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Nihon Ronen Igakkai Zasshi. 2018;55(3):358-366. doi: 10.3143/geriatrics.55.358.

[The consciousness survey and the effect of educational intervention of Advance Care Planning (ACP) including post-mortem to elderly residents living in old New Town of big city].

[Article in Japanese]

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Graduate School of Medical Sciences, Nagoya City University.
Community Health Care Educational Research Center, Nagoya City University.
Choju Medical Institute, Fukushimura Hospital.
Department of Hygiene and Public Health, Teikyo Univesity School of Medicine.
e-Health Lab., Nagoya Institute of Technology.
Graduate School of Pharmaceutical Sciences, Nagoya City University.
Nagoya City University, Medical School.
Graduate School of Nursing, Nagoya City University.



Awareness reform aims to enable survival in an aging society, and ultimately, improve healthcare. An ideal way to achieve this is by implementing Advance directive (Ad) and Advance Care Planning (ACP), which do not usually include postmortem events. This study aims to create opportunities for Ad and ACP to include the postmortem period as a trigger for this awareness reform.


We conducted an Ad/ACP enlightenment lecture, and a questionnaire survey pre- and post-lecture for the elderly in old New Town, which is known for its aging society. The questionnaire comprised 38 multiple-choice questions covering 6 themes assuming an advanced state of dementia.


There were 35 participants (7 men and 22 women) aged 40-89 years. Several people left during the lecture, making it difficult to capture the precise transformation effect with regard to changing of mind. However, the effect of enlightenment was identified as a result of the consciousness survey. A statistically significant change in consciousness occurred in response to social contribution after death. Furthermore, notably more people wanted emergency transportation compared to those wanting resuscitation and extension of life.


The medical treatment desired might vary over time. Even the desire for life extension may differ significantly among individuals. This survey indicated a divergent view between the general public and medical staff, regarding a series of medical actions. We must persistently promote opportunities for enlightenment in cooperation with the general public (i.e., the communities and families we serve).


Ad including postmortem; Advance Care Planning (ACP); Advance directive (Ad); Autopsy/Donation; Personal Health Record (PHR)

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