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Volume 1 / Medical Module

Part 1 – SENIOR HEALTH
INTRODUCTION.

CHAPTER 1—CAPACITY, CONSENT TO (OR REFUSAL OF) TREATMENT AND EMERGENCY.
INTRODUCTION.
SECTION 1—CAPACITY.

  • Introduction.
  • Definition.
  • Statutes.
  • Case Law.
  • Conclusion.

SECTION 2—CONSENT/REFUSAL: DEFINITIONS AND STATUTORY COMPOSITES.

  • Introduction.
  • Definitions.
  • Preliminary Elements of Consent: Physician-Patient Communication.
  • Doctrine.
  • Establishing Informed Consent: Patient Knowledge and Physician.
  • Presumptions.
  • Consent.
  • Informed Consent.
  • United States—Doctrine.
  • Consent in Common and Civil Law.
  • Ontario.
  • Quebec.
  • Doctor’s Health.
  • Other Areas.
    Physician-to-Physician Tips.
  • Educate the Patient.
  • Physician Disclosure.
  • Conclusion.

SECTION 3—CONSENT: CROSS-CANADA STATUTE REVIEW.

  • Introduction.
  • Consent.
  • Canada.
  • Alberta.
  • British Columbia.
  • Manitoba.
  • New Brunswick.
  • Northwest Territories.
  • Nova Scotia.
  • Nunavut.
  • Ontario.
  • Prince Edward Island.
  • Quebec.
  • Civil Code of Quebec (C.C.Q.).
  • Quebec Code Of Civil Procedure.
  • Quebec Charter of Rights and Freedoms.
  • Yukon.
  • Conclusion.

SECTION 4—CONSENT: FURTHER CASE LAW.

  • Introduction.
  • Consent (vs Battery
  • Duty to Preserve Life/Failing to Provide Necessities of Life.
  • Absence of Consent in Situations of Time Constraint/Emergency.
  • Parameters of Informed Consent: Cases on Doctor’s Disclosure/Advice.
  • Refusal of Treatment.
  • Principles from Findings on Consent.
  • Conclusion.

SECTION 5—EMERGENCY.

  • Introduction.
  • Conclusion.
  • CHAPTER 1—CONCLUSION.
  • APPENDIX I—FORMS: BASIC CONSENT WORDING.
  • APPENDIX II—FORMS: PETITION SEEKING AUTHORIZATION TO TREAT.

CHAPTER 2—MEDICAL ERROR/MALPRACTICE.
INTRODUCTION.
SECTION 1—DOCTRINE AND CASE LAW SURVEY.

  • Introduction.
  • Doctrine.
  • Ordinary Principles of Negligence/High Standard of Care Required of an Anaesthetist.
  • Want of Reasonable Care.
  • Violation of Standard Procedure.
  • Misdiagnosis.
  • Saying Condition is Inoperable with Months to Live.
  • Importance of an Apology.
  • Conclusion.

SECTION 2—DRUG AND MEDICAL ERRORS AND TIPS.

  • Introduction.
  • Prescription Drugs.
  • Medical Errors.
  • Administration in Hospital of the Wrong Drug, Dose or Treatment.
  • Poor Charting.
  • Late-Appearing Errors/PoorTransfer to Home.
  • Early Discharge and Deficient Aftercare.
  • Public Disclosure.
  • Conclusion.

SECTION 3—DOING BETTER: INITIATIVES/GOLDEN RULES/RECOMMENDATIONS.

  • Introduction.
  • Reducing Errors.
  • Improving Health Services.
  • Improving Practice for Physicians.
  • Making Medical Care Senior-Friendly.
  • Conclusion.
  • CHAPTER 2—CONCLUSION.

CHAPTER 3—ADVANCE CARE PLANNING.
INTRODUCTION.
SECTION 1 – INSURANCE AND ADVANCE MEDICAL DIRECTIVE (LIVING WILL).

  • Introduction.
  • Long-Term-Care Insurance.
  • Advance Medical Directive.
  • Definition.
  • Parties/Qualities.
  • Contents.
  • Instructive Component.
  • Proxy Component.
  • Non-health Addendum.
  • Conclusion.

SECTION 2 – ADVANCE MEDICAL DIRECTIVE: CASE LAW AND DOCTRINE.

  • Introduction.
  • Recognition of Refusal in Written Form
  • Canada.
  • Liability When Ignoring Patient Directive.
  • United States.
  • Doctrine.
  • Caution.
  • Conclusion.
  • CHAPTER 3 – CONCLUSION.

CHAPTER 4 –WITHHOLDING OR WITHDRAWING TREATMENT.
INTRODUCTION.
SECTION 1 – DEFINITIONS, OVERVIEW AND CASE LAW.

  • Introduction.
  • Definitions.
  • Overview.
  • Aggressive Curative Treatment.
  • Withholding or Withdrawal of Life Support.
  • Case Law.
  • Canada.
  • Petitioning the court for discontinuation of life support.
  • United States.
  • Great Britain.
  • Conclusion.

SECTION 2 – THE KRAUSZ CASE (HERMAN KRAUSZ: CORONER’S

  • INQUEST FILE NO.: 97345, OPINION NO.: A-125446.
  • Introduction.
  • Artificial Feeding and Hydration Are Not Nourishment, But Treatment.
  • Lay (Or Non-Professional) Commentators.
  • Conclusion.
  • CHAPTER 4 – CONCLUSION.
  • APPENDIX I—CASE BOOK FACT PATTERNS.

CHAPTER 5–EUTHANASIA AND ASSISTED DEATH.
INTRODUCTION.
SECTION 1—EUTHANASIA, THE WORLDWIDE EXPERIENCE.

  • Introduction.
  • Definitions.
  • Legislation.
  • Canada.
  • Mercy Killing.
  • International Law on Euthanasia.
  • Australia.
  • Colombia.
  • Great Britain.
  • Holland.
  • Switzerland.
  • United States.
  • Conclusion.

SECTION 2—EUTHANASIA: A STUDY MODEL AND JURISPRUDENCE.

  • Introduction.
  • Study Model for Understanding Euthanasia: Active, Passive, Self and False.
  • Double-Active Euthanasia Case Law: Canada and the United States.
  • Introduction-Double-Active Euthanasia.
  • Cases of Citizens Engaging in Double-Active Euthanasia.
  • Cases of Doctors and Double-Active Euthanasia.
  • Conclusion—Double-Active Euthanasia.
  • Active Euthanasia Case Law: Canada, United States and Great Britain.
  • Introduction—Active Euthanasia.
  • Petitioning the Courts for the Right to Assisted Suicide.
  • Cases of Citizens Engaging in Active Euthanasia.
  • Cases of Doctors Engaging in Active Euthanasia.
  • Should Canada Legalize Assisted Death?
  • Conclusion—Active Euthanasia.

SECTION 3—PRACTICE AID: PLEADINGS IN EQUITY FOR AND AGAINST EUTHANASIA.

  • Introduction.
  • Pleadings.
  • For Euthanasia.
  • Against Euthanasia.
  • Summations.
  • For Euthanasia.
  • Against Euthanasia.
  • Conclusion.
  • CHAPTER 5—CONCLUSION.

CHAPTER 6—THE GOOD DEATH: PALLIATIVE CARE (AND NONAGGRESSIVE MEDICAL
PROCEDURES) IN A PSYCHO-GERIATRIC UNIT AND HOSPICE.
INTRODUCTION.
SECTION 1 – PALLIATIVE CARE AND HOSPICE PERFORM A VALUABLE FUNCTION.

  • Introduction.
  • Definitions.
  • Overview.
  • Doctrine.
  • Players.
  • Hospice.
  • Hospice, the Canadian Experience.
  • Senate Committee.
  • West Island Palliative Care Residence.
  • Doing Better: Hospice and Palliative Care.
  • Quebec.
  • Hospice Facilities.
  • Recommendations.
  • Conclusion.

SECTION 2—THE SIXTEEN GUIDELINES: BMC MEDICAL ETHICS BIOMED CENTRAL LTD.

  • Introduction.
  • Guidelines.
  • Other Considerations.
  • Conclusion.

SECTION 3—DOCTOR’S LATITUDE AT END-OF-LIFE.

  • Introduction.
  • What May Now Be Possible In Law?
  • Caution Due To Delirium.
  • Conclusion.
  • CHAPTER 6 – CONCLUSION.
  • CHAPTERS 1-6—CONCLUSION.
  • APPENDIX I—THE SIXTEEN GUIDELINES: BMC MEDICAL ETHICS BIOMED CENTRAL LTD.
  • (RESEARCH ARTICLE).
  • APPENDIX II – DOCTORING: GOLDEN RULES/RECOMMENDATIONS CHECKLIST
  • (HOW PHYSICIANS MAY BETTER PRACTICE THEIR PROFESSION AND MAKE MEDICAL CARE
  • SENIOR-FRIENDLY!).
  • APPENDIX III—LISTS.

CHAPTER 7—HEALTH INSURANCE AND THE HEALTH/SOCIAL SERVICES.
NETWORK.
INTRODUCTION.
SECTION 1—DEFINITIONS, CANADA-WIDE STATUTE REVIEW AND PROGRAM SURVEY.

  • Introduction.
  • Definitions.
  • Overview.
  • Doctrine.
  • Canada-Wide Survey of Statutes and Health Insurance Programs.
  • Statutes.
  • Canada.
  • Health Insurance Programs.
  • United States of America.
  • Conclusion.

SECTION 2–HEALTH INSURANCE: PROBLEM AREAS.

  • Introduction.
  • Coverage and Claims.
  • Incongruence Amongst Canadian Provincial Plans.
  • Foreign Health Care.
  • Coverage.
  • Statistics.
  • Procedure and Timing.
  • Medical Information.
  • Rights.
  • Conclusion.

SECTION 3—FIGHTING THE HEALTH BUREAUCRACY: THE STEIN CASE, CHAOULLI AND MORE.

  • Introduction.
  • Fact Patterns.
  • Opting for Innovative Treatment.
  • Death Following Cancellation of Surgery/Procedure Refusal to Cover
  • Medical/Hospital Costs.
  • A Charter Right.
  • Lengthy Line-Ups.
  • Early Intervention Therapy.
  • United States.
  • Miscellaneous.
  • Conclusion.

SECTION 4—POLICY ARGUMENTS: THE FUTURE OF THE CANADIAN HEALTH SYSTEM.

  • Introduction.
  • Comparative Health Systems.
  • United States.
  • Sweden.
  • France.
  • Canada.
  • Wait List.
  • Options for Change in Canada.
  • Private Care.
  • New Facilities.
  • High-Tech Equipment.
  • Modest Proposals.
  • Tax Credits.
  • Allocation of Doctors’ Time (With-Fault) Health Insurance.
  • User Fees.
  • Statistics.
  • Criticism.
  • Romanow Royal Commission.
  • Conclusion.

SECTION 5—PRESCRIPTION DRUGS.

  • Introduction.
  • Statistics.
  • Eligibility/Opting Out.
  • Premiums.
  • Program Financing.
  • Price Differences between Canada and the United States.
  • Conclusion.
  • CHAPTER 7—CONCLUSION.APPENDIX I – Jacques Chaoulli et George Zeliotis c. Procureur général du Québec et Procureur général du Canada, cases cited in the judgment, a statute list and the Court bibliograpgy.
  • PART 1—CONCLUSION.
  • APPENDIX I—HEALTH INSURANCE:
  • GOLDEN RULES/RECOMMENDATIONS CHECKLIST (OBTAINING THE MAXIMUM COVERAGE!).
  • APPENDIX II – INFORMATION AND RESOURCES ON HEALTH.
  • APPENDIX III—DIRECTORY.
  • APPENDIX IV—INDEX.

© 2005 Practitioners’ Press Inc./ TM Practitioners’ Press Inc

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