Class #9 - End of life care

Question 1

Personal morality vs Professional Ethics definition?

Answer 1

Moral = An individual own ideas and principles that guide the determinations of "right" or "wrong" they use in everyday life.
Ethics = Professionally accepted standards of personal and professional behavior, values and guiding principles, to which members must adhere in their professional interactions with others.

Question 2

To what limit should a nurse respect a clients values according to OIIQ code of ethics?

Answer 2

within the limits of what is generally accepted in the practice of the profession

Question 3

Beauchamp and Childress Biomedical Ethics 4 principles?

Answer 3

Autonomy, bene., non-male., justice

Question 4

Witholding/withdrawing treatment can be ethically justifiable when? (6)

Answer 4

At competent patient or tutor request;
Desired benefits of treat. cannot be achieved
Anticipated benefits were not achieved 
Burdens > benefits
Change in goals
Change in health

Question 5

Difference between foreseen and intended consequences?

Answer 5

Intended = euthanasia (Eg KCL to stop heart)
Foreseen = Double effect principle/appropriate palliative care (Eg higher dose of morphine to ease suffering but cause death)

Question 6

Is pt refusal of life-sustaining treatment is medical aid in dying?

Answer 6

NO

Question 7

Whats new with law 2 QcÉ

Answer 7

1. Health care right to end of life care, including palliative care and medical aid in dying.
2. Institution obligated to provide EOL care

Question 8

MAiD definition?

Answer 8

administration by physicians of Rx to end life at pt request to relieve their pain.

Question 9

MAiD criterias?

Answer 9

RAMQ
FUll age + capable of consent
be at the end of life
suffer from serious/incurable disease
Advance state of irreversibility
Experience constant unbearable pgysical/psychological pain

Question 10

According to Ca law who can provide MAID?

Answer 10

doc. + NP

Question 11

Difference between ca and Qc law?

Answer 11

Qc = only euthanasia

CA also include assisted suicide

Question 12

Assistance in dying Ca law criterias?

Answer 12

health care supported individuals
at least 18 and capabale
irremediable medical condition
Voluntary request
INformed consent
at least 10 days between the signed request and the MAID.. may be shorten

Question 13

Conscientious objection definition?

Answer 13

Refusal to provide a good:

1. Core set of moral beliefs
2. Provinding good incompatible
3. Refusal based on core moral beliefs

Question 14

Conscientious objection limitation?

Answer 14

Professional obligations justify several restaints : respect pt dignity, promote pt well-being and respect pt autonomy.

Question 15

Conscientious objection limitation in OIIQ code of ethics?

Answer 15

Cannot abandon pt.

A nurse may not refuse to collaborate with other HCP engaged in treatments