The Act respecting end-of-life care was passed on June 5, 2014 and sanctioned on June 10, 2014. The provisions of the Act set out on this page came into force on December 10, 2015.
Only persons of full age who are capable of giving consent to care can issue advance medical directives. These directives are used only when the doctor determines that the person’s state of health renders them incapable of consenting to care.
Advance medical directives apply in specific clinical situations that are not necessarily emergency situations. These clinical situations are ones that health professionals are increasingly encountering and in which they question the pertinence of providing certain treatments, even though they are necessary to maintain life. These situations are as follows:
The treatments covered by advance medical directives are life-sustaining treatments that may be necessary to prolong your life. Consequently:
The table below sets out the treatments covered by advance medical directives.
|Treatments||Description of treatments|
|Cardiopulmonary resuscitation||Medical intervention designed to restart heart function and respiration of a person whose heart has stopped and whose lungs have ceased to function. Cardiopulmonary resuscitation includes mouth-to-mouth resuscitation, chest compression (cardiac massage), defibrillation (treatment of abnormal heart contractions) and a ventilator (or respirator).|
Use of a device to provide respiration to a person who has become incapable of breathing.
Medical intervention to clean the blood when the kidneys can no longer do so.
|Force-feeding and hydration||
Feeding and hydrating a person against their will. Refusal is expressed by words or gestures.
|Artificial feeding and hydration||
Feeding and hydration of a person who can no longer feed themselves or drink using a tube passed into the stomach or by a catheter introduced into a vein.
Note that medical aid in dying cannot be requested in advance medical directives.
Whatever your wishes are, the care necessary to ensure your comfort and relieve your pain will be provided by health professionals.
If you have expressed a refusal to receive certain treatments in the event of incapacity, but you have consented to organ and tissue donation, the doctor will give you the care necessary to maintain your vital functions, which are required for organ donation.
Last update: March 27, 2018 4:16 PM
The information on this website by no means replaces the advice of a health professional. If you have questions regarding your health, contact Info-Santé 811 or see a health professional.