Full page photo print - Harvard Law School Project on Disability
Full page photo print - Harvard Law School Project on Disability
Full page photo print - Harvard Law School Project on Disability
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diseases. Health care providers frequently underestimate the quality of life enjoyed by people<br />
with disabilities. C<strong>on</strong>sequently, people with disabilities are sometimes not given life-saving<br />
interventi<strong>on</strong>s that would otherwise be provided to patients.<br />
The enjoyment of the right to life by people with disabilities is inextricably linked to the<br />
enjoyment of other human rights. For example, if a pers<strong>on</strong> with a disability has no access to<br />
health care or rehabilitati<strong>on</strong> services, their right to life may well come under threat. Subjecting<br />
people with disabilities to dangerous working envir<strong>on</strong>ments or to c<strong>on</strong>diti<strong>on</strong>s that amount to<br />
forced labor is likewise potentially life threatening.<br />
Access to informati<strong>on</strong> is another prec<strong>on</strong>diti<strong>on</strong> to the enjoyment of human rights and, in some<br />
instances, is directly related to the enjoyment of the right to life. Thus, the failure of officials to<br />
provide important informati<strong>on</strong> in accessible formats (e.g., HIV/AIDS preventi<strong>on</strong> programs or<br />
emergency evacuati<strong>on</strong> procedures in times of natural disaster) may infringe up<strong>on</strong> the right to<br />
life of people with disabilities. These illustrati<strong>on</strong>s dem<strong>on</strong>strate that human rights are indivisible,<br />
interdependent, and interc<strong>on</strong>nected. What is clear is that without respect for the right to life, all<br />
other human rights are without meaning.<br />
guiding principles <strong>on</strong> “do not resuscitate” Orders<br />
The following Guiding Principles were developed by the British Columbia Associati<strong>on</strong><br />
for Community Living to ensure that people with developmental disabilities are not<br />
subjected to the inappropriate use of “do not resuscitate” orders (DNR orders):<br />
• A disability is not a terminal illness;<br />
• The decisi<strong>on</strong> of whether some<strong>on</strong>e is at the end stages of life must be<br />
made independently of the pers<strong>on</strong>’s disability;<br />
• All people at the end stages of life have the right to care and comfort<br />
measures, with an emphasis <strong>on</strong> alleviating pain;<br />
• DNR orders should <strong>on</strong>ly be c<strong>on</strong>sidered when some<strong>on</strong>e is in the<br />
irreversible terminal stages of an illness or when the process of giving<br />
CPR could potentially cause significant trauma to the individual;<br />
• Physicians should seek c<strong>on</strong>sent for a DNR order from the individual<br />
or an authorized substitute decisi<strong>on</strong>-maker before the order is placed<br />
<strong>on</strong> a pers<strong>on</strong>’s medical chart;<br />
• People with developmental disabilities who are receiving treatment for<br />
a treatable health care c<strong>on</strong>diti<strong>on</strong> should be given CPR, unless the<br />
process of giving CPR could potentially cause significant trauma to<br />
the individual. 1<br />
exerCise 5.1: threats to life<br />
Objective: To understand threats to the right to life of people with disabilities<br />
time: 30 minutes<br />
materials: Chart paper and markers or blackboard and chalk<br />
1 “Do Not Resuscitate Orders Policy.” British Columbia Associati<strong>on</strong> for Community Living.<br />
http://www.bcacl.org/index.cfm?act=main&call=788F8794<br />
72 human rights. yes! aCtiOn and adVOCaCy On the rights Of persOns with disabilities