[Do advance directives facilitate the process of dying in dignity?]

The benefit of an advance directive was evaluated by written questionnaires and personal interviews with relatives, nurses and physicians of recently deceased patients. The results indicate that a written advance directive is less important than ongoing communication between relatives or a designated person of trust, physicians and nurses. A standard advance directive however is helpful to initiate the discussion about the last will of a person. A further result of this survey is, that physicians and nurses do not feel confident in decision making regarding treatment and care of the dying. A written advance directive or a designated person of trust helping decisions making in the presumptive will of the patient, is seen as helpful.