The article clarifies principles, provisions and shortcomings of regulating advance decisions with a view to current regulatory approaches in Germany. The legal framework of instructional directives has been fundamentally amended in 2009. But recent cases illustrate some of the difficulties that arise and several decisions of the highest courts have reopened controversial discussions. The article argues that both the making and the implementation of advance directives involve decisions made under conditions of uncertainty. Regulations must be and are already quite complex. Even so, problems are predictable if advance decisions are not embedded in a broader context of advance care planning.

中文翻译：

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德国事前裁决的案例和规定

这篇文章阐明了规范预先决定的原则，规定和缺点，以期在德国采用当前的规范方法。教学指令的法律框架已在2009年进行了根本性的修订。但是，最近的案例说明了其中出现的一些困难，最高法院的几项裁决重新引发了有争议的讨论。该文章认为，预先指示的制定和实施都涉及不确定性条件下的决策。法规必须而且已经非常复杂。即使这样，如果事先的决定不嵌入更广泛的预先护理计划中，问题也是可以预见的。