Prehospital emergency physicians' experiences with advance directives in Germany: A questionnaire-based multicenter study

Minerva Anestesiologica

Volumn 77, Issue 2, 2011, Pages 172-179

  Wiese, C H R ^a   Bartels, U E ^b   Ruppert, D B ^c   Graf, B M ^a   Hanekop, G G ^d  

^a UNIVERSITY HOSPITAL REGENSBURG   (Germany)

^b UNIVERSITY HOSPITAL ULM   (Germany)

^c Department of Anesthesiology   (Germany)

^d UNIVERSITY MEDICAL CENTER GÖTTINGEN   (Germany)

Author keywords

Advance directives; Emergency medicine; Palliative care

Indexed keywords

ADULT; ARTICLE; CLINICAL EDUCATION; CLINICAL PROTOCOL; CONTROLLED STUDY; DISEASE SEVERITY; EMERGENCY CARE; EMERGENCY PHYSICIAN; ETHICAL DECISION MAKING; FEMALE; GERMANY; HUMAN; LIVING WILL; MALE; MEDICAL LIABILITY; OUTCOME ASSESSMENT; PALLIATIVE THERAPY; PHYSICIAN ATTITUDE; PROFESSIONAL COMPETENCE; PROFESSIONAL KNOWLEDGE; QUESTIONNAIRE; SKILL RETENTION; WORK EXPERIENCE;

ADULT; ADVANCE DIRECTIVE ADHERENCE; ADVANCE DIRECTIVES; EMERGENCY MEDICAL SERVICES; FEMALE; GERMANY; HUMANS; MALE; MIDDLE AGED; PALLIATIVE CARE; PHYSICIANS; QUESTIONNAIRES; TERMINAL CARE;

EID: 79953096104     PISSN: 03759393     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (37)

1. Rubulotta F, Rubulotta G, Santonocito C, Ferla L, Celestre C, Occhipinti G et al. End-of-life care is still a challenge for Italy. Minerva Anestesiol 2010;76: 203-8
2. Ensink FB, Bautz MT, Hanekop GG. Improvement of palliative outpatient treatment of terminally ill cancer patients- SUPPORT as example - The ethically preferable alternative to euthanasia. Anaesthesiol Intensivmed Notfallmed Schmerzther 2001;36:530-7.
3. Georges JJ, Onwuteaka-Philipsen BD, van der Heide A, van der Wal G, van der Maas PJ. Symptoms, treatment and "dying peacefully"in terminally ill cancer patients: a prospective study. Support Care Cancer 2005;13:160-8.
4. Barbera L, Paszat L, Chartier C. Indicators of poor quality end-of-life care in Ontario. J Palliat Care 2006;22:12-7.
5. Evans WG, Cutson TM, Steinhauser KE, Tulsky JA. Is there no place like home? Caregivers recall reasons for and experience upon transfer from home hospice into inpatient facilities. J Palliat Med 2006;9:100-10.
6. Wiese CH, Bartels U, Seidel N, Voßen-Wellmann A, Graf BM, Hanekop GG. Terminally ill cancer patients in emergency medical care. Anaesthesist 2006;55:955-7.
7. Wiese C, Bartels U, Ruppert D, Quintel M, Graf BM, Hanekop GG. Treatment of oncology patients in the final stadium of disease by prehospital emergency physicians. Anaesthesist 2007;56:133-40.
8. Wiese CH, Bartels U, Geyer A, Graf BM, Hanekop GG. Palliative and Emergency Medicine. Teamwork through communication. Notarzt 2007;23:90-4.
9. Dierks ML, Seidel G. Patients as partner. In: Härter M, Loh A, Spies C, editors. Effective treatment. Köln DeutscherÄrzte-Verlag, Auflage 2005:S35-4.
10. Loh A, Simon D, Kriston L, Härter M. Medical decisions. Dtsch Ärztebl 2007;104:A1483-8.
11. Salako SE. The declaration of Helsinki 2000: Ethical principles and the dignity of difference. Med Law 2006;25:341-54.
12. German Medical Council. German curricula in palliative and emergency medicine. German Medical Council 2007:S163 und S165.
13. Wiese CH, Bartels U, Geyer A, Duttge G, Graf BM, Hanekop GG. The Göttingen palliative emergency card: improvement of emergency medical care for ambulatory palliative care patients. The "yellow card" for rescue services. Dtsch Med Wschr 2008;120:217-23.
14. Bockenheimer-Lucius G. Unsecureness in dealing with advance directives. Ethik Med 2003;15:302-6.
15. Hennies G. Withdrawal of life-saving treatments. The function of the guardianship court in Germany. ArztRecht 2003;12:316-22.
16. Putz W, Steldinger B. Patients rights concerning end-of-life decisions. Beck-Rechtsberater im dtv. München: Deutscher Taschenbuchverlag; 2003.
17. Riedel U. Advance directives. Z Palliativmedizin 2005; 6:22.
18. Joppich R, Elsner F, Radbruch L. Treatment discontinuation and obligation to treat: An extended model for the decision-making process. Anaesthesist 2006;55:502-14.
19. Salomon F. Decision conflicts in Emergency Medicine. Anaesthesiol Intensivmed Notfallmed Schmerzther 2000;35:319-25.
20. Salomon F. Competence in palliative medicine for the emergency physician. Notfall Rettungsmed 2005;8:542-7.
21. Säuberlich G. Assistance in dying. Some consequences of living wills for the attending physician. Anaesthesist 1998;47:143-4.
22. Van Oorschot B, Simon A. Importance of the advance directive and the beginning of the dying process from the point of view of German doctors and judges dealing with guardianship matters: results of an empirical survey. J Med Ethics 2006;32:623-6.
23. Gerth MA, Kettler D, Mohr M. Advance directives in prehospital emergency medicine. Anaesthesiol Intensivmed Notfallmed Schmerzther 2005;40:743-9.
24. Thorevska N, Tilluckdharry L, Tickoo S, Havasi A, Amoateng-Adjepong Y, Manthous CA. Patients' understanding of advance directives and cardiopulmonary resuscitation. J Crit Care 2005;20:26-34.
25. Upadya A, Muralidharan V, Thorevska N, Amoateng-Adjepong Y, Manthous CA. Patient, physician, and family member understanding of living wills. Am J Respir Crit Care Med 2002;166:1430-5.
26. Bundesgerichtshof. Decisions from 17. März 2003- XII ZB2/03 (OLG Schleswig, AG Lübeck);BGH: Treatment discontinuation concerning end-of-life decisions. A Statement of the guardianship court. BGB §§ 1896, 1901, 1904. Z Lebensrecht 2003;2:50-60.
27. Marco CA. Ethical issues of resuscitation: an American perspective. Postgrad Med J 2005;81:608-12.
28. Ebell MH, Doukas DJ, Smith MA. The Do-Not-Resuscitation Order: A comparison of physician and patient preferences and decision. Am J. Med 1991;91:255-60.
29. Seckler AB, Meier DE, Mulvihill M, Paris BE. Substituted judgement: how accurate are proxy predictions? Ann Int Med 1991;115:743-5.
30. Marco CA, Bessman ES, Schoenfeld CN, Kelen GD. Ethical issues of cardiopulmonary resuscitation: current practice among emergency physicians. Acad Emerg Med 1997;4:898-904.
31. Marco CA, Shears RM. Prehospital resuscitation practices: a survey of prehospital providers. J Emerg Med 2003;24:101-6.
32. European Resuscitation Council. European Resuscitation Council Guidelines for Resuscitation 2005. Resuscitation 2005;67, S1:S1-S189.
33. Wenzel V, Russo S, Arntz HR, Bahr J, Baubin MR, Böttiger BW et al. European Resuscitation Council. The new 2005 resuscitation guidelines of the European Resuscitation Council: comments and supplements. Anaesthesist 2006;55:958-79.
34. Duttge G. Advance directives - Judical problems. Intensiv Notfallbehandlung 2005;30:171-8.
35. Lindner K, Ummenhofer W, Reiter-Theil S. Ethics training in prehospital emergency medicine. Notfall Rettungsmed 2007;10:211-5.
36. Wiese CH, Bartels U, Ruppert D, Marung H, Graf BM, Hanekop GG. Treatment of Palliative Emergencies by paramedics. Wien Klin Wochenschr 2008;120:539-46.
37. Wiese CH, Bartels UE, Ruppert D, Marung H, Luiz T, Graf BM, Hanekop GG. Treatment of palliative care emergencies by prehospital emergency physicians in Germany: an interview based investigation. Palliat Med. 2009;23:369-73.