University of Toronto Joint Centre for Bioethics Seminar Series 2021-22
Jennifer A.H. Bell, Department of Bioethics and Supportive Care Research Division, Princess Margaret Cancer Centre, The Institute for Education Research (TIER), University Health Network, Department of Psychiatry and Dalla Lana School of Public Health, University of Toronto
Seth Climans, Department of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Department of Oncology, Western University
Caroline Variath, Lawrence S. Bloomberg School of Nursing, University of Toronto, Faculty of Health Sciences and Wellness, Humber College IATL
About this Seminar:
Medical assistance in dying (MAiD) is currently legal in several locations across the globe. Brain cancer or its treatments can lead to cognitive impairment, which can impact decision-making capacity for MAiD. Using a mixed-methods research paradigm, we sought to explore neuro-oncology clinicians’ attitudes and perspectives on MAiD, including interpretation of decision-making capacity for patient MAiD eligibility. An online survey was distributed to members of national and international neuro-oncology societies and qualitative interviews were conducted with select respondents. There were 125 survey respondents and 24 interview participants. There is disagreement about the scenarios in which patients are eligible for MAiD. Participants described the unique challenges facing brain cancer patients, potentially resulting in their inequitable access to MAiD. The findings highlight the importance of early end-of-life conversations, advance care planning, and access to end-of-life treatment options.
This event is free and is open to the general public.
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