[Living wills of residents in nursing homes - which treatment situations and treatment measures are decreed?] / Patientenverfügungen von Bewohnenden in Pflegeeinrichtungen welche Behandlungssituationen und Behandlungsmaßnahmen werden vorausverfügt?
Dtsch Med Wochenschr
; 146(20): e81-e87, 2021 10.
Article
em De
| MEDLINE
| ID: mdl-34544195
ABSTRACT
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 88.6â% of the living wills. 62â% 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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Testamentos Quanto à Vida
/
Casas de Saúde
Aspecto:
Ethics
Limite:
Humans
País/Região como assunto:
Europa
Idioma:
De
Revista:
Dtsch Med Wochenschr
Ano de publicação:
2021
Tipo de documento:
Article
País de publicação:
ALEMANHA
/
ALEMANIA
/
DE
/
DEUSTCHLAND
/
GERMANY