The unfortunate case of Terri Schiavo has brought to the fore the issue of ‘consent to medical treatment’. In particular, how are such decisions made on behalf of an incapacitated person?
Who can give consent to medical treatment on behalf of an incapable person?
- Doctors will look to those closely related to the incapable person
- Provincial laws can & do set up a hierarchy of those to consult
- Generally this will begin with a guardian, then an attorney for personal care, then a spouse, and so on (and the ‘so on’ is where it can get complicated)
What is the difference between a guardian and an attorney?
- A capable person may him/herself designate another to be attorney for personal care during a subsequent incapacity
- If this was not done when an incapacity arises, and there are differing opinions on treatment, a court process may be necessary for a judge to appoint a guardian
Is a ‘personal care attorney’ the same thing as a ‘living will’?
- A ‘personal care power of attorney’ falls under the category of health care proxies; it confers legal authority upon the attorney to make decisions – it’s the “Who”
- A ‘living will’ falls under the category of health care directives; it expresses the grantor’s treatment preferences – it’s the “What”
- Commonly a living will statement is included within a power of attorney
Will any appointed attorney be able to make these decisions?
- We are specifically speaking of an attorney appointed to make personal care decisions
- For clarity, a general power of attorney for property will not suffice
So, what about those complicated situations – any suggestions?
- It is impossible to draft a living will to cover all situations, and therefore it is most common to grant power of attorney with a general living will statement
- Choose an attorney that makes sense within your family dynamics, especially keeping in mind contingent appointments if your spouse predeceases you
- Get legal advice