Hospital Policies on Life-Sustaining Treatments and Advance Directives in Canada

Canadian Medical Association Journal, Vol. 150, pp. 1265-70, 1994

Posted: 14 Sep 2017

See all articles by Iris Rasooly

Iris Rasooly

Independent

James Lavery

Independent

Sara Urowitz

Independent

Sujit Choudhry

Center for Constitutional Transitions; Center for Global Constitutionalism, WZB Berlin Social Science Center

Neil Seeman

Independent

Eric Meslin

Independent

Frederick Lowry

Independent

Peter A. Singer

University of Toronto

Date Written: 1994

Abstract

This article determines the prevalence and content of hospital policies on life-sustaining treatments and advance directives in Canada, through a cross-sectional mailed survey. Although about half of the general public hospitals surveyed had DNR policies few had policies regarding other life-sustaining treatments or advance directives. Existing policies could be improved if hospitals encouraged routine advance discussions, removed the restriction to terminally or hopelessly ill patients, scrutinized the use of the futility standard, stipulated procedures for conflict resolution, explicitly required communication of the decision to competent patients or substitute decision-makers of incompetent patients and scrutinized the provision allowing families and health care professionals to rescind the wishes of now incompetent patients.

Suggested Citation

Rasooly, Iris and Lavery, James and Urowitz, Sara and Choudhry, Sujit and Seeman, Neil and Meslin, Eric and Lowry, Frederick and Singer, Peter A., Hospital Policies on Life-Sustaining Treatments and Advance Directives in Canada (1994). Canadian Medical Association Journal, Vol. 150, pp. 1265-70, 1994. Available at SSRN: https://ssrn.com/abstract=3026340

Iris Rasooly

Independent

No Address Available

James Lavery

Independent

No Address Available

Sara Urowitz

Independent

No Address Available

Sujit Choudhry (Contact Author)

Center for Constitutional Transitions ( email )

HOME PAGE: constitutionaltransitions.org

Center for Global Constitutionalism, WZB Berlin Social Science Center ( email )

Reichpietschufer 50
D-10785 Berlin, 10785
Germany

Neil Seeman

Independent

No Address Available

Eric Meslin

Independent

No Address Available

Frederick Lowry

Independent

No Address Available

Peter A. Singer

University of Toronto ( email )

Toronto, Ontario M5S 3E6 M5S 3G8
Canada

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