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Dtsch Med Wochenschr 2023; 148(21): 1347-1351
DOI: 10.1055/a-1822-4939
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Vorsorgeplanung am Lebensende aus juristischer Sicht

Provision planning at the end of life from a legal point of view
Gunnar Duttge
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Bei Verlust der Einwilligungsfähigkeit und damit der Möglichkeit, den eigenen Willen selbst rechtsgültig zu erklären, sieht das Gesetz eine fremdbestimmende Vertretung für den Patienten vor. Deren Ausgestaltung kann präventiv beeinflusst werden, wozu den Betroffenen drei Optionen an die Hand gegeben sind. Der Beitrag bietet eine praxisorientierte Übersicht zur adäquaten Vorsorge und fasst die Voraussetzungen aus juristischer Perspektive prägnant zusammen.

Abstract

In the event of the loss of the ability to give consent and thus the possibility of legally validating one’s own will, the law regularly provides for a mandatory third-party representation for the patient. However, their design can be influenced preventively, for which purpose those affected are given three options. These options are: patient’s decree, health Power of Attorney, guardianship order. The patient’s decree makes content related specifications as to which medical interventions are accepted or not accepted in which illnesses. Health Power of Attorney authorizes another person to make the necessary treatment decisions on behalf of the patient and guardianship order relates solely to the case of a possible guardianship appointment by the guardianship court. The written form of the advance directives forms an objective basis for mutual control of future decision-makers in the event of questions of interpretation. Absolute certainty that the current will of the patient corresponds to the future and that it is reliably determined and implemented in the decision-making situation is not possible. Nevertheless, the task is to come as close as possible to this ideal image in clinical reality.

Schlüsselwörter

Vorsorgeplanung - rechtlicher Hintergrund - Patientenverfügung - Gesundheitsvollmacht - Betreuungsverfügung - Notvertretungsrecht

Keywords

pension planning - legal background - living will - health power of attorney - care directive - emergency representation right


Publication History

Article published online:
11 October 2023

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