beperkt beleid
English translation: treatment-limitation policy; decision of withholding treatment
| GLOSSARY ENTRY (DERIVED FROM QUESTION BELOW) | ||||||
|---|---|---|---|---|---|---|
|
| 10:27 Jan 31, 2019 |
| Dutch to English translations [PRO] Medical - Medical (general) | |||||||
|---|---|---|---|---|---|---|---|
|
| ||||||
|  Selected response from: Kitty Brussaard Netherlands Local time: 10:08 | ||||||
Grading comment
| |||||||
| Summary of answers provided | ||||
|---|---|---|---|---|
| 3 | limited-treatment policy |
| ||
| 3 | advance decision |
|
| Summary of reference entries provided | |||
|---|---|---|---|
|
| Discussion entries: 6 | |
|---|---|
Answers
1 hr confidence: 
limited-treatment policy Explanation: Or 'limited-treatment plan' if this works better in your context. Limited-treatment policies in long-term care facilities. Two-thirds of the long-term care facilities in Minnesota accept do-not resuscitate (DNR) orders and 73% accept care plans to limit medical treatment. The major objectives for limited-treatment plans cited by the 16.3% of facilities with administrative protocols for such plans was to provide for the resident's physical and emotional comfort and dignity. Nearly half of the protocols said limited treatment plans were intended to limit emergency care or hospitalization or to allow death to occur. Protocols advocated the alleviation of physical discomfort, anxiety, and social isolation. Tube feedings were not recommended when oral feeding became impossible. Airway suctioning, oxygen, or antibiotic treatment was suggested only as needed to alleviate suffering. Only a fourth of the protocols described a primary role for the resident in these decisions. This study demonstrates that nursing homes are developing administrative protocols for the formulation of limited-treatment plans and suggests that model policy statements describing key decision making principles, issues, and procedural safeguards could play a constructive role in this process. https://www.ncbi.nlm.nih.gov/pubmed/4045088 |
| |||||||||||||||||||||
Grading comment
| ||||||||||||||||||||||
Notes to answerer
| ||||||||||||||||||||||
2 days 8 hrs confidence:
| ||||||||||||||||||||||
5 hrs peer agreement (net): +1 |
| Reference Reference information: beperkt beleid/beperkt behandelbeleid - beleid met behandelbeperkingen Behandelbeperking ‘to do or not to do’ Waarom een behandelbeperking? – De behandeling is medisch zinloos – De best haalbare uitkomst met de behandeling is voor de patiënt niet aanvaardbaar – De patiënt wil niet dat bepaalde behandelingen toegepast worden Wat is een behandelbeperking? • Omschreven behandeling welke niet zal worden toegepast, gesteld door de patiënt en/of de arts •Voorbeelden zijn: – niet reanimeren - niet beademen – niet naar de IC of CCU - niet opereren – geen bloed(producten) - geen antibiotica – geen sondevoeding - geen dialyse – geen cardiostimulantia Wanneer een behandelbeperking? • Poliklinisch – op initiatief van de patiënt – of van de behandelend arts • Klinisch – op de eerste dag van opname binnen 4 uur na opname – bij wijziging in gezondheidstoestand Wat houdt de behandelbeperking in? • Code A Geen behandelbeperkingen • Code B Keuze behandelbeperkingen zie formulier • Code C Palliatieve Sedatie alleen behandeling die symptomen verlicht FORMULIER BEHANDELBEPERKINGEN https://www.martiniziekenhuis.nl/Documents/Presentaties nasc... Gesprekken over behandelbeperkingen Het elektronisch patiëntendossier (epd) vermeldde een ‘volledig beleid’ voor patiënte, dat wil zeggen: er waren geen beperkingen wat betreft behandelingen en reanimatie. Wanneer een goed geïnformeerde patiënt een beperkt behandelbeleid of geen reanimatie wil, is deze wens leidend. Als een arts besluit tot een beperkt beleid op medische gronden, is dat leidend, omdat dan de inschatting is gemaakt dat verder behandelen of reanimeren geen reële slagingskans heeft of dat de belasting voor de patiënt en alle bijkomende schade niet opwegen tegen de kans op overleving. https://www.ntvg.nl/artikelen/grenzen-aan-medische-behandeli... -------------------------------------------------- Note added at 6 hrs (2019-01-31 16:42:42 GMT) -------------------------------------------------- Withholding Treatment Definition: Withholding or withdrawal of a particular treatment or treatments, often (but not necessarily) life-prolonging treatment, from a patient or from a research subject as part of a research protocol. The concept is differentiated from REFUSAL TO TREAT, where the emphasis is on the health professional's or health facility's refusal to treat a patient or group of patients when the patient or the patient's representative requests treatment. Withholding of life-prolonging treatment is usually indexed only with EUTHANASIA, PASSIVE, unless the distinction between withholding and withdrawing treatment, or the issue of withholding palliative rather than curative treatment, is discussed. http://www.reference.md/files/D028/mD028761.html -------------------------------------------------- Note added at 6 hrs (2019-01-31 16:51:38 GMT) -------------------------------------------------- Explaining Withholding Treatment, Withdrawing Treatment, and Palliative Sedation Withholding treatment and withdrawing treatment Traditionally, medicine has been focused on extending life. However as death approaches, extending life may not be in the best interests of the patient. A number of treatments and interventions can artificially extend life at end of life: certain medications, artificial nutrition, treatments such as dialysis, transfusions, radiation, and ventilation for breathing. It is important that patients and families understand the intent and possible risks or benefits of the care they are receiving. In Canada, people with advanced illness, or their substitute decision-makers, who are properly informed and able to make health care decisions can stop or decline treatment, even if that treatment might prolong life. While withholding treatment and withdrawing treatment refer to actions taken by health care providers, the actual decision to decline or discontinue treatment rests with the patient or the patient’s family or substitute decision-maker. Declining or discontinuing treatments that artificially extend life doesn’t mean that symptom control such as pain management and emotional support stop. Care and treatment focused on maintaining comfort continue, allowing the person to die naturally from the disease. http://www.virtualhospice.ca/en_US/Main Site Navigation/Home... -------------------------------------------------- Note added at 6 hrs (2019-01-31 17:07:37 GMT) -------------------------------------------------- Limitation of Treatment: Medical situations where a clear decision to limit certain types of treatment has been made. These decisions are made by the doctor and the decision may be based on whether a treatment is likely to be medically beneficial to the patient, or the decision may be made by a fully informed patient (or the MEPOA if the patient is not competent) who has decided to forgo certain treatments. The decision to limit specific treatments does not affect other care, including provision of appropriate palliative care. https://www.safetyandquality.gov.au/wp-content/uploads/2012/... |
| |
| Login to enter a peer comment (or grade) | ||
Login or register (free and only takes a few minutes) to participate in this question.
You will also have access to many other tools and opportunities designed for those who have language-related jobs (or are passionate about them). Participation is free and the site has a strict confidentiality policy.
KudoZ™ translation help
The KudoZ network provides a framework for translators and others to assist each other with translations or explanations of terms and short phrases.
See also:
Search millions of term translations
Your current localization setting
English
Select a language
Close search