title: [Limitations to medical treatment; discussing treatment limitation, and stubbornness in practice].
abstract: Many courses for caregivers are aimed at teaching them to commence medical treatment as soon as possible in an acute situation. However, this treatment may not always be in line with the patient's wishes. In this article we describe three patients who received treatment despite their wish not to be treated. More attention should be given to talking to patients about their advanced directives; we suggest how these discussions can be initiated in the daily care of our patients.
authors.affiliation: Rijnstate Ziekenhuis, afd. Interne Geneeskunde/Intensive Care, Arnhem.
authors.forename: Stephanie J
authors.initials: SJ
authors.lastname: Bakker
authors.forename: Michiel J
authors.initials: MJ
authors.lastname: Blans
authors.forename: Frank H
authors.initials: FH
authors.lastname: Bosch
mesh_terms: D016223:Advance Directives; D000369:Aged, 80 and over; D017028:Caregivers; D003657:Decision Making; D026690:Ethics, Clinical; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D028701:Patient Rights; D010819:Physician's Role; D016312:Treatment Refusal; D028761:Withholding Treatment / Q000941:ethics / Q000331:legislation & jurisprudence*