Publications by authors named "H Burchardi"
The process recommendations of the Ethics Section of the German Interdisciplinary Association for Intensive Care and Emergency Medicine (DIVI) for ethically based decision-making in intensive care medicine are intended to create the framework for a structured procedure for seriously ill patients in intensive care. The processes require appropriate structures, e.g.
View Article and Find Full Text PDF[Overtreatment in intensive care medicine-recognition, designation, and avoidance : Position paper of the Ethics Section of the DIVI and the Ethics section of the DGIIN].
Med Klin Intensivmed Notfmed
May 2021
Article Synopsis
- The German health care system faces issues of overtreatment, undertreatment, and incorrect treatment, which can negatively impact patients, families, and society.
- Overtreatment includes unnecessary medical interventions that don't improve health outcomes and may even cause harm, prompting the need for a better understanding of its causes in intensive care.
- Recommendations for addressing overtreatment involve reevaluating treatment goals within care teams, fostering a patient-centered approach, reforming healthcare financing, promoting interprofessional cooperation, and encouraging public discussion about the issue.
Article Synopsis
- People in Germany want to change how hospitals are planned and paid for to make healthcare better in the future.
- Recent changes have been made to emergency services and nursing rules, calling for bigger reforms in hospital care.
- A group of medical experts suggests five main ideas to improve hospitals, like seeing them as a public service and improving how they are funded and organized.
Background And Challenge: Injuries, especially traumatic brain injury, or specific illnesses and their respective sequelae can result in the demise of the patients afflicted despite all efforts of modern intensive care medicine. If in principle organ donation is an option after a patient's death, intensive therapeutic measures are regularly required in order to maintain the homeostasis of the organs. These measures, however, cannot benefit the patient afflicted anymore-which in turn might lead to an ethical conflict between dignified palliative care for him/her and expanded intensive treatment to facilitate organ donation for others, especially if the patient has opted for the limitation of life-sustaining therapies in an advance directive.
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