MAID Marilyn Gladu Jan 2019 History in Canada the Carter Decision C14 Palliative Care Consultations on Advanced Consent Minors and those suffering mental disorders History Elsewhere Its not that simple ID: 775121
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Medical Assistance in DyingM.A.I.D.
Marilyn Gladu Jan 2019
Slide2History in Canada- the Carter DecisionC-14Palliative CareConsultations on Advanced Consent, Minors and those suffering mental disordersHistory Elsewhere- Its not that simple
Topics
Slide350 years of discussionThe Carter decision 2015C14Palliative Care Bill C277Outcomes ( Sarnia 2, London 300, nationally ~ 4000)
History in Canada
Slide4How to prove it is informed consentThe third party responsible to enforce the decision- what if there is disagreementWho decides what is intolerable suffering when the person has lost capacityBelgium and Luxembourg only allow when a person is permanently unconscious
Advanced Consent- 3 issues
Slide5No definition nationally 14-17 in QuebecFor informed consent, need capacity to make a medical decision, to be provided information in a way that facilitates understanding, and to make a voluntary choice free from duress or coercionNetherlands allows 12-16 with parental permission, 16-18 parental consultationBelgium must be terminal, and must provide pediatric palliative care as option
Mature Minors
Slide6Working group on study could not agreeCapability for informed consentConcern for MAID where death is not reasonably foreseeable that you could get better and change your mindHow to differentiate those that want to commit suicide as a symptom of their mental disorderNetherlands allows for dementia, but with much controversy
Mental disorders – Very Controversial
Slide7Where quality palliative care exists, 95 % of people choose to live as well as they can for as long as they canPalliative Care FrameworkWorld Health Organization DefinitionDifference from M.A.I.D.
Palliative Care