End Of Life - Children Flashcards
What guidance do we follow for end of life and children?
Making decisions to limit treatment in life-limiting and life-threatening conditions in children - a framework for practice 2015
When does the guidance say treatment can be withdrawn?
- Limited quality of life (brain dead)
- No qualitative benefit (burdens of treatment)
- Informed, competent, and supported refusal.
Which case shows how society used to deal with children and end of life?
R v arthur 1981 - allowed to die as down syndrome wasn’t accepted back then.
Which case reversed r v arthur?
R v B 1981 - “was the child’s life so awful that he must be condemned to die?”
Which case introduced the tolerability test? Explain?
R v J 1991 - was the child’s life tolerable? NO.
which case shows society now? What did this case prove?
Charlotte wyatts litigation 2005 - disapproved the tolerability test, best interests test prevails. Medical and emotional needs considered.
Which case upholds the Wyatt litigation? Explain.
R v MB 2006 - best interest of child, has cognitive awareness.
Which case breached article 8 rights to private and family life?
Glass v UK 2004
What was the main principle within the Re A (conjoined twins) 2001 case?
Was killing the weaker twin via separation murder?
What was the outcome of the conjoined twins case?
In the best interests of both twins to separate them. Weaker twin was killing the stronger twin by using her oxygenated blood. Weaker twin wouldn’t live on her own. Stronger twin would die if they didn’t separate them.
What did John Harris say about the conjoined twins case?
Weaker twins life expectancy was not one of biographical life. She wouldn’t not have a life of significant benefit.
What did MQ Bratton and SB Chetwynd say about the conjoined twins case?
The ethical and legal thinking that treats conjoined twins as separate entities is wrong. They are not separate. Separating them may not automatically be in their best interests.
Case to show alternative treatment must be one found in science? (Failure)
NHST v SR 2012
Case to show alternative treatment was founded in science? (Success)
Re King 2014 - cancer cured in Spain.
Case where alternative treatment suggested was not accepted?
Great Ormond street hospital v Yates and Gard 2017 - hasn’t even been test on mice yet.
