{"id":231,"date":"2013-05-24T21:06:10","date_gmt":"2013-05-24T21:06:10","guid":{"rendered":"http:\/\/eoldev.law.dal.ca\/?page_id=231"},"modified":"2024-05-14T17:03:20","modified_gmt":"2024-05-14T17:03:20","slug":"advance-directives-2","status":"publish","type":"page","link":"http:\/\/eol.law.dal.ca\/?page_id=231","title":{"rendered":"Advance Directives"},"content":{"rendered":"<p>Advance directives are a way of making sure that your wishes and values are respected in important decisions (especially health care decisions) made for you when you are no longer able to make such decisions for yourself.<\/p>\n<p>There are two kinds of advance directives. In one, you choose who you would want to make these decisions for you. In the other, you give instructions about what decisions you would want made or you describe your values and beliefs to guide a decision maker about what you would have wanted in a given situation. In some parts of Canada, you can only do the first kind. In some, you can do both.<\/p>\n<p>You can only make an advance directive while you are competent; nobody else can make an advance directive for you. \u201cCompetent\u201d in this case means \u201cable to make important decisions for yourself.\u201d The advance directive only takes effect if you stop being competent.<\/p>\n<p>It is a good idea to make an advance directive while you are well. You could become incompetent or unable to speak suddenly, for example, if you were in a serious car accident.<\/p>\n<p>Canadian courts have said that doctors and other health care providers must respect valid advance directives.<\/p>\n<p style=\"padding-left: 40px;\">In\u00a0<a href=\"http:\/\/eoldev.law.dal.ca\/wp-content\/uploads\/2013\/05\/malette-v-shulman-et-al.-72-OR-2d-417.pdf\"><strong><em>Malette v Shulman<\/em><\/strong><\/a>,<em>\u00a0<\/em>the Ontario Court of Appeal stated: <em>A doctor is not free to disregard a patient\u2019s advance instructions any more than he would be free to disregard instructions given at the time of the emergency. <\/em><em>(at 424).<\/em><\/p>\n<div style=\"padding-left: 40px;\">\n<p>In\u00a0<a href=\"http:\/\/canlii.ca\/t\/1p78q\"><strong><em>Fleming v Reid<\/em><\/strong><\/a><em>,\u00a0<\/em>the Ontario Court of Appeal stated: <em>A patient, in anticipation of circumstances wherein he or she may be unconscious or otherwise incapacitated and thus unable to contemporaneously express his or her wishes about a particular form of medical treatment, may specify in advance his or her refusal to consent to the proposed treatment. A doctor is not free to disregard such advance instructions, even in an emergency. The patient\u2019s right to forgo treatment, in the absence of some overriding societal interest, is paramount to the doctor\u2019s obligation to provide medical care. This right must be honoured, even though the treatment may be beneficial or necessary to preserve the patient\u2019s life or health, and regardless of how ill-advised the patient\u2019s decision may appear to others.<\/em><\/p>\n<p>&nbsp;<\/p>\n<\/div>\n<div>It is important to know that provinces and territories may allow you to say in advance what medical treatment, preventive care, and other personal care you want and do not want (this may include artificial hydration and nutrition or oral feeding and liquids). \u00a0Details on <a href=\"http:\/\/eoldev.law.dal.ca\/?page_id=216\">voluntarily stopping eating and drinking<\/a> and <a href=\"http:\/\/eoldev.law.dal.ca\/?page_id=216\">voluntary stopping personal care<\/a> are available <a href=\"http:\/\/eoldev.law.dal.ca\/?page_id=2475\">here<\/a>.<\/div>\n<p>Every province and territory has laws that set out rules for a valid advance directive. These laws do <strong>NOT<\/strong> apply to MAiD. It is <strong>NOT<\/strong> possible to request MAiD through a provincial or territorial advance directive. For information about requests for MAiD made in advance of loss of decision-making capacity see the section of this site <a href=\"http:\/\/eol.law.dal.ca\/?page_id=2472\">Assisted Dying<\/a>.<\/p>\n<p>You can find helpful information on advance directives (including province\/territory specific instructions and forms) below:<\/p>\n<p><a href=\"https:\/\/www.advancecareplanning.ca\/making-your-plan\/\" target=\"_blank\" rel=\"noopener noreferrer\">National Advance Care Planning Task Group\u2019s Speak Up Campaign<\/a><\/p>\n<p><a href=\"https:\/\/www.dyingwithdignity.ca\/download_your_advance_care_planning_kit\" target=\"_blank\" rel=\"noopener noreferrer\">Dying with Dignity Canada Advance Care Planning Kits<\/a><\/p>\n<p>You can find some single province\/territory specific resources below:<\/p>\n<p><a href=\"https:\/\/www.legalinfo.org\/forms\/personal-directive\" target=\"_blank\" rel=\"noopener noreferrer\">Legal Information Society of Nova Scotia personal directives<\/a> app<\/p>\n<p><a href=\"http:\/\/www.legal-info-legale.nb.ca\/en\/index.php?page=advance-health-care-directives\" target=\"_blank\" rel=\"noopener noreferrer\">Public Legal Education and Information Service of New Brunswick, Advance Health Care Directives<\/a><\/p>\n<p>British Columbia <a href=\"http:\/\/www.nidus.ca\/\"><strong>Nidus Personal Planning Resource Centre and Registry<\/strong><\/a><\/p>\n<p><a href=\"http:\/\/www.cliapei.ca\/sitefiles\/File\/publications\/PLA9.pdf\"><strong>Community Legal Information Association of PEI, Health Care Directives<\/strong><\/a><\/p>\n<p><a href=\"http:\/\/plea.org\/legal_resources\/?a=305&amp;searchTxt=Health%20Care%20Directives%20&amp;cat=18&amp;pcat=4\" target=\"_blank\" rel=\"noopener noreferrer\">Public Legal Education of Saskatchewan, Health Care Directives<\/a><\/p>\n<p>You can find official government documents below:<\/p>\n<h3><\/h3>\n<h3><span style=\"color: black;\">Alberta<\/span><\/h3>\n<p>General information<br \/>\n<em><strong><a href=\"https:\/\/www.alberta.ca\/personal-directive.aspx\" target=\"_blank\" rel=\"noopener noreferrer\">Alberta Health, Personal Directive<\/a><\/strong><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/826z\"><strong><em>Personal Directives Act,<\/em><\/strong><strong>RSA 2000, c P-6<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/83mn\"><strong><em>Personal Directives Regulation,<\/em><\/strong><strong>Alta Reg 99\/2008<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/82db\"><strong><em>Personal Directives (Ministerial) Regulation,<\/em><\/strong><strong>Alta Reg 26\/1998<\/strong><\/a><\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: black;\">British Colombia<\/span><\/h3>\n<p>General information<br \/>\n<a href=\"http:\/\/www2.gov.bc.ca\/gov\/topic.page?id=E7A581A9BC0A467E916CFC5AD2D3B1E8\"><strong><em>Ministry of Health, Advance Care Planning<\/em><\/strong><\/a><br \/>\n<em><strong><a href=\"http:\/\/www2.gov.bc.ca\/gov\/content\/health\/managing-your-health\/incapacity-planning\">Ministry of Justice, Incapacity Planning<\/a><\/strong><\/em><br \/>\n<em><strong><a href=\"http:\/\/eoldev.law.dal.ca\/wp-content\/uploads\/2015\/06\/MyVoice-AdvanceCarePlanningGuide.pdf\">Ministry of Health, \u201cMy Voice: Expressing My Wishes for Future Health Care Treatment\u201d Advance Care Planning Guide<\/a><\/strong><\/em><br \/>\n<em><strong><a href=\"http:\/\/eoldev.law.dal.ca\/wp-content\/uploads\/2015\/06\/Its_Your_Choice-Personal_Planning_Tools.pdf\">Public Guardian and Trustee of British Columbia, \u201cIt\u2019s Your Choice, Personal Planning Tools\u201d<\/a><\/strong><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/842m\"><em><strong>Health Care (Consent) and Care Facility (Admission) Act,\u00a0<\/strong><\/em><strong>RSBC 1996, c 181<\/strong><\/a><br \/>\n<strong><a href=\"http:\/\/canlii.ca\/t\/8518\"><em>Health Care Consent Regulation,<\/em>BC Reg 20\/2000<\/a><\/strong><br \/>\n<strong><a href=\"http:\/\/canlii.ca\/t\/84bw\"><em>Representation Agreement Act,<\/em>RSBC 1996, c 405<\/a><\/strong><br \/>\n<strong><a href=\"http:\/\/canlii.ca\/t\/8513\"><em>Representation Agreement Regulation,<\/em>BC Reg 199\/2001<\/a><\/strong><br \/>\n<strong><a href=\"http:\/\/canlii.ca\/t\/84gj\"><em>Adult Guardianship Act<\/em>, RSBC 1996, c 6<\/a><\/strong><br \/>\n<strong><a href=\"http:\/\/canlii.ca\/t\/848s\"><em>Patients Property Act<\/em>, RSBC 1996, c 349<\/a><\/strong><\/p>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: black;\">Manitoba<\/span><\/h3>\n<p>General information<br \/>\n<em><a href=\"http:\/\/www.gov.mb.ca\/health\/livingwill.html\"><strong>Manitoba Health, Health Care Directive<\/strong><\/a><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/8gj1\"><strong><em>The Health Care Directives Act,<\/em><\/strong><strong>CCSM c H 27<\/strong><\/a><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: black;\">New Brunswick<\/span><\/h3>\n<p>General information<br \/>\n<em><strong><a href=\"https:\/\/www2.gnb.ca\/content\/gnb\/en\/departments\/health\/patientinformation\/content\/advance_health_care_directives.html\" target=\"_blank\" rel=\"noopener noreferrer\">New Brunswick Health, Advance Health Care Planning<\/a><\/strong><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/88lv\"><strong><em>Infirm Persons Act<\/em><\/strong><strong>, RSNB 1973, c I-8<\/strong><\/a><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: black;\">Newfoundland and Labrador<\/span><\/h3>\n<p>General information<br \/>\n<a href=\"http:\/\/eoldev.law.dal.ca\/wp-content\/uploads\/2015\/06\/ahcd_booklet.pdf\"><strong><em>Newfoundland Department of Health and Community Services and Justice, \u201cHow to Make an Advance Health Care Directive\u201d<\/em><\/strong><\/a><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/8b42\"><strong><em>Advanced Health Care Directives Act,<\/em><\/strong><strong>SNL 1995, c A-4.1<\/strong><\/a><br \/>\n<strong>\u00a0<\/strong><\/p>\n<h3><span style=\"color: black;\">Northwest Territories<\/span><\/h3>\n<p>General information<br \/>\n<em><strong><a href=\"https:\/\/www.hss.gov.nt.ca\/en\/services\/personal-directives\" target=\"_blank\" rel=\"noopener noreferrer\">Northwest Territories Health and Social Services, \u201cPersonal Directives\u201d<\/a><\/strong><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/8hxs\"><strong><em>Personal Directives Act,<\/em><\/strong><strong>SNWT 2005 c 16<\/strong><\/a><br \/>\n<strong>\u00a0<\/strong><\/p>\n<h3><span style=\"color: black;\">Nova Scotia<\/span><\/h3>\n<p>General information<br \/>\n<em><a href=\"http:\/\/novascotia.ca\/just\/pda\/\"><strong>Nova Scotia Department of Justice, Personal Directives in Nova Scotia<\/strong><\/a><\/em><\/p>\n<p>Legislation<br \/>\n<em><a href=\"http:\/\/canlii.ca\/t\/87vb\"><strong>Personal Directives Act,<\/strong><strong>SNS 2008, c 8<\/strong><\/a><\/em><br \/>\n<em><a href=\"http:\/\/canlii.ca\/t\/8ms3\"><strong>Personal Directives Regulations,<\/strong><strong>NS Reg 31\/2010<\/strong><\/a><\/em><\/p>\n<h3><\/h3>\n<p>&nbsp;<\/p>\n<h3><span style=\"color: black;\">Ontario<\/span><\/h3>\n<p>General information<br \/>\n<em><strong><a href=\"https:\/\/www.attorneygeneral.jus.gov.on.ca\/english\/family\/pgt\/incapacity\/poa.php\" target=\"_blank\" rel=\"noopener noreferrer\">Ministry of the Attorney General of Ontario, How Powers of Attorney Work<\/a><\/strong><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/2wh\"><strong><em>Health Care Consent Act,<\/em><\/strong><strong>SO 1996, c 2 Sch A<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/365\"><strong><em>Evaluators<\/em><\/strong><strong>, O Reg 104\/96<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/2tq\"><strong><em>Substitute Decisions Act,\u00a0<\/em><\/strong><strong>1992, SO 1992, c 30<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/sdx\"><strong><em>Capacity Assessment<\/em><\/strong><strong>, O Reg 460\/05<\/strong><\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h3><span style=\"color: black;\">Prince Edward Island<\/span><\/h3>\n<p>General information<br \/>\n<em><a href=\"https:\/\/www.princeedwardisland.ca\/en\/information\/health-pei\/advance-care-planning\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>Health PEI, Advance Care Planning<\/strong><\/a><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/8d3z\"><strong><em>Consent to Treatment and Health Care Directives Act<\/em><\/strong><strong>RSPEI 1988, c C-17.2<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/8dk8\"><strong><em>General Regulations<\/em><\/strong><strong>PEI Reg EC356\/00<\/strong><\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h3><span style=\"color: black;\">Qu\u00e9bec<\/span><\/h3>\n<p>General information<br \/>\n<em><a href=\"http:\/\/www.curateur.gouv.qc.ca\/cura\/en\/outils\/publications\/mon_mandat.html#mandate\"><strong>The Curateur public of Qu\u00e9bec<\/strong><\/a><\/em><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/www.canlii.org\/en\/qc\/laws\/stat\/cqlr-c-c-1991\/latest\/cqlr-c-c-1991.html#history\"><strong><em>Civil Code of Qu\u00e9bec, CQLR c C-1991<\/em><\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/xgx\"><strong><em>Public Curator Act,<\/em><\/strong><strong>RSQ c C-81<\/strong><\/a><br \/>\n<a href=\"http:\/\/canlii.ca\/t\/127c\"><strong><em>Regulation respecting the application of the Public Curator Act,<\/em><\/strong><strong>chapter C-81 r.1<\/strong><\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h3><span style=\"color: black;\">Saskatchewan<\/span><\/h3>\n<p>Legislation<br \/>\n<a href=\"https:\/\/www.canlii.org\/en\/sk\/laws\/stat\/ss-2015-c-h-0.002\/latest\/ss-2015-c-h-0.002.html\"><strong><em>The Health Care Directives and Substitute Health Care Decision Makers Act,\u00a0<\/em><\/strong><strong>2015 SS 2015, c H-0.002<\/strong><\/a><br \/>\n<a href=\"https:\/\/www.canlii.org\/en\/sk\/laws\/regu\/rrs-c-h-0.002-reg-1\/latest\/rrs-c-h-0.002-reg-1.html\"><strong><em>The Health Care Directives and Substitute Health Care Decision Makers Regulations<\/em><\/strong><strong>, 2017, RRS c H-0.002 Reg 1<\/strong><\/a><\/p>\n<p><strong>\u00a0<\/strong><\/p>\n<h3><span style=\"color: black;\">Yukon<\/span><\/h3>\n<p>General information<br \/>\n<a href=\"http:\/\/www.hss.gov.yk.ca\/adultdecisionmaking.php\"><strong>Yukon Health and Social Services on Advance Directives<\/strong><\/a><\/p>\n<p>Legislation<br \/>\n<a href=\"http:\/\/canlii.ca\/t\/8lrr\"><strong><em>Care Consent Act <\/em><\/strong><strong>SY, 2003, c 21, Sch B<\/strong><\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Advance directives are a way of making sure that your wishes and values are respected in important decisions (especially health care decisions) made for you when you are no longer able to make such decisions for yourself. There are two &hellip; <a href=\"http:\/\/eol.law.dal.ca\/?page_id=231\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"jetpack_post_was_ever_published":false,"footnotes":""},"class_list":["post-231","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Advance Directives -<\/title>\n<meta name=\"description\" content=\"What are advance directives? Are they legally binding documents? 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