Admitted to Hospice and Palliative Care without Consent-HALO Newsletter

Admitted to Hospice and Palliative Care without Consent

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By Dorothy Knightly

My husband, William F. Knightly Jr., died on April 26, 2017, from untreated sepsis, which he contracted at a New Hampshire hospital while under the “care” of a hospice and palliative care specialist.

In early February 2017, my husband had lung and lymph node biopsies with negative results. The oncologist said they didn’t know if he had kidney cancer and wouldn’t know unless they took out his kidney. William refused. If there was nothing wrong with it, he said, they would take it out for nothing. The oncologist wasn’t happy. His whole demeanor changed toward my husband and me.

After having the biopsies, William started getting weak. The oncologist prescribed Cipro (an antibiotic used to treat bacterial infections). He had all the side effects listed for Cipro, but the doctor overlooked them and just assumed that my husband was dying of lung cancer.

Hospitalized by deception

We refused when the doctor asked if William wanted to be admitted to hospice care. My husband told the doctor that he didn’t want to die; he wanted treatment. The doctor responded that my husband would be admitted to the hospital for a short time to get his strength back and his pain controlled.

On March 16, 2017, my husband walked into the hospital on his own two feet and was admitted, at which time he was given Dilaudid (a pain-control medication) intravenously. The next day, William told me that a man visited him. We weren’t told this man was a hospice and palliative care (HPC) physician who was there to handle William’s pain medication. The doctor started him on 15 milligrams of MS Contin (extended-release morphine) twice a day and 15 milligrams of morphine every four hours if needed for breakthrough pain. Without his knowledge or consent, William had been admitted to hospice.

There is no 'healthcare' involved in physician-assisted suicide

Even in our modern age of miraculous scientific advancements, some medical professionals are working to drag us back to the dark ages. In a recent collaborative opinion article, Doctors Josh Bloom and Henry Miller used the horrors of Alzheimer’s disease as the case in point why we should liberalize even more the regulation of physician-assisted suicide.

These doctors do themselves, and the rest of the medical community, a grave disservice.

Always Care, Never Kill: How Physician-Assisted Suicide Endangers the Weak, Corrupts Medicine, Compromises the Family, and Violates Human Dignity and Equality

Always Care, Never Kill: How Physician-

Assisted Suicide Endangers the Weak, 

Corrupts Medicine, Compromises the Family,

 and Violates Human Dignity and Equality

Allowing physician-assisted suicide would be a grave mistake for four reasons. First, it would endanger the weak and vulnerable. Second, it would corrupt the practice of medicine and the doctor–patient relationship. Third, it would compromise the family and intergenerational commitments. And fourth, it would betray human dignity and equality before the law.

Doctors Induce Twenty-Five Percent of Dutch Deaths-(How may Murdered in the U.S. ILLEGALLY???)

Doctors Induce Twenty-Five Percent of Dutch Deaths

(How may Murdered in the U.S. ILLEGALLY???)

An exposé on Dutch euthanasia published in The Guardian discloses that around twenty-five percent of Dutch deaths are induced/caused by doctors.

These are not all lethal-injection euthanasia deaths. As I have written here before, many more people are killed in the Netherlands by “terminal sedation”–a slow motion euthanasia wherein patients not in the active stage of dying are put into artificial comas and denied all sustenance until they dehydrate to death–than die by lethal jabs. (Terminal sedation should never be confused with the proper practice of “palliative sedation,” which eases a dying patient’s symptoms while not intentionally causing death.)

2013 New Hampshire Revised StatutesTitle X - PUBLIC HEALTHChapter 137-J - WRITTEN DIRECTIVES FOR MEDICAL DECISION MAKING FOR ADULTS WITHOUT CAPACITY TO MAKE HEALTH CARE DECISIONSSection 137-J:23 - Penalty.

Universal Citation: NH Rev Stat § 137-J:23 (2013)

    137-J:23 Penalty. – A person who knowingly and falsely makes, alters, forges, or counterfeits, or knowingly and falsely causes to be made, altered, forged, or counterfeited, or procures, aids or counsels the making, altering, forging, or counterfeiting, of an advance directive or revocation of same with the intent to injure or defraud a person shall be guilty of a class B felony, notwithstanding any provisions in title LXII.

Source. 2006, 302:2, eff. Jan. 1, 2007.

Penalty? In NH? Next Joke!

2013 New Hampshire Revised StatutesTitle X - PUBLIC HEALTHChapter 137-J - WRITTEN DIRECTIVES FOR MEDICAL DECISION MAKING FOR ADULTS WITHOUT CAPACITY TO MAKE HEALTH CARE DECISIONSSection 137-J:33 - Do Not Resuscitate Identification.

Universal Citation: NH Rev Stat § 137-J:33 (2013)

    137-J:33 Do Not Resuscitate Identification. – Do not resuscitate identification as set forth in this chapter may consist of either a medical condition bracelet or necklace with the inscription of the person's name, date of birth in numerical form and "NH Do Not Resuscitate'' or "NH DNR'' on it. Such identification shall be issued only upon presentation of a properly executed do not resuscitate order form as set forth in RSA 137-J:26, a medical orders form in which a physician or advanced practice registered nurse has documented a do not resuscitate order, or a do not resuscitate order properly executed in accordance with a health care facility' s written policy and procedure.

Source. 2006, 302:2, eff. Jan. 1, 2007. 2009, 54:5, eff. July 21, 2009.

2013 New Hampshire Revised StatutesTitle X - PUBLIC HEALTHChapter 137-J - WRITTEN DIRECTIVES FOR MEDICAL DECISION MAKING FOR ADULTS WITHOUT CAPACITY TO MAKE HEALTH CARE DECISIONSSection 137-J:26 - Issuance of a Do Not Resuscitate Order; Order to be Written by the Attending Physician or APRN.

Universal Citation: NH Rev Stat § 137-J:26 (2013)

    137-J:26 Issuance of a Do Not Resuscitate Order; Order to be Written by the Attending Physician or APRN. – 
    I. An attending physician or APRN may issue a do not resuscitate order for a person if the person, or the person's agent, has consented to the order. A do not resuscitate order shall be issued in writing in the form as described in this section for a person not present or residing in a health care facility. For persons present in health care facilities, a do not resuscitate order shall be issued in accordance with the policies and procedures of the health care facility and in accordance with the provisions of this chapter. 
    II. A person may request that his or her attending physician or APRN issue a do not resuscitate order for the person. 
    III. An agent may consent to a do not resuscitate order for a person who lacks the capacity to make health care decisions if the advance directive signed by the principal grants such authority. A do not resuscitate order written by the attending physician or APRN for such a person with the consent of the agent is valid and shall be respected by health care providers and residential care providers. 
    IV. If an agent is not reasonably available and the facility has made diligent efforts to contact the agent without success, or the agent is not legally capable of making a decision regarding a do not resuscitate order, an attending physician or APRN may issue a do not resuscitate order for a person who lacks capacity to make health care decisions, who is near death, and who is admitted to a health care facility if a second physician who has personally examined the person concurs in the opinion of the attending physician or APRN that the provision of cardiopulmonary resuscitation would be contrary to accepted medical standards and would cause unnecessary harm to the person. 
    V. For persons not present or residing in a health care facility, the do not resuscitate order shall be noted on a medical orders form or in substantially the following form on a card suitable for carrying on the person:

As attending physician or APRN of __________ and as a licensed physician or advanced practice registered nurse, I order that this person SHALL NOT BE RESUSCITATED in the event of cardiac or respiratory arrest.

This order has been discussed with __________ (or, if applicable, with his/ her agent,) __________, who has given consent as evidenced by his/her signature below.

Attending physician or APRN Name

Attending physician or APRN Signature

Address

Person Signature

Address

Agent Signature (if applicable)

_________________________

Address ____________________

    VI. For persons residing in a health care facility, the do not resuscitate order shall be reflected in at least one of the following forms: 
       (a) Forms required by the policies and procedures of the health care facility in compliance with this chapter; 
       (b) The do not resuscitate card as set forth in paragraph V; or 
       (c) The medical orders form in compliance with this chapter.

Source. 2006, 302:2, eff. Jan. 1, 2007. 2009, 54:4, 5, eff. July 21, 2009.