The development of decision-making support tools for elderly patients and their families in Japan: for better end-of-life care in the longevity society

日本的一些医学协会已经发布了临终关怀指南，包括日本老年病学会和日本透析治疗学会。我们为老年患者及其家属创建了两个笔记本型工具，以支持他们在需要考虑AHN（人工水合营养）或透析治疗时的决策过程。这些工具包括与AHN或透析治疗相关的信息，以及与AHN或透析治疗的保留和退出相关的信息。这些工具引导患者和家属写下患者的价值观和信念，以及他们的叙述信息，以便他们根据叙述做出决定。我们的目标是促进患者及其家属、医生和护理提供者之间的共同决策。

Some medical associations in Japan have issued end-of-life care guidelines including the Japan Geriatrics Society and the Japanese Society for Dialysis Therapy. We have created two notebook-type tools for elderly patients and their families to support their decision-making process when they need to consider AHN (artificial hydration and nutrition) or dialysis therapy. The tools include information related to AHN or dialysis therapy as well as those related to withholding and withdrawal of AHN or dialysis therapy. The tools guide patients and their families to write down the patients values and beliefs together with their narrative information so that they make a decision based on the narrative. We aim to promote shared decision-making among patients and their families and physicians and care providers.