[Clinical Ethics in Stroke].

In stroke, due to sudden onset, the patient's premorbid wishes cannot be confirmed in most cases. Specific guidelines for decisions regarding continuing treatment and care have not been established in cases where the patient's condition becomes irreversible due to a severe stroke, and decisions are left to the staff at the clinical site, except, until recently, in legally determined brain death cases assuming organ donation. The Japan Stroke Society has established "Guidelines for end-of-life care in stroke" for the purpose of supporting decision-making for treatment and care by the medical team at the clinical site.