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Qu Ce Se Medical assistance in dying at MAHC A Change in Practice February 2015: The Supreme Court of Canada, in a case known as "the Carter Decision", ruled it is not a criminal offence for physicians to help someone end their life in certain circumstances. The ruling struck down the previous ban on assisted death, judging it to be a violation of the right to life, liberty and security of the person. The court gave the federal government a June 6, 2016 deadline to enact a new law. April 2016: The federal government introduced Bill C-14 (legislation supporting medicallyassisted dying) where a physician or nurse practitioner provides or administers medication that intentionally brings about a patient’s death, at the request of the patient. The legislation, “for adults who are suffering intolerably and for whom death is reasonably foreseeable”, requires the patient to be a consenting adult, at least 18 years old, with a serious and incurable disease, illness or disability, and be in “an advanced state of irreversible decline.” June 6, 2016: Medical assistance in dying became legal in Canada. June 17, 2016: Bill C-14 receives Royal Assent after passing through the House of Commons and the Senate. Medical assistance in dying is one of a number of choices that can be considered in end-of-life care at Muskoka Algonquin Healthcare. End-of-life care planning is very personal, and is designed to be respectful of your personal values and beliefs and to ensure that you and your family are treated with dignity. Since medical assistance in dying became legal in June 2016, a great deal of work has occurred at MAHC to ensure that our patients have access to all aspects of end-of-life care, including medical assistance in dying, and that our staff and physicians have a framework that guides them in this new practice. There are two ways in which this medical assistance in dying can ultimately occur: • A doctor will provide the patient with a prescription for a fatal dose of medication to end his/her own life; or • A doctor administers medications to the patient that ends the patient’s life. This is also known as voluntary euthanasia. Requests for medical assistance in dying must come from a capable and competent adult who meets all of the eligibility criteria, without pressure from others. Substitute Decision Makers, Powers of Attorney and/or family members cannot make this decision and advance directives cannot be used to request medical assistance in dying. To qualify for medical assistance in dying, you are required to meet all of the following criteria: • Eligible for health services funded by a government of Canada • At least 18 years of age • Capable of making decisions about your health care • Suffer from a serious and incurable illness, disease or disability • Are in an advanced state of irreversible decline that is causing enduring physical or psychological suffering that is intolerable • Natural death is reasonably foreseeable • Give informed consent in writing It is important to consider details like where you wish to die, the way in which you wish to die, who you would like present at your death, whether you wish to have your pet(s) present, whether you wish to have music playing or someone reading to you, and how you would like your loved ones supported following your death. At any point, if you change your mind you can withdraw your consent to proceed with medical assistance in dying. MAHC is committed to ensuring patients will receive high-quality palliative and supportive care throughout the process of requesting medical assistance in dying or any approach to end-of-life care. July 2016: MAHC formalizes a policy on medical assistance in dying. Find out more at www.mahc.ca/en/stayingvisiting/ medical-assistance-in-dying.asp. Dr. Jan Goossens is the Chief of Medical Staff at MAHC. 14 2016 COMMUNITY HEALTH BULLETIN
Pepe Comment cards help us to improve Let us know what you think! Inviting feedback is the best way to evaluate something and improve upon it. Throughout Muskoka Algonquin Healthcare’s hospital sites we have “OFI” boxes where patients, families and visitors can share opportunities for improvement with us. We also receive feedback through our website on a regular basis. Oftentimes our Dietary Aides in Food & Nutrition Services receive verbal feedback at the bedside from patients about their meals, right down to what they liked and didn’t like. “We get lots of comments about food and we want to be able understand from the patient’s perspective what is good or what they feel needs improving,” explains Dietary Aide Dorothy Green. “Most of the time they are very complimentary.” So Dorothy came up with the idea to have a comment card for patients to use to communicate their feedback. The initiative even earned her a nomination from her hospital peers for a Board Award of Excellence. The comment cards have become part and parcel of patient meal service and also emphasize MAHC’s commitment to local food by featuring our staff with local food options from our kitchens. Your Comments ... “The meals here are great. My dad has been accommodated when needed and all of this has been done willingly and cheerfully. The pictures of the meals are very helpful for him too. Thank you for all the work you do. It is a very important part in a patient’s recovery.” “Compliments to the kitchen staff. I always hear from other people how bad hospital food is, but that certainly is not the case here at this hospital. You all need to be very proud of what you serve each day. Good home cooking, presentation and temperature are perfect. Thank you for your hard work and keep up the good work. Once again, thank you.” 5 Dr. Sandi Adamson Kaileigh Adie Vicky Barrett Terry-Lynn Brown Natalie Bubela Sarah Campese Audra Carroll Nicole Cobean Tammy Devoe Heidi Dorion Lena Dutton Bert Fazackerley Brittany Fess Amanda Fletcher Dr. Kim Forester Nicole Fyfe Dan Gaughan Dr. Jan Goossens Karli Haughton Ann Huke Amy MacEachern Kelly Mahon Laura McCarthy Brenda McKee Dr. Jessica Reid Navi Sachdeva Tim Smith Erin Speicher Robert Spencley Karen Stark Cherie Waldock Yvonne Waters Cindy Waters Laurene Wittich Fiona Woodhouse Madison Wright Lucia Yu 10 15 20 25 Dr. Helen Dempster Lesley-Anne Earl Kathy Irving Esther Jennings Dr. Kersti Kents Dr. Melanie Mar Nancy Andrews Cynthia Childerhose Kim Clark Riitta Cronkright Deb Curtis Sandra Demaine-Wilson Lucien Desormeaux Alisa Drouillard Cathy Bildson-Cardoso Jana Carr Harold Featherston Lynn Feaver Marikay Files Pauline Gilbert Lorrie McManus Christine O’Hara Kim Schmitz Virginia Small Paula Snyder Debbie Stone Beverley Faulkner Shannon Fletcher Karen Grant Julie Hewitson Heidi Huggins Rachelle Iannantuono Brenda Liddle Tina MacMillan Dr. Graeme Gair Ron Godfrey Sue Kennedy Dr. Karen Martin Dr. David McGregor Marla McKenzie Mary Louise Teakle Lori Treadwell Kathy Trobacher Donna Wilson Susan Wilson Katie Zammit Chris Mathon Janean McMackin Gloria Nielsen Leslie Secord Ruth Shaw Paul Shisko Cindy Smith Julie Williams Bryn Milner Jeannette Nicoletti Dr. Brian Murat Bernadine Reaburn Dr. Greg Stewart Barbara Barry Peggy Campese Debbi Connick Susan Corson Adrienne Demerling Laura Derbyshire Dr. John Eastmure Dr. William Hemens Christine Loshaw Darlene Rosbottom Jerilou South Irene Burton Gloria Gravelle Kathy Lynn McDonald Dana Thompson Dr. Paul Bastedo Pam Kranjc Thank you for your years of commitment and dedicated service providing quality health care to our communities & delivering the best patient outcomes with high standards and compassion. 30 35 40 2016 COMMUNITY HEALTH BULLETIN 15
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