PHLB09H3 Lecture Notes - Lecture 2: Haniel, Palliative Care, Childrens Hospital

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Case # 1 scott starson: refusing treatment while incompetent. Determined he was not competent to make medical decisions for himself: case eventually went to supreme court of canada. 6-3 split decision; stating ontario consent and capacity board (ccb) had been guided too much by interpretation of starson"s best interests rather than by a start interpretation of the law. Concluded: mentally ill patients are presumptively entitled to make their own decisions reagarding treatment unless a balance of probabilities exists to override the decisions. Case # 2 - no chemotherapy for anael: surrogate refusal of treatment for a minor child. Anael (3 year old) being treated at children"s hospital of eastern ontario in ottawa: cancerous tumours in his brain and spinal cord; recommended procedure . Officials @ hospital asked child protection agency to intervene to force treatment; agency declined (not life-threatening) Case # 3 refusal to consent to a dnr for a minor child: manitoba court of appeal case.

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