Vancouver health authority changes assisted-dying guidelines for staff

Winnipeg Free Press

Laura Kane, Canadian Press

VANCOUVER – A major British Columbia health authority has updated its guidelines for medical staff on how to respond to requests for assisted death, allowing doctors and nurses to refer patients to a colleague.

Vancouver Coastal Health first distributed a bulletin on Feb. 5 that advised staff not to provide advice on assistance in dying, but to inform patients that they may wish to speak with legal counsel as a court-ordered exemption may be granted.

Dr. Ellen Wiebe, the Vancouver doctor who recently helped a Calgary woman with ALS die, said the original notice was unacceptable as it appeared to warn staff not to engage in conversations about assisted death.

“The recommendations that went out to clinical units were outrageous,” she said. “It was basically, ‘Don’t talk.’ That’s completely unacceptable. That hurts patients.”

After the health authority issued an updated bulletin on Thursday that advised staff to offer to connect patients with a colleague for more information, Wiebe said she was satisfied. . . [Full text]

 

Right-to-die hits another snag with nurses

Nursing regulator in B.C. says it’s not yet clear that court ruling allowing assisted death protects participating nurses

Vancouver Sun

Jeff Lee

A B.C. doctor leading the efforts to provide physician-assisted dying says she’s being thwarted in her efforts to recruit nurses to help administer intravenous drugs.

On Monday Dr. Ellen Wiebe, the medical director of the Willow Women’s Centre in Vancouver, assisted a Calgary woman with Lou Gehrig’s Disease, also known as amyotrophic lateral sclerosis, in dying after an Alberta court issued an exemption allowing the assistance.

Wiebe said on Thursday that she has a case going to B.C. Supreme Court next week in which a patient has chosen to die at home using intravenous medications. But she said the College of Registered Nurses of British Columbia “does not support this.” . . . [Full text]

 

Ellen Wiebe is the doctor seeking a smoother path to assisted death

The Globe and Mail

Elizabeth Church

The physician who helped a Calgary woman with ALS to hasten her death following a court’s approval says more needs to be done to remove roadblocks and prevent unnecessary suffering for those who meet the legal requirements to end their life.

Ellen Wiebe, the Vancouver doctor who was with the woman when she died Monday night, said last-minute difficulties obtaining the necessary drugs and finding a second doctor as required by the court underscore the need for clear professional guidelines and a national directory of those willing to provide a medically assisted death. . . [Full text]

 

Doctor-assisted dying hits logistical hurdle at the pharmacy

Pharmacists have been reluctant to dispense necessary drugs

Vancouver Sun

Jeff Lee

The B.C. doctor who helped an Alberta woman with Lou Gehrig’s Disease end her life said she’s having trouble accessing the medications needed to help patients who want to commit suicide.

Dr. Ellen Wiebe, director of the Willow Women’s Clinic in Vancouver, said she has a second patient seeking a court-ordered exemption that would allow a doctor to assist in her death. But she faced resistance from the B.C. College of Pharmacists, which warned its members as recently as last weekend to seek legal advice if asked to dispense drugs to be used in physician-assisted dying. . . [Full text]

   

ALS sufferer first Canadian to receive judge’s approval for assisted death

 The Globe and Mail

Sean Fine, Elizabeth Church

A woman suffering from the paralyzing degenerative disease known as ALS has become the first to receive a judicially authorized assisted death in Canada.

The woman received permission from a Calgary judge in a hearing last week from which the media and other members of the public were barred. Known as Ms. S in a ruling made public this week, she then travelled to Vancouver where two physicians attended to her on private property.

Ellen Wiebe, a Vancouver physician, confirmed the death Monday night, saying she was with Ms. S. and pronounced her dead at 8:30.

Ms. S. “suffered unnecessarily because she was required to travel from Calgary to Vancouver on the last day of her life, since she could not find a Calgary physician to help her,” she said in an e-mail to The Globe and Mail.

Ms. S, a retired psychologist who loved hiking in the mountains, was diagnosed with the incurable disease in 2013 after developing a speech impediment, and was told last October that nothing more could be done to slow its progress. . . . [Full text]