I agree entirely.
The figures from Holland impressed me, I won't pretend otherwise. I expected that 70 per cent of the 244 Alzheimer patients would make an advance request, but ultimately there were only two.
The families and the attending teams have to choose the route together. If that is the case, it will be verified with the patient when the advance request is made by asking them whether they want action to be taken if the situation arises.
I lived through it with my mother. My mother had told me she did not want any end-of-life heroic measures. That included not having an oxygen tube in her nose. I came in one morning and the nurse, who was from another culture I won't name, for whom it was horrifying not to have a tube at end of life, had decided on her own to put one in. It was a battle at the hospital to have it taken out, because the union got involved.
We see that it is being interpreted even by the care personnel at various levels. It would really have to be clear, well in advance, by involving the family and the people treating the patient in question.