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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 />

47

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