Policy & Legislations

Life-Sustaining Treatment Plans

Site Information

How to verify the decisions on LST

STEP 1
Advance
Directives

Advance Directives on Life-sustaining Treatment

If there is an advance directive on life-sustaining treatment prepared in advance, the doctor in charge can verify the content of life-sustaining treatment with the patient. However, if the patient does not have the mental capacity, the doctor in charge and the medical specialist in the relevant field should verify the contents together.

if it is not verified?

STEP 2
Life-sustaining
Treatment Plan

Life-sustaining Treatment Plan

If the patient can express his or her intention, the patient shall prepare the life-sustaining treatment plan with the doctor in charge.

if it is not verified?

STEP 3
Statements of two
or more Family
Members of the
Patient

Statements of two or more Family Members of the Patient

If both the advance directive on life-sustaining treatment and life-sustaining treatment plan do not exist, and if the patient is not able to express his or her intention, two or more family members of the patient shall identically state the patient’s intention for the life-sustaining treatment, and the doctor in charge and the medical specialist in the relevant field verify the contents of the statements together.

Patient Family :The spouse of the patient, lineal descendants, and lineal ancestors are included who are 19 years or above. If no one falls under the category, siblings are included.

if it is not verified?

STEP 4
Unanimous
Consensus of the
Patient Family

Unanimous Consensus of the Patient Family

If all the cases above are impossible, all of the family members of the patient can come to a unanimous decision to withhold/withdraw life-sustaining treatment for the patient, which should be verified by the doctor and the medical specialist in the relevant field. If the patient is a minor, the person with parental rights can make the decision.

Scope of Family

  • ① Spouse, parents/children
  • ② If there is no one falling under ①, grandparents/grandchildren
  • ③ If there is no one falling under ① and ②, siblings are included(enforced on March 28, 2019)