EPISODE 37- MAiD: What is Medical Aid in Dying?

Show notes-Mourning Dove Medical Presents Dr. G at the Heart of Healthcare Guest:Donald Moore, MDFounder and Medical Director of Autonomy Health- MAiD specialist - Board certified in Family Medicine- Hospice & Palliative Medicine Fellowship trained - Classically trained upright bass player - Educated in Neuroscience, Music Performance and Philosophy- EMT in New York before moving to San Francisco to participate in AmeriCorpsMission-Educate & Empower in three parts, helping listeners ‘SEE’ what’s needed to navigate the healthcare system. 1. Story (theme) A person on hospice care was suffering from uncontrolled symptoms over a holiday weekend, sought MAiD resources from Dr. G. Goals of Care (GOC) conversation issue (hospice plan of care), communication failure on the part of the hospice agency because their patient did not know about 24/7 availability. Ep 36 https://youtu.be/k7xIezN47sM?si=wGEqmLTzEwDlCBYh discussed Medicare Hospice Care Compare Family caregiver survey rating questions: GETTING TIMELY HELP and HELP FOR PAIN AND SYMPTOMS2. Educate-Teaching pointDr. Moore educates local hospice agencies about MAiD, called EOLOA in California SB 380 https://www.cdph.ca.gov/Programs/CHSI/Pages/End-of-Life-Option-Act-.aspx?TSPD_101_R0=087ed344cfab200091f98ac317c6402d168edea39115a58fe438c14251ec2d4bc72f0269396480150808d36e1c143000e87d39b3b207ad9990b00cdd8687b1947c9a32c1e53fee28dedbce1c9f00693c8c51538ae67a34cfd4e77073b0a3f484 MAiD has specific criteria (not legal in all USA)- NOT for everyone, not required to ingest if obtained. - Available in 10 states and D.C.- State residency requirement except Vermont & Oregon- A terminally ill adult with 6 month prognosis AND Decision making capacity to exercise autonomy - Able to self-ingest medication, NOT euthanasia like animals - Experiencing immeasurable suffering - Not depressed or suicidal Consider limitations and interventions that could improve terminally ill patient’s quality of life.- Cognitive impairment precludes i.e. dementia - Neuro degenerative disease (i.e. ALS)- Family supportIf not eligible for MAiD, may be able to participate in VSED-Voluntarily Stopping Eating and Drinking https://www.compassionandchoices.org/our-issues/vsedMAiD Steps (California)- Written Request- 2 visits from attending physician, 2 days apart - 1 visit from consulting physician - Obtain medications (minimum 4 days) - Self-Ingest 1 minute- Death approx 5-10 hoursMedical Aid in Dying: A guide for patients and their supporters. – American Clinicians Academy on Medical Aid in Dyinghttps://www.acamaid.org/patientbooklet/ Compassion & ChoicesOur Issues Medical Aid in Dyinghttps://www.compassionandchoices.org/our-issues/medical-aid-in-dyingDeath With Dignity | End-Of-Life Advocacy and Policy Reformhttps://deathwithdignity.orgNHPCO https://www.nhpco.org/accordions/submission-outline-3-copy-3-copy-copy-2-2-copy-copy/#header-1592533384935 MAiD Bereavement resources https://www.nhpco.org/wp-content/uploads/MAID-Bereavement-resources.pdf 3. Empower -A valuable a resource for people facing the end-of-life is Dr. Donnie Moore, MD, MAiD specialist committed to providing compassionate care with a dedication to the well-being of his patients and their families https://www.autonomyhealth.orgWebsite info https://mourningdovemedical.comVideo podcast 🔗 https://youtu.be/jR-8sERzAh8?si=s7pxHOQBC2BEWqJY #hapc #EducateAndEmpower #PeaceOfMind #TheRealDealAboutHospice #MAiD #DeathWithDignity #Eumoria #EndWell #Ethics #EOLOA