{"id":167,"date":"2026-08-31T09:00:00","date_gmt":"2026-08-31T00:00:00","guid":{"rendered":"https:\/\/phc-ogikubo.com\/blog\/?p=167"},"modified":"2026-09-03T09:14:33","modified_gmt":"2026-09-03T00:14:33","slug":"post-167","status":"publish","type":"post","link":"https:\/\/phc-ogikubo.com\/blog\/post-167\/","title":{"rendered":"\u3053\u308c\u304b\u3089\u306e\u6642\u9593\u3092\u3069\u3046\u904e\u3054\u3059\uff1f\u3054\u5bb6\u65cf\u3068\u8003\u3048\u308b\u5927\u5207\u306a\u533b\u7642\u3068\u30b1\u30a2\u306e\u300c\u304c\u3093\u3068\u4eba\u751f\u4f1a\u8b70\uff08ACP\uff09\u300d"},"content":{"rendered":"\n

\u3000\u533b\u5e2b\u304b\u3089\u75c5\u72b6\u306e\u8aac\u660e\u3092\u53d7\u3051\u3001\u300c\u6b8b\u3055\u308c\u305f\u6642\u9593\uff08\u4e88\u5f8c\uff09\u300d\u306b\u3064\u3044\u3066\u8a00\u53ca\u3055\u308c\u305f\u3068\u304d\u3001\u591a\u304f\u306e\u60a3\u8005\u3055\u3093\u3084\u3054\u5bb6\u65cf\u306f\u76ee\u306e\u524d\u304c\u771f\u3063\u6697\u306b\u306a\u308a\u3001\u30ab\u30ec\u30f3\u30c0\u30fc\u3092\u773a\u3081\u306a\u304c\u3089\u300c\u3042\u3068\u3069\u308c\u304f\u3089\u3044\u6b8b\u3055\u308c\u3066\u3044\u308b\u306e\u3060\u308d\u3046\u300d\u3068\u30ab\u30a6\u30f3\u30c8\u30c0\u30a6\u30f3\u3092\u59cb\u3081\u3066\u3057\u307e\u3044\u307e\u3059\u3002

\u3000\u3057\u304b\u3057\u3001\u672c\u5f53\u306b\u5927\u5207\u306a\u306e\u306f\u300c\u3042\u3068\u3069\u306e\u304f\u3089\u3044\u751f\u304d\u3089\u308c\u308b\u304b\u300d\u3068\u3044\u3046\u6570\u5b57\u306b\u3068\u3089\u308f\u308c\u308b\u3053\u3068\u3067\u306f\u306a\u304f\u3001\u300c\u6b8b\u3055\u308c\u305f\u9650\u3089\u308c\u305f\u6642\u9593\u306e\u4e2d\u3067\u3001\u3044\u304b\u306b\u81ea\u5206\u3089\u3057\u304f\u3001\u3069\u306e\u3088\u3046\u306a\u751f\u6d3b\u3092\u9001\u308b\u304b\u300d<\/strong>\u3068\u3044\u3046\u5177\u4f53\u7684\u306a\u8a2d\u8a08\u3067\u3059\u3002

\u3000\u73fe\u5b9f\u306b\u306f\u3001\u305d\u3053\u307e\u3067\u6c17\u6301\u3061\u3068\u982d\u3092\u6574\u7406\u3057\u3066\u751f\u6d3b\u306e\u8a2d\u8a08\u306b\u305f\u3069\u308a\u7740\u3051\u308b\u65b9\u306f\u6c7a\u3057\u3066\u591a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u306a\u305c\u306a\u3089\u3001\u7d42\u672b\u671f\u306b\u304a\u3051\u308b\u4f53\u306e\u5909\u5316\u306f\u3001\u79c1\u305f\u3061\u304c\u60f3\u50cf\u3057\u3066\u3044\u308b\u3088\u308a\u3082\u305a\u3063\u3068\u6025\u6fc0\u306b\u3084\u3063\u3066\u304f\u308b\u304b\u3089\u3067\u3059\u3002

\u3000\u4eca\u56de\u306f\u3001\u5f8c\u6094\u306e\u306a\u3044\u6642\u9593\u3092\u904e\u3054\u3059\u305f\u3081\u306b\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u300c\u8eab\u4f53\u306e\u5909\u5316\u306e\u73fe\u5b9f\u300d<\/strong>\u3068\u3001\u3054\u5bb6\u65cf\u3084\u533b\u7642\u30c1\u30fc\u30e0\u3068\u4e00\u7dd2\u306b\u9032\u3081\u308b\u300c\u4eba\u751f\u306e\u67a0\u7d44\u307f\u306e\u6574\u3048\u65b9\u300d<\/strong>\u306b\u3064\u3044\u3066\u8a73\u3057\u304f\u304a\u4f1d\u3048\u3057\u307e\u3059\u3002

1. \u306a\u305c\u300c\u307e\u3060\u5927\u4e08\u592b\u300d\u306a\u3046\u3061\u306e\u6e96\u5099\u304c\u5fc5\u8981\u306a\u306e\u304b\uff1f<\/strong>

\u3000\u300c\u307e\u3060\u81ea\u5206\u306e\u8db3\u3067\u6b69\u3051\u308b\u304b\u3089\u300d\u300c\u5bb6\u4e8b\u3082\u3053\u306a\u305b\u3066\u3044\u308b\u304b\u3089\u5927\u4e08\u592b\u300d\u3068\u601d\u3063\u3066\u3044\u308b\u6bb5\u968e\u3067\u3001\u5c06\u6765\u306e\u533b\u7642\u3084\u904e\u3054\u3057\u65b9\u306b\u3064\u3044\u3066\u8a71\u3057\u5408\u3044\u3092\u59cb\u3081\u308b\u306e\u306f\u3001\u6c7a\u3057\u3066\u65e9\u3059\u304e\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u305b\u3093\u3002

\u3000\u7279\u306b\u304c\u3093\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u60aa\u6027\u75be\u60a3\u306e\u5834\u5408\u3001\u4ea1\u304f\u306a\u308b1\uff5e\uff12\u30f6\u6708\u307b\u3069\u524d\u307e\u3067\u306f\u3001\u6bd4\u8f03\u7684\u5143\u6c17\u306b\u666e\u6bb5\u901a\u308a\u306e\u65e5\u5e38\u3092\u9001\u308c\u308b\u30b1\u30fc\u30b9\u3082\u591a\u304f\u898b\u3089\u308c\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u4f53\u5185\u3067\u7dad\u6301\u3055\u308c\u3066\u3044\u305f\u514d\u75ab\u3068\u75c5\u6c17\u306e\u6d3b\u52d5\u6027\u306e\u30d0\u30e9\u30f3\u30b9\u304c\u4e00\u5ea6\u5d29\u308c\u59cb\u3081\u308b\u3068\u3001\u4f53\u529b\u3092\u652f\u3048\u3066\u3044\u305f\u30c0\u30e0\u304c\u6c7a\u58ca\u3057\u305f\u304b\u306e\u3088\u3046\u306b\u3001\u307e\u308b\u3067\u5742\u9053\u3092\u8ee2\u304c\u308a\u843d\u3061\u308b\u3088\u3046\u306a\u30b9\u30d4\u30fc\u30c9\u3067\u4f53\u529b\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u304d\u307e\u3059\u3002

\u3000\u5177\u4f53\u7684\u306b\u306f\u3001\u304a\u3088\u305d1\u30f6\u6708\u3068\u3044\u3046\u77ed\u3044\u9593\u306b\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u4e00\u9023\u306e\u5909\u5316\u304c\u6012\u6d9b\u306e\u3088\u3046\u306b\u62bc\u3057\u5bc4\u305b\u307e\u3059\u3002

\u3010\u7d041\u30f6\u6708\u306e\u9593\u306b\u8d77\u3053\u308b\u6025\u6fc0\u306a\u8eab\u4f53\u5909\u5316\u306e\u30b9\u30c6\u30c3\u30d7\u3011<\/strong>
\u30001.\t\u98df\u304c\u7d30\u304f\u306a\u308a\u3001\u5916\u51fa\u304c\u96e3\u3057\u304f\u306a\u308b\uff08\u5c11\u3057\u52d5\u304f\u3060\u3051\u3067\u5f37\u3044\u5026\u6020\u611f\u3092\u899a\u3048\u308b\uff09
\u30002.\t\u81ea\u5b85\u3067\u904e\u3054\u305b\u308b\u304c\u3001\u5bdd\u3066\u3044\u308b\u6642\u9593\u304c\u9577\u304f\u306a\u308b\uff08\u96e2\u5e8a\u6642\u9593\u304c\u4e00\u6c17\u306b\u6e1b\u308b\uff09
\u30003.\t\u304a\u98a8\u5442\u306b\u306f\u5165\u308c\u308b\u304c\u3001\u4e00\u4eba\u3067\u4e0a\u304c\u308b\u3053\u3068\u304c\u3067\u304d\u306a\u304f\u306a\u308b\uff08\u8de8\u3050\u52d5\u4f5c\u3084\u7acb\u3061\u4e0a\u304c\u308a\u306b\u4ecb\u52a9\u304c\u5fc5\u8981\u306b\u306a\u308b\uff09
\u30004.\t\u30c8\u30a4\u30ec\u307e\u3067\u6b69\u304f\u306e\u304c\u8f9b\u304f\u306a\u308a\u3001\u9014\u4e2d\u3067\u819d\u6298\u308c\u3057\u3066\u8ee2\u5012\u3057\u3066\u3057\u307e\u3046\uff08\u4e0b\u80a2\u7b4b\u529b\u306e\u6025\u6fc0\u306a\u4f4e\u4e0b\uff09
\u30005.\t\u30d9\u30c3\u30c9\u8107\u306e\u30dd\u30fc\u30bf\u30d6\u30eb\u30c8\u30a4\u30ec\u3078\u306e\u79fb\u4e57\u52d5\u4f5c\u3059\u3089\u3067\u304d\u306a\u304f\u306a\u308b\uff08\u81ea\u529b\u3067\u306e\u7acb\u3061\u4e0a\u304c\u308a\u304c\u56f0\u96e3\u306b\uff09
\u30006.\t\u30d9\u30c3\u30c9\u304b\u3089\u8d77\u304d\u4e0a\u304c\u308c\u306a\u304f\u306a\u308b\uff08\u5bdd\u305f\u304d\u308a\u306e\u72b6\u614b\u3078\uff09<\/p>\n\n\n\n


\u3000\u6700\u7d42\u7684\u306b\u306f\u3001\u624b\u5143\u306b\u3042\u308b\u925b\u7b46\u3092\u63e1\u3063\u3066\u6587\u5b57\u3092\u66f8\u304f\u3053\u3068\u3082\u96e3\u3057\u304f\u306a\u308a\u3001\u58f0\u3092\u51fa\u3059\u3053\u3068\u3059\u3089\u3084\u3063\u3068\u306e\u72b6\u614b\u306b\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n
\"\"<\/figure>\n\n\n\n



\u3000\u3064\u307e\u308a\u3001\u75c5\u52e2\u304c\u9032\u884c\u3059\u308b\u3068\u300c\u4ea1\u304f\u306a\u308b2\u9031\u9593\u307b\u3069\u524d\u306b\u306f\u3001\u672c\u4eba\u306e\u610f\u601d\u8868\u793a\u3084\u624b\u7d9a\u304d\u3001\u4f53\u529b\u3092\u4f34\u3046\u3084\u308a\u305f\u3044\u3053\u3068\u306e\u591a\u304f\u304c\u3067\u304d\u306a\u304f\u306a\u308b\u300d\u3068\u3044\u3046\u73fe\u5b9f\u304c\u3042\u308a\u307e\u3059\u3002\u3060\u304b\u3089\u3053\u305d\u3001\u300c\u4f53\u529b\u304c\u6b8b\u3063\u3066\u3044\u308b\u3046\u3061\u300d\u300c\u610f\u8b58\u304c\u306f\u3063\u304d\u308a\u3057\u3066\u3044\u308b\u3046\u3061\u300d\u306b\u52d5\u304d\u51fa\u3059\u3053\u3068\u304c\u4f55\u3088\u308a\u3082\u91cd\u8981\u306a\u306e\u3067\u3059\u3002

2. \u81ea\u5206\u3089\u3057\u3055\u3092\u660e\u78ba\u306b\u3059\u308b\u300c\u4eba\u751f\u306e\u67a0\u7d44\u307f\u300d\u306e\u6574\u3048\u65b9<\/strong>

\u3000\u4f53\u529b\u304c\u843d\u3061\u304d\u3063\u3066\u3057\u307e\u3046\u524d\u306b\u3001\u9650\u3089\u308c\u305f\u6642\u9593\u306e\u4e2d\u3067\u300c\u4eba\u751f\u306e\u67a0\u7d44\u307f\u300d\u3092\u660e\u78ba\u306b\u3057\u3066\u304a\u304f\u3053\u3068\u306f\u3001\u3054\u672c\u4eba\u304c\u6700\u5f8c\u307e\u3067\u81ea\u5206\u3089\u3057\u304f\u751f\u304d\u629c\u304f\u305f\u3081\u306b\u4e0d\u53ef\u6b20\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3059\u3002

\u3000\u5177\u4f53\u7684\u306b\u306f\u3001\u5927\u304d\u304f\u5206\u3051\u3066\u300c\u5fc3\u3068\u5e0c\u671b\u306e\u6574\u7406\u300d<\/strong>\u3068\u300c\u73fe\u5b9f\u7684\u306a\u624b\u7d9a\u304d\u306e\u6574\u7406\u300d<\/strong>\u3068\u3044\u30462\u3064\u306e\u8ef8\u3067\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u3002

\u2460 \u5fc3\u3068\u5e0c\u671b\u306e\u6574\u7406<\/strong><\/p>\n\n\n\n


\u3000\u2022 \u3053\u308c\u307e\u3067\u306e\u4eba\u751f\u306e\u632f\u308a\u8fd4\u308a\uff08\u30e9\u30a4\u30d5\u30ec\u30d3\u30e5\u30fc\uff09<\/strong>\uff1a \u3053\u308c\u307e\u3067\u3069\u306e\u3088\u3046\u306a\u9053\u3092\u6b69\u307f\u3001\u4f55\u3092\u5927\u5207\u306b\u3057\u3066\u304d\u305f\u304b\u3002\u81ea\u5206\u306b\u3068\u3063\u3066\u306e\u300c\u751f\u304d\u308b\u76ee\u7684\u30fb\u610f\u5473\u300d\u3084\u300c\u5e78\u798f\u300d\u3092\u6539\u3081\u3066\u7d10\u89e3\u304f\u3053\u3068\u3067\u3001\u3053\u308c\u304b\u3089\u306e\u9078\u629e\u306e\u8ef8\u304c\u898b\u3048\u3066\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u300c\u81ea\u5206\u304c\u5b58\u5728\u3057\u7d9a\u3051\u308b\u610f\u7fa9\u300d\u3082\u898b\u51fa\u3057\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002
\u3000\u2022 \u751f\u3078\u306e\u57f7\u7740\u3068\u6c17\u6301\u3061\u306e\u6574\u7406<\/strong>\uff1a \u75c5\u6c17\u306b\u5bfe\u3059\u308b\u845b\u85e4\u3084\u6050\u308c\u3092\u53d7\u3051\u6b62\u3081\u306a\u304c\u3089\u3001\u5c11\u3057\u305a\u3064\u5fc3\u306e\u6298\u308a\u5408\u3044\u3092\u3064\u3051\u3066\u3044\u304d\u307e\u3059\u3002
\u3000\u2022\u611b\u3059\u308b\u4eba\u3068\u306e\u601d\u3044\u51fa\u3065\u304f\u308a\uff1a<\/strong> \u5927\u5207\u306a\u5bb6\u65cf\u3084\u53cb\u4eba\u3068\u3069\u306e\u3088\u3046\u306b\u540c\u3058\u6642\u9593\u3092\u5171\u6709\u3057\u3001\u7a4f\u3084\u304b\u306a\u601d\u3044\u51fa\u3092\u6b8b\u3057\u3066\u3044\u304f\u304b\u3092\u8003\u3048\u307e\u3059\u3002\u307e\u305f\u3001\u5c0f\u3055\u306a\u304a\u5b50\u69d8\u304c\u3044\u308b\u5834\u5408\u306f\u3001\u304a\u5225\u308c\u306e\u53ef\u80fd\u6027\u3082\u542b\u3081\u3066\u75c5\u72b6\u3092\u308f\u304b\u308a\u3084\u3059\u304f\u4f1d\u3048\u3001\u4e00\u7dd2\u306b\u524d\u3092\u5411\u3044\u3066\u9032\u3093\u3067\u3044\u304f\u3053\u3068\u3082\u5927\u5207\u3067\u3059\u3002
\u3000\u2022 \u4eca\u3067\u304d\u308b\u5e0c\u671b\u306e\u5b9f\u73fe<\/strong>\uff1a \u300c\u65c5\u884c\u306b\u884c\u304f\u300d\u300c\u304a\u3044\u3057\u3044\u3082\u306e\u3092\u98df\u3079\u308b\u300d\u306a\u3069\u3001\u4eca\u306e\u4f53\u8abf\u3067\u5b9f\u73fe\u53ef\u80fd\u306a\u76ee\u6a19\u3092\u8a2d\u5b9a\u3057\u3001\u3072\u3068\u3064\u305a\u3064\u53f6\u3048\u3066\u3044\u304d\u307e\u3059\u3002\u3053\u306e\u6642\u306b\u6700\u3082\u5927\u5207\u306a\u3053\u3068\u306f\u3001\u7406\u60f3\u3092\u76ee\u6a19\u306b\u3059\u308b\u306e\u3067\u306f\u306a\u304f\u3001\u305d\u306e\u6642\u3005\u306e\u4f53\u8abf\u306b\u5fdc\u3058\u305f\u300c\u5fc5\u305a\u5b9f\u73fe\u53ef\u80fd\u306a\u76ee\u6a19\u8a2d\u5b9a\u300d<\/strong>\u3092\u3059\u308b\u3053\u3068\u3067\u3059\u3002

\u2461 \u73fe\u5b9f\u7684\u306a\u624b\u7d9a\u304d\u306e\u6574\u7406<\/strong>

\u3000\u2022 \u4ed5\u4e8b\u3084\u4e8b\u696d\u306e\u5f15\u304d\u7d99\u304e<\/strong>\uff1a \u50cd\u3044\u3066\u3044\u308b\u65b9\u3084\u4e8b\u696d\u3092\u55b6\u3093\u3067\u3044\u308b\u65b9\u306e\u5834\u5408\u3001\u696d\u52d9\u306e\u6574\u7406\u3084\u5f8c\u4efb\u3078\u306e\u5f15\u304d\u7d99\u304e\u3001\u5f93\u696d\u54e1\u306e\u96c7\u7528\u3084\u751f\u6d3b\u3092\u5b88\u308b\u305f\u3081\u306e\u6e96\u5099\u3092\u6574\u3048\u307e\u3059\u3002
\u3000\u2022 \u8ca1\u7523\u3084\u8eab\u306e\u56de\u308a\u306e\u6574\u7406<\/strong>\uff1a \u6b8b\u3055\u308c\u308b\u3054\u5bb6\u65cf\u304c\u5f8c\u3067\u56f0\u3063\u305f\u308a\u63c9\u3081\u305f\u308a\u3057\u306a\u3044\u3088\u3046\u3001\u8cc7\u7523\u3084\u907a\u54c1\u3001\u5404\u7a2e\u5951\u7d04\u306b\u3064\u3044\u3066\u65b9\u5411\u6027\u3092\u6c7a\u3081\u3066\u304a\u304d\u307e\u3059\u3002\u5834\u5408\u306b\u3088\u3063\u3066\u306f\u3001\u3054\u672c\u4eba\u306e\u3054\u610f\u5411\u306b\u6cbf\u3063\u305f\u846c\u5100\u306e\u5728\u308a\u65b9\u306b\u3064\u3044\u3066\u6e96\u5099\u3092\u9032\u3081\u3066\u3044\u304d\u307e\u3059\u3002

3. \u5bb6\u65cf\u3068\u533b\u7642\u30c1\u30fc\u30e0\u3067\u53d6\u308a\u7d44\u3080\u300cACP\uff08\u4eba\u751f\u4f1a\u8b70\uff09\u300d<\/strong>

\u3000\u3053\u306e\u3088\u3046\u306b\u3001\u4e07\u304c\u4e00\u306e\u3068\u304d\u3084\u4eba\u751f\u306e\u6700\u7d42\u6bb5\u968e\u306b\u5099\u3048\u3066\u3001\u3069\u306e\u3088\u3046\u306a\u533b\u7642\u3084\u30b1\u30a2\u3092\u53d7\u3051\u305f\u3044\u304b\u3001\u3069\u3093\u306a\u98a8\u306b\u904e\u3054\u3057\u305f\u3044\u304b\u3092\u524d\u3082\u3063\u3066\u8003\u3048\u3001\u5bb6\u65cf\u3084\u533b\u7642\u30c1\u30fc\u30e0\u3068\u7e70\u308a\u8fd4\u3057\u8a71\u3057\u5408\u3044\u3001\u60f3\u3044\u3092\u5171\u6709\u3059\u308b\u30d7\u30ed\u30bb\u30b9\u306e\u3053\u3068\u3092ACP\uff08Advance Care Planning\uff1a\u30a2\u30c9\u30d0\u30f3\u30b9\u30fb\u30b1\u30a2\u30fb\u30d7\u30e9\u30f3\u30cb\u30f3\u30b0\uff09\u3084\u4eba\u751f\u4f1a\u8b70\u3068\u547c\u3073\u307e\u3059\u3002

\u2605ACP\u3092\u5b9f\u8df5\u3059\u308b\u3046\u3048\u3067\u3001\u899a\u3048\u3066\u304a\u3044\u3066\u3044\u305f\u3060\u304d\u305f\u3044\u5927\u5207\u306a\u30dd\u30a4\u30f3\u30c8\u304c3\u3064\u3042\u308a\u307e\u3059\u3002<\/strong>

\u30dd\u30a4\u30f3\u30c81\uff1a\u4e00\u4eba\u3067\u62b1\u3048\u8fbc\u307e\u305a\u3001\u307f\u3093\u306a\u3067\u5171\u6709\u3059\u308b<\/strong>
\u3000ACP\u306f\u3054\u672c\u4eba\u304c\u4e00\u4eba\u3067\u60a9\u307f\u3001\u6c7a\u65ad\u3059\u308b\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3054\u5bb6\u65cf\u3084\u5927\u5207\u306a\u4eba\u3001\u305d\u3057\u3066\u533b\u5e2b\u3001\u770b\u8b77\u5e2b\u3001\u30b1\u30a2\u30de\u30cd\u30b8\u30e3\u30fc\u306a\u3069\u306e\u533b\u7642\u30fb\u4ecb\u8b77\u30c1\u30fc\u30e0\u3068\u4e00\u7dd2\u306b\u8a71\u3057\u5408\u3044\u3001\u60f3\u3044\u3092\u5206\u304b\u3061\u5408\u3046\u3053\u3068\u304c\u30b9\u30bf\u30fc\u30c8\u30e9\u30a4\u30f3\u3067\u3059\u3002

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\u30dd\u30a4\u30f3\u30c83\uff1a\u304f\u308a\u8fd4\u3059\u8a71\u3057\u5408\u3044\u304c\u3001\u5bb6\u65cf\u306e\u300c\u5f8c\u6094\u300d\u3092\u6e1b\u3089\u3059<\/strong>
\u3000\u7e70\u308a\u8fd4\u3057\u8a71\u3057\u5408\u3046\u30d7\u30ed\u30bb\u30b9\u3092\u7d4c\u308b\u3053\u3068\u3067\u3001\u3054\u672c\u4eba\u306f\u3082\u3061\u308d\u3093\u3001\u3054\u5bb6\u65cf\u3082\u5c11\u3057\u305a\u3064\u672a\u6765\u306b\u5411\u3051\u305f\u899a\u609f\u3084\u5fc3\u306e\u6e96\u5099\u304c\u6574\u3063\u3066\u3044\u304d\u307e\u3059\u3002\u307e\u305f\u3001\u3054\u5bb6\u65cf\u304c\u300c\u672c\u4eba\u306e\u4eba\u3068\u306a\u308a\u3084\u672c\u5f53\u306e\u5e0c\u671b\u300d\u3092\u6df1\u304f\u7406\u89e3\u3057\u3066\u304a\u304f\u3053\u3068\u306f\u3001\u4e07\u304c\u4e00\u306e\u3042\u3068\u306b\u6b8b\u3055\u308c\u305f\u3054\u5bb6\u65cf\u306e\u300c\u3082\u3063\u3068\u3053\u3046\u3057\u3066\u3042\u3052\u308c\u3070\u3088\u304b\u3063\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u300d\u3068\u3044\u3046\u5f37\u3044\u5f8c\u6094\u3092\u5927\u304d\u304f\u548c\u3089\u3052\u308b\u3053\u3068\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002
<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n


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\u3000ACP\uff08\u4eba\u751f\u4f1a\u8b70\uff09\u306f\u3001\u6c7a\u3057\u3066\u5358\u306a\u308b\u300c\u547d\u306e\u7d42\u308f\u308a\u306e\u9078\u629e\u300d\u3084\u300c\u6b7b\u306e\u6e96\u5099\u300d\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u300c\u6700\u5f8c\u306e\u77ac\u9593\u307e\u3067\u3001\u81ea\u5206\u3089\u3057\u304f\u3069\u306e\u3088\u3046\u306b\u751f\u304d\u308b\u304b\u300d\u3068\u3044\u3046\u524d\u5411\u304d\u306a\u4eba\u751f\u8a2d\u8a08<\/strong>\u305d\u306e\u3082\u306e\u3067\u3059\u3002

\u3000\u300c\u307e\u3060\u52d5\u3051\u308b\u304b\u3089\u5927\u4e08\u592b\u300d\u3068\u601d\u3048\u308b\u6642\u671f\u3053\u305d\u304c\u3001\u5b9f\u306f\u3054\u81ea\u8eab\u306e\u610f\u5fd7\u3067\u672a\u6765\u3092\u9078\u3073\u3001\u5927\u5207\u306a\u4eba\u3068\u6df1\u304f\u5411\u304d\u5408\u3046\u3053\u3068\u304c\u3067\u304d\u308b\u6700\u3082\u8cb4\u91cd\u306a\u6642\u9593\u3067\u3059\u3002\u305f\u3060\u6642\u9593\u306e\u30ab\u30a6\u30f3\u30c8\u30c0\u30a6\u30f3\u306b\u602f\u3048\u3066\u904e\u3054\u3059\u306e\u3067\u306f\u306a\u304f\u3001\u300c\u4eca\u3067\u304d\u308b\u3053\u3068\u300d\u300c\u6b8b\u3055\u308c\u305f\u6642\u9593\u3067\u3084\u3063\u3066\u304a\u304d\u305f\u3044\u3053\u3068\u300d\u306b\u76ee\u3092\u5411\u3051\u3001\u5c11\u3057\u305a\u3064\u6e96\u5099\u3092\u6574\u3048\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002

\u3000\u4e00\u4eba\u3067\u62b1\u3048\u8fbc\u3080\u5fc5\u8981\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u3042\u306a\u305f\u304c\u3053\u308c\u307e\u3067\u6b69\u3093\u3067\u304d\u305f\u4eba\u751f\u306e\u3053\u3068\u3001\u3053\u308c\u304b\u3089\u53f6\u3048\u305f\u3044\u5e0c\u671b\u3001\u305d\u3057\u3066\u80f8\u306e\u4e2d\u306b\u3042\u308b\u4e0d\u5b89\u3084\u7591\u554f\u3002\u3069\u3093\u306a\u3053\u3068\u3067\u3082\u3001\u307e\u305a\u306f\u79c1\u305f\u3061\u3084\u3054\u5bb6\u65cf\u306b\u304a\u805e\u304b\u305b\u304f\u3060\u3055\u3044\u3002\u8ae6\u3081\u3066\u3044\u308b\u3053\u3068\u3082\u3001\u5b9f\u73fe\u3067\u304d\u308b\u30d2\u30f3\u30c8\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002

\u3000\u3042\u306a\u305f\u3068\u3054\u5bb6\u65cf\u304c\u3001\u6700\u5f8c\u307e\u3067\u7d0d\u5f97\u306e\u3044\u304f\u7a4f\u3084\u304b\u306a\u6642\u9593\u3092\u904e\u3054\u305b\u308b\u3088\u3046\u3001\u79c1\u305f\u3061\u306f\u5168\u529b\u3067\u5bc4\u308a\u6dfb\u3044\u3001\u30b5\u30dd\u30fc\u30c8\u3044\u305f\u3057\u307e\u3059\u3002

\u53c2\u8003\u30fb\u5f15\u7528\u6587\u732e
1. \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
2. Lynn J, Adamson DM. Living Well at the End of Life: Adapting Health Care to Serious Chronic Illness in Old Age. RAND Corporation, 2003.
3. \u6797\u7ae0\u654f, \u6c60\u6c38\u660c\u4e4b \u7de8, \u67cf\u6728\u54f2\u592b, \u4eca\u4e2d\u5b5d\u4fe1 \u76e3\u4fee\uff1a\u300e\u6b7b\u3092\u307f\u3068\u308b1\u9031\u9593\u300f\uff08\u7dcf\u5408\u8a3a\u7642\u30d6\u30c3\u30af\u30b9\uff09, \u533b\u5b66\u66f8\u9662, 2002. \uff08\u6b7b\u306b\u76f4\u9762\u3057\u305f\u304c\u3093\u60a3\u8005\u306e\u75c7\u72b6\u51fa\u73fe\u983b\u5ea6\u3068\u6d3b\u52d5\u6027\u4f4e\u4e0b\u306b\u95a2\u3059\u308b\u77e5\u898b\uff09
4. Detering KM, et al. The impact of advance care planning on end of life care in elderly patients: randomised controlled trial. BMJ. 2010;340:c1345.
5. \u65e5\u672c\u7de9\u548c\u533b\u7642\u5b66\u4f1a \u7de8\uff1a\u5c02\u9580\u5bb6\u3092\u76ee\u6307\u3059\u4eba\u306e\u305f\u3081\u306e\u7de9\u548c\u533b\u7642\u5b66\uff08\u7b2c2\u7248\uff09, \u5357\u6c5f\u5802.
<\/p>\n","protected":false},"excerpt":{"rendered":"

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