Posted on Feb 18, 2022
With our upcoming ‘Lobster Crawl-thru’ fundraiser a little over a week away, the first part of our meeting today was devoted to getting ready for the big event.
 
Our PR guru, Monika, has done an excellent job with event promotion and there are less than 20 unsold tickets as of this morning.  We were also excited to learn that our favourite lobster cheerleader, Nathan, will be making a return performance. 😊
 
Sandy will soon be finalizing and submitting our lobster order, so a final call was made for Club members to confirm their attendance for our post-fundraiser dinner, to be held the next evening.
 
Our Sheriff continued the meeting with a Lobster theme trivia quiz covering everything you might want to know (or not) about these mysterious crustaceans.
  1. How do lobsters taste their food?  Through their legs
  2. How big do lobsters grow?  Record is 44 LB in Nova Scotia
  3. How do they chew their food?  Their teeth are in their stomach
  4. How old are the 1 ½ LB lobsters we order?  5 – 7 years
  5. How do lobsters ‘pee’?  Through a nozzle under their eyes
  6. What is the oldest recorded lobster?  140 years in Nfld
  7. How many legs do they have?  6
  8. How big is a lobster’s brain?  The tip of a ballpoint pen
  9. Which is sweeter?  NS lobster or west coast Dungeness crab?  Dungeness
  10. What do lobsters eat?  Shellfish, crabs, bottom fish and each other!
  11. Can lobster grow 4 ft. long?  Yes
  12. Is lobster high in protein and low in fat, without butter of course??   Yes
Guest Speakers:  Shara Bentley and Claudia Buendia, Office of the Public Guardian and Trustee in BC.
 
Claudia is part of a Personal Decisions Services Team. She works under the “Health Care Consent and Care Facility Act’ which defines what happens when an adult does not have anyone to represent them.
 
This act requires consent to be obtained for providing health care and for admission to a care facility. A Care Facility includes:
  • Long term care facilities
  • Respite
  • Hospice
  • Short or long-term rehab mental health and/or substance u use programs, including
  • Crisis intervention/stabilization
  • Sobering and detox
  • Assessment and treatment settings
  • Short and long-term residential care, family care, homes, and respite
If an adult is determined to be incapable of making decisions themselves, admission managers must obtain substitute consent from a Committee of Person, or a Substitute Decision Maker. These could be:
  • Personal/ Health Care Rep – Section 9
  • Child
  • Parent
  • Sibling
  • Grandparent or grand child
  • Anyone related by birth or adoption
  • Close friend
  • Person immediately related by marriage
  • Someone authorized by the PGT or the PGT
Substitute decision makers (SDMs) must be at least nineteen; have had contact with adult in the last 12 months; have no dispute with the adult; be capable of giving, refusing, or revoking consent; and be willing to comply with the duties.
 
Case Example:  a 64-year-old has lived in a group home for 20 years and now care needs require a move to long-term care. The following steps need to happen:
  • Health Authority assesses and confirms need for care home
  • Admission Mgr. notices that patient incapable of providing consent themselves
  • Assessor assesses for incapability and determines patient is incapable
  • Admission Mgr. attempts to locate a SDM or a Representative under a Representation Agreement
  • Refers to PGT
  • PGT review is completed, and consent is provided
Claudia’s organization also deals with Health Care decisions:  
  • For therapeutic, preventive, palliative, diagnostic, cosmetic or other purpose related to health
  • A plan for minor health care that is developed by one or more HCPs, deals with one or more problems now or expected in future, and is in force no more than 12 months
  • Participation in an approved medical research program
Health care providers:  the list is VERY lengthy, and includes traditional Chinese medicine herbalists, midwives, massage therapists, dieticians, audiologists, acupuncturists, as well as those who might be considered traditional health-care providers.
 
Substitute consent is required is the adult is determined to be incapable of deciding themselves. HC providers must obtain substitute consent from:
  • A committee of Person
  • Personal Health Care Rep – Sec 9
  • A Temporary SDM (those eligible to be SDMs previously listed); SDM Eligibility under the Decision Act is the same as for the Consent Act.
Case Example:  A 29-year-old adult residing with a home share provider has been experiencing new behaviours and agitation. Her provider arranged for a doctor appt. with her GP. The GP prescribed Risperidone to help manage the new experience. The GP asks the home share provider for consent.
Next steps:
  • Home share provider is not an eligible temporary SDM (TSDM)
  • The HC provider assesses patient to be incapable of consenting herself
  • HC provider searches for the most appropriate TSDM
  • If no higher-ranking TSDMs are found, the GP contacts the GPGT to request legal consent
  • The PGT reviews the request and considers whether to provide consent
A Representation Agreement allows you to appoint someone as your legal representative to manage personal care and health care decisions, and sometimes small financial and legal decisions, if you are unable to make them on your own. A paid health-care provider cannot be a representative unless it is a child, parent, or spouse. There is a Section 9 type of agreement for those who are mentally capable, and a Section 7 for those who are not capable. The Agreement may be revoked anytime if the adult is capable. Anyone may object to the Agreement if there is reason to believe that its validity is compromised.