The State of Knowledge on Medical Assistance in Dying for Mature Minors

The State of Knowledge on Medical Assistance in Dying for Mature Minors
Author: The Expert Panel Working Group on MAID for Mature Minors
Publisher: Council of Canadian Academies
Total Pages: 220
Release: 2018-12-12
Genre: Social Science
ISBN: 1926522478

In December 2016, the CCA was asked by then Minister of Health Jane Philpott and Minister of Justice and Attorney General of Canada Jody Wilson-Raybould to undertake independent reviews related to medical assistance in dying (MAID). Specifically, the CCA was tasked with examining three particularly complex types of requests for MAID that were identified for further review and study in the legislation passed by Parliament in 2016: requests by mature minors, advance requests, and requests where a mental disorder is the sole underlying medical condition. On December 12, 2018 the CCA released the three final reports of the Expert Panel, one on each type of request: The State of Knowledge on Medical Assistance in Dying for Mature Minors; The State of Knowledge on Advance Requests for Medical Assistance in Dying; and The State of Knowledge on Medical Assistance in Dying Where a Mental Disorder is the Sole Underlying Medical Condition.

The State of Knowledge on Medical Assistance in Dying Where a Mental Disorder Is the Sole Underlying Medical Condition

The State of Knowledge on Medical Assistance in Dying Where a Mental Disorder Is the Sole Underlying Medical Condition
Author: The Expert Panel Working Group on MAID Where a Mental Disorder Is the Sole Underlying Medical Condition
Publisher: Council of Canadian Academies
Total Pages: 272
Release: 2018-12-12
Genre: Social Science
ISBN: 1926522494

In December 2016, the CCA was asked by then Minister of Health Jane Philpott and Minister of Justice and Attorney General of Canada Jody Wilson-Raybould to undertake independent reviews related to medical assistance in dying (MAID). Specifically, the CCA was tasked with examining three particularly complex types of requests for MAID that were identified for further review and study in the legislation passed by Parliament in 2016: requests by mature minors, advance requests, and requests where a mental disorder is the sole underlying medical condition. On December 12, 2018 the CCA released the three final reports of the Expert Panel, one on each type of request: The State of Knowledge on Medical Assistance in Dying for Mature Minors; The State of Knowledge on Advance Requests for Medical Assistance in Dying; and The State of Knowledge on Medical Assistance in Dying Where a Mental Disorder is the Sole Underlying Medical Condition.

The State of Knowledge on Advance Requests for Medical Assistance in Dying

The State of Knowledge on Advance Requests for Medical Assistance in Dying
Author: The Expert Panel Working Group on Advance Requests for MAID
Publisher: Council of Canadian Academies
Total Pages: 244
Release: 2018-12-12
Genre: Social Science
ISBN: 1926522516

In December 2016, the CCA was asked by then Minister of Health Jane Philpott and Minister of Justice and Attorney General of Canada Jody Wilson-Raybould to undertake independent reviews related to medical assistance in dying (MAID). Specifically, the CCA was tasked with examining three particularly complex types of requests for MAID that were identified for further review and study in the legislation passed by Parliament in 2016: requests by mature minors, advance requests, and requests where a mental disorder is the sole underlying medical condition. On December 12, 2018 the CCA released the three final reports of the Expert Panel, one on each type of request: The State of Knowledge on Medical Assistance in Dying for Mature Minors; The State of Knowledge on Advance Requests for Medical Assistance in Dying; and The State of Knowledge on Medical Assistance in Dying Where a Mental Disorder is the Sole Underlying Medical Condition.

Medical Assistance in Dying (MAID) for Minors in Canada

Medical Assistance in Dying (MAID) for Minors in Canada
Author: Harprit Singh
Publisher:
Total Pages:
Release: 2018
Genre:
ISBN:

"The Special Joint Committee on Physician Assisted Dying has recommended the extension of current medical assistance in dying (MAID) legislation in Canada (Bill C-14) to include mature minors. A mature minor is anyone under the age of 18 demonstrating sufficient capacity to understand their medical condition, and the risks and benefits of available treatments. Although mature minors are the only minors being considered under the current recommendations regarding future legislation, Canadian health care professionals are already being approached with inquiries about MAID for minors who do not meet mature minor criteria. Current eligibility criteria for MAID include a requirement of informed consent, and that of intolerable suffering. Most minors are presumed, by the law and in health care practice, not to have the capacity to consent. Parents/guardians would therefore have to act as surrogate decision makers. Reliance on parents/guardians as surrogate decision makers increases the risk of inaccurately assessing the more subjective eligibility criteria for MAID, particularly suffering intolerably, by excluding the subjective perspective of the minor regarding her own intolerable suffering. Health care professionals' accounts of a minor's intolerable suffering also increase this risk. When factored into determinations of a minor's eligibility for MAID, inaccurate assessments of intolerable suffering raise concern about justice in the context of MAID for minors. This research began with a hypothesis that the subjectivity of suffering makes it important to incorporate the sufferers' own voice in an accurate assessment of intolerable suffering. This thesis explores how the child's voice, as representative of the child's experience, can be useful in adequately assessing that a minor is suffering intolerably, and thus factor into determinations of that child's eligibility for MAID. The conceptual framework of children's agency from the New Sociology of Childhood literature provides a theoretical foundation for elicitation of the child's voice, and hence a plausible means of assessing the intolerable suffering of a minor. The 'child's voice' refers to communication from the child using words, illustration, actions, assistive devices, or silence, that serves as a metaphor for children's perspectives, and may provide epistemological access to a child's experience. This thesis demonstrates that children's voices can provide valuable information for decision-making pertaining to MAID for a minor; however, it is not clear whether the insight that children's voices can provide in assessing intolerable suffering is sufficient for the context of MAID for minors. This thesis identifies this matter as something that would have to be considered in greater detail if considering an extension of MAID legislation to all minors in the future. " --

Medical Assistance in Dying (MAID) in Canada

Medical Assistance in Dying (MAID) in Canada
Author: Jaro Kotalik
Publisher: Springer Nature
Total Pages: 507
Release: 2023-07-25
Genre: Philosophy
ISBN: 3031300025

This book, written both for a Canadian and an international readership, provides a multidisciplinary review of the framework and performance of the Canadian Medical Assistance in Dying (MAID) program. In the first five years (2015-2021) of operation, this program delivered voluntary euthanasia and assistance in suicide to over 30,000 Canadian residents, presently representing a 30% annual growth. Looking back on these first five years, the 30 Canadian scholars and clinicians contributing to this volume raise important issues and attempt to answer key questions that have arisen in regards to its operation and its stated objectives. This volume strikes the most appropriate balance between the autonomy of persons who seek medical assistance, versus the interests and protection of vulnerable persons. Finally, the book makes suggestions on how the program can presently be improved. It identifies gaps in knowledge about MAID’s operational program and its impact on individuals, families and society in order to stimulate the necessary research that is essential to the evolution of a healthy and well-balanced program. As a first, comprehensive examination of medically assisted deaths in Canada, this publication will be of great value to lay, professional, academic, political audiences both domestically and internationally, especially in jurisdictions that are examining their options of permitting assisted deaths.

Concepts and Cases in Nursing Ethics – Fourth Edition

Concepts and Cases in Nursing Ethics – Fourth Edition
Author: Michael Yeo
Publisher: Broadview Press
Total Pages: 498
Release: 2020-04-30
Genre: Medical
ISBN: 1460406893

A portion of the revenue from this book’s sales will be donated to Doctors Without Borders to assist the humanitarian work of nurses, doctors, and other health care providers in the fight against COVID-19 and beyond. Concepts and Cases in Nursing Ethics is an introduction to contemporary ethical issues in health care, designed especially for Canadian audiences. The book is organized around six key concepts: beneficence, autonomy, truth-telling, confidentiality, justice, and integrity. Each of these concepts is explained and discussed with reference to professional and legal norms. The discussion is then supplemented by case studies that exemplify the relevant concepts and show how each applies in health care and nursing practice. This new fourth edition includes an added chapter on end-of-life issues, and it is revised throughout to reflect the latest developments on topics such as global health ethics, cultural competence, social media, and palliative sedation, as well as ethical issues relating to COVID-19.

Physician-Assisted Death

Physician-Assisted Death
Author: National Academies of Sciences, Engineering, and Medicine
Publisher: National Academies Press
Total Pages: 179
Release: 2018-09-29
Genre: Medical
ISBN: 030947695X

The question of whether and under what circumstances terminally ill patients should be able to access life-ending medications with the aid of a physician is receiving increasing attention as a matter of public opinion and of public policy. Ethicists, clinicians, patients, and their families debate whether physician-assisted death ought to be a legal option for patients. While public opinion is divided and public policy debates include moral, ethical, and policy considerations, a demand for physician-assisted death persists among some patients, and the inconsistent legal terrain leaves a number of questions and challenges for health care providers to navigate when presented with patients considering or requesting physician-assisted death. To discuss what is known and not known empirically about the practice of physician-assisted death, the National Academies of Sciences, Engineering, and Medicine convened a 2-day workshop in Washington, DC, on February 12â€"13, 2018. This publication summarizes the presentations and discussions from the workshop.