Retirement and nursing homes
in order to be able to deal with the grieving of the relatives properly.
Changes in Laender
laws
In 2019 the NPM contacted the liaison office of the Laender to obtain an
overview of the de facto and de jure situation. Several Laender attempted
to improve the situation and counter the lack of medical care by means of
changes in legislation. In most Laender, the restrictions surrounding the group
of doctors authorised to pronounce death were lifted and the red tape slowing
down processes removed. The transfer of corpses is now possible in most
Laender before the official inspection of the corpse under certain conditions.
On-call doctors and
emergency medical
service
Vorarlberg was able to solve the problems concerning the inspection of the
corpse with a medical on-call service and an electronic booking platform. It
is thus possible to have corpses inspected round the clock. In Upper Austria,
waiting times have been reduced since additional doctors from the emergency
medical service (Hausärztlicher Notdienst) are deployed for the inspection of
corpses.
The remuneration for the inspection of corpses, which was considered to be
too low, has since been substantially increased. Coroners, however, demand
better education and regular further training. Studies have shown that death
from non-natural causes is attested less frequently in older deceased. If more
attention were given to the inspection of deceased older persons in need of
care, acts of violence could be better recognised or completely ruled out.
XX
The pronouncement of death in care facilities should, insofar as possible, take place
shortly after the residents have passed.
XX
Authorised doctors should be available in order to ensure that such situations are
handled with reverence and dignity.
XX
The inspection of the corpse is a responsible task which also involves recognising crimes
and establishing legal certainty. Training should thus include a special focus on skills
that help recognise violence to older persons.
2.1.8
Positive observations
In many homes, a mindful way of treating those in need was highlighted,
which is even evident in the documentation. For example, in two small homes
in Tyrol that regularly give the residents the opportunity to go outside. The staff
also pays special attention to the activities in which those in need participate
in order to be able to offer something for everyone. Several more examples of
good practice are depicted in the following.
Dementia-friendly
environment
41
The dementia care concept practiced by a home in Carinthia is worthy of
praise: the structural fittings were aligned with the needs of those suffering
from dementia. On the inside, wide corridors, spacious sources of natural
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents