Week 9 - MAID and Palliation Flashcards

1
Q

Do nurses have to particpate in MAID?

A

NO!
Involvement is voluntary.

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2
Q

Who are Kay Carter and Gloria Taylor?

A

Brought MAID to supreme court.. made it possible

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3
Q

Why can’t we call it PAD in Canada?

A

Health Care Professionals of all kinds are involved in MAID, not just physicians

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4
Q

Can patient’s who receive MAID still receive life insurance?

A

Yes! They cannot be denied

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5
Q

Euthanasia vs. Assisted suicide

A

Euthanasia - given by HCP
Assisted suicide - patient takes medication to end own life, usually oral

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6
Q

What are the criteria for MAID?

A
  • eligible for publically funded health care in Canada
  • 18 years old
  • capable of making decisions
  • grievance and irremediable medical condition - serious and incurable illness with irreversible decline

finish this

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7
Q

What are the safeguards for MAID?

A
  • all criteria met plus
  • request made in writing
  • one independent witness
  • pt informed they can withdrawl at anytime
  • practicitioners are independent (not talking to each other before assessment)
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8
Q

What are some additional ruling of MAID?

A
  • does not need to be a fatal medical condition to qualify
  • theres no specifc length of time a patient must have remaining in their life
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9
Q

If you are a conscientious objector, what is important to ensure?

A

The patient should never know you are a conscientious objector as a nurse.

Physicians can tell them though.

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10
Q

Can RPNs participate in MAID?

A

Yes, orginally no.

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11
Q

Are NPs able to provide MAID?

A

Yes.

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12
Q

What can a nurse say related to MAID?

A

You have to use open ended questions to bring up MAID.

You cannot say bring up MAID before the patient. If they are asking if there is a way they could die you can tell them it exists.

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13
Q

What does ‘provisions’ refer to?

MAID related

A

The MAID procedure = provisions

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14
Q

What are typical preferred place of death?

A

Most prefer at hospital.

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15
Q

Pros and Cons of place of death.

A

At Home
Pros
* comfortable environment
* family support
* de-medicalized
Cons
*

At Hospital
Pros
*
Cons
*

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16
Q

Who is providing MAID services?

A

Mostly family health care providers.

Palliative doctors.

17
Q

What are the Steps to MAID?

A
  1. Written request
  2. First assessment
  3. Second assessment
  4. Maid procedure

Pt can stop at anytime.

18
Q

Do patients have to wait after signing consent?

A

No, it used to be 10 days following.
Now there’s no wait time.

19
Q

What medications are used in MAID?

A

Midazolam/versed - sedation
Lidocaine - local anasthetic
Propofol - coma inducing
Rocuronium - muscular blocker

can be oral

20
Q

What does the oral version of MAID involve?

A

Something for nausea first.
Phenobarbital and morphine drink.

Average time to sleep 7 minutes.
Average time to death 205 minutes.

21
Q

How long does MAID take?

A

4-5 meds administered over
7-10 minutes

22
Q

Track 1 vs. Track 2

A

Track 1 - natural death is foreseeable
Track 2 - natural death not reasonably foreseeable, requires more criteria

23
Q

Bill C-7 vs. C-14

A

C-7 Track 1
* requires one physician with expertise in the condition causing suffering to sign.
* requires one independent witness
* no waiting period

C-7 Track 2
* 90 days waiting
* advance consent waiver D
* patients are informed of ways of relieving suffering

C-14
* requires two independent witnesses
* 10 day waiting period