Week 8- MAiD

Question 1

what year did bill c-14 pass

Answer 1

june 2016

Question 2

under C-7 what are the eligibility criteria for MAiD

Answer 2

death did not have to be imminent (2021)

Question 3

If death is not considered to be reasonably foreseeable the person must be given a period of assessment at least ____from the start of the first MAiD assessment

Answer 3

90 days

Question 4

what health care professional or care provider can respond to a MAiD request

Answer 4

any one
NP or physician can administer
RN can respond, but cant introduce as an option

Question 5

only the person requesting MAiD can initiate suspend or withdraw their request at any time

T/F

Answer 5

only the person requesting MAiD can initiate suspend or withdraw their request at any time. (TRUE)

Question 6

how many medically assisted deaths have been reported in Canada since the initiation of Maid:

Answer 6

45000 since June 2016
ontario, quebec and BC are at the top

Question 7

number 1 reason for choosing MAiD

Answer 7

inability to be actively engage in meaningful activities, existential suffering.

Question 8

who has trouble accessing MAiD

(2)

Answer 8

rural
minorities

Question 9

MAiD definition

Answer 9

• A legal option in Canada for adults who meet specific criteria set out in law.
• If these conditions are met, a doctor or nurse practitioner can provide medications that then cause the death of the person.
• MAiD is available in Canada to anyone eligible for government funded services.

Question 10

feb 2015

Answer 10

the Supreme Court of Canada rule in Carter v. Canada that parts of the Criminal Code would need to change to satisfy the Canadian Charter of Rights and Freedoms.

The parts that prohibited MAiD would no longer be valid

Question 11

June 16, 2016

Answer 11

Bill C-14 legislation on MAiD, received royal assent

Question 12

oct 5 2020

Answer 12

Bill C-7: An Act to amend the Criminal Code (medical assistance in dying) was introduced. These changes were introduced in response to the Superior Court of Québec’s 2019 Truchon’s decision that the “reasonable foreseeability of natural death” eligibility criteria was unconstitutional.

Question 13

march 17, 2021

Answer 13

Parliament passed former Bill C-7 to revise eligibility criteria for obtaining MAiD and the process of assessment.

Question 14

december 5, 2022

Answer 14

the Ministers of Justice, Health, and Mental Health and Addictions, announced the Government of Canada’s intention to introduce legislation to seek an extension of the temporary exclusion of eligibility for person solely from mental illness

Question 15

March 9 , 2023

Answer 15

Bill C-39 passed

• which extends the temporary exclusion of eligibility in circumstances where a person’s sole underlying medical condition is a mental illness

Question 16

can people get MAid if the only condition in a mental illness

Answer 16

no

Question 17

current legal challenges regarding eligibility

Answer 17

1. law discriminates against people with mental illness by making them ineligible for euthanasia. This lawsuit seeks to expand euthanasia.
2. the law discriminates by allowing euthanasia for persons with disabilities. This lawsuit seeks to restrict it.

Question 18

total number of medically assisted deaths reported in Canada since the Parliament of Canada passed federal legislation that allowed eligible Canadian adults to request medical assistance in dying in 2016 is

Answer 18

44 958

Question 19

main conditions receiving made

Answer 19

Cancer
CV
other conditions

Question 20

age majority for maid

Answer 20

65-85 then jump at 91+

Question 21

top 3 nature of suffering of those who received MAiD

Answer 21

loss of ability to engage in meaningful life activities= 86.3%
loss of ability to perform ADL= 81.6%
inadequate pain control 59.2%

Question 22

main condition , MAiD death not reasonable foreseeable

Answer 22

Neurological conditions (ALs, MS, Parkinson’s)

Question 23

most deaths happen in

Answer 23

private residences

Question 24

who are #1 consulted for MAiD

Answer 24

nurses

Question 25

reasons for ineligibility

Answer 25

not a voluntary request
no patient capacity
no informed consent
no a serious illness, disease, disability
not in an advanced state of decline
not experiencing intolerable suffering

Question 26

RN role in MAiD

Answer 26

• provide education and info
• answer questions about maid specific care
  -must be mindful that subsection 241(a) of the Criminal Code makes it a criminal offence to “counsel” a person to commit suicide. For the purposes of the Criminal Code, “counsel” means encourage or incite a patient to seek MAiD.
• aid in the provision (insert IV)
• act as an independent proxy

Question 27

To reduce the risk of allegations of counselling

Answer 27

it would be prudent for nurses not to participate in the preparation of any written request for MAID made by the patient.

Question 28

RN cannot

Answer 28

• Encourage, recommend, counsel or advise a person to consider MAiD (e.g. “have you thought about”, “you might want to consider”).
• Assess or determine a person’s eligibility for MAiD.
• Prescribe, compound, dispense, prepare or administer any medication for the purpose of providing MAiD. It is recommended that nurses do not handle MAiD medications in any way.
• Pronounce death related to MAiD.
• Document any aspect of the MAiD procedure (including documenting the administration of the medication) that is the responsibility of the physician or NP—the physician or NP must do this.
• Aid in the provision of MAiD for a family member.

Question 29

Nurses aiding a physician or NP in the provision of MAiD:

Answer 29

• understand and follow BCCNM standards; theCriminal Code, provincial legislation and direction; employer MAiD policies and processes
• complete additional education and follow an established/employer-approved decision support tool (DST)
• possess the knowledge, skills and abilities to provide safe, competent and ethical care
  are aware of client eligibility, safeguards and requirements for MAiD
• are reasonably certain that legal conditions for MAiD are satisfied
• seek professional or employer legal advice as needed