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Remote Death Certification Using Telemedicine in Japan

A 92-year-old woman diagnosed with dementia and end-stage gastric cancer received end-of-life care on the island where she lived. Informed consent concerning remote death certification based on the Japanese government's guidelines was obtained from a family member in case a physician was unavai...

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Detalles Bibliográficos
Autores principales: Sugiyama, Kemmyo, Yanaka, Shintaro, Yasuda, Toshiaki, Watanabe, Takashi, Yamashiro, Akira, Narita, Junichi, Tomoda, Akio, Sohtome, Isamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107988/
https://www.ncbi.nlm.nih.gov/pubmed/34511563
http://dx.doi.org/10.2169/internalmedicine.6588-20
Descripción
Sumario:A 92-year-old woman diagnosed with dementia and end-stage gastric cancer received end-of-life care on the island where she lived. Informed consent concerning remote death certification based on the Japanese government's guidelines was obtained from a family member in case a physician was unavailable. A physical examination after cardiopulmonary arrest was conducted, supported by telemedicine and a well-trained registered nurse under remote supervision of the physician who last saw the deceased directly. Death certification was provided accordingly. To our knowledge, this was the first case of remote death certification using telemedicine in Japan.