Retirement and nursing homes
At the moment, an explicit right to respectful, professional nursing or care
based on current standards is only stipulated in the Laender laws of Vienna
and Tyrol. The right to medical care (including adequate treatment of pain)
is only stipulated in Vienna, Tyrol and Styria. The situation is similar with
regard to the right to die with dignity, which is anchored solely in the laws of
Vienna and Lower Austria. The right to end-of-life care by relatives or other
trusted persons is only found in the laws of Lower Austria and Burgenland.
Currently, only the pertinent laws of Vienna, Styria and Burgenland contain
the right to an appropriate diet (in accordance with medical knowledge). The
right to sufficient fluid intake in long-term care is only documented in Vienna.
And it is only in Vienna that the home operators are obliged to honour the right
to measures that preserve and support functional integrity and reintegrate the
residents through the help of therapists.
A right to the support and nurturing of one’s own abilities, independence,
self-determination and personal responsibility is currently only stipulated
in the laws of Lower Austria, Tyrol and Vorarlberg. In Vienna on the other
hand, a right to function-preserving, function-supporting and reintegrating
measures as well as a right to go or be taken outside (in fresh air) have been
incorporated into law.
None of the Laender laws contain considerations relating to the – regardless
of age and the extent of care and help needed – vested right to sexuality and
respect for gender identities. Neither is there reference to the rights that might
enable residents to influence their quality of life as well as the content and the
forming of care relationships (right to primary nursing, right to same-sex care,
right to validation, hospice or palliative care etc.). There is also no mention of
guarantees from the UN Convention on the Rights of Persons with Disabilities
(CRPD) such as the right to supportive communication, rehabilitation,
participation, integration in society etc. The human rights obligation on the
preventive protection against violence and the right to non-violent care are
not mentioned in the Laender laws either.
With regard to the right to life and physical integrity (cf. Article 2 ECHR, Article
6 ICCPR) as well as the prohibition against subjection to cruel, inhuman
or degrading treatment (cf. Article 3 ECHR, Article 7 ICCPR), a preventive
approach in the area of the nursing and care of elderly persons in nursing
homes is mandatory. The same applies for the protection against arbitrary
deprivation of liberty (cf. Article 5 ECHR, Article 1 Federal Constitutional Law
on the Protection of Personal Freedom, Article 9 ICCPR), which however has a
uniform regulatory content nationwide thanks to the Nursing and Residential
Homes Residence Act (Heimaufenthaltsgesetz). In order to protect elderly
persons in long-term care against violence or abuse or arbitrary deprivation of
liberty, in addition to adequate financing and staffing of control mechanisms
such as the supervision of homes and resident representatives pursuant to the
Protection against
violence and arbitrary
deprivation of liberty
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