\/strong>\uff1a \u8a8d\u77e5\u75c7\u3084\u8001\u8870\u306a\u3069\u3082\u542b\u3081\u3001\u300c\u5c06\u6765\u3069\u306e\u3088\u3046\u306a\u751f\u6d3b\u3092\u9001\u308a\u305f\u3044\u304b\u3001\u4e07\u304c\u4e00\u306e\u969b\u306b\u3069\u3053\u307e\u3067\u533b\u7642\u3092\u9078\u629e\u3059\u308b\u304b\u300d\u3092\u3001\u666e\u6bb5\u304b\u3089\u5927\u5207\u306a\u4eba\u3068\u8a71\u3057\u5408\u3063\u3066\u304a\u304f\u53d6\u308a\u7d44\u307f\u3068\u3057\u3066\u4f7f\u308f\u308c\u307e\u3059\u3002<br><br><strong>\u306a\u305c\u300c\u4eba\u751f\u4f1a\u8b70\u300d\u304c\u5fc5\u8981\u306a\u306e\uff1f<\/strong><br><br>\u3000\u300c\u305d\u306e\u3068\u304d\u306b\u306a\u3063\u305f\u3089\u3001\u5bb6\u65cf\u306b\u6c7a\u3081\u3066\u3082\u3089\u3048\u3070\u3044\u3044\u3088\u300d\u3068\u8003\u3048\u308b\u65b9\u3082\u591a\u3044\u3067\u3057\u3087\u3046\u3002\u3057\u304b\u3057\u3001\u5b9f\u306f\u3053\u308c\u304c\u6b8b\u3055\u308c\u305f\u5bb6\u65cf\u306b\u3068\u3063\u3066\u3082\u306e\u3059\u3054\u3044\u5fc3\u306e\u8ca0\u62c5\u3084\u30c8\u30e9\u30a6\u30de\u306b\u306a\u3063\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<br><br>\u3000\u2022\t\u300c\u672c\u5f53\u306b\u3042\u306e\u5ef6\u547d\u6cbb\u7642\u3092\u62d2\u5426\u3059\u308b\u6c7a\u65ad\u3067\u3088\u304b\u3063\u305f\u306e\u3060\u308d\u3046\u304b\u2026\u300d<br>\u3000\u2022\t\u300c\u3042\u306e\u4eba\u306f\u3001\u672c\u5f53\u306f\u3069\u3046\u3057\u305f\u304b\u3063\u305f\u3093\u3060\u308d\u3046\u2026\u300d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>\u3000\u672c\u4eba\u306e\u610f\u601d\u304c\u308f\u304b\u3089\u306a\u3044\u307e\u307e\u91cd\u5927\u306a\u9078\u629e\u3092\u8feb\u3089\u308c\u305f\u5bb6\u65cf\u306f\u3001\u305d\u306e\u5f8c\u306b\u5927\u304d\u306a\u845b\u85e4\u3084\u5f8c\u6094\u3092\u62b1\u3048\u304c\u3061\u3067\u3059\u3002<br>\u4e8b\u524d\u306b\u3042\u306a\u305f\u306e\u6c17\u6301\u3061\u3092\u30b7\u30a7\u30a2\u3057\u3066\u304a\u304f\u3053\u3068\u306f\u3001\u3042\u306a\u305f\u81ea\u8eab\u306e\u5e0c\u671b\u3092\u53f6\u3048\u308b\u305f\u3081\u3060\u3051\u3067\u306a\u304f\u3001\u5f8c\u306b\u6b8b\u3055\u308c\u308b\u5927\u597d\u304d\u306a\u5bb6\u65cf\u306e\u5fc3\u3092\u5b88\u308b\u305f\u3081\u3067\u3082\u3042\u308b\u306e\u3067\u3059\u3002<br><br><strong>2. \u8a71\u3057\u5408\u3063\u305f\u3089\u30ab\u30bf\u30c1\u306b\u3057\u3088\u3046\uff01\u300cAD\uff08\u4e8b\u524d\u6307\u793a\u66f8\uff09\u300d\u3068\u306f\uff1f<\/strong><br><br>\u3000\u4eba\u751f\u4f1a\u8b70\uff08ACP\uff09\u3068\u3044\u3046\u300c\u8a71\u3057\u5408\u3044\u306e\u30d7\u30ed\u30bb\u30b9\u300d\u3092\u91cd\u306d\u305f\u3089\u3001\u305d\u308c\u3092\u4eca\u5ea6\u306f\u76ee\u306b\u898b\u3048\u308b\u30ab\u30bf\u30c1\u306b\u3057\u3066\u304a\u304f\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002\u305d\u306e\u610f\u601d\u3092\u66f8\u304d\u6b8b\u3057\u305f\u66f8\u985e\u306e\u3053\u3068\u3092\u300cAD\u300d\u3068\u547c\u3073\u307e\u3059\u3002<br><br>\u3000AD\u306f\u82f1\u8a9e\u306e Advance Directives \u306e\u982d\u6587\u5b57\u3092\u53d6\u3063\u305f\u8a00\u8449\u3067\u3001\u65e5\u672c\u8a9e\u3067\u306f\u300c\u4e8b\u524d\u6307\u793a\u66f8\uff08\u3058\u305c\u3093\u3057\u3058\u3057\u3087\uff09\u300d\u3068\u8a33\u3055\u308c\u307e\u3059\u3002\u3088\u304f\u8033\u306b\u3059\u308b\u300c\u30ea\u30d3\u30f3\u30b0\u30fb\u30a6\u30a3\u30eb\uff08\u5c0a\u53b3\u6b7b\u306e\u5ba3\u8a00\u66f8\uff09\u300d\u3082\u3001\u3053\u306eAD\u306e\u4e00\u7a2e\u306b\u3042\u305f\u308a\u307e\u3059\u3002<br><br><strong>AD\uff08\u4e8b\u524d\u6307\u793a\u66f8\uff09\u306e\u30a4\u30e1\u30fc\u30b8\uff1a<\/strong><br><br>\u3000\u5c06\u6765\u3001\u81ea\u5206\u306e\u610f\u601d\u3092\u4f1d\u3048\u3089\u308c\u306a\u304f\u306a\u3063\u305f\u3068\u304d\u306b\u5099\u3048\u3066\u3001\u3042\u3089\u304b\u3058\u3081\u81ea\u5206\u306e\u5e0c\u671b\u3092\u66f8\u304d\u6b8b\u3057\u305f\u66f8\u985e\u3002\u672a\u6765\u306e\u5bb6\u65cf\u3084\u30c9\u30af\u30bf\u30fc\u306b\u5b9b\u3066\u305f\u300c\u533b\u7642\u306b\u95a2\u3059\u308b\u304a\u9858\u3044\u4e8b\u306e\u30d0\u30c8\u30f3\u300d\u3067\u3059\u3002<br><strong><br>AD\uff08\u4e8b\u524d\u6307\u793a\u66f8\uff09\u306b\u306f\u3069\u3093\u306a\u3053\u3068\u3092\u66f8\u304f\u306e\uff1f<\/strong><br><br>\u3000\u4e00\u822c\u7684\u306b\u306f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u5185\u5bb9\u3092\u5177\u4f53\u7684\u306b\u66f8\u304d\u6b8b\u3057\u307e\u3059\u3002<br><br>\u3000\u2022\t\u3069\u3093\u306a\u533b\u7642\u3092\u53d7\u3051\u305f\u3044\u304b\uff08\u3042\u308b\u3044\u306f\u62d2\u5426\u3057\u305f\u3044\u304b\uff09<br>\u300c\u56de\u5fa9\u306e\u898b\u8fbc\u307f\u304c\u306a\u3044\u72b6\u614b\u306b\u306a\u3063\u305f\u3068\u304d\u306f\u3001\u80c3\u308d\u3046\uff08\u304a\u8179\u306b\u7a74\u3092\u958b\u3051\u3066\u6804\u990a\u3092\u9001\u308b\u51e6\u7f6e\uff09\u3084\u4eba\u5de5\u547c\u5438\u5668\u306a\u3069\u306e\u5ef6\u547d\u6cbb\u7642\u306f\u5e0c\u671b\u3057\u306a\u3044\u300d\u306a\u3069\u3002<br>\u3000\u2022\t\u3069\u3053\u3067\u6700\u671f\u3092\u8fce\u3048\u305f\u3044\u304b<br>\u300c\u3067\u304d\u308b\u9650\u308a\u4f4f\u307f\u6163\u308c\u305f\u81ea\u5b85\u3067\u904e\u3054\u3057\u305f\u3044\u300d\u300c\u75c5\u9662\u3084\u30db\u30b9\u30d4\u30b9\u3067\u5c02\u9580\u7684\u306a\u533b\u7642\u30b1\u30a2\u3092\u53d7\u3051\u305f\u3044\u300d\u306a\u3069\u3002<br>\u3000\u2022\t\u81ea\u5206\u306e\u4ee3\u308f\u308a\u306b\u5224\u65ad\u3057\u3066\u307b\u3057\u3044\u4eba<br>\u300c\u3082\u3057\u3082\u306e\u3068\u304d\u306f\u3001\u9577\u5973\u306b\u6700\u7d42\u5224\u65ad\u3092\u59d4\u306d\u307e\u3059\u300d\u3068\u3044\u3063\u305f\u3001\u4fe1\u983c\u3067\u304d\u308b\u30ad\u30fc\u30d1\u30fc\u30bd\u30f3\uff08\u4ee3\u7406\u610f\u601d\u6c7a\u5b9a\u8005\uff09\u306e\u6307\u5b9a\u3002<br><strong><br>3. \u306a\u305c\u78ba\u8a8d\u3055\u308c\u308b\uff1f\u300cDNAR\uff08\u5fc3\u80ba\u8607\u751f\u3092\u884c\u308f\u306a\u3044\u9078\u629e\uff09\u300d\u306e\u73fe\u5b9f<\/strong><br><br>\u3000AD\uff08\u4e8b\u524d\u6307\u793a\u66f8\uff09\u3084\u4eba\u751f\u4f1a\u8b70\u306e\u4e2d\u3067\u3001\u7279\u306b\u3088\u304f\u9078\u3070\u308c\u308b\u5177\u4f53\u7684\u306a\u533b\u7642\u306e\u9078\u629e\u80a2\u306b<strong>\u300cDNAR\uff08\u30c7\u30a3\u30fc\u30fb\u30a8\u30cc\u30fb\u30a8\u30fc\u30fb\u30a2\u30fc\u30eb\uff09\u300d<\/strong>\u304c\u3042\u308a\u307e\u3059\u3002<br><br>\u3000\u3053\u308c\u306f\u82f1\u8a9e\u306e Do Not Attempt Resuscitation \u306e\u7565\u3067\u3001\u65e5\u672c\u8a9e\u306b\u8a33\u3059\u3068<strong>\u300c\u5fc3\u80ba\u8607\u751f\uff08\u305d\u305b\u3044\uff09\u3092\u8a66\u307f\u306a\u3044\u3067\u304f\u3060\u3055\u3044\u300d<\/strong>\u3068\u3044\u3046\u610f\u5473\u306b\u306a\u308a\u307e\u3059\u3002\u5177\u4f53\u7684\u306b\u306f\u3001\u75c5\u6c17\u306a\u3069\u304c\u539f\u56e0\u3067\u300c\u5fc3\u81d3\u3084\u547c\u5438\u304c\u6b62\u307e\u3063\u305f\u3068\u304d\u300d\u306b\u3001\u80f8\u9aa8\u5727\u8feb\uff08\u5fc3\u81d3\u30de\u30c3\u30b5\u30fc\u30b8\uff09\u3084\u4eba\u5de5\u547c\u5438\u5668\u306e\u88c5\u7740\u3001\u96fb\u6c17\u30b7\u30e7\u30c3\u30af\u3068\u3044\u3063\u305f\u300c\u5fc3\u80ba\u8607\u751f\u6cd5\uff08CPR\uff09\u300d\u3092\u884c\u308f\u306a\u3044\u3068\u3044\u3046\u533b\u7642\u4e0a\u306e\u5408\u610f\u306e\u3053\u3068\u3067\u3059\u3002<br><br>\u3000\u533b\u7642\u73fe\u5834\u3067\u3053\u306e\u78ba\u8a8d\u3092\u6c42\u3081\u3089\u308c\u308b\u6a5f\u4f1a\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u304c\u3001\u4e00\u4f53\u306a\u305c\u3067\u3057\u3087\u3046\u304b\uff1f\u305d\u3053\u306b\u306f\u3001\u7d42\u672b\u671f\u533b\u7642\u306e\u73fe\u5b9f\u3068\u3001\u60a3\u8005\u69d8\u30fb\u3054\u5bb6\u65cf\u3092\u5b88\u308b\u305f\u3081\u306e\u5927\u5207\u306a\u7406\u7531\u304c\u3042\u308a\u307e\u3059\u3002<br><br><strong>\u7d42\u672b\u671f\u306b\u304a\u3051\u308b\u5fc3\u80ba\u8607\u751f\u306e\u73fe\u5b9f<\/strong><br><br>\u3000\u300c\u547d\u3092\u6551\u3046\u305f\u3081\u306e\u5fc3\u80ba\u8607\u751f\u306a\u3089\u3001\u7d76\u5bfe\u306b\u3084\u3063\u305f\u65b9\u304c\u3044\u3044\u306e\u3067\u306f\uff1f\u300d\u3068\u601d\u308f\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u533b\u7642\u30c9\u30e9\u30de\u306e\u3088\u3046\u306b\u300c\u5fc3\u81d3\u30de\u30c3\u30b5\u30fc\u30b8\u3092\u3057\u3066\u5287\u7684\u306b\u5143\u306e\u751f\u6d3b\u306b\u623b\u308b\u300d\u3068\u3044\u3046\u306e\u306f\u3001\u5143\u306e\u304a\u8eab\u4f53\u304c\u6bd4\u8f03\u7684\u5143\u6c17\u306a\u5834\u5408\u306b\u9650\u3089\u308c\u307e\u3059\u3002<br><br>\u3000\u304c\u3093\u306e\u672b\u671f\u3084\u8001\u8870\u306a\u3069\u3001\u56de\u5fa9\u304c\u898b\u8fbc\u3081\u306a\u3044\u7d42\u672b\u671f\u306e\u60a3\u8005\u69d8\u306b\u5bfe\u3057\u3066\u5fc3\u80ba\u8607\u751f\u3092\u884c\u3063\u305f\u5834\u5408\u3001\u793e\u4f1a\u5fa9\u5e30\u3067\u304d\u308b\u307e\u3067\u56de\u5fa9\u3059\u308b\u78ba\u7387\u306f1\uff05\u672a\u6e80\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u304c\u3093\u7d42\u672b\u671f\u306e\u5834\u5408\u3001\u8607\u751f\u5f8c24\u6642\u9593\u304c\u7d4c\u904e\u3057\u305f\u6642\u70b9\u3067\u306e\u751f\u5b58\u7387\u306f0\uff05\u306b\u8fd1\u3044\u3068\u3044\u3046\u306e\u304c\u53b3\u3057\u3044\u73fe\u5b9f\u3067\u3059\u3002<br><br>\u3000\u3055\u3089\u306b\u3001\u5f37\u3044\u529b\u3067\u80f8\u3092\u62bc\u3057\u7d9a\u3051\u308b\u5fc3\u547c\u5438\u8607\u751f\u306f\u3001\u304a\u8eab\u4f53\u306b\u975e\u5e38\u306b\u5927\u304d\u306a\u8ca0\u62c5\u3084\u75db\u307f\u3092\u4f34\u3046\u533b\u7642\u884c\u70ba\u3067\u3082\u3042\u308a\u307e\u3059\u3002<br>\u3000\u2022\t\u808b\u9aa8\uff08\u3042\u3070\u3089\u9aa8\uff09\u304c\u4f55\u672c\u3082\u6298\u308c\u3066\u3057\u307e\u3046<br>\u3000\u2022\t\u6298\u308c\u305f\u9aa8\u3067\u5185\u81d3\u3092\u50b7\u3064\u3051\u3066\u3057\u307e\u3046<br>\u3000\u2022\t\u4e00\u6642\u7684\u306b\u5fc3\u62cd\u304c\u623b\u3063\u3066\u3082\u3001\u610f\u8b58\u304c\u623b\u3089\u306a\u3044\u307e\u307eICU\u3067\u30c1\u30e5\u30fc\u30d6\u306b\u7e4b\u304c\u308c\u7d9a\u3051\u3066\u3057\u307e\u3046<br>\u3000\u3064\u307e\u308a\u3001\u300c\u7121\u7406\u306b\u547d\u306e\u300e\u6642\u9593\u300f\u3092\u5ef6\u3070\u3059\u3053\u3068\u3067\u3001\u304b\u3048\u3063\u3066\u672c\u4eba\u306e\u82e6\u3057\u3080\u6642\u9593\u3092\u9577\u5f15\u304b\u305b\u3066\u3057\u307e\u3046\u300d\u53ef\u80fd\u6027\u304c\u3042\u308b\u306e\u3067\u3059\u3002<br><br><strong>\u533b\u5e2b\u304cDNAR\u306e\u78ba\u8a8d\u3092\u6c42\u3081\u308b\u300c3\u3064\u306e\u7406\u7531\u300d<\/strong><br><br>\u3000\u3053\u3046\u3057\u305f\u73fe\u5b9f\u3092\u8e0f\u307e\u3048\u3001\u75c5\u9662\u3067\u306f\u4e3b\u306b\u6b21\u306e3\u3064\u306e\u7406\u7531\u304b\u3089DNAR\u306e\u610f\u5411\u78ba\u8a8d\u3092\u884c\u3063\u3066\u3044\u307e\u3059\u3002<br><br><strong>\u30001. 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\u3054\u5bb6\u65cf\u306e\u5fc3\u7406\u7684\u8ca0\u62c5\uff08\u7f6a\u60aa\u611f\u3084\u5f8c\u6094\uff09\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081<\/strong><br>\u5bb9\u614b\u304c\u6025\u5909\u3057\u305f\u7dca\u8feb\u3057\u305f\u73fe\u5834\u3067\u3001\u7a81\u7136\u300c\u5fc3\u81d3\u30de\u30c3\u30b5\u30fc\u30b8\u3092\u3057\u307e\u3059\u304b\uff1f\u300d\u3068\u8feb\u3089\u308c\u308b\u3068\u3001\u3054\u5bb6\u65cf\u306f\u300c\u81ea\u5206\u304c\u547d\u306e\u9078\u629e\u3092\u3057\u3066\u3057\u307e\u3063\u305f\u300d\u3068\u5f37\u3044\u7f6a\u60aa\u611f\u3092\u62b1\u3048\u3066\u3057\u307e\u3046\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u4e8b\u524d\u306b\u65b9\u91dd\u3092\u8a71\u3057\u5408\u3063\u3066\u304a\u304f\u3053\u3068\u3067\u3001\u3054\u5bb6\u65cf\u304c\u4e00\u4eba\u3067\u91cd\u3044\u6c7a\u65ad\u3092\u80cc\u8ca0\u308f\u305a\u306b\u6e08\u3080\u3088\u3046\u306b\u3057\u307e\u3059\u3002<br><br><strong>\u3088\u304f\u3042\u308b\u8aa4\u89e3\uff1a\u300c\u6cbb\u7642\u3092\u3059\u3079\u3066\u8ae6\u3081\u308b\u300d\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\uff01<\/strong><br><br>\u3000\u3053\u3053\u304c\u6700\u3082\u5927\u5207\u306a\u30dd\u30a4\u30f3\u30c8\u3067\u3059\u304c\u3001DNAR\u306f\u300c\u3059\u3079\u3066\u306e\u533b\u7642\u3084\u30b1\u30a2\u3092\u30b9\u30c8\u30c3\u30d7\u3057\u3066\u653e\u7f6e\u3059\u308b\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u7d76\u5bfe\u306b\u3042\u308a\u307e\u305b\u3093\u3002<br><br>\u3000\u3042\u304f\u307e\u3067\u300c\u5fc3\u81d3\u304c\u6b62\u307e\u3063\u305f\u300e\u305d\u306e\u77ac\u9593\u300f\u306b\u3001\u304a\u8eab\u4f53\u3078\u5927\u304d\u306a\u8ca0\u62c5\u304c\u304b\u304b\u308b\u51e6\u7f6e\u3092\u3057\u306a\u3044\u300d\u3068\u3044\u3046\u7d04\u675f\u4e8b\u3067\u3059\u3002<br><br><strong>\u3010DNAR\uff08\u8607\u751f\u3092\u884c\u308f\u306a\u3044\u9078\u629e\uff09\u3092\u3057\u3066\u3044\u3066\u3082\u884c\u308f\u308c\u308b\u3053\u3068\u3011<\/strong><br><br>\u3000\u2022 \u75db\u307f\u3084\u606f\u82e6\u3057\u3055\u3001\u4e0d\u5b89\u3092\u548c\u3089\u3052\u308b\u6cbb\u7642\uff08\u7de9\u548c\u30b1\u30a2\uff09<br>\u3000\u2022 \u80ba\u708e\u306a\u3069\u306b\u304b\u304b\u3063\u305f\u969b\u306e\u6297\u751f\u5264\u306e\u6295\u4e0e\u3084\u75c7\u72b6\u7de9\u548c<br>\u3000\u2022 \u70b9\u6ef4\u306a\u3069\u306b\u3088\u308b\u6c34\u5206\u3084\u6804\u990a\u306e\u88dc\u7d66<br>\u3000\u2022 \u4f53\u3092\u6e05\u6f54\u306b\u4fdd\u3064\u306a\u3069\u3001\u666e\u6bb5\u901a\u308a\u306e\u4e01\u5be7\u306a\u770b\u8b77\u3084\u751f\u6d3b\u30b1\u30a2<br><br>\u3000\u5fc3\u81d3\u304c\u6b62\u307e\u308b\u305d\u306e\u76f4\u524d\u307e\u3067\u3001\u60a3\u8005\u69d8\u304c\u82e6\u3057\u307e\u306a\u3044\u305f\u3081\u306e\u6cbb\u7642\u3084\u3001\u5c0a\u53b3\u3092\u5b88\u308b\u305f\u3081\u306e\u30b1\u30a2\u306f\u305d\u308c\u307e\u3067\u901a\u308a\u5168\u529b\u3067\u884c\u308f\u308c\u307e\u3059\u3002\u533b\u7642\u30c1\u30fc\u30e0\u304c\u60a3\u8005\u69d8\u3092\u898b\u6368\u3066\u308b\u3053\u3068\u306f\u7d76\u5bfe\u306b\u3042\u308a\u307e\u305b\u3093\u306e\u3067\u3001\u3069\u3046\u305e\u3054\u5b89\u5fc3\u304f\u3060\u3055\u3044\u3002<br><br><strong>4. \u3059\u3063\u304d\u308a\u6574\u7406\uff01\u300cACP\u300d\u300cAD\u300d\u300cDNAR\u300d\u306e\u3064\u306a\u304c\u308a<\/strong><br><br>\u3000\u3053\u3053\u307e\u30673\u3064\u306e\u30a2\u30eb\u30d5\u30a1\u30d9\u30c3\u30c8\u304c\u51fa\u3066\u304d\u305f\u306e\u3067\u3001\u982d\u306e\u4e2d\u304c\u3054\u3061\u3083\u3054\u3061\u3083\u306b\u306a\u3063\u3066\u3057\u307e\u3063\u305f\u65b9\u3082\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3053\u3053\u3067\u4e00\u5ea6\u3001\u8868\u3092\u4f7f\u3063\u3066\u30b9\u30c3\u30ad\u30ea\u6574\u7406\u3057\u3066\u307f\u307e\u3057\u3087\u3046\uff01\u3053\u308c\u3089\u306f\u3059\u3079\u3066\u30011\u3064\u306e\u30b9\u30c8\u30fc\u30ea\u30fc\u3067\u7e4b\u304c\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/phc-ogikubo.com\/blog\/wp-content\/uploads\/2026\/08\/5621deba8a18b839c7a4321764bb05e8-5.jpg\" alt=\"\" class=\"wp-image-169\" srcset=\"https:\/\/phc-ogikubo.com\/blog\/wp-content\/uploads\/2026\/08\/5621deba8a18b839c7a4321764bb05e8-5.jpg 800w, https:\/\/phc-ogikubo.com\/blog\/wp-content\/uploads\/2026\/08\/5621deba8a18b839c7a4321764bb05e8-5-400x225.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><br>\u3000\u3064\u307e\u308a\u3001\u300cACP\uff08\u4eba\u751f\u4f1a\u8b70\uff09\u300d\u3068\u3044\u3046\u8a71\u3057\u5408\u3044\u3092\u91cd\u306d\u305f\u7d50\u679c\u3092\u3001\u6587\u5b57\u306b\u3057\u3066\u6b8b\u3057\u305f\u3082\u306e\u304c\u300cAD\uff08\u4e8b\u524d\u6307\u793a\u66f8\uff09\u300d\u3067\u3042\u308a\u3001\u305d\u306e\u4e2d\u8eab\uff08AD\u306e\u9805\u76ee\uff09\u306b\u300c\u3082\u3057\u3082\u306e\u3068\u304d\u306fDNAR\uff08\u5fc3\u80ba\u8607\u751f\u306a\u3057\uff09\u3092\u5e0c\u671b\u3057\u307e\u3059\u300d\u3068\u3044\u3046\u5177\u4f53\u7684\u306a\u7d04\u675f\u304c\u542b\u307e\u308c\u3066\u3044\u308b\u3001\u3068\u3044\u3046\u95a2\u4fc2\u6027\u306b\u306a\u308a\u307e\u3059\u3002<br><br><br><strong>\u25c7\u300cDNAR\uff08\u8607\u751f\u3092\u884c\u308f\u306a\u3044\u6307\u793a\uff09\u300d\u306e\u8aa4\u89e3<\/strong><br><br>\u3000\u300c\u4e07\u304c\u4e00\u306e\u3068\u304d\u3001\u5fc3\u81d3\u30de\u30c3\u30b5\u30fc\u30b8\u306a\u3069\u306e\u5ef6\u547d\u6cbb\u7642\u306f\u5e0c\u671b\u3057\u307e\u305b\u3093\u300d \u305d\u3046\u533b\u5e2b\u306b\u4f1d\u3048\u308b\u66f8\u9762\u3092\u300cDNAR\u6307\u793a\u66f8\u300d\u3068\u547c\u3073\u307e\u3059\u3002<br>\u3000\u3053\u306e\u8a00\u8449\u3092\u805e\u304f\u3068\u3001\u300c\u3053\u308c\u3092\u51fa\u3057\u305f\u3089\u3001\u3082\u3046\u75c5\u9662\u306f\u4f55\u3082\u3057\u3066\u304f\u308c\u306a\u304f\u306a\u308b\u306e\u3067\u306f\u2026\uff1f\u300d\u3068\u4e0d\u5b89\u306b\u601d\u3046\u65b9\u3082\u3044\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<br>\u3000\u3067\u3082\u3001\u5b89\u5fc3\u3057\u3066\u304f\u3060\u3055\u3044\u3002\u305d\u308c\u306f\u5927\u304d\u306a\u8aa4\u89e3\u3067\u3059\u3002 <br><br>\u3000<strong>\u300cDNAR\uff1d\u6cbb\u7642\u3092\u8ae6\u3081\u308b\u300d\u3067\u306f\u6c7a\u3057\u3066\u3042\u308a\u307e\u305b\u3093\u3002<\/strong><br><br>\u3000DNAR\u304c\u610f\u5473\u3059\u308b\u306e\u306f\u3001\u3042\u304f\u307e\u3067\u300c\u56de\u5fa9\u306e\u898b\u8fbc\u307f\u304c\u306a\u3044\u4e2d\u3067\u5fc3\u81d3\u304c\u6b62\u307e\u3063\u3066\u3057\u307e\u3063\u305f\u3068\u304d\u306b\u3001\u7121\u7406\u306a\u8607\u751f\u51e6\u7f6e\uff08\u80f8\u9aa8\u5727\u8feb\u3084\u96fb\u6c17\u30b7\u30e7\u30c3\u30af\u306a\u3069\uff09\u306f\u884c\u308f\u306a\u3044\u300d\u3068\u3044\u3046\u3053\u3068\u3060\u3051\u3067\u3059\u3002<br>\u3000\u3067\u3059\u304b\u3089\u3001\u4f8b\u3048\u3070\u6b21\u306e\u3088\u3046\u306a\u5834\u5408\u306f\u3001\u3053\u308c\u307e\u3067\u901a\u308a\u7a4d\u6975\u7684\u306b\u6cbb\u7642\u3092\u884c\u3044\u307e\u3059\u3002<br>\u3000\u2022 \u304a\u85ac\u3084\u70b9\u6ef4\u3067\u6cbb\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u75c5\u6c17\uff08\u80ba\u708e\u3084\u8131\u6c34\u306a\u3069\uff09\u306b\u306a\u3063\u305f\u3068\u304d<br>\u3000\u2022 \u4e00\u6642\u7684\u306a\u4f53\u8abf\u4e0d\u826f\u3067\u3001\u9069\u5207\u306a\u624b\u5f53\u3066\u3092\u3059\u308c\u3070\u56de\u5fa9\u304c\u898b\u8fbc\u3081\u308b\u3068\u304d<br><br>\u3000\u300c\u307e\u3060\u56de\u5fa9\u3057\u3066\u5143\u6c17\u306b\u904e\u3054\u305b\u308b\u30c1\u30e3\u30f3\u30b9\u304c\u3042\u308b\u300d\u306a\u3089\u3001\u304a\u533b\u8005\u3055\u3093\u3082\u770b\u8b77\u5e2b\u3055\u3093\u3082\u5168\u529b\u3067\u6cbb\u7642\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u3066\u304f\u308c\u307e\u3059\u3002\u300c\u3082\u3046\u4f55\u3082\u3057\u306a\u304f\u3066\u3044\u3044\u300d\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u7d76\u5bfe\u306b\u306a\u3044\u306e\u3067\u3059\u3002<br><br>\u3000\u6700\u8fd1\u306e\u533b\u7642\u3067\u306f\u3001\u305f\u3060\u547d\u3092\u5ef6\u3070\u3059\u3053\u3068\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u300c\u60a3\u8005\u3055\u3093\u304c\u82e6\u3057\u307e\u305a\u3001\u305d\u306e\u4eba\u3089\u3057\u304f\u7a4f\u3084\u304b\u306b\u904e\u3054\u305b\u308b\u3053\u3068\u300d\u304c\u3068\u3066\u3082\u5927\u5207\u306b\u3055\u308c\u3066\u3044\u307e\u3059\u3002<br><br>\u3000DNAR\u306f\u3001\u672c\u4eba\u3084\u3054\u5bb6\u65cf\u304c\u300c\u6700\u671f\u306f\u75db\u3044\u601d\u3044\u3092\u305b\u305a\u3001\u9759\u304b\u306b\u901d\u304b\u305b\u3066\u307b\u3057\u3044\u300d\u3068\u9858\u3046\u9078\u629e\u3067\u3059\u3002\u3060\u304b\u3089\u3053\u305d\u3001\u305d\u306e\u6642\u304c\u6765\u308b\u307e\u3067\u306f\u3001\u75db\u307f\u3092\u548c\u3089\u3052\u305f\u308a\u3001\u4f53\u8abf\u3092\u6574\u3048\u305f\u308a\u3059\u308b\u30b1\u30a2\u304c\u4e01\u5be7\u306b\u884c\u308f\u308c\u307e\u3059\u3002<br><br>\u3000\u5927\u5207\u306a\u4eba\u304cDNAR\u3092\u9078\u629e\u3057\u305f\u3068\u3057\u3066\u3082\u3001\u533b\u7642\u30c1\u30fc\u30e0\u306e\u624b\u304c\u96e2\u308c\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u6700\u671f\u307e\u3067\u300c\u305d\u306e\u4eba\u3089\u3057\u3044\u6642\u9593\u300d\u3092\u4e00\u7dd2\u306b\u5b88\u3063\u3066\u3044\u304f\u305f\u3081\u306e\u7d04\u675f\u4e8b\u306a\u306e\u3060\u3068\u3001\u77e5\u3063\u3066\u3044\u305f\u3060\u3051\u305f\u3089\u5b09\u3057\u3044\u3067\u3059\u3002<br><br><strong>5. \u4eba\u751f\u4f1a\u8b70\uff08ACP\uff09\u3092\u59cb\u3081\u308b\u305f\u3081\u306e4\u3064\u306e\u30b9\u30c6\u30c3\u30d7<br><\/strong><br>\u3000\u4eba\u751f\u4f1a\u8b70\u306f\u30011\u56de\u8a71\u3057\u5408\u3063\u3066\u7d42\u308f\u308a\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u4eba\u9593\u306e\u6c17\u6301\u3061\u306f\u3001\u5e74\u9f62\u3084\u4f53\u8abf\u3001\u7f6e\u304b\u308c\u305f\u72b6\u6cc1\u306b\u3088\u3063\u3066\u5909\u308f\u308b\u306e\u304c\u5f53\u305f\u308a\u524d\u3060\u304b\u3089\u3067\u3059\u3002\u300c\u4f55\u5ea6\u3082\u7e70\u308a\u8fd4\u3057\u8a71\u3057\u5408\u3044\u3001\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3057\u3066\u3044\u304f\u3053\u3068\u300d\u304c\u6700\u5927\u306e\u30dd\u30a4\u30f3\u30c8\u3067\u3059\u3002<br><br>\u3000\u5177\u4f53\u7684\u306b\u306f\u3001\u4ee5\u4e0b\u306e4\u3064\u306e\u30b9\u30c6\u30c3\u30d7\u3092\u610f\u8b58\u3057\u3066\u307f\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br>\u3000\u2022<strong> Step 1\uff1a\u81ea\u5206\u306e\u4fa1\u5024\u89b3\u3092\u8003\u3048\u308b<\/strong><br>\u3000\u300c\u3053\u308c\u3060\u3051\u306f\u5acc\u3060\u300d\u300c\u6700\u671f\u307e\u3067\u81ea\u5206\u3089\u3057\u304f\u3044\u305f\u3044\u300d\u300c\u5bb6\u65cf\u306e\u8ca0\u62c5\u306b\u306a\u308a\u305f\u304f\u306a\u3044\u300d\u306a\u3069\u3001\u4eba\u751f\u3067\u5927\u5207\u306b\u3057\u305f\u3044\u3053\u3068\u3092\u3056\u3063\u304f\u308a\u3068\u8003\u3048\u3066\u307f\u307e\u3059\u3002<br>\u3000\u2022 <strong>Step 2\uff1a\u4fe1\u983c\u3067\u304d\u308b\u4eba\u3092\u6c7a\u3081\u308b<\/strong><br>\u3000\u81ea\u5206\u304c\u75c5\u6c17\u306a\u3069\u3067\u610f\u601d\u8868\u793a\u3067\u304d\u306a\u304f\u306a\u3063\u305f\u3068\u304d\u3001\u81ea\u5206\u306e\u4ee3\u308f\u308a\u306b\u533b\u5e2b\u3078\u610f\u898b\u3092\u8a00\u3063\u3066\u304f\u308c\u308b\u4eba\uff08\u5bb6\u65cf\u3084\u4fe1\u983c\u3067\u304d\u308b\u53cb\u4eba\u306a\u3069\uff09\u3092\u9078\u3073\u307e\u3059\u3002<br>\u3000<strong>\u2022 Step 3\uff1a\u5b9f\u969b\u306b\u8a71\u3057\u5408\u3046<\/strong><br>\u3000Step 1\u30842\u3067\u8003\u3048\u305f\u3042\u306a\u305f\u306e\u300c\u60f3\u3044\u300d\u3092\u3001\u5bb6\u65cf\u3084\u4e3b\u6cbb\u533b\u3001\u30b1\u30a2\u30de\u30cd\u30b8\u30e3\u30fc\u306a\u3069\u306b\u4f1d\u3048\u3066\u5171\u6709\u3057\u307e\u3059\u3002<br><strong>\u3000\u2022 Step 4\uff1a\u5468\u308a\u306b\u5171\u6709\u3057\u3001\u6b8b\u3057\u3066\u304a\u304f\uff08AD\u306e\u4f5c\u6210\uff09<\/strong><br>\u3000\u8a71\u3057\u5408\u3063\u3066\u6c7a\u307e\u3063\u305f\u5185\u5bb9\u3092\u30ce\u30fc\u30c8\u3084\u66f8\u985e\uff08AD\uff09\u306b\u30e1\u30e2\u3057\u3001\u4f53\u8abf\u306e\u5909\u5316\u306a\u3069\u306b\u5408\u308f\u305b\u3066\u5b9a\u671f\u7684\u306b\u898b\u76f4\u3057\u307e\u3059\u3002<br><br><strong>\u3000\u59cb\u3081\u308b\u304d\u3063\u304b\u3051\u306f\u96e3\u3057\u304f\u8003\u3048\u306a\u304f\u3066OK\uff01<\/strong><br><br>\u3000\u3068\u306f\u3044\u3048\u3001\u300c\u306d\u3048\u3001\u79c1\u304c\u6b7b\u306c\u3068\u304d\u306f\u3055\u2026\u300d\u3068\u7a81\u7136\u5207\u308a\u51fa\u3059\u306e\u306f\u30cf\u30fc\u30c9\u30eb\u304c\u9ad8\u3044\u3067\u3059\u3088\u306d\u3002\u305d\u3093\u306a\u3068\u304d\u306f\u3001\u30c6\u30ec\u30d3\u306e\u30cb\u30e5\u30fc\u30b9\u3084\u30c9\u30e9\u30de\u3001\u6620\u753b\u3092\u30ad\u30c3\u30ab\u30b1\u306b\u3059\u308b\u306e\u304c\u304a\u3059\u3059\u3081\u3067\u3059\u3002<br>\u3000\u2022 \u300c\u3053\u306e\u30c9\u30e9\u30de\u306e\u4e3b\u4eba\u516c\u3001\u5ef6\u547d\u6cbb\u7642\u65ad\u3063\u3066\u305f\u3051\u3069\u3001\u304a\u6bcd\u3055\u3093\u306a\u3089\u3069\u3046\u3059\u308b\uff1f\u300d<br>\u3000\u2022 \u300c\u82b8\u80fd\u4eba\u306e\u3007\u3007\u3055\u3093\u306e\u7d42\u6d3b\u306e\u30cb\u30e5\u30fc\u30b9\u898b\u305f\u3093\u3060\u3051\u3069\u3055\u3001\u3046\u3061\u3082\u8003\u3048\u3066\u304a\u304b\u306a\u3044\uff1f\u300d<br>\u3053\u3093\u306a\u98a8\u306b\u3001\u4ed6\u4eba\u306e\u8a71\u3092\u501f\u308a\u308b\u3068\u3001\u304a\u4e92\u3044\u306b\u91cd\u304f\u306a\u308a\u3059\u304e\u305a\u81ea\u7136\u306b\u8a71\u3057\u59cb\u3081\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002<br><br><strong>\u307e\u3068\u3081\uff1a\u4eba\u751f\u4f1a\u8b70\u306f\u300c\u4eca\u3092\u3088\u308a\u826f\u304f\u751f\u304d\u308b\u305f\u3081\u300d\u306e\u4f1a\u8b70<\/strong><br><br>\u3000\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff08\u4eba\u751f\u4f1a\u8b70\uff09\u306f\u3001\u6c7a\u3057\u3066\u7e01\u8d77\u306e\u60aa\u3044\u300c\u6b7b\u306b\u652f\u5ea6\u300d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u3001\u305d\u306e\u6642\u306b\u6c7a\u3081\u305f\u3053\u3068\u304c\u7d76\u5bfe\u306e\u6700\u7d42\u6c7a\u5b9a\u3067\u306f\u306a\u304f\u3001\u3044\u3064\u3067\u3082\u6c17\u304c\u5909\u308f\u3063\u3066\u3044\u3044\u81ea\u7531\u306a\u3082\u306e\u3067\u3059\u3002<br><br>\u3000\u3080\u3057\u308d\u3001\u300c\u3053\u308c\u304b\u3089\u5148\u3082\u3001\u81ea\u5206\u3089\u3057\u304f\u3001\u3069\u3046\u751f\u304d\u5207\u308b\u304b\u300d\u3092\u8003\u3048\u308b\u3001\u3068\u3066\u3082\u524d\u5411\u304d\u3067\u6e29\u304b\u3044\u8a71\u3057\u5408\u3044\u3067\u3059\u3002<br>\u4eca\u5ea6\u306e\u9031\u672b\u3084\u3001\u5bb6\u65cf\u304c\u96c6\u307e\u308b\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u3001\u307e\u305a\u306f\u300c\u304a\u8336\u3067\u3082\u98f2\u307f\u306a\u304c\u3089\u3001\u3061\u3087\u3063\u3068\u771f\u9762\u76ee\u306a\u8a71\u306a\u3093\u3060\u3051<br><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"450\" src=\"https:\/\/phc-ogikubo.com\/blog\/wp-content\/uploads\/2026\/08\/2a831ec055ed4fee4e1d0936ea40500d-5.jpg\" alt=\"\" class=\"wp-image-170\" srcset=\"https:\/\/phc-ogikubo.com\/blog\/wp-content\/uploads\/2026\/08\/2a831ec055ed4fee4e1d0936ea40500d-5.jpg 800w, https:\/\/phc-ogikubo.com\/blog\/wp-content\/uploads\/2026\/08\/2a831ec055ed4fee4e1d0936ea40500d-5-400x225.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u53c2\u8003\u30fb\u5f15\u7528\u6587\u732e<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00b7 &nbsp;\u539a\u751f\u52b4\u50cd\u7701\uff1a\u300c\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u304a\u3051\u308b\u533b\u7642\u30fb\u30b1\u30a2\u306e\u6c7a\u5b9a\u30d7\u30ed\u30bb\u30b9\u306b\u95a2\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u300d\uff08\u5e73\u621030\u5e743\u6708\u6539\u8a02\uff09<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00b7 &nbsp;\u539a\u751f\u52b4\u50cd\u7701\uff1a\u5e73\u621029\u5e74\u5ea6\u300c\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u304a\u3051\u308b\u533b\u7642\u306b\u95a2\u3059\u308b\u610f\u8b58\u8abf\u67fb\u300d\u5831\u544a\u66f8<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00b7 &nbsp;\u539a\u751f\u52b4\u50cd\u7701\uff1a\u300c\u4eba\u751f\u4f1a\u8b70\uff08ACP\uff1a\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff09\u300d\u666e\u53ca\u5553\u767aWeb\u30b5\u30a4\u30c8<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00b7 &nbsp;\u65e5\u672c\u6551\u6025\u533b\u5b66\u4f1a \/ \u65e5\u672c\u5faa\u74b0\u5668\u5b66\u4f1a \/ \u65e5\u672c\u96c6\u4e2d\u6cbb\u7642\u533b\u5b66\u4f1a\uff1a\u300c\u6025\u6027\u671f\u8a3a\u7642\u306b\u304a\u3051\u308bDNAR\uff08Do Not Attempt Resuscitation\uff09\u6307\u793a\u306b\u95a2\u3059\u308b\u52e7\u544a\u300d<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>O&#8217;Brien E, et al. (1997): <em>Cardiopulmonary resuscitation in patients with terminal cancer.<\/em><\/li>\n\n\n\n<li>\u65e5\u672c\u7de9\u548c\u533b\u7642\u5b66\u4f1a\uff1a\u300c\u304c\u3093\u60a3\u8005\u306e\u82e6\u75db\u306a\u75c7\u72b6\u306b\u5bfe\u3057\u3066\u884c\u3046\u7de9\u548c\u7684\u93ae\u9759\u306b\u95a2\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u300d<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Detering KM, et al. (2010): <em>The impact of advance care planning on end-of-life care in elderly patients: randomised controlled trial.<\/em> (BMJ 2010)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3000\u7a81\u7136\u3067\u3059\u304c\u3001\u307f\u306a\u3055\u3093\u306f\u300c\u3082\u3057\u3082\u306e\u3068\u304d\u3001\u3069\u3093\u306a\u533b\u7642\u3084\u30b1\u30a2\u3092\u53d7\u3051\u305f\u3044\u304b\u300d\u3092\u5bb6\u65cf\u3084\u5927\u5207\u306a\u4eba\u3068\u8a71\u3057\u305f\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304b\uff1f 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