Euthanasia and assisted suicide Euthanasia is the act of deliberately ending a person's life to relieve suffering. For example, it could be considered euthanasia if a doctor deliberately gave a patient with a terminal illness drugs they do not otherwise need for their comfort, such as an overdose of sedatives or muscle relaxant, with the sole aim of ending their life. Assisted suicide is the act of deliberately assisting or encouraging another person to kill themselves. If a relative of a person with a terminal illness obtained strong sedatives, knowing that the person intended to use the sedatives to kill themselves, they may be considered to be assisting suicide.
CVH Team Health care directives A health care directive is a Hospice outline that outline treatment decisions that a patient has asked to be followed if they become unable to communicate or make decisions for themselves. This document is sometimes called a living will or advance care plan.
Potential advantages of health care directives Writing a health care directive may encourage people to think about and communicate their values in terms of treatment and quality of life.
People may feel less anxious knowing that their wishes will be respected when they can no longer make decisions themselves. Family members may feel relieved that some difficult decisions do not Hospice outline upon them, or at least feel better able to make decisions because they are confident they are acting as the person would want.
Conflict may be reduced among potential decision makers as many treatment decisions are already decided. All potential situations cannot be anticipated in advance.
Sometimes a health care directive will ask for care that is not medically possible. For example, health care teams will not try to restart the heart when it has stopped because the various systems of the body have shut down at the end of a terminal illness.
Even though there may be treatment options that are asked for in a health care directive, the health care team cannot be asked to do what is impossible or what is considered a poor standard of health care.
Health care directives often use terms that are so vague that they are unhelpful. For example, the phrase "no heroic measures" may have very different meaning to a health care professional who works in an intensive care unit than it does to one who works in a palliative care unit.
The phrase "no quality of life" can also be interpreted in many ways, depending on individual perspectives. What is a proxy? What kinds of things are covered in a health care directive?
The person may ask that there be no efforts to prolong life when death is near. The document may specify that the person does not want to be revived if their heart stops beating. The person may ask to be kept comfortable and free from pain as death nears.
This may mean increasing medication to the point where the person is sleeping all of the time. Ideally, a health care directive is made taking into account individual medical conditions.
For example, someone who is on dialysis would preferably have a directive that guides when the dialysis should be discontinued. Alternatively, someone who has an illness that may eventually result in the need to be on a machine to assist breathing should make a directive that guides this decision.
What does a health care directive look like?
Health care directives can be as simple as a handwritten note, but they should be signed and dated. Some provinces and territories may also require that health care directives be witnessed.
Most provincial governments in Canada provide sample forms on their websites. Who can write a health care directive? Anyone who has what is called "decision-making capacity" can make up a health care directive.
If someone is very confused and does not understand the issues being considered or the consequences of choices being made, then they would not have the capacity to make a health care directive.
Provincial and territorial regulations may require that the writer be of a certain age often 16 and be able to understand the contents of the directive.
Health care directives should be reviewed and updated, with the most recent one easily available to family members and the health care team. When does a health care directive take effect? A health care directive becomes effective when the patient loses the ability to communicate or make health care decisions.End-of-life care (or EoLC) refers to health care, not only of a person in the final hours or days of their lives, but more broadly care of all those with a terminal condition that has become advanced, progressive, and incurable..
End-of-life care requires a range of decisions, including questions of palliative care, patients' right to self-determination (of . Course Outline. Introduction. One of the biggest changes to Financial Conduct Authority (FCA) regulation is the new Senior Management & Certification Regime.
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