Patient's order Unfortunately this specification of service has not yet been completely translated.
Doctor and patient work together during the treatment: The doctor determines what is medically indicated, clarifies the patient and offers her/or her treatment. The patient decides whether he/she consents to this treatment. Against the will of the patient, the doctor may not treat. This also applies to life-sustaining and life-extending measures. But even if the patient is no longer able to give consent, you/his right to self-determination dictates that his/her wishes be respected. If there is no clear, pre-determined expression of the patient's will, his/her representative (precautionary representative or caregiver) must decide according to the "presumed patient's will". It is clear that it can be very difficult to establish the presumed will of another. Therefore, you should deal with these questions in good time and try to understand your own values and desires. With a patient's decree, you can take precautions and decide for yourself whether and which medical measures should be carried out when you are no longer able to make decisions. Consent-enabled adult sanities can specify in advance in a written patient order whether and how they want to receive medical treatment later if they can no longer express their will themselves. Consent is possible to understand the nature, significance, scope and risks of a medical measure and its rejection and to align its will with it. The content of the patient's order refers to specific situations and provisions on medical treatment measures. These include, for example, health studies, medical treatments or medical interventions. The more precise the provisions are made, the better they can be done according to the will of the patient. It is possible to request, restrict or reject treatments altogether. In order to ensure that a patient's order can be interpreted according to your will even in the case of unspecified treatment measures, it should also include individual wishes and values. The order must be made in writing and signed by a handwritten signature or by a hand sign certified by a notary. Note: In the event of a decision-making incapacity, close relatives and confidants, such as spouses, siblings, children or life partners, can only make decisions regarding examination, care or treatment in spite of existing patient orders if they have a power of attorney. It is not clear from the patient's order which person should make decisions in your place or enforce your pre-made decisions. This is a key difference to the power of attorney or care order. The patient's order is only intended to translate your will into predetermined medical treatment methods. In the case of a preventive power of attorney, on the other hand, it is decreed who, as the agent, should make medical or other orders on your behalf. However, you can combine the patient's order and a preventive power of attorney by determining in your preventive power of attorney which person should enforce and observe the patient order you have made. Patient order and preventive power of attorney therefore complement each other and can therefore be created side by side. You have the option to register your patient's order in conjunction with a preventive power of attorney with the Central Precautionary Register. It is advisable to keep the patient's order in such a way that the doctor, the representative, the caregiver and the care court can quickly and easily become aware of the existence and place of storage of the injunction. For this purpose, it makes sense to always carry a corresponding notice with you, preferably with your identity documents. See also