Respect for patient autonomy and the right of individuals to make their own healthcare decisions where possible lies at the core of the recent Mental Capacity Act 2005. The Act gives statutory authority to “Advance Decisions” (ADs) – enabling people to communicate their healthcare decisions in advance of losing the capacity to do so (e.g. due to coma or dementia). This is increasingly important when new medical technologies mean it is now possible keep people alive for years or for decades in permanent vegetative or minimally conscious states (i.e. with no – or virtually no – awareness of themselves or their environment).
A cancer-stricken woman fighting a right-to-die battle against her parents won the backing of an appellate court Friday, which ruled that the 28-year-old bank manager from New York City who is paralyzed as a result of a brain tumor may decide her own fate. The emotional case has been playing out in Grace SungEun Lee’s room at North Shore University Hospital on Long Island, and on a Facebook page, Save Grace SungEun Lee, created by those who sided with family members desperate to keep Lee on life support. As word of the appellate court’s decision spread Friday, the page was swarmed with comments from people arguing for and against it, underscoring the passionate debate that surrounds the issue of individuals’ rights to choose death over terminal illness.
When your time comes to die, you probably hope that you will be surrounded by loving family members and friends who will support you and help you leave this earth at peace with one another. Sadly, for 28 year-old SungEun Grace Lee, who is dying in a Long Island hospital, Rather than suffer a slow, miserable death, Grace has requested that doctors take away the life support. After determining that she was mentally competent, doctors at North Shore University Hospital in Manhasset, N.Y., prepared to shut off her life support. But her parents did not agree.
Sally Roberts, 37, is opposed to her son Neon receiving radiotherapy treatment for a brain tumour, and disappeared with him on Sunday. Police launched a nationwide hunt for the pair after they disappeared from Tiverton, Devon. They were found by officers in Sussex. Devon and Cornwall police said: "Emergency protection care has been put in place and Neon's welfare will be considered in the High Court." Mrs Roberts was in the middle of a court battle with the child’s father Ben Roberts, an IT consultant, from Knightsbridge, London, who agrees with doctors that Neon’s chances of survival will be greatly increased with treatment. Mr Justice Hogg, at the High Court, took the unusual step to relax reporting restrictions to allow identification of the child as doctors said that without speedy treatment his chances will be "dramatically reduced".
A High Court judge has ruled in favour of an NHS trust that force feeding would not be in the "best interests" of an anorexic woman. Mrs Justice King, at the Court of Protection in London, heard that the 29-year-old woman, who weighs about 3st 2lb (20kg), does not wish to die. She ruled "all reasonable steps" should be taken to gain the woman's co-operation, without "physical force".
The mother of a teenage girl who died from anorexia has called for hospitals to change the way they treat young people as they become adults. Vickie Townsend's daughter, Laura Willmott, died from complications caused by the eating disorder. Townsend told an inquest that as the former public schoolgirl approached her 18th birthday, medical staff stopped informing her of her daughter's progress.
A woman with "severe" anorexia who wanted to be allowed to die is to be force fed in her "best interests" by order of a High Court judge. Mr Justice Peter Jackson declared that the 32-year-old from Wales, who cannot be identified, did not have the capacity to make decisions for herself. He made public his judgment on Friday after making the ruling last month.
Doctors were forced to allow a young woman to die as she had made a "living will" requesting no medical help if she attempted suicide. They would have risked breaking the law by treating Kerrie Wooltorton, 26, of Norwich, an inquest heard. Miss Wooltorton wrote her living will in September 2007, asking for no intervention if she tried to take her own life.
Judge approves forced Caesarean for mentally-ill woman Doctors have been granted permission to perform an urgent Caesarean section on a mentally-ill woman with diabetes. High Court judge Mr Justice Hayden gave specialists at the Royal Free London NHS Trust approval after a five-hour hearing at the Court of Protection. He said the decision was "draconian" but necessary because the mother's life may be in danger. The woman, 32, who is 32 weeks pregnant, was deemed unable to make the decision over how to give birth. The ruling, late on Friday, came after doctors applied for permission to carry out the delivery in order that the patient's "unstable mental state" could be treated. A specialist from the trust told the Court of Protection in London, which specialises in issues relating to the sick and vulnerable, that their priority was "keeping this woman alive".
Advance decisions and proxy decision-making in medical treatment and research 13 November 2007 June 2007 This guidance covers the law and ethical issues involved in competent individuals making advance decisions about their later medical treatment and proxy decisions about medical treatment made by other people on behalf of adults who lack mental capacity. When they are mentally competent, patients decide for themselves whether or not to accept the medical treatments recommended by health professionals. This guidance is about what happens when that mental ability to make a valid decision is lost.
The National Ethics Council has intensively discussed the issues involved in dealing responsibly with dying. It has perused a large volume of material, obtained expert opinions, consulted with doctors and other medical specialists, and held meetings in Augsburg and Münster at which it exposed itself to public debate. The outcome is enshrined in the Opinion now presented. Self-determination and care at the end of life continues the examination of the themes addressed in the Opinion The advance directive published in June 2005. The present analysis, in conjunction with the clarification of terminology here proposed, may facilitate interpretation of the recommendations set out in that Opinion.