Bei Verlust der Einwilligungsfähigkeit und damit der Möglichkeit, den eigenen Willen
selbst rechtsgültig zu erklären, sieht das Gesetz eine fremdbestimmende Vertretung
für den Patienten vor. Deren Ausgestaltung kann präventiv beeinflusst werden, wozu
den Betroffenen drei Optionen an die Hand gegeben sind. Der Beitrag bietet eine praxisorientierte
Übersicht zur adäquaten Vorsorge und fasst die Voraussetzungen aus juristischer Perspektive
prägnant zusammen.
Abstract
In the event of the loss of the ability to give consent and thus the possibility of
legally validating one’s own will, the law regularly provides for a mandatory third-party
representation for the patient. However, their design can be influenced preventively,
for which purpose those affected are given three options. These options are: patient’s
decree, health Power of Attorney, guardianship order. The patient’s decree makes content
related specifications as to which medical interventions are accepted or not accepted
in which illnesses. Health Power of Attorney authorizes another person to make the
necessary treatment decisions on behalf of the patient and guardianship order relates
solely to the case of a possible guardianship appointment by the guardianship court.
The written form of the advance directives forms an objective basis for mutual control
of future decision-makers in the event of questions of interpretation. Absolute certainty
that the current will of the patient corresponds to the future and that it is reliably
determined and implemented in the decision-making situation is not possible. Nevertheless,
the task is to come as close as possible to this ideal image in clinical reality.
Schlüsselwörter
Vorsorgeplanung - rechtlicher Hintergrund - Patientenverfügung - Gesundheitsvollmacht
- Betreuungsverfügung - Notvertretungsrecht
Keywords
pension planning - legal background - living will - health power of attorney - care
directive - emergency representation right