Was passiert, wenn man selbst nicht mehr in der Lage ist, über medizinische Behandlungen
zu entscheiden? Das Konzept des Advance Care Planning (ACP) ist ein vorausschauender
und stetig reflexiver Gesprächsprozess in Bezug auf Präferenzen für zukünftige Behandlungsmaßnahmen.
In Deutschland wurde das Konzept „Behandlung im Voraus planen“ (BVP) eingeführt. Der
Beitrag beschäftigt sich mit den einzelnen Themenbereichen und der erfolgreichen Implementierung.
Abstract
What happens when you are no longer able to make medical decisions yourself? The constant
increase in the number of people in need of care has led to the concept of advance
care planning (ACP). This is a forward-looking, ongoing, and constantly reflective
process of discussion regarding preferences and values for future medical and nursing
treatments. ACP can sustainably improve the medical and nursing landscape as well
as psychosocial care, so that people are treated according to their wishes, even if
they can no longer be asked about their treatment wishes. The implementation strategy
is dependent on this, as presented in studies. This also includes the financial support
of such implementation projects, because only the talks alone, which are exclusively
refinanced by §132g SGB V, do not lead to a cultural change regarding the importance
of self-determination and dealing with living wills, as well as an improvement in
treatment, care, and support for people in the health system.
Schlüsselwörter
Vorsorgeplanung - Palliativmedizin - Advance Care Planning - Behandlung im Voraus
Planen (BVP) - Einwilligungsunfähigkeit
Keywords
retirement planning - palliative medicine - Plan Treatment Ahead (BVP) - inability
to consent