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Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt?
Background The possibility of using a living will to influence later treatment in the event of incapacity to consent is nowadays an important element in safeguarding patients’ autonomy at the end of life. Refusing or consenting treatment measures in advance of treatment is of particular importance...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514265/ https://www.ncbi.nlm.nih.gov/pubmed/34544195 http://dx.doi.org/10.1055/a-1576-6894 |
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author | Klemmt, Malte Neuderth, Silke van Oorschot, Birgitt Henking, Tanja |
author_facet | Klemmt, Malte Neuderth, Silke van Oorschot, Birgitt Henking, Tanja |
author_sort | Klemmt, Malte |
collection | PubMed |
description | Background The possibility of using a living will to influence later treatment in the event of incapacity to consent is nowadays an important element in safeguarding patients’ autonomy at the end of life. Refusing or consenting treatment measures in advance of treatment is of particular importance for nursing home residents, not only against the background of the COVID-19 pandemic. Methods We conducted a survey of all resident-documents in 13 nursing homes of different sizes and service providers in the city and district of Wuerzburg. The documents were analysed according to a deductive-inductive procedure using categorical summaries and descriptive frequency counts. Results In 265 recorded living wills, 2072 treatment situations and 1673 treatment measures could be identified. Residents largely agree to symptom-relieving and nursing measures and often reject life-prolonging or life-substaining treatment measures, the latter mostly being limited to specific, defined situations. The reference to certain treatment situations regarding resuscitation attempts, both in the form of refusal and consent, was identified in 88.6 % of the living wills. 62 % of the living wills could be assigned to a template. Discussion The study provides information about the content of living wills of nursing home residents. It thus provides information on medical treatment preferences in the case of incapacity to consent and shows that treatment measures (including resuscitation) are mostly related to specific treatment situations. |
format | Online Article Text |
id | pubmed-8514265 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-85142652021-10-15 Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? Klemmt, Malte Neuderth, Silke van Oorschot, Birgitt Henking, Tanja Dtsch Med Wochenschr Background The possibility of using a living will to influence later treatment in the event of incapacity to consent is nowadays an important element in safeguarding patients’ autonomy at the end of life. Refusing or consenting treatment measures in advance of treatment is of particular importance for nursing home residents, not only against the background of the COVID-19 pandemic. Methods We conducted a survey of all resident-documents in 13 nursing homes of different sizes and service providers in the city and district of Wuerzburg. The documents were analysed according to a deductive-inductive procedure using categorical summaries and descriptive frequency counts. Results In 265 recorded living wills, 2072 treatment situations and 1673 treatment measures could be identified. Residents largely agree to symptom-relieving and nursing measures and often reject life-prolonging or life-substaining treatment measures, the latter mostly being limited to specific, defined situations. The reference to certain treatment situations regarding resuscitation attempts, both in the form of refusal and consent, was identified in 88.6 % of the living wills. 62 % of the living wills could be assigned to a template. Discussion The study provides information about the content of living wills of nursing home residents. It thus provides information on medical treatment preferences in the case of incapacity to consent and shows that treatment measures (including resuscitation) are mostly related to specific treatment situations. Georg Thieme Verlag KG 2021-09-20 /pmc/articles/PMC8514265/ /pubmed/34544195 http://dx.doi.org/10.1055/a-1576-6894 Text en The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Klemmt, Malte Neuderth, Silke van Oorschot, Birgitt Henking, Tanja Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? |
title | Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? |
title_full | Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? |
title_fullStr | Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? |
title_full_unstemmed | Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? |
title_short | Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen – welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt? |
title_sort | patientenverfügungen von bewohnenden in pflegeeinrichtungen – welche behandlungssituationen und behandlungsmaßnahmen werden vorausverfügt? |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8514265/ https://www.ncbi.nlm.nih.gov/pubmed/34544195 http://dx.doi.org/10.1055/a-1576-6894 |
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