Week 8- MAiD Flashcards
what year did bill c-14 pass
june 2016
under C-7 what are the eligibility criteria for MAiD
death did not have to be imminent (2021)
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
90 days
what health care professional or care provider can respond to a MAiD request
any one
NP or physician can administer
RN can respond, but cant introduce as an option
only the person requesting MAiD can initiate suspend or withdraw their request at any time
T/F
only the person requesting MAiD can initiate suspend or withdraw their request at any time. (TRUE)
how many medically assisted deaths have been reported in Canada since the initiation of Maid:
45000 since June 2016
ontario, quebec and BC are at the top
number 1 reason for choosing MAiD
inability to be actively engage in meaningful activities, existential suffering.
who has trouble accessing MAiD
(2)
rural
minorities
MAiD definition
- 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.
feb 2015
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
June 16, 2016
Bill C-14 legislation on MAiD, received royal assent
oct 5 2020
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.
march 17, 2021
Parliament passed former Bill C-7 to revise eligibility criteria for obtaining MAiD and the process of assessment.
december 5, 2022
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
March 9 , 2023
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
can people get MAid if the only condition in a mental illness
no
current legal challenges regarding eligibility
- law discriminates against people with mental illness by making them ineligible for euthanasia. This lawsuit seeks to expand euthanasia.
- the law discriminates by allowing euthanasia for persons with disabilities. This lawsuit seeks to restrict it.
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
44 958
main conditions receiving made
Cancer
CV
other conditions
age majority for maid
65-85 then jump at 91+
top 3 nature of suffering of those who received MAiD
loss of ability to engage in meaningful life activities= 86.3%
loss of ability to perform ADL= 81.6%
inadequate pain control 59.2%
main condition , MAiD death not reasonable foreseeable
Neurological conditions (ALs, MS, Parkinson’s)
most deaths happen in
private residences
who are #1 consulted for MAiD
nurses
reasons for ineligibility
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
RN role in MAiD
- 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
To reduce the risk of allegations of counselling
it would be prudent for nurses not to participate in the preparation of any written request for MAID made by the patient.
RN cannot
- 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.
Nurses aiding a physician or NP in the provision of MAiD:
- 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
