Capacity to refuse intensive care

Gaby Parker and Celia Kitzinger, 30th October 2021 A man in his 40s (PH) has bronchiectasis.  Last night his oxygen levels became seriously low (79%) and doctors raised with him the possibility of transfer to the intensive care unit, or to high dependency care. He refused to go.  He’s made it unambiguously clear that he’ll consent toContinue reading “Capacity to refuse intensive care”

Bringing Lucy home

Listening to this story of Lucy’s recent life, and her family’s efforts and persistence in caring for her, was quite shocking to hear – though not entirely surprising. There were so many things that were briefly mentioned, or alluded to in passing, that it was hard to take in all of the incidents and issues that have caused concern and rancour between the family and the Local Authority since Lucy left home. What was quite clear, though, was that things had become much worse over the past year or so, even before the pandemic. 

Ethical complexity in a life-sustaining treatment case

By Bonnie Venter, 23rd February 2021 Editorial Notes: (1) A tweet thread about the hearing is available here. (2) The judgment has been published here.  (3) A different perspective on the same hearing (by Bridget Penhale) has been published here. There are moments in life that cause a monumental shift in who we used to be and who we areContinue reading “Ethical complexity in a life-sustaining treatment case”

Treatment withdrawal in the ICU when clinicians and family disagree

By Bridget Penhale, 22nd February 2021 Editorial note: The judgment has been published here. When I logged into this hearing (COP 13712297, before Mr Justice Hayden) on the afternoon of Wednesday 10thFebruary 2021, I discovered it had been listed as an urgent matter relating to medical decisions about TW, a 50-year-old man with a catastrophicContinue reading “Treatment withdrawal in the ICU when clinicians and family disagree”

Inviting family into the decision-making process

“I watched as Mr Justice Hayden, with calmness, clarity and compassion deconstructed this fallacy, with the simple but sensitive prompt of “making the decision for him, not for you”. I flatter myself that I have effective communication skills but admit to being unexpectedly moved by watching the judge in action.”