Report on Bioethics: Advance Care Directives - Law Reform ...

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CONTACT DETAILSFurther information can be obtained from:Head of Administration and DevelopmentLaw Reform Commission35-39 Shelbourne RoadBallsbridgeDublin 4Telephone:+353 1 637 7600Fax:+353 1 637 7601Email:info@lawreform.ieWebsite:www.lawreform.ievi
ACKNOWLEDGEMENTSThe Commission would like to thank the following people who provided valuableassistance:Dr Anna Clarke, Irish Medical CouncilEugene Donoghue, An Bord AltranaisDr Katherine Froggatt, Senior Lecturer, Institute for Health Research,Lancester UniversityMr William Kennedy, Irish Medical CouncilDr Mary Keys, Lecturer, School of Law, NUI GalwayMr Edo Korljan, Secretary, Committee of Experts on Family Law (CJ-FA),Council of EuropeDr Deirdre Madden, Lecturer, School of Law, University College CorkProf Kieran Murphy, Irish Medical CouncilMr Eugene Murray, Irish Hospice FoundationDr Doiminic Ó Brannagáin, Consultant Physician in Palliative MedicineDr Des O’Neill, Consultant Geriatrician, Tallaght HospitalMr Mervyn Taylor, Irish Hospice FoundationMs Ann Marie Ryan, An Bord AltranaisProf David Smith, Irish Council for BioethicsMs Kathleen Walsh, An Bord AltranaisFull responsibility for this publication lies, however, with the Commission.vii
Page 1: ReportBIOETHICS:AD
Page 4 and 5: LAW REFORM COMMISSION‘S ROLEThe L
Page 6 and 7: LAW REFORM RESEARCH STAFFDirector o
Page 10 and 11: TABLE OF CONTENTSTable of Legislati
Page 12 and 13: CHAPTER 4CONSEQUENCES OF ESTABLISHI
Page 15: TABLE OF CASESAiredale NHS Trust v
Page 19 and 20: advance care directives in the Unit
Page 22 and 23: CHAPTER 1ORIGINS OF ADVANCE CARE DI
Page 24 and 25: 1.08 The second major development i
Page 26 and 27: Refusal of treatments by pregnant w
Page 28 and 29: we believe Karen‘s choice, if she
Page 30 and 31: 1995 English Law Commission <strong
Page 32 and 33: a declaration that it would be lawf
Page 34 and 35: Disabilities. 42 The draft Recommen
Page 36 and 37: (5) The development of advance care
Page 38 and 39: 1.45 In the Supreme Court, Hamilton
Page 40 and 41: when determining the capacity quest
Page 42 and 43: (d)Current use of advance care dire
Page 44 and 45: e upheld. Indeed, this conclusion f
Page 46 and 47: services, the need for palliative c
Page 48 and 49: ecommendations in this Repo
Page 50 and 51: efusal of medical treatment, subjec
Page 52 and 53: consents to or refuses medical trea
Page 54 and 55: (2) Autonomy, dignity and privacy(a
Page 56 and 57: (3) Presumption in favour of preser
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2CHAPTER 2ADVANCE CARE DIRECTIVES,
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2.07 The Commission recommends that
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2.12 The Council of Europe‘s 2009
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donor understands the effect of mak
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should be referred to the High Cour
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2.30 Another protection of importan
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dentist 3psychologist 4social care
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should be defined to include, but i
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chemotherapy or dialysis, antibioti
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Similarly, Power argues that there
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assist either health care professio
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approach met with broad approval an
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Practice on Advance Care Directives
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(other than charges and directions
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3.64 The Commission concurs with th
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advance care directive involves a r
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eyond question that a court or a do
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close relationship that can exist b
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care directive. 105 The Commission
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the wishes or making their own deci
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sustaining treatment or whether the
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(b) for the guidance of persons, in
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omission.‖ 5 The Supreme Court in
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who acted in good faith could be pr
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or health professional cannot, for
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follow an advance care directive is
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the Board can erase the name of a n
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directive would be likely to be enf
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Ensuring that the wishes of the mak
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APPENDIX DRAFT MENTAL CAPACITY (ADV
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Mental Health Act 2001Powers of Att
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―basic care‖ includes, but is n
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(3) The scope of an advance care di
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(ii) the name and address of that p
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(b) Without prejudice to section 5(
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paragraph 3.13 (palliative care), p
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Subsection (2) implements the recom
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