1 Purpose and objective

In the hospital, the procedure should be regulated for
- Patients who want to rule out blood transfusions for every case
- Patients who refuse resuscitation measures
- Special features of end-of-life care

Recording pain and its treatment, especially at the end of life
- Organ transplants
- Organ donation
- Respecting the patient's attitude towards autopsy
A procedure is to be set up in the event of differences of opinion or objections to measures in order to achieve immediate clarification in these cases.

The procedural instructions should summarise which precautionary measures may be used to restrict patients' rights, when, by whom and to what extent, and how they are restored when there is no longer any reason to do so. It should regulate, for example, how to proceed in an emergency that leaves no time for information and consent. Appropriate safeguards should be put in place for patients who are unconscious, confused, incapacitated, in disagreement with their legal representatives or if the reasons for a measure cannot be fully explained to the patient or the patient is not aware of the reasons (cancer).
It regulates when the hospital assumes special protective tasks for patients in dangerous life situations in which even adults cannot take care of themselves. Such conditions may arise, for example, in cases of drug and alcohol abuse, neglect, maltreatment, abuse and exploitation.

2 Scope of application

3 Description

4 Risks and opportunities

5 Documentation

6 Resources

7 Responsibilities

8 Notes and comments

9 Applicable documents

9.1 Literature, regulations

§ SECTION 1906 BGB

9.2 Terms

10 plants

Attachments

Literature: Changing therapy goals and limiting therapy in intensive care medicine Position paper of the DIVI Ethics Section