Self-determination is the process of deliberately making one's own decisions about one's life and lifestyle from among several options. This is the process of recognizing one's own desires and powers, choosing the appropriate method, making decisions, and realizing one's own needs with various forms of support. This process is extremely individualized, influenced by each person's background.
In health care,(a) patientThe term "self-determination" is used to describe the process by which a patient receives a full explanation of the medical care he or she is to receive, understands, and agrees to receive, and then chooses and decides on the best method based on his or her own independent judgment, as well as to indicate self-management to maintain and improve his or her own health. The background to this emphasis on self-determination in medical care is a change from "omakase-medicine" and "patternalism-based medicine," in which everything is left to the physician, to "self-determination" and "self-decision" in which the patient is left to make decisions based on his/her own judgment,(a) patientrights, freedoms andself-controlThe underlying ethical principle or idea is to respect the right to
Nursing professionals are comfortable providing sufficient information, explaining and expressing their intentions while confirming the other person's understanding.environment(at sentence-end, falling tone) indicates a confident conclusionadjustmentThe company will respect the person's wishes and support self-determination by providing services such as the following.

References
(1) Takao Takahashi and Hideyuki Yahata (eds.): Whereabouts of Self-Determinism: From the Field of Philosophy, Law, and Medicine, Kyushu University Press, 2008.
(2) Japanese Society for Healthcare Behavioral Science (ed.): Annual Report of the Japanese Society for Healthcare Behavioral Science, Behavioral Science of Self-Determination, Medical Friend, 1996.
(3) E.L. Deci (Author) / Umeo Ishida (Translator): Psychology of Self-Determination: On the Key Concept of Internal Motivation, Seishinshobo, 1985.
4) Japan Nurses Association: Code of Ethics for Nurses, http://www.nurse.or.jp/nursing/practice/rinri/rinri.html