CHECK OST#2
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prevention<br />
cidentally, this has to be formulated precisely,<br />
because there are also situations that are not<br />
irreversible – and from which one naturally<br />
wants to be rescued.<br />
Speaking of precise formulation: not long<br />
ago the Federal Court of Justice ruled that<br />
such an order can be ineffective if it is not<br />
unambiguous...<br />
This makes the following piece of advice all<br />
the more important: a formulation like "If I do<br />
not feel very well and I am in a lot of pain, ,no<br />
measures should be taken to save me" is too<br />
vague to decide which or if any life-support<br />
measures can be used. Instead, circumstances<br />
should be clearly formulated, for example:<br />
“when I have irreversible brain damage” or<br />
“when I am mentally no longer able to express<br />
myself clearly”. The more concrete and personal<br />
you phrase it, the more likely it is to be of<br />
help to the doctors, paramedics, or authorized<br />
representatives.<br />
Does it make sense to get support from a third<br />
party before formulating a living will?<br />
Of course, it is good to first exchange ideas<br />
with relatives or friends. You have to think carefully<br />
about who you want to consult because<br />
they will ultimately be the ones responsible<br />
for seeking contact with doctors in the event<br />
of a crisis, enforcing your interests and ultimately<br />
determining your fate.<br />
Where do I deposit such a ruling?<br />
The original document should be kept at home.<br />
It is helpful to leave a copy with the attending<br />
physician or the appointed representative. You<br />
can also put a corresponding piece of information<br />
in your wallet, because nurses like to take<br />
a look at this when they take in an accident<br />
victim, for example.<br />
How do I write such a document?<br />
In theory, you can write this on a piece of paper<br />
and sign it. However, many municipalities,<br />
such as the care center of the state capital<br />
Munich, provide forms that are easier to use. In<br />
more complex contexts, I recommend a notary.<br />
So, whether living wills, authority or bank powers<br />
of attorney – creating these documents<br />
can be of vital importance.<br />
And by the way, not only towards the end of<br />
life. It may be that I am not quite seriously ill,<br />
but there is something that is preventing me<br />
from doing my business in the long term. Then<br />
it is important that there is someone I trust<br />
who can handle communication with offices,<br />
authorities or insurance companies and who<br />
can do the banking. My tip: when it comes to<br />
money or material assets, you should also<br />
regulate how extensive the third person's<br />
access to your own finances can be.<br />
And what happens if there is no disposition or<br />
power of attorney?<br />
Then the legal regulations and the doctor's<br />
work order take effect. Without a written formulation,<br />
relatives, life partners or friends can<br />
give indications as to what the patient would<br />
have wanted. Nevertheless, the final decision<br />
rests with the attending physician. Yet with<br />
some documents such as a patient’s will, that<br />
can all be avoided.<br />
Interview and photo: Bernd Müller<br />
andrea.brunner@muenchner-aidshilfe.de<br />
www.muenchen.de/betreuungsstelle<br />
<strong>CHECK</strong> OST #2<br />
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