as t 100 and a deep breath in and out as of these black dish, them stand in the house. she's basically come home to die. that's the blunt way of putting as he does so both her and us. it's how pursuit auction i can use. we can enjoy the time we have left and it's nice having mama here again can be 1st lot of marketing. we all have to face this some time or rather, to be honest, so she doesn't bother me. honestly. yeah. maybe i'm the exception because i'm different. my mother, she, i'm just being older. i don't know how other people take it. temperature, i've no idea how others deal with knowing they are going to die in the next few days. i've ordered for life next for so i think it's all totally natural discounts . that's huge. yeah. so it's

a strange situation there perhaps for you more than me. but i don't my, my worry is that it happens late, not young enough. and she con 3 c a. m plus had them. i know nobody knows it. right. yeah, i can help her immediately as of practice. she oh, look forward to your voicemail, which i put in the potential hows of we want to ensure that all patients are doing well on how to make himself a breathing programs. i know nausea or vomiting any time and vendors mentioned on split come be help the home. yeah. and the only place is the clint annually clinic . yeah. and then learned about so how is of us, how you can be treated at home, and people stay at home done, and lab dimensions. so how's most problems can be resolved through simple medication me to come in and we only have 7 different medicines and our emergency box is on the front. but you can treat 20 problems that all patients often have sponsors basically giving instructions on the fine example of tabi. so how's the

noise in the tape of telephone is to move or i just okay, and if you have any problems get in touch. otherwise i'll see you again next week. cool. the best times the step ahead of the grim reaper. i still have a little time left. that's funny. i'm a visa. yeah. puts in. when did you see how much of patients who come home again tend to flourish? she's practically just been discharged from a hospital death bad, but you'd hardly say she looks like she's going to die and the next few days to have it on the country here. this week. she's dramatically improved on the about one out of to patient has no,

i die puts in. i deal with the to every day. so to the just the lights on minutes company, people at the end of their lives. date is a renaissance, be fulfilling occupation thing because you often managed a severe pain or breathing difficulties, this kind of cost icon safe. my patients' lives, a few of them are not, but for many of them, the total death is no longer the enemy. any sort of def, i managed to ensure that they have a painless processing system. that is a good thing. let's go to the 92 year old in a mountain, died a month later, at home, as she had wanted. but how can one ensure that you're the one who decides how you dine? the

we've heard from a former intensive care worker. she says she would never want to be recessive, stated the high a, hey, it's for the so you've taken steps to ensure that if the paramedic comes and you're unconscious, that you wouldn't be recessive, dated is that right? and whatever, you know, only if my heart keeps out when done. and when the paramedics arrives to say that it, that it is when the door closes, see that the close the screen stick a note, there's an emergency buckle that on the emergency. barclay's in the fridge, then, okay, then they go to the kitchen. and when they opened the door, you the best, the bottle, and what's in there. and the doors this and there's a document with lots of patient information in info. i'm not feeling this got you.

okay. and here, once he written in big red, let us do not for such a date. and why don't you want that by the i've seen too many things back when i was working a simple you mean you wouldn't want to be taken to the hospital then it was, i didn't want to go to hospital and i don't want to be put on a ventilator ok to life bike shapes the who knows how long it's always been for the bad. the 89 year old is familiar with the procedures on intensive care stations. is this does or does it have, do you have the feeling that just too much is done to keep people alive? the people aren't allowed to die? yeah, and they will mindfulness? yes. comes from the moment you arrive in hospitals has been know. it's like the paramedics, the ash the don't exist in carrots, have to do everything and the power to keep me in line after the 1st he does have

a substitute. i did my institute for me with that. so then that's exactly what i don't want to spend the 70 the here. what was it that you experienced that made you say, no, i do not want that to happen. to me. it says accepted nasa elliot that's but that's in the i often so elderly people being reese, also tainted. yeah. even then they will put you on i these, the hotline ventilation is 12 and finally dying days, weeks let's months later talking. and i don't think you need that or visit site. so i want to know if my life the way i want until the end. that's the one i can no longer do that just makes me again, not should be the end of it. so and again the,

it's rare to day that people are in control of their lives at the end of life. will the former nurse get her wish will she encounter paramedics so wouldn't recessive teacher in such a scenario? the, the 89 year old fears that she might end up like this patient. this terminally ill cancer patient is on live support in a coma. after being recessive, dated after his heart stopped, intensive karen, hers, at least knowing decker is looking after him. i'm just going to check something, don't worry. of his kidney and deliver, have already filled, and his brain is barely functioning. that's it. and then we don't believe licensed also when patients are resuscitated, usually outside their homes or they arrive here and are given every medical treatment possible calls. and then you find out like in this case that the brain is

had too little oxygen during resuscitation. we often see patients not wake up and then it's days or weeks before instrumental diagnostics tell us that they're actually not able to wake up again. let me do a pop up to you. there's no sticks in. their brains are so terribly damaged that we can't help them. so events associated with this with inputs engine, your mission of her from could and this 58 year old is also not going to wake up a lease is giving him palliative care and will accompany him as he dies. so this one i've got everything ready the do you always talk to your patients? yeah. yes. right. because i always assume that they can perhaps still hear

something too. we always do our best, especially for patients who are dying button. you always respect your patient that affects what inputs in the mind has so what usually happens when doctors go from trying to save someone's life to recognizing they will die. so i'm giving them, it's an ongoing for them to not leave me to come. we accompany family members into the room. the medication has already been swap to hide those pain killers and stuff, and other medication to protect the patient to ensure they're not in distress. and then we switch off life support option. we always wait a little moment to him and dr. young relatives have to adjust to the situation. so could you, it's always hard to sit next to the bed and comprehend your family member is about to die. one of the most frequent questions that relatives ask me is how long will it take up there? always scared, it will happen right away,

but it varies from patient to patient fun, but usually it takes around 2 days. but that is a very long time from 012 days. so it's and then the patient dies because they're already very weak and also not going to come to the phone for ya. constance. the terminally ill patients in room 3 has no relatives here to sit with him. and while death is part of the daily conversation here at the hospital in our society, it has increasingly become a taboo. the message runs out on south default or something. yes, cuz this office must have own we really need to seriously ask ourselves as a society what we want from the store and what we don't want in my experience in i often meet relatives and patients and intensive care. and them are the who are still surprised to that at 8590 the 92 years old, the present. and they've reached a period of life where you have to consider it's and one to show us more. the one,

the thing content this says leaving english is but modern medicine has also failed to sufficiently keep up with the growing age of people. there are few fully qualified palliative medics on intensive care wings. instead, many people faced lengthy and invasive forms of treatment. sometimes this is because the doctor isn't sure what to do, but also sometimes because of the financial benefit, there is much money that can be made by implementing these complex end of life procedures. some issues as far as us unplug sense, until it's much easier as a doctor to intimate a patient of us to give them oxygen to feed, i have to resuscitate them. replace their kidney with this. of them have this critical discussion about whether we're genuinely doing the right thing for the patient. our only responsibility is to the patient lesson for not to anyone else.

we need to assess this in and when some fields of medicine become more interested in making money increase on the overheads, not officially and explicitly, then medicine is on a very rocky road starting the good. see my and honest, i got him. that's what's been happening for the past 20 years. citizen sponsor, shaun sufficient to come up. how can it be that people end up being treated in a hospital against their will for financial profit? usually we assume doctors are there to help us at the end of our lives the but just find the will of the doctor can be in incredibly difficult and painful. like for helmet lender, who is fighting for doctors to allow his wife to dine in peace.

doesn't find fault. triple here. associates 6. this is my wife in t. hold on with that picture, 6 years old. now let's look at her hair stuff. she's 68 now. and this is what she looks like and this stuff. it's awful. i want to save her from ending up lying there miserably, even prophetically. she won't leave. i owe that to her many issues. it's such a long time. yeah. and yes. intensive care for 3 months to she's been there since august 12th. she's had 18 operations here. inglewood lender went to the hospital 5 months ago for back operation where she became infected with a super buck. despite several operations, doctors haven't been able to defeated the step. there's the blue i have got picture showing what she looks like now. you can see on permanent life support, move a respirator and intravenous beating, who is in the eval,

or 4 months ago helmets. wife's hearts stopped since then. she's been on live support and in a coma. neurological tests suggest that there's little likelihood of improvement. she'd already put her wishes down in a plan for treatment most uh, i mean, i just want to make sure her will is followed heavier than i swore to her that she wouldn't end up on machines for years in a home somewhere just lying there. that's to me, she doesn't deserve that, and she doesn't want it. and it don't mind can. you can go through all these points, those never pages of them. how does everything's there in the case of brain damage on treatable illness, near death. it's all there. and the brain shutting down until that it's all written down exactly what they are ignoring and all i tell them, read it, it's all there. it's but we just go round in circles and keep coming back to the same point of think life and pulled on douglas on that and no one listens to you even though you have power of attorney on this. go ahead. no, no,

not at all. that's weird. nor you all you here is we decide what happened. that's how it is in germany. it doesn't matter how many people come with their treatment plan. we have to perform any treatment we can before. anything else is you the nation's p of? i say, what exactly is it that you're doing stuff on demand or what i say i just want it to. and so i get to the box little see a helmets. health insurance company has helped him find a medical expert for a 2nd to professional opinion. it's hope that they'll help to finally carry out the wishes of his wife. i'm fixing go toolbar wife to bits by your i was with her last on october 6th for it was the day before the altar perforated and her heart is donald easy. i have to attach the stand on time, the weird religious people and we only spoke about those things. awesome. and we said goodbye once for us, then we'd see each other and it turned a deal. she said she was ready to go and advise if she said she was going, i said, don't say that. she said, yes, you know, i am,

give me castles to be if i had just given her some yogurt. and that's how it went done this stuff. so the tree, it's hard to bear really hard to come in. it's on the host in a week's time, how much lender has another meeting at the hospital for hours away. he hopes the doctors will give in after the experts report and start giving his wife palliative care. this is the statement we got from the hospital. in the event of regaining consciousness, there is a possibility that mrs. linda could breeze on her own and at least partial physical rehabilitation. although a temporary or permanent need for life support measures cannot be ruled out as such, because the situation is not mentioned specifically in the patients preferred treatment plan. and recovery cannot be ruled out. medical steps have been taken thus far,

so the patient's assumed wishes could be determined the how can seriously ill people be sure their wishes are carried out. the palliative care doctor much use terms is the author of the report on mrs lenders case. he's to decide whether or not the doctor should heath the wishes of the 68 year old. mateus turns dedicates himself to dignified dying, not to the interest of business, and such disputes make him sad and angry. mrs lenders case is not an exception. 2 digits on the puts it, in fact, it will increase this being, in fact a patient's preferred treatment plan is legally binding intact with that. but that's not subscribe to interpretation. sometimes the boundaries are pushed on. treatment continues a month on like the patient obviously doesn't ones that often cuz i failed to ask

what the outcome of treatment to be in a peak is what someone wishes to be the outcome. actually the goal of the treatment, which is, is it isn't even the chief of all the highs and often even of like in this case, and it's on the chief of all highs the treatment is that something that really bothers me and my was the last when a decision should have been taking a lot earlier feed for the provision of appropriate palliative cat and that the for the homeless, the monitors what the doctors are doing. what's the legal situation in germany? the puts and partner law firm is specialized in end of life legislation. they deal on an almost daily basis with cases that focus on the will of the patient and how to best implemented going types of just to always comes to decimal does the,

basically our friendship begins with the views at any medical intervention, including those that for long life, even if it's a ventilator, it's physically invasive. i'm because it has to be justified by the media and an intervention is only justified. and it's when there is a medical reason for it, a small end to an agreement by the patient, or that's just not as the last name if there is no reason for medical intervention because it would cause more harm than good. if it's cause there's more distress, then being able to achieve a sensible go into cups, then things change life. then what is being carried out is and then legal assault. i think it is a crime. however, a federal prosecutor will usually not convict adult to for prolonging life. they always seek a way to avoid that and i will speak so poseidon deform. tanya owner has seen repeated cases in which doctors are uncertain, and over treat their patients because of it. but she's also seen them act out of

financial interest on the common things of as the one on the legal path. if a doctor was suspected of acting solely out of financial gain and which of the one behind them do, some of these are for the past really strong. this list, suspicion is always lingering in the room, but it's hard to enforce the nor on the basis of the current legislation. because you have to prove that the assault was committed intentionally. remember the full financial gain i'm to, if you have the relatives words from the tradition. if they say their relative has been allowed to suffer. and then the distress is being per learned only for the don't use it to make money even following up. you have the chance of getting a 2nd opinion comes eventually let the mucus preferably from adult to, to has nothing to gain from this tree to add to the other. missed under a 100 them for the. and the fact is that in the future will lead more doctors who are familiar with palliative care and take a more critical approach to their work. which one is the winner here?

ethics or economics, human or machine helmet lender has driven 4 hours from his home and lower sacks and the to the clinic. he wants one more talk with the doctors to convince them to heed the will of his wife and allow her to die confusing most. so you will not know if she's been lying in this hospital for 4 months and an intensive care. it'd be co adjusted a fond of it is terrible. some stuff like that. mean, i've made an appointment and i'm going there now. when cool. i'm fighting for my wife's rights. yeah. they do it because it's through. it's a terrible injustice. what's happening today because it's hard to that's why i've come expressly to tell these doctors that book or to the mice isn't absences, arden for 4 months, the doctors have refused to follow the wishes of their patient in glib lender. it's

going to be a long and hard discussion between how much lender and the doctors or because there's been no agreement so far. a local judge has been brought in. she's due to rule to dance what she believes, so the wishes of english lender 4 hours later up to a fault with us. i am delighted. oh, probably a tv that's what, so with immediate effect, you, a palliative care is going to begin it. that means nothing to stop her from dying, and it's been a long battle for a very, very sad thing for you on. but i had to do it. does this and i'm glad i did this. i feel a sense of relief now. yeah. yeah. there's a deep grief, but also relief with teacher tall. i will feel like the

child does all kinds of stuff. lunch adds to mines in the sits very alarming. how some doctors think they have to apply every possible medical application. every time i've got an assessment on the job as doctors, florida, as adult to just to have to ask yourself, what is the goal if the treatment is nice and then what can we achieve for the patient attend. and if we cannot, the chief of patients recovery eyes and for the best type will only leave them on life support and stuff. and that's not something the individual patient would have wished for themselves. the 100 project absent even further than we have talked to as have to accept that the goal of treating them is unobtainable to stand on. the goal must change hyphen when can the worst case scenario, except to allow that patients to die, interest them less. what does a humane desk look like when the patient is not at home?

no. are you still in touch, edmonds? when i see a patient like that, it really makes my heart ache. it's all just cool. mm hm. at least knowing decker's patient has suddenly deteriorated. today. his breathing was difficulty. caring for him in this condition isn't easy. the defects in task is yesterday. his breathing was so stable that we decided to remove his ventilation to didn't. but i can show house to 10. we reduce the medication that was helping him sleep in himself, hudson, something of my own type of shows to food. now i'm in a dilemma. you know, some of the cities very distress established this so does. and i've had to call the doctors and started giving in the sleep medication again. i mean,

just don't know buying and roman hobbins i shouldn't or not because i don't want to leave him like that. so what it says is really a distress. this is kind of heart rate of the table. a lease waits for the lead doctor to come and help me. it says, oh my god, i know now i'm treading a fine line in the light. most of you is not to i don't want my patients to be so distressed me. so wish test is, but i don't want him to die because of what i'm giving him stuff on for phillip. was it because he's no longer on a ventilator smith. awesome. it is. it has this helped us before i am taking it really slowly on understand. so there's often a very sin line between accompanying someone at the end of life and assisting them in at the doctor can ease the situation for the patient by changing the

medication. that's honest and misleading. come in, we should manage the symptoms now with medication for success. the most important thing for you to are in for this treatment is end of life care with symptom management. and the patients breathing is back under control. the process of dying slowly moves on. this is the motive, as you initial and full pursuits on the phone. it's always my personal aim to do things i would want done for me would have been if me or a member of my family were lying there. i was just a, it's a dream job. for you isn't this my toilet is my dream job, my absolute dream job to at home. i couldn't imagine doing anything else and it was flushed in a lease as patient donna is later that evening. the

it's english lenders funeral. she dies 5 days after her treatment was switched to end of life care at the hospital. you should have almost got to come. i've been double for i have to find peace now. but i'm glad that with a lot of help, i managed to see her last wish, realized it. but we have our faith and faith helps a lot on deck. love with you. stop by. and i will be able to find my own way and carry on somehow and model of the good lord shall bless your farewell under rifle. me nervous and forever more than the

business. but you will tell you we are happy that we are boxing the story. we have a, getting a visa is more difficult than finding gold listed to use the dream force and the for the future. in the stories and issues that are being discussed across the country. news africa. in 30 minutes on the w into the conflicts own with tim sebastian. my guess this week is alexi gunter, unco ukrainian. m. p. angelica to the parliamentary assembly,

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