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MAiD & Severe Mental Illness, Concerns, Alzheimers Dementia not…
MAiD & Severe Mental Illness
Bill C-14
Changes to Criminal Code- Carter v. Canada. Eligible Canadian adults to request MAiD
Conditions
Be eligible for health services (no visitors)
Be at least 18 years old and mentally competent
Make voluntary request that is not result of pressure or influence
Give informed consent
Have a grevious and irremediable medical condition
Death must be reasonably "foreseeable" (Prior to March 17)
As of March 17, 2021, "reasonably foreseeable" removed- serious and disease, disability. Mental illness excluded until March 17, 2023 until Government can check. Does not include neurocognitive and neurodevelopmental disorders
Supreme Court found "reasonable foreseeable of natural death" eligibility criteria to be unconstitutional
Controversies
Eligibility of mature minors
Advance directives
Mental Illness (Neurocognitive)
Palliative care
Canadians living with disabilities
Key Stakeholders
Patients experiencing intolerable suffering
Patients family
Patients next of kin
Healthcare practitioners
Regulatory bodies/Colleges of professions (Criminality, regulation etc).
Federal Government
Policy Makers
Supreme Court of Canada
Provincial Govenment
Senate
Committees/Parliament
Advocacy Groups
Health authorities and systems delivering services
MAiD Protocol
Medical Assessmnent by two practitioners
Must meet all eligibility criterion
Second practitioner must provide opinion confirming eligiblity (Independent of first practiioner)
Submit signed request for MAiD with independent witness
Final Consent under two conditions: if your natural death is reasonably foreseeable, AND, wihle you had decision making capacity
Two methods to delivering: Physician or NP can administer IV OR can provide substance to patient that causes their death (self-admin)
Proposed Policy
Concerns
Carter decision doesnt mentioned foreseeable
Just "intolerable suffering"
Advanced consent for dementia
Timeframe to respond to Supreme Court
Not enough study
Deadlines/Compressed Timeframe
Regulation
Alzheimers Dementia not included
Why does this require policy change? Intolerable Suffering.
Limits many groups