The inaugural Advance Care Planning Australia conference is underway in Melbourne, hosted by Austin Health. Day one saw a launch by Hon. David Davis MLC, who reflected on the Victorian Government’s support for advance care planning and acknowledged the specific contribution of work focused on increasing the concordance between patient preferences, and the actual care delivered, as a marker of success in end-of-life care.
This helpful MJA article by an Lindy Willmott et al, describes several relevant Supreme Court cases concerning end of life decisions.
It gives us some themes found in the various decisions made:
-Futile medical treatment is not in a patient’s best interests.
-Treatment that is overly burdensome is not in a patient’s best interests, even if the patient is unconscious or unaware of treatment burdens.
-Courts have generally not engaged expressly in quality-of-life assessments, but they remain relevant for determining best interests when considering the patient’s medical condition and prognosis.
-A patient’s wishes and values (gleaned when the patient was competent) are relevant to, but do not determine, his or her best interests. Family members’ views may also be relevant where they are reflecting a patient’s wishes, and perhaps also when reflecting their own wishes, but these views are not conclusive in determining a patient’s best interests.
-The interests of other people and organisations (including the wider health system) are generally not relevant when determining a patient’s best interests.
-Courts have generally deferred to medical practitioners’ opinions about treatment decisions, even when the patient’s family has strongly opposed them.
Have you had any sticky end of life issues recently and crossed paths with our legal brethren?
Sonia
“And I want one at the hospital, one here at the nursing home and one with the GP.” P and I have just been talking about the breathing difficulties that led to him being hospitalized last week. Continue reading
Now, which way to choose?
palliverse.com 