MAID Concepts
Defintion of MAiD
Medical Assistance in Dying
What drug class is Midazolam and how is it given?
Benzo, Injection
This disease led to 65% of terminal illness MAiD cases
Cancer
What are some nursing duties?
- Patient education
- Patient support and comfort
- Inserting IV
- Independent Witness
Stages of MAiD are:
1) Determine eligibility
2) Obtain Consent
3) Ensuring safeguards are met
4) Provide MAiD
F - 2 and 3 are swapped
The Bill passed in October 2020
Bill C-7
What drug is given IV to induce a coma?
Propofol
Less than or greater than 5% of deaths attributed to MAiD
Less (4.1%)
What is a role of the NP?
- Prescribing medication and providing medicaiton
- Adminstration of medication
- Provides an indepedent second opinion on eligibility and referrals
You need two indepedent medical assessments as a safeguard
T
One methods of MAiD
- Injection (Clinical-administered medical assistance in dying)
- Patient takes drug themselves to invoke their own death (Self-administered medical assistance in dying)
Can PEG tube adminstration be given for MAiD patients?
Yes, it is allowed and it should be flushed due to its bitter taste
Greater than or less than average 75 years of age for MAiD
True or False- RPNS can participate in providing nursing care
True
In countries where it is allowed, MAiD is only accessed by those with a terminal illness
False - those with a serious illness, disease or disability can qualify
Three Criteria of eligibility of MAiD
- HINT: Type of Consent, Request, and general criteria
1) Age and Mentally Competent
2) Informed Consent
3) Voluntary Request
What is the muscle relaxant given in MAiD patients?
Rocuronium
Top 3 leading cause of MAiD by cancer type
1) Lung
2) Colorectal
3) Pancreatic
What is Conscientious Objection?
- A nurse's freedom of conscience, different beliefs and values that may dispel the nurse from partaking in MAiD
Minors can request for MAiD
No/ must be 18 years and older
Three types of Consent
1) General Consent - patient is capable of making decisions about their health
2) Advanced Consent - patient whose natural death is reasonably foreseeable and assessed for MAiD but lost ability to consent to it
3) Express Consent - Final consent before MAiD
What is the purpose of the drug chloral hydrate?
Enhance sedative effects
Three Medical Conditions leading to MAiD
1) ALS
2) Heart Disease
3) MS
4) CHF
5) Organ Dysfunction
Fill in the blank: It is important to let the patient make decisions regarding MAiD to preserve _____ _______
Patient autonomy
False - given they meet the criteria, they are allowed