The Canadian Hospice Palliative Care Association has lauded recommendations for the improvement of palliative care contained in a report from the Quebec Comission on Dying with Dignity. However, it states that euthanasia and assisted suicide should not be part of palliative or hospice care, and that hospice and palliative care workers should not be expected to participate in such practices if they are legalized. [News Release]
Category: Euthanasia
Quebec Commission on Dying with Dignity Releases Death with Dignity Report
Improvements to hospice palliative care recommended
NEWS RELEASE
April 2, 2012 (Ottawa, ON) – The Canadian Hospice Palliative Care Association (CHPCA) is optimistic about many of the recommendations put forth in the Special Commission on Dying with Dignity’s (Commission spéciale sur la question de mourir dans la dignité) report, Dying with Dignity. On March 22, the Committee made 24 recommendations to the Minister of Health and Social Services as to how end-of-life care should be improved in Quebec. Among the recommendations, the CHPCA applauds those focused on the further development of hospice palliative care in Quebec; these include improved training for hospice palliative care professionals, earlier access to hospice palliative care for patients, and the implementation of end-of-life care policy in Quebec.
The CHPCA commends the Committee for their efforts and inclusion of recommendations around improving the quality and delivery of hospice palliative care in Quebec. The Commission conducted extensive hearings with hospice palliative care professionals across Quebec to ensure that all viewpoints were equally represented. The resulting report is a strong first step towards implementing standardized hospice palliative care in Quebec so that all patients may have the highest quality of life and quality of dying
Among the recommendations however, were several advocating for the legalization of physician assisted death**, should the patient request. “Many of the Committee’s recommendations show a positive future for hospice palliative care in Quebec,” stated Sharon Baxter, Executive Director of the CHPCA, “however we need to have a clear distinction between hospice palliative care and physician assisted death. Physician assisted death should not be considered a part of or linked to hospice palliative care ideology or practice.”
“. . .Physician assisted death should not be considered a part of or linked to hospice palliative care ideology or practice.” . . . Should a legislation allowing physician assisted death be passed by the Quebec government in the future, the dedicated and committed personnel who work in hospice palliative care should not be expected to participate in this practice.
The CHPCA believes that hospice palliative care is about ensuring a good death for all Canadians through an interdisciplinary approach that includes pain and symptom management, psychological support, spiritual care, bereavement care, and much more to address the suffering of patients and their families.
Should a legislation allowing physician assisted death be passed by the Quebec government in the future, the dedicated and committed personnel who work in hospice palliative care should not be expected to participate in this practice.
Right now, only 16% of Canadians who die have access to or receive hospice palliative, and quality end-of-life care services. The CHPCA wants to ensure that all Canadians have the highest quality of life as they live with a life limiting or terminal illness. Too many Canadians die with suffering that could be addressed in a more effective manner. The CHPCA believes that we need to have a greater focus on quality end of life care and the right to high quality hospice palliative care at the end of life for all Canadians as we enter into the debate around the contentious issue of physician assisted death.
**incorporates both terms “euthanasia” and “assisted suicide”
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For further information, please contact:
Vanessa Sherry Communications Officer Canadian Hospice Palliative Care Association E-mail: vsherry@bruyere.org Phone: 613-241-3663 ext: 229
The Canadian Hospice Palliative Care Association — the national voice for hospice palliative care in Canada – is dedicated to the pursuit of excellence in care for persons approaching death so that the burdens of suffering, loneliness and grief are lessened. The CHPCA operates in close partnership with other national organizations and continues to work to ensure that all Canadians, regardless of where they may live, have equal access to quality hospice palliative care services for themselves and their family.
Quebec euthanasia proposal challenged as unbalanced
Margaret Somerville, founding Director of McGill University’s Centre for Medicine, Ethics and Law, criticizes the report of Quebec’s Select Committee on Dying with Dignity on the ground that it is unbalanced “and reads rather like a pro-euthanasia manifesto.” She notes that two thirds of the submissions received by the Committee opposed euthansia. [The Gazette]
Compulsory referral for euthanasia recommended in Quebec
The Select Committee on Dying with Dignity has tabled a report unanimously recommending “relevant legislation be amended” to allow euthanasia in the province of Quebec. The Committee also recommends that objecting physicians be forced to refer for the procedure. According to the recommendations, conscientious objections by nurses will be allowed, but it does not indicate whether or not they should be compelled to participate in or facilitate the procedure by referral or other means. The Committee recommends that codes of ethics for physicians and nurses be amended accordingly. The recommendations are available in English, but the report will not be available in English until May [Quebec National Assembly].
Council of Europe asserts that euthanasia “must always be prohibited”
In a document addressing the issue of advance directives, the Parliamentary Assembly of the Council of Europe included the statement, “Euthanasia, in the sense of the intentional killing by act or omission of a dependent human being for his or her alleged benefit, must always be prohibited.” While the document is not legally binding on member states of the European Union, it has persuasive weight. It thus seems less likely that health care workers who object to euthanasia will be pressured to participate in the procedure. However, the document makes no reference to assisted suicide. [Resolution 1859 (2012)]