This report explains various legal issues in the light of the case study of Mr. Mulder who wants to access passive euthanasia. It also discusses about the privacy laws that are applicable in Victoria. It also deals with the professional negligence done by the medical staff of the hospital.
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Table of Contents Introduction..........................................................................................................................................3 Main Body............................................................................................................................................3 Facts of the case-.................................................................................................................................4 Legal Issues..........................................................................................................................................5 Legal Issue 1...............................................................................................................................5 Legal Issue 2...............................................................................................................................6 Legal issue 3................................................................................................................................8 Conclusion..........................................................................................................................................11 References..........................................................................................................................................12
Introduction Passive or voluntary euthanasia means an act which is based on the patient's will in order to end its life. It is also known as assisted suicide,executed by withdrawing the medical treatment which is being given to the patient or by giving a lethal drug or medication upon the consent of the patient to end its life. This particular concept is illegal in many countries but there are certain nations which has legalised the conception of voluntary euthanasia. The Victoria state of Australia is among one of those countries which has provided a legal status to passive euthanasia(Adams, 2021). Right to life is a basic human right which is granted to each and every human being living on this globe, which got its effect from Universal Declaration of Human Rights. This right basically means that every person is entitled to live a dignified life. But if a person is experiencing suffering and pain in its life due to some disease or illness which is incurable in nature then this condition raise a question on the contention which says that passive or voluntary euthanasia is a violation of right to life.This report explains various legal issues in the light of the case study of Mr. Mulder who wants to access passive euthanasia. This report also discusses about the privacy laws that are applicable in Victoria. It also deals with the professional negligence done by the medical staff of the hospital. 1. Privacy and confidentially regarding to the facebook post by nurse 2. Voluntary assited dying and the eligibility criteria for it. 3. Professional negligence with 4 elements of negligence( duty of care, breach of duty of care, causation, damage Main Body In Victoria's state the voluntary assisted dying law will allow person who is in last stage of crucial disease, the medicines have to be prescribed by the doctor which will bring their death at their decided time. In this law a person who meet with some conditions will be eligible for euthanasia(Akhtar, et.al, 2019). The people who meet the conditions and follows the process which is being set out in the law can access the euthanasia. A person decides to ask for euthanasia must be: ď‚·voluntary; and ď‚·consistent; and ď‚·fully informed. The conditions foe accessing euthanasia are: 1)they must have an crucial disease which will cause the death of patient is: ď‚·likely to cause the death of a person within six months and ď‚·which cause suffering to the patient. 2)the patient have to communicate the decision for euthanasia through a formal request
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process(Boughey & Fletcher, 2018). 3)They will also: ď‚·be adult 18 years or above; and ď‚·the patient must be living in Victoria for minimum 12 months; and ď‚·the patient have to be an Australian citizen or a permanent resident. How a person can request for euthanasia: there are many steps which a patient need for accessing euthanasia. This method can make sure that a person can access euthanasia: ď‚·the patient can ask doctor for the information regarding euthanasia. ď‚·If a patient decide and want to access euthanasia then they can ask doctor for help in accessing this. Tell doctor that patient have to go through the steps which will allow to access euthanasia(Brosseau & Roy, 2018). ď‚·The doctor will start a check up to see you meet the requirement. ď‚·The second doctor will also check for the same to seethat you meet the requirement. ď‚·A form have to be completed in which the request for euthanasia is there. ď‚·After 10 days of first request the patient will ask first doctor to help him access the euthanasia for the final time(Cornock, 2018). ď‚·A person is being appointed who will return the unused medicines to the pharmacy, if the person die beforetaking the medicine. ď‚·The doctor will prescribe the medicinewhich will allow the self administration or practitioner administer of the medicine. ď‚·When the doctor writes the prescription the patent will receive the medicine. Both the doctors will take part in the assessment process. The doctors have to: ď‚·take care that the patent is fully informed about the disease and the treatment. ď‚·Take care that the euthanasia is from patient own choice. ď‚·Ask the patient for change their mind for euthanasia(Crusto, 2018). Facts of the case- There is a man named Mr. Serius Mulder who is 43 years old. There happened the house fire in the house of Mr. Serius. The body of Mr. Serius was burnt 55% due to this accident. Moreover, the wife of the Mr Serius was also died due to the accident of firing in the house. The child named Keegan who is sixteen years oldsurvived. Moreover,the patient in this case wanted the passive euthanasia. But, the medical staff in the hospital did not showed any interest in passive euthanasia. The medical staff treated the patient three to four times with the cardiac arrest. However, one of the
doctor told to allow the act of passive euthanasia. The medical staff always tried to save the life of the patient. However, in the end the patient died. Legal Issues Legal Issue 1 1. Whether the Right to privacy and confidentiality is infringed in this case? Relevant laws and statues- The right to privacy is the basic right that every individual on this planet enjoys. The right to life is basically a fundamental human right as per the laws of the country. This right is accessible to every human regardless of the caste, gender, sex, race, country, etc. these rights have to be provided to every human on this earth. The Charter of Human Rights and Responsibilities of Victoria provides for the twenty essential rights that protects and promotes the freedom, dignity , equality and respect of the people residing in the country(Digby, et.al, 2020). The Charter of the Victoria’s Human Rights and Responsibilities provides for the provision related to the right to life. The section 9 of the Charter provides for the Right to life to all the citizens living in the Victoria territories. It explains that every person has the right that no one can harm the body of an individual without any due cause that must be valid and legal as per the law of the country(Engström, 2020). It also provides that the government must take all the necessary steps in order protect the right to life of all the citizens. Moreover, it also provides that the government must take the necessary steps in order to promote the life of the persons in the society. Every person have right to privacy as per Victorian law and it is govern by the privacy and data protection act 2014( PDP ACT). And according to PDP ACT 2014it is defined that how Victorian public sector organisation must handle personal information. Under the PDP Act, personal information is information or an opinion about you where your identity is clear or where someone could reasonably work out that it related to you. TheIDPincludestheinformationincludesname;emailaddress;postaladdress;phone number;signature;fingerprint;photographs or surveillance footage of you;comments written about you; or your financial details. To be considered personal information, the information or opinion must be recorded. It will be considered personal information regardless of whether it is true or not. Some personal information is considered particularly sensitive, and these types of information are subject to higher protections under the PDP Act. This includes information about your:race or ethnicity;political opinions;membership to a political
association;religion;philosophicalbeliefs,membershiptoaprofessionalor tradeassociation;membership to a trade union;sexual preferences or practices; orcriminal record. (Haining, et.al, 2021).Moreover, the public authorities have the two types of duties under this section. These duties includes the positive and the negative duties.Helal Mehtab, et.al, 2022). The positive duties means that the things that must be done by the government to protect the right to life. The negative duties means the acts that must not to done by the public authorities in order to save the right to life of the citizens. Moreover, the section 28 of the Charter specifies certain limitations on the right to life. Further more, the right to life started from the birth of a person. Applicability of law- In the present case scenario, it can be seen that there exist the case of passive euthanasia. The person in the case wants to die voluntarily and for that he also misbehaves with the medical staff of the hospital. Moreover, the personis not legally liable for passive euthanasia as per the laws of the country. The rights of the person explains that there exists the right to life as per the law of the country. Further more, the right to life is not infringed by the passive euthanasia. This is because the right to life also deals that the person lives a healthy and safe life. On the contrary to this, in case of passive euthanasia person wants to die by not providing him with the adequate antibiotics and medical facilities that are required for the betterment of his condition. This would also mean the the person is also legally entitled to right to life as per the law. But where the condition arises that the person has no motive to live his life because his body cannot work in a proper manner for life time such as severe conditions like coma, total heart failure, etc. so, in these conditions there is no sense left to live a happy life. So, the patient can decide to die as he will only have to suffer if he would not die. There are the cases where he does not have any happiness left in the life(Katterl & Maylea2021). Hence, the passive euthanasia is legal. Moreover, it does not infringes the legal right of the right to life as per the law of the country. The passive euthanasia is also known as the non aggressive euthanasia. It can also be seen that the passive euthanasia would cause the infringement of the right to life as per the law that is requested by the patient in the given case. This is because he is not liable for the act of the passive euthanasia. Hence, there would be the infringement of the right to life to Mr. Sirius in this case. This is because Mr. Seri us has no legal right to ask for the passive euthanasia in this case. Further more, there could be the legal charges involved in this case against the patient.Moreover, there also exist the punishment for the illegal passive euthanasia that are done by the individuals as per the charter of the Victoria.Moreover, the right to privacy is also infringed in this case.
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Legal Issue 2 Whether the medical staff of the hospital liable for negligence under the law? Relevant laws and statues- Nurses being professional owning rights have to incur whole liabilities of their actions and the treatment they give to patients. In Victorian State code of ethics contain various standards on which they have to work on as per which they have autonomy of decision making in any emergency situation, the are responsible for their decisions and do have jurisdictional liabilities for the provision of secure and competitive care. When they are need they have right to call the most appropriate person for assistance as per the Nurses Board of Victoria(Kennedy, 2018) (Kome lGentilini, 2019). The accountability of nurses for informing about the health and conduct of the patient is also provided in code.They are assumed to aware of the all the pros and cons of the treatment they give to any patient or of the treatment given to any patient in their organisation. For example, in case of John James Memorial Hospital Ltd. v. Keys, the plea of nurse that she was not informed by the side effects of the medicine given to patient and thus when the patient got injuries due to non attendance of nurse she was not liable.The court rejected the plea and held in favour of vicarious liability. Similarly in case of Ison v. Northern Rivers Area Health Service, the nurse was presumed to know the standard protocol of the department and her plea for non furnishing of information was rejected. She was also considered to behave with advanced level of proficiencyand held therefore liable(Mathews, 2018) (Meharia, 2020). Above situations exemplifies that registered nurses should work on their own judgement to satisfy the requirement of sensible standards. They remain solely accountable for their acts and decisions.Beyonddutiesandliabilities,nurse'srightsareenshrinedunderANMFPolicy (AusralianNursing&MidwiferyFederation)onPreventionofoccupationalviolenceand aggression in the workplace. Under this policy, the nurses possess right to exist and work in a secure and healthy surrounding without any occupational violence and aggression (OVA). Point 2 deals with bellicose and fierce treatment towards nurses is not appropriate and should be ventilated through management schemes and plans. Point 3 (b) where OVA is defined to include any threat or daunting act. The violence even includes Verbal abuse, Shouting or yelling, Swearing or cursing etc. Specifically the rights are provided under point 14 of the policy. These rights include the right to be treated with dignity and respect. The can exercise their own rationale while treatment and may not go further in exposing themselves to work hazards.They possess right to report the abuse, threat, etc. to the police and be informed about further actions and proceedings with
transparency. Apartfrombasicstatepolicies,WHO,ILO,PSI,ICNtogetherformulated Framework guidelines for addressing workplace violence in the health sector for better research and policy development in non emergency settings. For such situations, WHO framed methods of consistently collying information on threats and attacks on healthcare professionals. Applicability of law- The act of nurses of giving the doses of morphine comes under the purview of negligence constituting four elements which are Duty to care, breach of duty, causation and damage. Here the person became entitled to damages if all the essentials are fulfilled on the balance of probabilities proving the negligence of nurses. Nurses owed the duty to take care towards Mr. Mulder. When he was bought to the hospital in such a condition the nurses being the carers of him owed the duty towards him. There was existing responsibility dependent on the condition of Mr. Mulder. He being under the observation was the subject of nurses accountability too if any wrong or extravagant medication was administered to him. Here the standard of duty included the proper estimation of how much doses of morphine will be appropriate for him thereby along with relieving his pain will not harm his body. The breach of duty occurs when there is a departure from the sensible level of duty to take care. The report of ISBAR stating that the doses of morphine administered to Mr. Mulder were extraneous asserts that there was breach of duty by nurses. Not only the report for once indicated this but afterwards too continues doses were given which were not effective and Mr. Mulder died. The causation here is clear with the death of Mr. Mulder who suffered 55% injuries not fatal enough to lead to the death of the patient. It now can be determined that the extraneous doses of morphine led physical harm leading to the death of Mr. Mulder. Altogether if Mulder was alive or any of his legal descendants can now claim damages from the hospital generating the vicarious liability or from the nurses combined for the injury suffered from the professional negligence. According to point 2 ill treatment with nurses should be prevented by management of hospital. From this purpose guideline for health services was laid down for purpose or security. Due to mistreatment of patient causes metal harassment to nurse as patient infringe the rules of policy are liable to sue by nurse. The statement which shows mental harassment of nurse are a follow after threatening to sue in court nurse immediately left the room and start crying. One of nurse suggest he cannot behave like this with medical staff in reply patient said they touch him he will call the police. Its clearly shows bellicose and fierce treatment towards nurses from patient's side. And it also show this is an act of threatening which is a violation of his duty. As per prevention of occupational violence and aggression in the workplace if staff is abused, jeopardise or assaulted during the employment are liable under the prevention of occupational violence and aggression. It vastly laid down following act are unlawful these are as follow: 1 orally, physical or psychological abuse; 2 threats or other daunting behaviours; 3 physical attack, such as hitting, pinching, scratching, biting, grabbing or pushing;
4 aggravated assault; 5 threats with a weapon or objects; 6 sexual harassment and sexual assault; and 7 any form of decorous physical contact. Legal issue 3 Whether voluntary assisted dying is legal in Victoria's legal system? Give reason and criteria for the eligibility of the voluntary assisted dying by an individual. Relevant statues and laws Voluntary Assisted Dying, in literal sense means 'easy death'. The Australian Medical Association (AMA) states that, euthanasia is an act which is intentionally done by the person in order to end the patient's life, who is in immense pain and suffering and for the purpose of ending that pain, euthanasia is being executed. Basically, it can be categorized in four types- ď‚·Passive voluntary euthanasia, means when the patient request to withdraw the medication and the treatment in order to end the life. ď‚·Active voluntary assisted dying , means that when patient asks to intervene the medical treatment to end the life, like by giving any venomous drug or injection. ď‚·Passive involuntary euthanasia, states the situation when the medical treatment is withdrawn but not on the patient's request. ď‚·Active involuntary assisted dying , defines the circumstance when the medical treatment is intervened but not on the patient's call. The Victorian state of Australia was became the first state in Australia to pass the legislation related to euthanasia or assisted suicide in the year 2019. The Voluntary Assisted Dying Bill 2017 was introduced in 2017 in the Australian Senate or the parliament in order to legalise the concept of passive or voluntary assisted dying. The bill has finally became an act in 2019 as TheVoluntary Assisted Dying Act, 2019and set out certain guidelines in order to allow the patients who are ill from a period of time to obtain active assisted dyingin terms of ending their pain and agony. A doctor cannot initiate the view or opinion regarding passive euthanasia, it has to come fromthe patient itself. If in accordance to the laws stated in relation to the voluntary assisted dying, the patient is found eligible for the same then the it will be provided with a fatal drug or any other type of medicine.If the patient is unable to use the drug on its own then in that case, the doctor assists that patient. There are certain eligibility criteria which are being given in the Clause 9 of the bill, in which a person- ď‚·Is required to be an adult that is 18 years or above. ď‚·Must be the citizen of Australia or a permanent habitant of Victoria.
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ď‚·Must be capable of making decisions in terms of passive euthanasia. ď‚·Must be examined with a disease or a type of illness that will not be cured and which surely cause death or is expected that the medical condition will end up in the patient's death within the period of 12 months. ď‚·The suffering and the pain of the patient is grave in nature which is intolerable. A person is not eligible to approach or choose voluntary assisted dyingif the individual is suffering from any kind of mental imbalance or disease or any other type of disability.The request related with passive euthanasia is required to move from the patient's side and no other person can raise the request or consent on behalf of the patient. Like, the doctor, power of attorney, legal representative, family member, etc. Also the person cannot opt for voluntary euthanasia by anticipating the disease by itself as it is not an advance precaution pronouncement(Mousa, 2021). It is not easy to end one's life.It requires a lot of courage while going for the option of passive or voluntary assisted dying. The ruthless condition of the patient leads to the helpless situation where he thinks to end his own life.One of the ethical reasons behind this is that every individual holds the independence in order to make the choices of its own as long as it do not harms the interest of the other people.It is directly related with the level of capability and the competency of the individual because this type of decisions needs to be backed by that much capacity and consent of the person. It is way through which an individual can be actually saved and relieved by ending all his sufferings and pain. Earlier, the arguments raised against voluntary assisted dying that it infringes the basic human right that is right to live a dignified life.But, when a person is in huge pain then the question of dignified life don not make any sense. As dignity is all related with liberty and freedom in terms of living a life which is free from any kind of pain and sufferings. Applicability of law in the case- In the case of Mr. Mulder got 55 percent of burns on the body as a result of a fire accident took place at the residence of the individual.The patient was asking again and again for the voluntary assisted dying as the person does not wanted to live.The contention of Mr. Mulder was not addressed by the official staff of the hospital such as doctors and nurses. From the above scenario of the case, it is clear that the patient cannot be granted passive euthanasia as the eligibility criteriaprovidedundertheVoluntary AssistedDying Act2019(Plater,et.al,2021).Passive euthanasia cannot be demanded on the condition which is curable in nature.And the burns Mr. Mulder has suffered are no doubt intolerable but can be cured with the passage of time. The pain and suffering will also reduced after the surgery and various sessions of dressing. All the other criteria related tovoluntary assisted dying are being satisfied except one, that is the person or the patient must be suffering from an incurable disease, which cannot be cured and can cause death of
the individual within the period of twelve months.The intensity of the burns which is suffered by Mr. Mulder is 55 percent that is not that much grievous in nature. It can be treated by the support of propermedicationandtreatment. Thesufferingandthepainthroughwhichthepatientis undergoing is intolerable but for a particular period of time. This is not a type of disease or illness which will going to result in the death of Mr. Mulder or the end result of these burns is not death for the person. So, in this case the contention of the patient will not be admissible in order to provide voluntary euthanasia(Wilson, et.al, 2021). Conclusion This report concludes that the euthanasia in Victoria have changed in practice, policy and health law. This state that law for euthanasia on clinical practice have a foreseeable implementation challenge. The law provides the overview of clinical implementation of euthanasia in Victoria, the goals of this policy are negative and how the legislation is being practice in regular basis, and how the consequences is being managed. There is limited information available for practising the euthanasia law in Victoria till date, from the perspective of their family and relatives the available data and the report is implemented in a complex mode of euthanasia this is an challenge. This is for the balance of legislation for safeguard the patient to access euthanasia.The systematic data of euthanasia have by state, this is alongside the independent research in the operation of euthanasia. Essentially the assessment of clinical implementation of euthanasia is required specification of indicators, this is beyond simple legislative compliance on what indeed for euthanasia.It also concludes about the professional negligence that is done by the staff of the hospital. It also summarises about the laws related to right to confidentiality and privacy as per the law of the country.
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