Vayne-Bossert Petra, Vailloud Christiane, Ducloux Dominique, Matis Caroline, Déramé Laurence
Equipe mobile antalgie et soins palliatifs (EMASP), HUG, 1211 Genève 14.
Service de médecine palliative, Département de réadaptation et médecine palliative, HUG, 1211 Genève 14.
Rev Med Suisse. 2017 Feb 1;13(548):310-314.
Advance directives (AD) and Advance Care Planning (ACP) are two measures a person may undertake to assure that their treatment preferences will be respected until the end of his / her life. Anticipation is based on an open and honest communication between the patient, the durable medical power of attorney and the health care professionals. ADs and ACPs are based on a person's values and beliefs that are important to his quality of life. ACP is a continuing process, initiated by health care professionals and integrated into the health care plan of a person. It should be adjusted all along the disease trajectory and favors communication and anticipation in the health care network. ADs are often a personal initiative to ensure one's wishes in relation to health issues. In Switzerland, they are based on a legal framework and their application is therefore mandatory for health care professionals.
预立医疗指示（AD）和预立医疗照护计划（ACP）是一个人可以采取的两项措施，以确保其治疗偏好直至生命结束都能得到尊重。这种预期基于患者、持久医疗委托书代理人与医护专业人员之间开放且坦诚的沟通。AD和ACP基于对一个人的生活质量至关重要的价值观和信念。ACP是一个持续的过程，由医护专业人员发起并纳入个人的医疗照护计划。它应在疾病发展过程中不断调整，并促进医疗照护网络中的沟通与预期。AD通常是个人主动采取的行动，以确保自己在健康问题上的意愿得以实现。在瑞士，它们基于一个法律框架，因此医护专业人员必须予以应用。
