Case 1 patient A | Case 2 patient B | |
---|---|---|
Duration of VS/UWS | 10 years | 20 years |
Age at time of incident | 41 years | 17 years |
Cause of brain injury | Cardiac arrest | Traffic accident |
Medical treatment plan | Tube feeding | Tube feeding is to be withdrawn in time |
Diabetes Mellitus treatment | Seizure control | |
Bronchial toilet | Constipation control | |
Constipation control | No more physiotherapy | |
Physiotherapy | Attempts by social worker, psychologist and mental healthcare to alleviate the burden of the family | |
Advance Directive by the patient | No prior AD (written or oral) | No prior AD written Reconstructed wish of the patient by the mother: her son would not have accepted to be in a state like this. |
End-of-life decisions in ACP | No admission to hospital for any treatment of life threatening complications. | No admission to hospital for any treatment of life threatening complications Maximum of 3 different antibiotics If not successful: palliative care |
Family agreement | No, the family demands all treatment including ICU | Ambivalent, possibly the family accept no hospital admission policy, They insist on treatment by antibiotics |