Consent and mutual understanding

All measures should be taken in mutual understanding with the patient. If the patient forbids a treatment or a measure, another form of care should be agreed on. However, the patient may choose to forbid all treatment.

In minor treatments, the fact that the patient has seeked medical attention can be taken as a consent. In most cases, the patients should be asked for a consent.

When dealing with confidential patient information, the staff must make sure information is not released to outsiders. If the patient wishes not to be informed on his/her own treatment, no information should be released.

If the patient cannot give the consent because of unconsciousness, care which may be required to avert a threat to the patient's life or health is provided. If the patient has a living will and there is no need to doubt that the will is outdated or that the patient has changed their mind, the will must be complied with.

However, the patient may choose to have a living will specifically stating that confidential patient information protected by the living will may be released in case he/she needs immediate care but cannot give the consent because of unconsciousness, for example. Under unclear conditions, the nursing staff discusses the case with close family members of the patient.

When treating incompetent patients, close family members are consulted.