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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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