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Susanne Jöbges, Jochen Dutzmann, Iris Barndt

    Anasthesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
    |January 8, 2024
    PubMed
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    The German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) Ethics Section provides process recommendations for ethical decision-making in intensive care. These guidelines ensure structured care for critically ill patients, emphasizing communication and support services.

    Area of Science:

    • Medical Ethics
    • Intensive Care Medicine
    • Healthcare Management

    Context:

    • Ethical decision-making in intensive care is complex.
    • Seriously ill patients require structured care protocols.
    • Existing frameworks may lack comprehensive ethical guidance.

    Purpose:

    • To establish process recommendations for ethically based decision-making in intensive care.
    • To provide a structured procedure for critically ill patients.
    • To outline necessary structures and expertise for ethical care.

    Summary:

    • The Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) offers process recommendations for ethical decision-making in intensive care.
    • These recommendations focus on creating a structured approach for seriously ill patients.

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  • Key elements include effective communication, palliative care expertise, ethical advisory committees, and psychosocial/spiritual support.

    • Impact:

    • Facilitates structured ethical decision-making in intensive care settings.
    • Promotes essential structures like communication, palliative care, and psychosocial support.
    • Offers external consultation and telemedicine options when internal resources are insufficient.