Sweden
health Care shortcomings when it comes to involving patients in decisions about life-sustaining treatment, writes Dagens Medicin. A woman got through her journal to know that there is no attempt to start her heart would be done at a cardiac arrest.
Karolinska university hospital. Arkivbild.
the Doctor should not make the decision not to initiate life-sustaining treatment without involving the patient, both under the Board’s regulations and the profession’s own ethical guidelines.
Comprehensive statistics are lacking, but through the notifications can the newspaper say that it still happened. The magazine has taken some of the seven cases from the Inspection for health care (IVO) from the past few years where patients have been dissatisfied with the information and decisions about life-sustaining treatment. In several of the cases addressed IVO criticism of the health care provider.
At the Karolinska university hospital requested Åsa Millqvist, nurse and lungcancerpatient, out of his own journal. That’s when she noticed: If the heart stopped, she would not be revived.
” I was completely shocked and scared. Dare I go to the emergency room again if I would get shortness of breath? I felt so terribly violated. We have had dialogues that I have a deadly disease, but here decided the doctor over my and my husband’s heads about life and death, ” she says to Dagens Medicin.
“the doctor Had asked, I had said that, yes, I want to be refreshed, but not placed on a ventilator,” she says.
At the Karolinska does not want to answer questions about individual cases.
the medical director Torbjörn Söderström says that the national patient survey of patient shows that all hospitals have challenges in terms of information and participation, and to the Karolinska does not stand out.
” We try to grind our routines, so that they are easy to follow. We need to have good strategies in order to find out if the patient has understood the information and want to be involved, ” he says to Dagens Medicin.
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