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23 Cards in this Set

  • Front
  • Back

Factors mitigating consent

-Mistaken Belief


-Fraudulent Belief


-Duress


-Public Policy

Consent based on mistaken belief

Patient consents based on mistaken belief the health care professional created

Consent based on Fraudulent Belief (deceit)

Consents to treatment based on fraudulent belief that a health responsible created or was aware of; fraud must relate to nature of proposed intervention.


Person knowingly makes false statement or misleading impression

Duress

Threat of immediate physical force (doesn't count in the case of being fired, expelled etc.)

Public Policy

"unfair" to allow the defendant to rely not the defence, "unconscionable" or consent obtained by "exploitation"

Under what circumstances can you draw blood from an unconscious person?

When they're suspected of impaired driving causing death or bodily harm.

When may a judge issue a warrant for blood, hair or saliva samples?

Reasonably believed to have committed a specified sexual and other designated offence

Name the act that allows the Health Minister to designate any area a quarantine facility for detaining travellers, if necessary to protect public health

Quarantine Act

Who has the authority to examine and search conveyance, thing or place other than a dwelling house without a warrant to determine if it could be the source of a communicable disease

Quarantine and environmental health officers

What act allows a medical officer of health to order an exam and/or treatment of individuals with communicable diseases?

Health Protection and Promotion Act

How many months can a person with a communicable disease be detained and treated in hospital

6 months

When does the Immunization of School Pupils Act allows exemption from immunization

-Religious/conscientious/medical grounds

7 Sections of end of life decision making

1. Refusing, withdrawing from life-prolonging treatment


2. Demanding that a 3rd party withdraw life-prolonging treatment


3. Demanding life-prolonging treatment be initiated


4. Demanding life-prolonging treatment be continued


5. DNR orders


6. Assisted suicide


7. Euthanasia

Can you Refuse and Withdraw from Life-prolonging treatment

Yep

Can you demand treatment staff withdraw you from life prolonging treatment if you're unable to do so

Yep

Section 14 of Criminal Code

No person is entitled to have death inflicted upon him or herself; reliance on such consent doesn't limit criminal responsibility of those who act upon it

Can Health professionals refrain from providing life-prolonging treatment if they believe it's contrary to the patient's best interest

Yep

According to CMPA, CMA and CPSO, can physicians place DNR orders on patient charts

Yep, but not unilaterally. Must discuss with patient or SDM who challenge it

Assisted Suicide

Active participation in assisting another person to commit suicide. Interruption of natural chain of events and the patient dies as a result of the intervention and not the underlying condition

Euthanasia

Deliberate act of inducing a "gentle" death, "mercy killing"


-If a physician assisted the patient in injecting lethal overdose. Meets criteria for 1st degree murder, but a less serious charge may be laid

A physician may have a defence to criminal liability in euthanasia if the patient was:

a competent, consenting adult who had a previous and irremediable medical condition that caused enduring and intolerable suffering

Quebec Bill 52

Ac Act Respecting End of Life Care- all institutions must provide end of life care (terminal palliative sedation and medical aid in dying). Must be 18+, capable and insured

10 point checklist for consent to treatment

1. Capable


2. Explicit Consent


3. Implicit Consent


4. Valid consent


5. Informed


6. Proof


7. If not consent, was it emergency


8. Valid substitute consent if not emergency


9. Factors invalidating consent (fraud, duress, mistaken belief)


10. Policy reasons to deny defendant right to raise defence of consent