levenswilsverklaring

A levenswilsverklaring is a Dutch term for an advance directive in which a person records their preferences regarding medical treatment for a situation in which they can no longer communicate their wishes. It is intended to protect patient autonomy and guide healthcare providers to act in accordance with the person’s values and wishes.

Typical content areas include decisions about resuscitation (whether to perform CPR), artificial nutrition and hydration, hospitalization and intensive care, palliative care, and, in some cases, organ donation. The document may also designate a trusted person or representative to interpret and ensure the person’s wishes are followed, particularly if circumstances change or if the patient is unable to communicate.

Legal status and interpretation: In the Netherlands, a levenswilsverklaring falls within the broader framework of advance directives under the Wet op de geneeskundige behandelingsovereenkomst (WGBO). While it is an important expression of the patient’s preferences, it is not automatically legally binding. Doctors must consider the declaration but may still assess the current medical situation and standards of care. They may withhold or adjust treatments if doing so aligns with the patient’s stated wishes and with reasonable medical judgment.

Creation and use: Anyone who is capable can create a levenswilsverklaring, often with templates from healthcare organizations or legal advice. It should be clear, specific, dated, and signed. It is normally stored in an accessible location, such as with the patient’s general practitioner or in their medical records, and should be reviewed and updated as health or circumstances change.

See also: life testament, advance directive, patient autonomy.