MLPD - Our Last Rights: Do Not Resuscitate (DNR) Orders and People with Disabilities

A Voice of People with Disabilities in Manitoba

CONTENTS

1.	Executive Summary

2.	Scope and Outline of the Project
	2.1	Clarification of Terms
		a.	CPR and DNR
		b.	DNR, Euthanasia and Assisted Suicide
		c.	Advance Directives and Living Wills
		d.	Competency
		e.	Persistent Vegetative State, Permanent Unconsciousness and Brain Death
		f.	Futility of Treatment

3.	Review of Historical Precedents, Past Practices and Analysis of Social Environments
	3.1	CFS v. Lavallee
	3.2	Sawatzky v. Riverview Health Centre
	3.3	R.K. v. London Health Sciences Centre
	3.4	Coroner’s Report: Herman Krausz (Montreal)
	3.5	Cultural Understandings of End-of-Life Issues

4.	Current Discussions, Procedural Guidelines and Developments
	4.1	What are Manitobans Saying about DNR Orders?
	4.2	Futility of Treatment Discussion
	4.3	Manitoba Health
	4.4	The College of Physicians and Surgeons of Manitoba
	4.5	Survey of Manitoba Physicians (Searles)
	4.6	The Role of the Public Trustee
	4.7	Policies of Regional Health Authorities, Hospitals, and Long Term Care Facilities
		a.	Burntwood Region
		b.	Brandon Region
		c.	Central Region
		d.	Dauphin Region
		e.	Parkland Region
		f.	Winnipeg RHA and Long Term Care Facilities
		g.	Winnipeg Acute Care Hospitals
	4.8	Some National and International Related Issues
	4.9	Final Report: Standing Senate Committee on Euthanasia
	4.10	Understandings of “Quality of Life”
		a.	“Deciding for Others” & “The Futility Debate” (Baylis)
		b.	“Disability, Discrimination and the Law” (Sobsey)

5.	Voices of Persons with Disabilities
	5.1	Current Statistics Regarding Representation
	5.2	Written Articles
		a.	“Attitudes Prove Almost Lethal” (Hershey)
		b.	“Suicide: Personal or Political?” (Reiskin)
		c.	“Any Choice As Long As Its Death” (Mailhot)
		d.	“The Right to Live and Be Different” (DPI)
	5.3.	Experiences of Manitobans Encountering DNR Orders

6.	Conclusion
	6.1	Recommendations for Further Action

View/download PDF version of this report (approx. 262 kb).

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