Summary:
The prognosis of burn patients is dependent - apart from adequate treatment - upon health care system and
health care professionals, regarding not only survival, but also life-long quality of life. The protection of patients´
rights is spelled out in the European Countries´ constitutions, charters or basic laws.
The Code of Patients´ Rights in the Czech Republic in 1992 entitles the patients to respectful and professional
treatment, to be able to make decisions, ev. to refuse treatment, to the presence of their own families, to continu-
ity of treatment after discharge, to withhold consent to students´ participation in the curative process, to die with
dignity.
The increasing interest in economic justification of any treatment in the EU calls for considering the ethical as-
pects. There has been differentiated intuitive ethics, ethics based on principles of Hippocrates, ethics defined by
duties, ethics defined by consequences, influencing the quality of life (Grant, 1998).
The age of patients should not play any role in decision - making concerning diagnostic or curative procedures.
However, in geriatric burn patients the aggressive therapy should not deteriorate their last days. From the ethi-
cal point of view there should be applied palliative care. The age is a significant factor in the permanent sequels
in children and youngsters, in whom scar deformities cause the loss of "body image" and severe psychological
problems when the Patients Rights (comprehended in the Code of Czech Republic) are not respected.
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