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4 Cards in this Set

  • Front
  • Back
What is an isn't allowed in the continuum of treatment of a patient?
1. Allowed: prevention, diagnosis, active treatment, forego/withold treatment, withdraw treatment including fluids and artificial nutrition, aggressive palliation of symptoms including opioids and sedation
2. Not Allowed: physician assisted death
What is the rule of double effect as it applies to aggressive palliation?
An action with two possible side effects (one good and one bad) is morally permitted if: the action is not itself immoral, the intention is to achieve the good effect without the bad effect, the good effect does not require the bad effect, the action is taken for grave reasons
Legal Cases: Nancy B., Constable Durksen, Hassan Rasouli
1. Nancy B.: Quebec women with guillan-barre who was totally dependent on intubation/respiration who took Quebec Hospital to court and won right to have ventillation stopped (based on autonomy)
2. Constable Durksen: RCMP officer in persistant vegitative state from head injury/plane crash who's family requested that a public guardian be appointed to make decisions about artificial nutrition. Court viewed life as sacred in a personal sense.
3. Hassan Rasouli: Engineer in persistant vegetative state due to complications of brain surgery and intensivist wishes to withdraw ventillation but wife disagrees. Currently physicians must have permission from patient, substitute decision maker or consent and capacity board to do this.
What laws are there in regards to euthanasia and assisted suicide?
1. Euthanasia: homicide
2. Assisted Suicide: offense of either counselling or aiding suicide