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Purpose: We undertook this study to find out the recognitions of termina l cancer patients and doctors about advance directives (ADs), of how they would do in non-response medical conditions and whether ADs could be one of medical options for their dying with dignity. Methods: One hundred thirty four cancer patients in the Hospice Unit, St. Vincent's Hospital, and 97 medical doctors in the Department of Internal Medicine, Catholic Medical Center, were asked about ADs, including Do-Not-Resuscit ate (DNR), medical power of attorney, living will and medical options. Results: One hundred thirty patients (97%) and 38 doctors (39.2%) were u nfamiliar with ADs, however, 128 patients (95.5%), 95 doctors (97.9%) agr eed with it. Seventy nine patients (59.0%) and 96 doctors (99.0%) wanted DNR rather then intensive treatments if they were in non-response medical conditions. Eighty four patients (62.7%) and 75 doctors (77.3%) were agreea ble to medical power of attorney. One hundred Thirty four patients (100.0%) and 94 doctors (96.9%) did not wa nt medical options to be in terminal conditions, and hoped to die in peace. Conclusion: Most of patients did not know about ADs and how to make it. However, they showed positive attitudes about it. If we advertise it properly, it is highly likely that a large number of cancer patients would make their living wills easily by ADs. Nevertheless, many legal and ethical problems have to be solved. Doctors should engage their patients in an ongoin g communication about the end-of-life. Therefore, let the patients have opportunities to plan their own deaths. (Korean J Hosp Palliat Care 2009;12:20-26)Key Words: Advance directives, DNR, Dying with dignity              ㆍ              . ,               .                  ,           .              ‘ ’

Recognition of Advance Directives by Advanced Cancer Patients and Medical Doctors in Hospice Care Ward