Biomedical subjects
Publications and source records attributed to K Stolz.
Regular inclusion of a social worker alongside the expertising physician whenever a judge has to decide on committing a person to a psychiatric hospital, is known in German legal practice as "Stuttgart model". Our experiences with this procedure are discussed on an interdisciplinary level. In our opinion this model agrees with the spirit of the new German law governing guardianship and care.
From 1992 a new law regulating the taking care of another person's legal and personal affairs and nursing problems has become effective. The aim of this law is to establish an individual and respectful relationship between the patient in care and the appointed person. The appointed person has to emphathize with the patient in his care to a degree where he is able to make decisions that reflect the individual lifestyle and life history of the patient in care. Fundamentally, it is the patient's right to make his own decisions about medical treatment according to tis own experience, personal values and emotions. If the patient is unable to make his own decisions for health reasons a caretaking person is appointed by decree. In respecting the patient's will stringent standards are necessary. The new law offers possibilities of freedom of decision and self-responsibility that should never be restricted again.
This report proposes that perfusion scanning in combination with arteriography be included in the diagnostic work-up of the diabetic patient who, because of peripheral vascular complications, is a candidate for surgery. Two cases are reported which illustrate the extremes of the findings: abnormal arteriogram-normal scan indicating large-vessel disease without significant small-vessel involvement. It is suggested that these patients are candidates for vascular reconstruction. The other extreme is the normal arteriogram-abnormal scan indicating small-vessels disease without significant large-vessel involvement. It is apparent that these patients are not candidates for vascular reconstruction.
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