Beëindiging van chronische beademing in de thuissituatie: afstemming, organisatie en uitvoering

Mely M. van Malenstein; Nieske C. Heerema; Piet W. van Leeuwen; Erik J.A. Westermann; Mike J. Kampelmacher

Beëindiging van chronische beademing in de thuissituatie: afstemming, organisatie en uitvoering

Translated title of the contribution: Withdrawal of chronic mechanical ventilation at home: coordination, organisation and implementation

Mely M. van Malenstein, Nieske C. Heerema, Piet W. van Leeuwen, Erik J.A. Westermann, Mike J. Kampelmacher

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

In the Netherlands, an increasing number of patients are dependent on domiciliary ventilation. General practitioners and elderly care physicians caring for these patients are increasingly confronted with problems related to chronic ventilation. Most patients die due to progression of respiratory failure, however, patients may ask their physician to electively withdraw their assisted ventilation. According to the Dutch Medical Treatment Contracts Act, withdrawal of domiciliary ventilation at the request of a patient constitutes normal medical care and concerns neither the assessment of, nor the compliance with, a request for euthanasia. Currently, there is no Dutch guidance or guideline containing practical advice regarding the medical, ethical, organisational and supportive aspects of withdrawal of domiciliary ventilation. This paper addresses the planning necessary for the patient and between treating professionals, for the organisation and implementation of withdrawal of domiciliary ventilation at the patient's home, a nursing home or hospice.

Translated title of the contribution	Withdrawal of chronic mechanical ventilation at home: coordination, organisation and implementation
Original language	Dutch
Article number	D2767
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	162
Publication status	Published - 17 Dec 2018

Cite this

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abstract = "In the Netherlands, an increasing number of patients are dependent on domiciliary ventilation. General practitioners and elderly care physicians caring for these patients are increasingly confronted with problems related to chronic ventilation. Most patients die due to progression of respiratory failure, however, patients may ask their physician to electively withdraw their assisted ventilation. According to the Dutch Medical Treatment Contracts Act, withdrawal of domiciliary ventilation at the request of a patient constitutes normal medical care and concerns neither the assessment of, nor the compliance with, a request for euthanasia. Currently, there is no Dutch guidance or guideline containing practical advice regarding the medical, ethical, organisational and supportive aspects of withdrawal of domiciliary ventilation. This paper addresses the planning necessary for the patient and between treating professionals, for the organisation and implementation of withdrawal of domiciliary ventilation at the patient's home, a nursing home or hospice.",

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AB - In the Netherlands, an increasing number of patients are dependent on domiciliary ventilation. General practitioners and elderly care physicians caring for these patients are increasingly confronted with problems related to chronic ventilation. Most patients die due to progression of respiratory failure, however, patients may ask their physician to electively withdraw their assisted ventilation. According to the Dutch Medical Treatment Contracts Act, withdrawal of domiciliary ventilation at the request of a patient constitutes normal medical care and concerns neither the assessment of, nor the compliance with, a request for euthanasia. Currently, there is no Dutch guidance or guideline containing practical advice regarding the medical, ethical, organisational and supportive aspects of withdrawal of domiciliary ventilation. This paper addresses the planning necessary for the patient and between treating professionals, for the organisation and implementation of withdrawal of domiciliary ventilation at the patient's home, a nursing home or hospice.

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Beëindiging van chronische beademing in de thuissituatie: afstemming, organisatie en uitvoering

Abstract

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