ArticleDeutsche medizinische Wochenschrift (1946)2021
[Living wills of residents in nursing homes - which treatment situations and treatment measures are decreed?]
Article in Deutsche medizinische Wochenschrift (1946), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- [Palliative extubation after ROSC in the emergency setting-a guideline for emergency physicians].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2026Guideline
- Care Consistency With Care Preferences in Nursing Homes: A Cluster-Randomized Study of the Effects of an Advance Care Planning Program (BEVOR).Deutsches Arzteblatt international · 2025Trial
- Measuring patients' medical treatment preferences in advance care planning: development and validation of the Treat-Me-ACP instrument - a secondary analysis of a cluster-randomized controlled trial.BMC palliative care · 2024Trial
- A normativity mapping review on end-of-life care in long-term care institutions by authors from Germany, Austria, and Switzerland.Medicine, health care, and philosophy · 2025Review
- [Familiarity with and Dissemination of Advance Directives in Germany: Results of a Representative Survey of the General Population].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024Article
- [Knowledge and misconceptions on advance directives-results of a citizen survey].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2023Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe possibility of using a living will to influence later treatment in the event of incapacity to consent is nowadays an important element in safeguarding patients' autonomy at the end of life. Refusing or consenting treatment measures in advance of treatment is of particular importance for nursing home residents, not only against the background of the COVID-19 pandemic.
methodsWe conducted a survey of all resident-documents in 13 nursing homes of different sizes and service providers in the city and district of Wuerzburg. The documents were analysed according to a deductive-inductive procedure using categorical summaries and descriptive frequency counts.
resultsIn 265 recorded living wills, 2072 treatment situations and 1673 treatment measures could be identified. Residents largely agree to symptom-relieving and nursing measures and often reject life-prolonging or life-substaining treatment measures, the latter mostly being limited to specific, defined situations. The reference to certain treatment situations regarding resuscitation attempts, both in the form of refusal and consent, was identified in 88.6 % of the living wills. 62 % of the living wills could be assigned to a template. DISCUSSION: The study provides information about the content of living wills of nursing home residents. It thus provides information on medical treatment preferences in the case of incapacity to consent and shows that treatment measures (including resuscitation) are mostly related to specific treatment situations.
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