EthicScan End-of-Life Webinar Series:
Ethical issues are common in health care because the stakes are high and values regularly come into conflict when decisions must be made. Differentiation between minimizing harm, doing no harm, and doing good assessments. In the course of provision of these health care services, problems or disagreements will occasionally arise with respect to the moral or “right” thing to do.
These problems can and cause “ethical distress” for health care workers, patients, families, and the community. Ethical stress can have a negative impact on patient care by affecting relationships amongst health care workers, patients, families, advocates, chaplains and other stakeholders.
Mark Handelman, B.A., LL.B, MHSc (bioethics) is our expert on the following webinars. Mark was appointed to the Consent & Capacity Board in 1998 and became a Vice Chair and Senior Lawyer Member in 2000. He became Acting Toronto Regional Vice Chair and then Regional Vice Chair in 2001, for which he stopped practicing law and moved to Toronto. He was the Board’s only Vice Chair for quality assurance and presided at about 2000 Board Hearings—including the majority of the Board’s “end of life” cases. Mark’s term on the Board expired in 2008 and he is now in the private practice of health care law, representing health practitioners, SDMs and patients and advising and teaching health care providers
This webinar will be a discussion of recent court decisions including Rasouli and their implications for patients, health professionals, and the health system.
Hassan Rasouli went into a Toronto hospital for brain surgery nearly three years ago, contracted an infection and has been in a coma ever since. His doctors wanted to take him off life support. The Rasouli family said no, believing there were signs of possible recovery. But medical professionals felt they should have the final say in end-of-life decisions. Whose life is it? The matter of Cuthbertson et al and Rasouli et al was heard at the Supreme Court of Canada on December 10, 2012. At the time of writing of this notice, the decision had not yet been released by the SCC, but is expected shortly.
December 10, 2013, 11:00am
Description:Overview of Relevant Legislation [Health Care Consent Act, Substitute Decisions Act, Mental Health Act]
- The Various Definitions of “Capacity”
- Who Assesses Capacity—When and Why?
- The Occasional Requirement of Consent to Assess Capacity
- How to Assess Capacity:
- Substantive considerations
- Legal Considerations
- After the Capacity Assessment, What Happens Next?
- Identifying the Correct Substitute Decision-Maker
- The Legal Requirements of Substitute Consent Consent and
- Capacity Board Hearings
- Preparing for them
- Keeping them as short as possible
- After the Hearing
Obtaining informed consent to treatment decisions [as well as decisions about admission to a care facility] is the cornerstone of an ethical health practice—not only for physicians but also for nurses, therapists, dentists and all other regulated health practitioners. But, it takes a detailed knowledge of the relevant legislation that is not thoroughly taught as part of the practitioners’ education or qualification to practice. This in-depth programme, taught by an experienced, well-known health law lawyer, will give you the tools to avoid mistakes and aggravation, as well as to ensure your patients or clients receive the legal and ethical quality of care you want them to have.
Instructor: Mark Handelman
February 25th, 12:30
Description: Overview of Relevant Legislation [Health Care Consent Act, Mental Health Act, Substitute Decisions Act]
- Form 1, Application for Psychiatric Assessment: Who, What, When, Where, Why, How?
- Assessing Capacity to Make Treatment Decisions
- Assessing Capacity to Manage Property
- Involuntary Admissions: the Forms, the Process, the Pitfalls
- Community Treatment Orders: the legal process
- Consent and Capacity Board Hearings: making them less painful
Instructor: Mark Handelman
Face to Face Courses Offered by EthicScan
January 7, 2014
Description: What the Courts have done to your hospital policies and procedures regarding “informed consent” for end of life decisions; How to design the best legal and ethical policies to assist families, patients and practitioners in making end of life decisions; Hospital and health practitioner fiduciary, legal and ethical obligations to patients and decision-makers at end of life; That Most important Conversation: when, where and how to make it most informative, ethical, legal and effective; Updating information brochures for Substitute Decision-makers; Review of the Supreme Court of Canada Judgment in Rasouli; Review of the Ontario Court of appeal Decision in Cefarelli
Instructors: Glenn Brown | Mark Handelman | Jonathan Breslin | $1499.00
January 17, 2014, 8:00 am Eastern Standard Time, 1:00 pm UK standard time.
Description: A comprehensive analysis and exploration of the moral questions surrounding death and dying, against the background of U.K. and European Union law.
Outcome: Greater clarity and depth in approaching a highly sensitive and potentially conscientious issue, and exposure to effective tools for resolving particular dilemmas Who this course is for: Health care professionals, Civil servants, bioethicists More information and registration for this course >>
Instructors: Eric Litwack | $599.00