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Dutch national steering committee for appropriate

End of Life care 2015

“ To treat is golden standard

unless…..

you have good reasons not to treat”

Mechanisms

•Discussing EoL is unusual and time costly

•Default attitude = do not give up

•Guidelines focus on ‘action’

•Education focuses on ‘action’

•Payment for treatment

•No holistic view

•Doing nothing = incompetence

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