Advance health care proxy with support available opportunities of interest for the case that patients can not regulate their affairs – in particular in the medical field -. The patient is a free-form intent of mentally competent person. It is individually, in writing, prepared may also verbally for future treatment, if the own consent incapacity occurs. The type and extent of medical treatment are specified in different situations. It is not always the doctor, to the as an advance directive is addressed.

It may be someone else that constantly participates in the treatment and care. The advance directive contains an expressed will. He must be observed. Patients can provide for the cases of business or inability to consent, which arise as a result of age or disease, in their own personal affairs. There are several Options: advance directive, but also health care proxy or service available. The advance is also called patient Testament.

The patient manifests himself to his wishes, medical treatment or no treatment, perhaps limiting the treatment affect. Most of the time thinking an advance directive in the face of a favored disease. Often, the person is already in the last phase of life. The legislator has decided on 06 18th, 2009: an advance directive is binding. The doctor agrees to follow the writing written will. With the advance directive, you can explicitly set what must be for medical treatment for artificial nutrition, pain relief and life support if you maybe not can decide this by accident, by particularly serious disease. Now, the following applies: performed a medical treatment against the wishes of a patient, so it is a bodily injury, and it is unlawful. Thus, doctors make punishable by law. This whole theory with the patient Testament sounds simple, but it is anything but straightforward. The implementation is very difficult in reality. One wonders again, so a scope of a specific advance directive must be how far: the decision so just in there provided some emergency turns out? Or for any similar emergencies? Now only the known methods of treatment are taken into account, or the new? It may also lead to that the prognosis for this particular disease have significantly improved since writing a living will. What makes one then what about the doctor? So there are still many questions that need to be answered. This is the task of the Supreme Court in the next few years. There must be no vacancies in a living will, everything should be clarified. As I said, one thing is clear throughout: a living will, the effective was built and tailored to a specific case, is mandatory for physicians. Anders decided can only in the case if the consent capacity has been wanting a patient when composing his advance; It can also happen that the enacting terms in hindsight again would like to move away from his statements. It must be visible to outsiders. An advance directive served her purpose, if she should be recognized as binding. It gives the doctor at least one policy. Who is patient will then, so to speak, a handicap for the family and especially for the supervisor, it is essential. The supervisor be ordered exactly, that she would so decide, as the patient decide if he still could. On the basis of an advance directive, it will be easy for the Manager to act in the spirit of the patient.

10 diamonds for movement security falls older people are not only a common phenomenon (with an annual prevalence of approximately 30% of the over-65), but rather counter for a morbidly accelerated aging. Boy Scouts of America has plenty of information regarding this issue. So rarely more sprightly elderly fall (< 5%), however, reviewed frail elderly (> 50%). One has injury under five to ten falls older people, one leads to a fracture under 20 to 30 crashes, approximately every hundredth fall leads to a middle of hip fracture with serious consequences. In studies 3/4 of patients without AIDS could go before the fall-related fracture independently, after the fracture just 15%. Apart from the somatic consequences of a fall, up to 70% of the older fallen report fear further falls with a resulting breakdown of confidence, an increasing limitation of the everyday activities and a consequent vicious circle with further degradation of lokomotorischer skills and a reduction of the necessary bone building mechanical load. In the old age medicine you. talk of the Postfall syndrome”. Therefore it is needed, as early as possible to detect speed uncertainty to clarify hidden causes and to initiate individual preventive measures.

Physical activity is not only the architect of the bone, it is above all the coach for our muscles. Inactivity supports the loss of bone and muscle breakdown. Both lead to an increased risk of falls and bone fractures. Regular exercise increases bone strength and reduces the risk of falling. OsteoBalance is a program with ten exercises for your daily movement security and a further building block in our campaign love your bones”says Dr Med.

Jutta Semler, first Chairman of the Board of Trustees bone health e.V. The exercise program can be ordered for stamps amounting to 2.50 euros of plus one with 0.90 euro of postage-paid return envelope at the Board of Trustees of bone health e.V. keyword: OsteoBalance”Leipziger str. 6 74889 Sinsheim, the Board of Trustees of bone health e.V. is the oldest national charity, which cares for osteoporosis bone health and the clinical picture. Since its inception in 1986 that engaged Trustees bone health e.V. to the prevention, treatment and rehabilitation far beyond the osteoporosis for all bone health problems.