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Tijdschrift voor Gerontologie en Geriatrie

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01-10-2007 | Artikel

Implementatie van niet-reanimeerbeleid op afdelingen acute geriatrie van Vlaamse ziekenhuizen in 2002 nog niet voltooid

Auteurs: C. De Gendt, J. Bilsen, R. Vander Stichele, M. Lambert, N. Van Den Noortgate, L. Deliens

Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie | Uitgave 5/2007

Abstract

Do-Not-Resuscitate Policy on Acute Geriatric Wards in Flanders, Belgium. This study describes the historical development and status of a do-not-resuscitate (DNR) policy on acute geriatric wards in Flanders, Belgium. In 2002 (the year Belgium voted a law on euthanasia), a structured mail questionnaire was sent to all head geriatricians of acute geriatric wards in Flanders (N=94). Respondents were asked about the existence, development, and implementation of the DNR policy (guidelines and order forms).

The response was 76.6%. Development of DNR policy began in 1985, with a step-up in 1997 and 2001. In 2002, a DNR policy was available in 86.1% of geriatric wards, predominantly with institutional DNR guidelines and individual, patient-specific DNR order forms. The policy was initiated and developed predominantly from an institutional perspective by the hospital. The forms were not standardized and generally lacked room to document patient involvement in the decision making process.

Implementation of institutional DNR guidelines and individual DNR order forms on geriatric wards in Flanders lagged behind that of other countries and was still incomplete in 2002. DNR policies varied in content and scope and were predominantly an expression of institutional defensive attitudes rather than a tool to promote patient involvement in DNR and other end-of-life decisions.

Tijdschr Gerontol Geriatr 2007; 38: 246-254

vorige artikel Geheugenpoli’s in Nederland: Ontwikkelingen sinds 1998

volgende artikel De verpleeghuisarts in consult: een te weinig benutte toegevoegde waarde

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Titel: Implementatie van niet-reanimeerbeleid op afdelingen acute geriatrie van Vlaamse ziekenhuizen in 2002 nog niet voltooid
Auteurs: C. De Gendt
J. Bilsen
R. Vander Stichele
M. Lambert
N. Van Den Noortgate
L. Deliens
Publicatiedatum: 01-10-2007
Uitgeverij: Bohn Stafleu van Loghum
Gepubliceerd in: Tijdschrift voor Gerontologie en Geriatrie / Uitgave 5/2007
Print ISSN: 0167-9228
Elektronisch ISSN: 1875-6832
DOI: https://doi.org/10.1007/BF03074855

Bohn Stafleu van Loghum

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