Search

Man dies after months-long wait for at-home care

A man has died after his almost year-long wait to receive his government-approved at-home care. Cyril Tooze, 86, was <a href="https://oversixty.com.au/health/caring/man-decides-to-end-his-own-life-after-waiting-for-at-home-care" target="_blank" rel="noopener">approved</a> for a Level 4 Home Care Package in January, but almost one year on, he was still waiting for access to the money to fund daily assistance with physical, medical and social tasks. After sharing his story with 7News in October, Tooze candidly admitted that he was pursuing the avenue of voluntary assisted dying, saying at the time, "There is no hope." Just weeks later, Tooze has passed away. While in hospital after suffering a fall, Mr Tooze passed away on Friday, weighing just 46kg. Independent federal Mayo MP Rebekha Sharkie, who advocated for Mr Tooze to receive his government funding, said it had been an honour to have known him. "The man that I knew, he had such courage and such dignity to the very end," she said. "To the very end he wanted his situation to shed light and provide a human story for the 76,000 other older Australians who, just like him, are deteriorating, having accidents and injuring themselves while waiting for a Home Care package that they've been assessed as needing." "Despite a new Act being passed in the House of Representatives with urgency, there is no plan from the government to address the blown-out waiting list and the reality is that people are dying while they're waiting for Home Care." Federal aged care minister Anika Wells said her thoughts were with Mr Tooze's family and friends "as we mourn their loss but appreciate Cyril's life and his commitment to helping older Australians." Image credits: Nine

Caring

Husband of Aussie TV presenter dies two years after his wife's passing

Alan Plummer, husband of TV presenter Erin Jayne Plummer who <a href="https://www.oversixty.com.au/health/caring/tv-presenter-s-cause-of-death-revealed" target="_blank" rel="noopener">died</a> in 2022, has passed away. The 49-year-old passed away in a suspected self-harm incident in Sydney's northern beaches on Saturday, with his death leaving the couple's three daughters orphaned. The tragedy comes two years after his wife, who was a host on Studio 10, died at just 42 years old in May 2022. Erin represented Australia as a synchronised swimmer at three world championships and won 11 national titles, before going on to have a successful career hosting advertorials, appearing on Studio 10, TVSN, Mornings with Keri-Anne and The Morning Show. At the time of Erin's death, Studio 10 host Sarah Harris shared the devastating news with the audience. “For two decades, Erin has been a friendly and familiar face on Australian telly, and for a lot of that she's been brightening up our mornings with her bubbly personality and megawatt smile." “Erin was just a gorgeous human inside and out... We'll miss your sunshine around the studio, Erin Jayne, and all of us here are sending lots of love and strength to her family. You'll be very missed.” A NSW Police Force spokesperson confirmed the Alan's death in a statement to Daily Mail Australia, saying, “Officers from Northern Beaches Police Area Command will prepare a report for the information of the Coroner regarding the death of a 49-year-old man at Freshwater on Saturday.” Mr Plummer had recently sold the family’s four-bedroom Freshwater home, which they had owned for more than two decades. He was the former director of Shine VIP Tours Australia PTY LTD — a now-defunct company that was shut down in 2020. Need to talk to someone? Don't go it alone. Call Lifeline on 13 11 14 or visit lifeline.org.au Beyond Blue: 1300 224 636 SANE: 1800 187 263; saneforums.org Image credits: Facebook

Caring

School apologises for removing memorial after girl's suicide

Santa Sabina College has apologised after removing a makeshift memorial to honour the life of 12-year-old Charlotte O'Brien, who took her own life after years of alleged bullying at the school. The year 7 student died in September after being bullied at the Catholic school in the inner-west Sydney suburb of Strathfield. Following her tragic death, Charlotte's family created a memorial near the school, only for it to be removed days later, leaving her loved ones devastated. Principal Paulina Skerman initially defended the decision to remove the memorial, citing advice from mental health experts at Headspace, saying, "On the advice of mental health experts including Headspace, who are working with the College, we removed the memorial because of the concerns that were raised about the impact this could have on other young people." However, 2GB radio host Ben Fordham challenged her reasoning and reached out to Headspace, who said they gave no such advice to the school principal. "Headspace did not recommend Santa Sabina or Paulina Skerman remove the memorial dedicated to Charlotte. To say that they did is a straight-out lie," Fordham told his listeners. He added, "It never ever happened. Headspace did not advise Paulina Skerman or anyone at Santa Sabina to take it down." After Fordham's revelations, the school issued an apology on Monday, saying, "We are devastated for Charlotte's family and friends, and we acknowledge that some of the college's initial statements to the media were inadequate and hurtful." "We apologise to Charlotte's family for this. It was never our intention to add to their pain. We acknowledge that, at times, our efforts have fallen short, and we are sincerely sorry." "The choice to remove the public memorial was a difficult one, balancing the desire to honor Charlotte's memory with our responsibility to prevent further distress to students." "Ms Skerman was grateful to visit Charlotte's parents, Kelly and Matt, to apologise to them personally. We are committed to working together to create a permanent memorial to remember Charlotte. She will not be forgotten." Need to talk to someone? Don't go it alone. Call Lifeline on 13 11 14 or visit <a href="http://lifeline.org.au/" target="_blank" rel="noopener noreferrer" data-stringify-link="http://lifeline.org.au" data-sk="tooltip_parent">lifeline.org.au</a> Beyond Blue: 1300 224 636 SANE: 1800 187 263 or visit <a href="http://saneforums.org/" target="_blank" rel="noopener noreferrer" data-stringify-link="http://saneforums.org" data-sk="tooltip_parent">saneforums.org</a> Image credits: 7News / Facebook

Family & Pets

Parents disappointed by Principal's response to daughter's suicide

Charlotte O'Brien was only 12-years-old when she <a href="https://www.oversixty.com.au/lifestyle/family-pets/mother-s-heartbreaking-farewell-at-bullied-daughter-s-funeral" target="_blank" rel="noopener">took her own life </a>on September 9 after allegedly suffering years of bullying at Santa Sabina College in Strathfield, Sydney. A month later her grieving parents Mat and Kelly said they have met with the school's principal but were left disappointed after she reportedly showed "no empathy" during their 20-minute meeting. “That glimmer of hope that anything positive to come from that meeting was squashed the moment we arrived,” Mat told Ben Fordham on 2GB on Tuesday. Mat explained how "incredibly hard" it was to walk through the school full of other young girl's their daughter's age. “We had to navigate ourselves across the school grounds, surrounded by other girls in their school uniform, knowing that we will never see our daughter again. That was incredibly hard for us,” he said. “We arrived there and met with the principal. When I shared the feedback, she wasn’t interested in receiving that. The feedback was interrupted. It was discounted. It was disagreed with. “I sat across the room from a lady (the principal) that showed myself and the rest of the family no emotion or empathy at all.” He claimed that the principal did not offer any kind of apology and said "there was no accountability at all". “The questions we wanted answered were simply not answered at all,” he said. “We were left to show ourselves out of the school ground.” “The last image that I will have of that school was as I looked behind me, Kelly was carrying some items of Charlotte’s and watching her squeeze herself and that box through those closed gates was one of the hardest things that I’ve seen. “Kelly got in the car and that was the worst I had seen her since the funeral. She said to me “I felt my daughter’s life did not matter”. Charlotte's parents had previously said they raised bullying concerns multiple times with the school, and although an investigation was conducted, no further action was taken. Santa Sabina College principal Paulina Skerman previously said the school was continuing to support Charlotte’s family through their “unimaginable grief” and was working with youth mental health foundation Headspace. <div class="footer-container" style="box-sizing: border-box; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> </div> <div class="body-container" style="box-sizing: border-box; margin-bottom: 1.25rem; color: #212529; font-family: -apple-system, 'system-ui', 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji'; font-size: 16px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-weight: 400; letter-spacing: normal; orphans: 2; text-align: left; text-indent: 0px; text-transform: none; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; white-space: normal; background-color: #ffffff; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial;"> <div style="box-sizing: border-box;"> Need to talk to someone? Don't go it alone. Lifeline: 13 11 14, <a style="box-sizing: border-box; color: #258440; text-decoration: none; background-color: transparent; transition: 0.2s ease-in-out;" href="https://www.lifeline.org.au/" target="_blank" rel="noopener">lifeline.org.au </a> SANE Support line and Forums: 1800 187 263, <a style="box-sizing: border-box; color: #258440; text-decoration: none; background-color: transparent; transition: 0.2s ease-in-out;" href="https://saneforums.org/" target="_blank" rel="noopener">saneforums.org</a> Headspace: 1800 650 890, <a style="box-sizing: border-box; color: #258440; text-decoration: none; background-color: transparent; transition: 0.2s ease-in-out;" href="https://headspace.org.au/" target="_blank" rel="noopener">headspace.org.au</a> Beyond Blue: 1300 224 635, <a style="box-sizing: border-box; color: #258440; text-decoration: none; background-color: transparent; transition: 0.2s ease-in-out;" href="https://www.oversixty.com.au/beyondblue.org.au" target="_blank" rel="noopener">beyondblue.org.au </a> Images: Facebook/ GoFundMe </div> </div> Images: 7News

Caring

Controversial suicide capsule applications suspended amid investigation

Advocacy groups behind the suicide capsule have suspended the process of taking applications amid a criminal investigation into its first use in Switzerland. In a statement on Sunday, they said that 371 people were “in the process of applying” to use the device, known as the Sarco, as of September 23 and applications were suspended after its first use. The Sarco capsule is designed to allow the person inside to push a button that injects nitrogen gas from a tank underneath into the sealed chamber, allowing the person to fall asleep and then die of suffocation in a few minutes. On September 23, an unidentified 64-year-old woman from the US Midwest, became the first person to use the device in a forest in the northern Schaffhausen region. The president of Switzerland-based The Last Resort, Florian Willet, said at the time that the woman's death was "peaceful, fast, and dignified", although those claims could not be independently verified. On the same day as the woman's death, Swiss Health Minister Elisabeth Baume-Schneider told parliament that use of the Sarco would not be legal. Willet and several others were taken into custody following her death and prosecutors opened an investigation on suspicion of incitement and accessory to suicide. Willet is currently being held in pretrial detention, according to The Last Resort and Exit International, an affiliate founded in Australia over a quarter-century ago. The others who were detained were released from custody. Exit International also clarified that their lawyers in Switzerland believed the use of the device is legal. “Only after the Sarco was used was it learned that Ms Baume-Schneider had addressed the issue,” the advocacy groups said in the statement Sunday. “The timing was a pure coincidence and not our intention.” Switzerland has some of the most permissive laws when it comes to assisted suicide, but the first use of the Sarco has prompted debate among lawmakers. Laws in the country permit assisted suicide, as long as the person takes their own life with no “external assistance” and those who help the person die do not do so for “any self-serving motive”. Image: Exit International

Legal

Arrests made after woman ends her life in "suicide pod"

Police in Switzerland have made several arrests in connection with a woman's death in the Australian-made "suicide pod". The 'Sarco' capsule was used for the first time by a 64-year-old American woman who was “immune compromised” and had been in “severe pain” for “at least two years”. The pod is designed for the user to push a button that injects nitrogen gas into the sealed chamber, with the person inside then supposed to fall asleep and die of suffocation in a few minutes. The Sarco machine (short for sarcophagus) was invented by Australian Dr Philip Nitschke, who has been nicknamed “Dr Death”, said the machine had performed exactly as it had been designed", with the woman's death occurring as "expected". “It looked exactly as we expected it to look. My guess is that she lost consciousness within two minutes and that she died after five minutes,” Dr Nitschke told Dutch media. “We saw sudden, small contractions and movements of the muscles in her arms, but she was probably already unconscious by then.” Dr Nitschke claimed the woman “almost immediately” pressed the button, adding, “She didn’t say anything. She really wanted to die.” However, despite the woman's wishes to take her own life, Swiss police announced that several people were taken into custody over the woman's death and are now facing criminal charges, suspected of “inducement and aiding and abetting suicide.” The arrests took place despite the fact that Dr Nitschke had previously told AP that his organisation received advice from lawyers in Switzerland that the use of the Sarco would be legal in the country, where active euthanasia is banned but assisted dying has been legal for decades. Need to talk to someone? Don't go it alone. Call Lifeline on 13 11 14 or visit lifeline.org.au Beyond Blue: 1300 224 636 SANE: 1800 187 263; saneforums.org Image credits: Exit International

Caring

"We won't recover": Grieving parents speak out ahead of daughter's funeral

Warning: This article contains discussions about suicide that some readers may find distressing. The grieving stepfather of 12-year-old Charlotte who died by suicide has spoken about the young girl's struggles with bullying as he prepares for her funeral. On Monday, Matthew remembered his stepdaughter as the “kindest, most caring little girl” whose death had followed “toxic” issues at school. “To lose a little girl at the age of 12 is something we won’t recover from,” he told 2GB’s Ben Fordham. Charlotte was a student at Santa Sabina College in Sydney’s inner west, with the Catholic school being forced to defend their handling of bullying in the wake of the 12-year-old's death. Matthew said he believed some of the responses from the school had been “unnecessary”, and claimed he had no direct communication from officials despite their public statements. “I think outside of the response from the broader community of the school I have to say I’ve been disappointed to say the least, with the response that’s come from the school,” he said. “Some of the responses that have gone into the media, I think the first response was around that there’s inconsistencies in their records and I thought that comment to go out at that time when we were grieving was unnecessary." “And since then, comments like the school’s been overwhelmed with support from other parents coming forward and saying how well they deal with these types of issues. And I’m sure they’ve had some communication and some support, Ben." “But those mothers that have given that school support, no doubt they will be planning on picking their daughter up from school today, and we are not.” Matthew went on to confirm that Charlotte's mother had repeatedly asked her daughter's school to do something about the bullying, and break up the friendship that put Charlotte through a "roller coaster". “I would not allow this behaviour to happen in my home,” he said. “I am not after any retribution for these girls … but I’m looking for the schools to step in … to act when these things are raised for the first time, not the second or third time.” Matthew said it was time school “friendship issues” were called out for what they really were, saying, “It’s not called a friendship issue in the workplace.” The year 7 student took her own life on September 9th, leaving a note to her parents that included names of those she wanted at her funeral and others who had made “life too hard”. It also instructed her mother, Kelly, to “tell the school please”, with the note reading, “Mama, please share my story to raise awareness.” The family are preparing to farewell her at a funeral on Friday, and have asked those who wish to send flowers to instead make a donation to the <a href="https://inmemoryofcharlotte.raiselysite.com" target="_blank" rel="noopener">Kids Helpline</a>. Need to talk to someone? Don't go it alone. Call Lifeline on 13 11 14 or visit lifeline.org.au Beyond Blue: 1300 224 636 SANE: 1800 187 263; saneforums.org Image credits: 2GB / Kids Helpline <p style="box-sizing: inherit; border: 0px; font-stretch: inherit; line-height: inherit; font-family: 'Helvetica Neue', HelveticaNeue, Helvetica, Arial, sans-serif; font-size-adjust: inherit; font-kerning: inherit; font-variant-alternates: inherit; font-variant-ligatures: inherit; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-variant-position: inherit; font-feature-settings: inherit; font-optical-sizing: inherit; font-variation-settings: inherit; font-size: 18px; margin: 0px 0px 24px; padding: 0px; vertical-align: baseline;">

Caring

Tragic flaw sees man use voluntary assisted dying drugs prescribed for his wife

Warning: This article contains discussions of suicide and depression that some readers may find upsetting A Queensland coroner has criticised the state's voluntary assisted dying laws, after an elderly man took his own life using drugs prescribed for his wife. The Coroner's Court in Brisbane held an inquest into the May 2023 death of a man in his 80s, referred to by the pseudonym ABC. The man's partner, who had a terminal illness, was found eligible for the voluntary assisted dying [VAD] program in March 2023. Under that law a person can self-administer a VAD substance in a private location but they must nominate a "contact person" who will be legally required to return any unused or leftover portion within 14 days. The self-administered drug was delivered to the couple's home a month later, and the man was the "contact person" responsible for the substance. On the same day the drug arrived, his wife was admitted to hospital with Covid, where they decided to take an intravenous VAD drug. She died in hospital on May 8, 2023. The man was told to return the drug within two days of his partner's death, but he failed to do so, using it to take his own life eight days later. He did not return the drug as he was unable to leave his home, and there was no arrangement made for a health professional to collect it. ABC’s adult daughter recalled the moment she found her lifeless father after returning from running errands. “I thought he was asleep in the chair. I put my arms around him. He was cold,” she told the inquest. The woman became emotional and said that she found an empty box in the kitchen and “knew immediately it was the VAD”. In his findings, coroner David O’Connell said he was not judging the merits of VAD, but it had led to a "tragedy" only 107 days after it was legalised. “Persons should not be placed in a position where they can be led into unwise decisions,” the coroner said in his findings handed down on Wednesday. O'Connell said that the laws had failed to find a balance between a patient's autonomy and lethal medication safety. “The VAD law has (the substance) provided to persons with no medical training, no regulatory oversight, and in a period of great personal and emotional turmoil,” he said. The inquest heard ABC had previously been diagnosed with, and received medication for depression, which should've been considered before approving someone as a contact person. "The fact that ABC had been medically diagnosed with depression and took medication was not something the VAD authorities considered, or even enquired on, when approving them to be a Contact Person. Indeed, there are simply no checks or enquiries of the Contact Person's suitability," he said. He added that while there was no breach of protocol or legislative processes by QVAD personnel, it was "not a well-considered law". O'Connell recommended the Queensland government implement an earlier draft of VAD laws that required oversight by a medical professional at all times. Queensland Health Minister Shannon Fentiman said the government would consider the coroner’s recommendations. “Following that case, we are working on a review of that legislation coming up to three years that will start next year, and that will obviously be one of the things that we look at,” she said. Image: Shutterstock

Caring

"I don't call that a life": Couple sign up to die in double suicide pod

Warning: This article contains sensitive content that some readers may find distressing. A couple from the UK has signed up to be the first to die in a double suicide pod, invented by an Australian doctor, after 46 years of marriage. Peter and Christine Scott, from Suffolk in England’s east, have shared their plans to travel to Switzerland to die together after Ms Scott, a former nurse, was diagnosed with early-stage vascular dementia. After meeting at a jazz club, the pair married 46 years ago, and shared that they have opted out of potentially years of hospital treatment and the crippling costs of care which could eat into their life savings. “We have had long, happy, healthy, fulfilled lives but here we are in old age and it does not do nice things to you,” Mr Scott, 86, told<a title="www.dailymail.co.uk" href="https://www.dailymail.co.uk/news/article-13825105/Former-RAF-engineer-nurse-wife-sign-British-couple-use-double-suicide-pod-Switzerland-dementia.html"> The Daily Mail</a>. “The idea of watching the slow degradation of Chris’s mental abilities in parallel to my own physical decline is horrific to me,” the former Royal Air Force pilot added. “Obviously I would care for her to the point I could not, but she has nursed enough people with dementia during her career to be adamant she wants to remain in control of herself and her life”. “I would not want to go on living without her,” he said of his 80-year-old wife. “I don’t want to go into care, to be lying in bed dribbling and incontinent – I don’t call that a life”. As English law does not allow for euthanasia, the couple have planned their trip to Switzerland for the procedure, where Ms Scott has planned out her final days with her husband. “I’d like to go walking with Peter in the Swiss Alps, by a river. I’d have a beautiful plate of fish for my last supper, and enjoy a great bottle of Merlot,” she said. “I’d make a playlist including Wild Cat Blues and The Young Ones by Cliff Richard and I’ve found a poem called Miss Me But Let Me Go, which sums up exactly how I feel”. The suicide pod, known as Sarco, can be turned on with a simple flick of a switch from inside the futuristic capsule that resembles a modern car. The machine was invented by Australian Dr Philip Nitschke, who has long been behind a number of initiatives to allow legal euthanasia in Australia. The 3D printed Sarco capsule ends the lives of those inside by pumping the pod with nitrogen which replaces the oxygen in the pod, which renders the occupants unconscious within about a minute without, its claimed, any panic or distress. With falling oxygen, the person eventually suffocates. Dr Nitschke said the machine is activated by a button from inside the pod. “The capsule for two people works exactly the same as the single Sarco but there is only one button so they will decide between them who will push it,” he told <a title="www.dailymail.co.uk" href="https://www.dailymail.co.uk/news/article-13825105/Former-RAF-engineer-nurse-wife-sign-British-couple-use-double-suicide-pod-Switzerland-dementia.html">The Daily Mail</a>. “Then they’ll be able to hold each other”. Image credits: Courtesy of Exit International

Legal

New study links Ozempic and Wegovy to suicidal thoughts

A new study has found a link between weight reduction drugs and reports of suicidal thoughts. Semaglutide, the drug sold under the brand names Ozempic and Wegovy, has been widely used for weight loss despite only being approved for the treatment of diabetes. An analysis of data on the adverse drug reactions database of the World Health Organisation found a disproportionate number of people reporting suicidal thoughts while using semaglutide. The research published in JAMA Network also found that the effect was "significant" compared to other diabetes medication, and that people with anxiety and depression were more likely to report suicidal thoughts when taking the drug. The researches have called for "urgent clarification" and larger studies around how semaglutide medications impact the brain. "The study raises key questions about whether additional precautions are needed when prescribing semaglutide," Trevor Steward, a neurobiology researcher from the University of Melbourne said. However, there are a few limitations with the study as there were a lack of information about the dosages, and did not adjust for things like alcohol and substance misuse and off-label use. While the study did not find a direct cause between suicidal thoughts and the use of semaglutide, it is important to raise concerns, especially for those who may want to use these drugs based on information they found on social media, and therefore do not fully understand the risks. The use of semaglutide for weight loss in Australia is considered 'off label', meaning that it has been prescribed for purposes outside of its approved use. The Therapeutic Goods Administration (TGA) believes that these prescriptions have been driving shortages, which they are trying to address and believe will last until 2025. Images: Shutterstock

Caring

Shocking theory behind grandma's broad daylight murder-suicide

Warning: This article contains distressing content that some readers may find upsetting. Court papers have revealed the sinister reason behind why a grandmother allegedly killed her daughter-in-law before killing herself. Terminally ill ex-probation officer Kathleen Leigh, 65, fatally shot 45-year-old Marisa Galloway, who shares a child with Leigh’s son, Zachariah Reed, on a New York street before taking her own life. Now Ms Galloway’s grieving parents, Nancy and John, have filed an emergency court petition claiming Mr Reed has run off to his “multimillion-dollar home” in Chicago with their grandchild Lili under the pretext of “mourning” his mother’s death. He has also barred the Galloways from any contact, either in person or via technology, with the child. “Clearly, [Mr Reed’s] mother had a deliberate plan to kill Marisa in order to provide custody for her son,” the court papers charge, according to an exclusive report by the <a title="nypost.com" href="https://nypost.com/2024/08/18/us-news/killer-nyc-granny-carried-out-slay-suicide-to-give-son-full-custody-of-child-heartbreaking-suit/" target="_blank" rel="noopener">New York Post</a>. “Unfortunately, [Mr Reed] has demonstrated an absolute intention to further those same goals of his mother as he has refused to provide us with any access to Lili at all in almost 3 weeks.” According to legal papers filed on Friday, the grandparents, who live a 12 hour drive away in New Jersey, are asking a Manhattan Supreme Court judge to pass on Marisa’s parenting time, hashed out in a 2022 custody agreement with Mr Reed. They are also asking that Mr Reed be forced to live in the New York until Lili is 18 so that she can keep a close relationship with her grandparents and with her half-sister, Mariel, the 1-year-old daughter Marisa had with a sperm donor who currently lives with the grandparents. “While Marisa was always the best mother, we would love to be involved with all aspects of taking care of an infant, toddler, and ultimately the little girl that Lili currently is,” Nancy wrote. Nancy said she is “extremely uncomfortable” being forced to file the petition but worried Lili would become estranged from her mum’s side of the family if they didn’t intervene. The grandmother laid out the history of Marisa and Mr Reed’s “tumultuous relationship” since the pair split and their “contentious” custody battle while she also claimed the pair dated before Marisa became pregnant but said their relationship ended “driven by the interference of [Mr Reed’s] mother.” On the day of the heinous crime on July 26th 2024, Marisa was loading her car and had put Mariel in her seat with plans to visit her parents for a few days. She was approached by Leigh while she was putting something in the boot, and shot her once in the back of the head and again in the back before taking her own life. Before her heinous crime, Leigh scrawled a seven-page letter “For Police” describing how she felt Marisa was trying to alienate Lili from her dad and saying she suspected Marisa of abusing Lili, despite child services clearing Marisa in two probes launched by Mr Reed. “She took away the child’s mother in order to make her son happy … it’s shocking,” a law-enforcement source had told the New York Post of Leigh right after the alleged murder-suicide. Image credits: Manhattan Supreme Court

Legal

"The most gorgeous family": Tributes flow for slain mother and daughter

Police are continuing their investigation into the tragic deaths of Jennifer Petelczyc and her daughter Gretel, who were shot dead in their own home by a 63-year-old man. The mother and daughter were killed on Friday, when the man was allegedly searching for his ex-partner before he fatally shot the pair in their home at Floreat, north-west of the Perth CBD. Since their tragic deaths, loved ones and members of the community have come out in droves to pay their respects. "They're the most gorgeous family and it's absolutely just heartbreaking that this has happened," said family friend Imogen Harrris. She added the slain mum, 59, and her 18-year-old daughter were the "kindest, most light-hearted, beautiful people". Neighbour Claire Andrews remembered them as people who "always gave back to the community". Jennifer Petelczyc was known to be a caring and generous member of the community, as she installed a $5,000 defibrillator to be installed outside her home for local people to use in a health emergency. According to police, the man who allegedly killed the mother and daughter, Mark Bombara, was a licensed firearms owner who possessed at least 13 guns and took multiple firearms to the Floreat home as he searched for his ex-wife, who detectives say was a friend of Jennifer. It is understood that Bombara’s wife left him weeks ago and had been staying with Ms Petelczyc. Officers confirmed the man's former partner was not at the home but the two women were tragically killed. WA's Premier Roger Cook has described the murders as "chilling and horrific", saying, "This is a circumstance in which a woman has sought refuge from a friend. It would appear that as a result of that, that friend and her daughter have come to harm." "They're innocent people ... simply doing what we'd all want someone to do when we're facing difficult circumstances. By every measure it looks senseless, chilling and absolutely horrific." "I think we need to take the opportunity today ... to reflect on it and think about how we can all continue to make the world a safer place." Image credits: 9News

Caring

What happens if you want access to voluntary assisted dying but your nursing home won’t let you?

<div class="theconversation-article-body"> <a href="https://theconversation.com/profiles/neera-bhatia-15189">Neera Bhatia</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/charles-corke-167297">Charles Corke</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Voluntary assisted dying is now lawful in <a href="https://theconversation.com/voluntary-assisted-dying-will-soon-be-legal-in-all-states-heres-whats-just-happened-in-nsw-and-what-it-means-for-you-183355">all Australian states</a>. There is also <a href="https://nationalseniors.com.au/uploads/VAD-Report-correct-month-12.8.21.pdf">widespread community support</a> for it. Yet some residential institutions, such as hospices and aged-care facilities, are obstructing access despite the law not specifying whether they have the legal right to do so. As voluntary assisted dying is implemented across the country, institutions blocking access to it will likely become more of an issue. So addressing this will help everyone – institutions, staff, families and, most importantly, people dying in institutions who wish to have control of their end. <h2>The many ways to block access</h2> While voluntary assisted dying legislation recognises the right of doctors to <a href="https://theconversation.com/was-take-on-assisted-dying-has-many-similarities-with-the-victorian-law-and-some-important-differences-121554">conscientiously object</a> to it, the law is generally silent on the rights of institutions to do so. While the institution where someone lives has no legislated role in voluntary assisted dying, it can refuse access in various ways, including: <ul> <li> restricting staff responding to a discussion a resident initiates about voluntary assisted dying </li> <li> refusing access to health professionals to facilitate it, and </li> <li> requiring people who wish to pursue the option to leave the facility. </li> </ul> <h2>Here’s what happened to ‘Mary’</h2> Here is a hypothetical example based on cases one of us (Charles Corke) has learned of via his role at Victoria’s <a href="https://www.safercare.vic.gov.au/about/vadrb">Voluntary Assisted Dying Review Board</a>. We have chosen to combine several different cases into one, to respect the confidentiality of the individuals and organisations involved. “Mary” was a 72-year-old widow who moved into a private aged-care facility when she could no longer manage independently in her own home due to advanced lung disease. While her intellect remained intact, she accepted she had reached a stage at which she needed significant assistance. She appreciated the help she received. She liked the staff and they liked her. After a year in the facility, during which time her lung disease got much worse, Mary decided she wanted access to voluntary assisted dying. Her children were supportive, particularly as this desire was consistent with Mary’s longstanding views. Mary was open about her wish with the nursing home staff she felt were her friends. The executive management of the nursing home heard of her intentions. This resulted in a visit at which Mary was told, in no uncertain terms, her wish to access voluntary assisted dying would not be allowed. She would be required to move out, unless she agreed to change her mind. Mary was upset. Her family was furious. She really didn’t want to move, but really wanted to continue with voluntary assisted dying “in her current home” (as she saw it). Mary decided to continue with her wish. Her family took her to see two doctors registered to provide assessments for voluntary assisted dying, who didn’t work at the facility. Mary was deemed eligible and the permit was granted. Two pharmacists visited Mary at the nursing home, gave her the medication and instructed her how to mix it and take it. These actions required no active participation from the nursing home or its staff. Family and friends arranged to visit at the time Mary indicated she planned to take the medication. She died peacefully, on her own terms, as she wished. The family informed the nursing home staff their mother had died. Neither family nor staff mentioned voluntary assisted dying. <h2>Staff are in a difficult position too</h2> There is widespread community support for voluntary assisted dying. In a 2021 survey by National Seniors Australia, <a href="https://nationalseniors.com.au/uploads/VAD-Report-correct-month-12.8.21.pdf">more than 85%</a> of seniors agreed it should be available. So it’s likely there will be staff who are supportive in most institutions. For instance, in a survey of attitudes to voluntary assisted dying in a large public tertiary hospital, <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/imj.15285">88% of staff</a> supported it becoming lawful. So a blanket policy to refuse dying patients access to voluntary assisted dying is likely to place staff in a difficult position. An institution risks creating a toxic workplace culture, in which clandestine communication and fear become entrenched. <h2>What could we do better?</h2> 1. Institutions need to be up-front about their policies Institutions need to be completely open about their policies on voluntary assisted dying and whether they would obstruct any such request in the future. This is so patients and families can factor this into deciding on an institution in the first place. 2. Institutions need to consult their stakeholders Institutions should consult their stakeholders about their policy with a view to creating a “<a href="https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-021-00891-3">safe</a>” environment for residents and staff – for those who want access to voluntary assisted dying or who wish to support it, and for those who don’t want it and find it confronting. 3. Laws need to change Future legislation should define the extent of an institution’s right to obstruct a resident’s right to access voluntary assisted dying. There should be safeguards in all states (as is already legislated <a href="https://documents.parliament.qld.gov.au/tp/2021/5721T707.pdf">in Queensland</a>), including the ability for individuals to be referred in sufficient time to another institution, should they wish to access voluntary assisted dying. Other states should consider whether it is reasonable to permit a resident, who does not wish to move, to be able to stay and proceed with their wish, without direct involvement of the institution. <hr /> The opinions expressed in this article are those of the authors and do not necessarily reflect the views of Victoria’s Voluntary Assisted Dying Review Board.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/183364/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/neera-bhatia-15189">Neera Bhatia</a>, Associate Professor in Law, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> and <a href="https://theconversation.com/profiles/charles-corke-167297">Charles Corke</a>, Associate Professor of Medicine, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Image credits: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/what-happens-if-you-want-access-to-voluntary-assisted-dying-but-your-nursing-home-wont-let-you-183364">original article</a>. </div>

Caring

People with dementia aren’t currently eligible for voluntary assisted dying. Should they be?

<div class="theconversation-article-body"><a href="https://theconversation.com/profiles/ben-white-15387">Ben White</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/casey-haining-1486290">Casey Haining</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/lindy-willmott-15386">Lindy Willmott</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>, and <a href="https://theconversation.com/profiles/rachel-feeney-140352">Rachel Feeney</a>, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a> Dementia is the <a href="https://www.dementia.org.au/about-dementia">second leading cause of death</a> for Australians aged over 65. More than 421,000 Australians <a href="https://www.dementia.org.au/about-dementia">currently live with dementia</a> and this figure is expected to almost double in the next 30 years. There is ongoing public <a href="https://www.mja.com.au/journal/2024/220/9/should-voluntary-assisted-dying-victoria-be-extended-encompass-people-dementia">discussion</a> about whether dementia should be a qualifying illness under Australian voluntary assisted dying laws. Voluntary assisted dying is <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2023/12/Issue-464-10-Waller-et-al.pdf">now lawful in all six states</a>, but is not available for a person living with dementia. The Australian Capital Territory has <a href="https://www.canberratimes.com.au/story/8631104/marisa-paterson-to-consult-on-voluntary-assisted-dying-amendments/?cs=14329">begun debating</a> its voluntary assisted dying bill in parliament but the government has <a href="https://www.legislation.act.gov.au/DownloadFile/es/db_68610/current/PDF/db_68610.PDF">ruled out</a> access for dementia. Its view is that a person should retain decision-making capacity throughout the process. But the bill includes a requirement to <a href="https://www.legislation.act.gov.au/b/db_68609/">revisit the issue</a> in three years. The Northern Territory is also considering reform and <a href="https://www.theaustralian.com.au/subscribe/news/1/?sourceCode=TAWEB_WRE170_a_GGL&dest=https%3A%2F%2Fwww.theaustralian.com.au%2Fnation%2Fpolitics%2Fconcerning-territory-nt-surveys-public-support-on-euthanasia-for-mentally-ill%2Fnews-story%2F4e45111bb293af4cf32ac3c6df058869&memtype=anonymous&mode=premium&v21=GROUPA-Segment-2-NOSCORE&V21spcbehaviour=append">has invited views</a> on access to voluntary assisted dying for dementia. Several public figures have also entered the debate. Most recently, former Australian Chief Scientist, Ian Chubb, <a href="https://www.abc.net.au/listen/programs/melbourne-drive/voluntary-assisted-dying-dementia-victoria/103467864">called for the law to be widened</a> to allow access. Others <a href="https://www.smh.com.au/national/voluntary-assisted-dying-should-not-be-available-to-dementia-patients-20230607-p5deqo.html">argue</a> permitting voluntary assisted dying for dementia would present unacceptable risks to this vulnerable group. <h2>Australian laws exclude access for dementia</h2> Current Australian voluntary assisted dying laws <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2023/12/Issue-464-10-Waller-et-al.pdf">exclude access</a> for people who seek to qualify because they have dementia. In New South Wales, the <a href="https://legislation.nsw.gov.au/view/html/inforce/current/act-2022-017">law specifically states</a> this. In the other states, this occurs through a <a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2022/04/Issue-451-White-et-al.pdf">combination of the eligibility criteria</a>: a person whose dementia is so advanced that they are likely to die within the 12 month timeframe would be highly unlikely to retain the necessary decision-making capacity to request voluntary assisted dying. This does not mean people who have dementia cannot access voluntary assisted dying if they also have a terminal illness. For example, a person who retains decision-making capacity in the early stages of Alzheimer’s disease with terminal cancer may access voluntary assisted dying. <h2>What happens internationally?</h2> Voluntary assisted dying laws in some other countries allow access for people living with dementia. One mechanism, used in the Netherlands, is through <a href="https://agsjournals.onlinelibrary.wiley.com/doi/full/10.1111/jgs.16692">advance directives or advance requests</a>. This means a person can specify in advance the conditions under which they would want to have voluntary assisted dying when they no longer have decision-making capacity. This approach depends on the person’s family identifying when those conditions have been satisfied, generally in consultation with the person’s doctor. Another approach to accessing voluntary assisted dying is to allow a person with dementia to choose to access it while they still have capacity. This involves regularly assessing capacity so that just before the person is predicted to lose the ability to make a decision about voluntary assisted dying, they can seek assistance to die. In Canada, this has been referred to as the “<a href="https://www.unswlawjournal.unsw.edu.au/wp-content/uploads/2022/04/Issue-451-White-et-al.pdf">ten minutes to midnight</a>” approach. <h2>But these approaches have challenges</h2> International experience reveals these approaches have limitations. For advance directives, it can be difficult to specify the conditions for activating the advance directive accurately. It also requires a family member to initiate this with the doctor. Evidence also shows doctors are <a href="https://link.springer.com/article/10.1186/1472-6939-16-7">reluctant</a> to act on advance directives. Particularly challenging are <a href="https://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-019-0401-y">scenarios</a> where a person with dementia who requested voluntary assisted dying in an advance directive later appears happy and content, or no longer expresses a desire to access voluntary assisted dying. Allowing access for people with dementia who retain decision-making capacity also has practical problems. Despite regular assessments, a person may lose capacity in between them, meaning they miss the window before midnight to choose voluntary assisted dying. These capacity assessments can also be very complex. Also, under this approach, a person is required to make such a decision at an early stage in their illness and may lose years of otherwise enjoyable life. Some also argue that regardless of the approach taken, allowing access to voluntary assisted dying would involve unacceptable risks to a vulnerable group. <h2>More thought is needed before changing our laws</h2> There is <a href="https://www.parliament.qld.gov.au/Documents/TableOffice/TabledPapers/2020/5620T490.pdf">public demand</a> to allow access to voluntary assisted dying for dementia in Australia. The mandatory reviews of voluntary assisted dying legislation <a href="https://www.publish.csiro.au/ah/pdf/AH23005">present an opportunity</a> to consider such reform. These reviews generally happen after three to five years, and in some states they will occur regularly. The scope of these reviews can vary and sometimes governments may not wish to consider changes to the legislation. But the Queensland review “<a href="https://www.legislation.qld.gov.au/view/pdf/asmade/act-2021-017">must include a review of the eligibility criteria</a>”. And the ACT bill requires the review to <a href="https://www.legislation.act.gov.au/b/db_68609/">consider</a> “advanced care planning”. Both reviews would require consideration of who is able to access voluntary assisted dying, which opens the door for people living with dementia. This is particularly so for the ACT review, as advance care planning means allowing people to request voluntary assisted dying in the future when they have lost capacity. This is a complex issue, and more thinking is needed about whether this public desire for voluntary assisted dying for dementia should be implemented. And, if so, how the practice could occur safely, and in a way that is acceptable to the health professionals who will be asked to provide it. This will require a careful review of existing international models and their practical implementation as well as what would be feasible and appropriate in Australia. Any future law reform should be <a href="https://www.publish.csiro.au/AH/AH19201">evidence-based</a> and draw on the views of people living with dementia, their family caregivers, and the health professionals who would be relied on to support these decisions.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/224075/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/ben-white-15387">Ben White</a>, Professor of End-of-Life Law and Regulation, Australian Centre for Health Law Research, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/casey-haining-1486290">Casey Haining</a>, Research Fellow, Australian Centre for Health Law Research, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>; <a href="https://theconversation.com/profiles/lindy-willmott-15386">Lindy Willmott</a>, Professor of Law, Australian Centre for Health Law Research, Queensland University of Technology, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a>, and <a href="https://theconversation.com/profiles/rachel-feeney-140352">Rachel Feeney</a>, Postdoctoral research fellow, <a href="https://theconversation.com/institutions/queensland-university-of-technology-847">Queensland University of Technology</a> Image credits: Getty Images This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-with-dementia-arent-currently-eligible-for-voluntary-assisted-dying-should-they-be-224075">original article</a>. </div>

Caring

Terminally ill teacher convicted of child abuse granted end-of-life permit

A convicted child abuser from Adelaide, who was imprisoned for his acts of paedophilia against students during his tenure as a music teacher, has been authorised to pursue assisted dying, according to an exclusive report by <a href="https://www.9news.com.au/national/exclusive-adelaide-news-jailed-paedophile-teacher-malcolm-day-given-end-of-life-permit-voluntary-assisted-dying/cab7e95c-f3b1-4dbd-ae0d-cc8dbfee22c0" target="_blank" rel="noopener">9News</a>. Malcolm Day, aged 81, has emerged as the first incarcerated individual in Australia to receive approval for voluntary assisted dying following a terminal illness diagnosis, reportedly linked to cancer. Having received a 20-year prison sentence last June, Day's remaining term spans 17 years. Navigating the 11-step process required for accessing voluntary assisted dying in South Australia, Day's application is reported to be in its concluding stages, potentially reaching completion within the next few days. Dr Philip Nitschke, the director of the pro-euthanasia organisation Exit International, acknowledged that an incarcerated individual availing themselves of this scheme was an inevitable eventuality. "By the sounds of it, he satisfies all the conditions of the South Australian assisted dying legislation," Dr Nitschke told 9News. "So there should be no impediment… he should be given the option that any other person would have if they were terminally ill." During the 1980s, Day, while serving as a music teacher in South Australia, inflicted profound and lasting harm upon two of his students. After grooming and exploiting his victims, he vehemently refuted all allegations when investigated by educational authorities. When Day was sentenced, his legal representative, Stephen Ey, acknowledged the real possibility of his client passing away behind bars, saying at the time that it was "a real prospect... given his age." According to the latest data from SA Health, since the initiation of voluntary assisted dying in January of this year, 39 terminally ill residents of South Australia have opted to peacefully conclude their lives after being granted the necessary permits. Image: Nine News

Legal

23-year-old reveals why she's chosen to end her life

23-year-old Lily Thai has made the crippling decision to end her life. The Adelaide native, who suffers from Ehlers Danlos Syndrome (EDS), will use recently passed voluntary assisted dying laws after signing the final paperwork a week prior. In January 2023, South Australia legalised assisted dying with the government funnelling in $18 million over the next five years to support safe access to the service. “I realised that I can’t have any more anaesthesia, so I (couldn’t) have any more feeding tube changes (or) surgeries,” Thai told The Advertiser. EDS is a debilitating genetic condition which has left the 23-year-old completely bedridden and in constant pain. It affects her joints, skin and walls of the blood vessels so severely she is reliant on her father as a caregiver to do everything for her, “even the most intimate things”. Doctors will administer an IV medication that will terminate the young woman’s life within 10 seconds. “I’ll no longer have any pain, I will no longer suffer with any of these issues, and I’ll finally be free of all the suffering that I have endured for so many years.” Thai had initially thought her health deterioration was caused by a spinal fluid leak, but after undergoing treatment to fix it, her condition did not improve and doctors couldn’t give her a definitive diagnosis. As a desperate last measure, she travelled to Sydney to meet a surgeon who “specialised in spinal issues (for) patients with EDS” when she was 21. She was then confined to a halo brace and required a nasal feeding tube as she "couldn’t keep anything down,” and weighed just 40kg. In May 2021, Thai had spinal fusion surgery and just a week later was fitted with a gastro Jejenul feeding tube to vent out stomach acid and secretion. Through her rehab period, hospitals were under strict Covid-19 protocols, so Thai suffered alone without any visitors. “I couldn’t stand not seeing my dad, so I got discharged early,” she said. She was later diagnosed with auto-immune autonomic ganglionopathy — a rare condition where the body’s immune system attacks the nervous system. “The neurologist said that I was in multi-organ failure, but it wasn’t until I had a severe decline after one of my surgeries, (and) when I saw my rehab doctor they found a large lesion of the left side of my brain,” she said. “He suspected I had a type of motor neurone disease.” Thai has spent the past two years at Flinders Medical Centre’s Laurel Hospice, where she shared that most of her days are filled with sleep to avoid being in “excruciating pain”. Healthcare staff there granted one of her final wishes, which was to visit a beach, and so they took Thai in the back of an ambulance to the coastline. An image (at top) shows Lily resting on a bed, enjoying her Maccas fries and looking out at the golden sand and blue water in front of her. While at the hospice, Thai also formed a strong bond with another young woman, Annaliese Holland, who was also suffering a terminal illness at the hospice. The pair say young people with a terminal illness often mourn the “life (they) never got to have.” “For elderly or older people, (they) have memories to look back on to laugh about and cry about,” Holland said. “But for a young person in palliative hospice, you haven’t formed many of them.” “You never do the normal things like going to your high school graduation,” Thai said. “What makes me sad is that … you just want to push on, but at the same time it’s really hard because you know you won’t have babies or any of that,” Holland said. Holland has vowed to do everything in her power to make Thai’s last days in hospice more bearable. “All I can do is brush her (Lily’s) hair or moisturise her legs. I just want her to know that I’m there and people care,” a tearful Holland said. Thai has been able to plan parts of her own funeral and has been busy saying goodbye to family and friends. As part of her legacy, she’s inviting donations for palliative research to The Hospital Research Foundation on her memorial card to be given to funeral attendees. Image credit: Facebook

Caring

People thinking of voluntary assisted dying may be able to donate their organs. We need to start talking about this

<a href="https://theconversation.com/profiles/robert-ray-1441988">Robert Ray</a>, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> The number of people needing an organ transplant vastly outweighs the number of organs available. <a href="https://www.donatelife.gov.au/sites/default/files/2023-02/OTA%202022%20Donation%20and%20Transplantation%20Activity%20Report.pdf">In 2022</a> there were about 1,800 Australians waiting for an organ but only about 1,200 people received an organ transplant. But in <a href="https://onlinelibrary.wiley.com/doi/10.1111/imj.16085">a recent paper</a>, I outline one unexplored option for increasing the number of potential organ donors in Australia – transplanting organs from people undergoing voluntary assisted dying. This would involve transplanting organs only after someone had died. It’s estimated <a href="https://jamanetwork.com/journals/jama/article-abstract/2616383">about 10%</a> of people eligible for voluntary assisted dying are likely to be medically suitable to donate their organs. Based on <a href="https://www.safercare.vic.gov.au/sites/default/files/2022-09/Voluntary%20Assisted%20Dying%20Review%20Board%20Report%20of%20Operations%20July%202021-June%2022_FINAL.pdf">Victorian figures</a> alone, this could lead to about an extra 40 potential organ donors each year. This type of organ donation has taken place <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9297969/">for more than 20 years</a> in Europe, and more recently in Canada. Organs transplanted from donors undergoing voluntary assisted dying <a href="https://jamanetwork.com/journals/jamasurgery/article-abstract/2769118">have</a> <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.16267">similar</a> <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.16971">success rates</a> to more traditional donations. Yet, this is a discussion we’ve yet to have in Australia. Here are some of the ethical and practical issues we need to start talking about. <h2>Is this ethical? It’s tricky</h2> The main ethical challenge is ensuring a person isn’t motivated to end their life prematurely so they can donate their organs. <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.13746">Internationally</a>, <a href="https://jme.bmj.com/content/42/8/486.short">this challenge</a> is mainly addressed by having <a href="https://www.sciencedirect.com/science/article/pii/S1600613523000291">independent assessments</a> by multiple doctors. This is to ensure the motivation is genuine and honest, much like assessing someone before voluntary assisted dying. Similarly, it is important the doctor of someone undergoing voluntary assisted dying isn’t persuading them to donate an organ. This means any doctor overseeing voluntary assisted dying may be limited in how much they can discuss organ donation with their patient. Again, this <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.13746">has been managed internationally</a> by having separate, independent doctors overseeing organ donation and voluntary assisted dying, <a href="https://www.cmaj.ca/content/190/44/E1305.short">without one influencing</a> the other. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=437&fit=crop&dpr=1 600w, https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=437&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=437&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=549&fit=crop&dpr=1 754w, https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=549&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/528192/original/file-20230525-27-sjwdaa.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=549&fit=crop&dpr=3 2262w" alt="Elderly woman in bed hand on covers" /></a><figcaption>Is this what people really want, with so little time left? <a class="source" href="https://www.shutterstock.com/image-photo/senior-woman-laying-on-bed-hospital-1054837748">Shutterstock</a></figcaption></figure> Organ donation may also affect the way voluntary assisted dying is conducted, which <a href="https://www.sciencedirect.com/science/article/pii/S1600613523000291">may impact</a> participants’ very limited quality of life. That’s because determining if someone is eligible to donate an organ involves a number of <a href="https://jme.bmj.com/content/43/9/601.short">investigations</a>. These may include blood tests, radiology (imaging) and numerous clinical encounters to exclude diseases such as cancer, which would prevent someone donating their organs. These investigations may be exhausting but necessary. This burden must be weighed against the participant’s wishes and motivation to donate their organs. So people must also be informed of the impact organ donation will have on their limited life left. The choices of people considering this option must be respected and they must be given multiple opportunities to review their decision, without undue influence or bias. <h2>Practical issues: coordination, location, regulation</h2> Practically, combining organ donation and voluntary assisted dying is <a href="https://onlinelibrary.wiley.com/doi/abs/10.1111/ajt.13746">challenging</a>. This includes the difficulty organising and coordinating specialists in organ donation, voluntary assisted dying and transplantation. This is why, internationally, organ donation of this nature mostly occurs in large hospitals, where it’s easier to coordinate. So if people want to donate an organ this way, they may spend their last moments in an unfamiliar environment. <figure class="align-center zoomable"><a href="https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=1000&fit=clip"><img src="https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&fit=clip" sizes="(min-width: 1466px) 754px, (max-width: 599px) 100vw, (min-width: 600px) 600px, 237px" srcset="https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=600&h=400&fit=crop&dpr=1 600w, https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=600&h=400&fit=crop&dpr=2 1200w, https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=600&h=400&fit=crop&dpr=3 1800w, https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=45&auto=format&w=754&h=503&fit=crop&dpr=1 754w, https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=30&auto=format&w=754&h=503&fit=crop&dpr=2 1508w, https://images.theconversation.com/files/528195/original/file-20230525-15-irsqg9.jpg?ixlib=rb-1.1.0&q=15&auto=format&w=754&h=503&fit=crop&dpr=3 2262w" alt="Patient being wheeled on stretcher through hospital corridors" /></a><figcaption>People may have to be moved to a large hospital with the facilities and staff on hand. <a class="source" href="https://www.shutterstock.com/image-photo/surgeon-assistant-team-transport-move-stretcher-2062330820">Shutterstock</a></figcaption></figure> Efforts have been made <a href="https://jamanetwork.com/journals/jamasurgery/article-abstract/2776765">internationally</a> to prioritise these valuable last moments by giving people the choice of where voluntary assisted dying occurs (<a href="https://www.cmaj.ca/content/190/44/E1305.short">such as their home</a>). But this currently only occurs in a minority of cases and increases the complexity of organ donation. Regulating the process is also essential to developing a safe, trustworthy and effective program. Ideally a centralised organisation such as Australia’s national <a href="https://www.donatelife.gov.au">Organ and Tissue Authority</a> would organise, undertake and regulate this. However, this may be challenging given voluntary assisted dying practices are specific to each state. <h2>The challenges ahead</h2> If someone considering voluntary assisted dying wants to donate their organs and is deemed eligible, there is currently <a href="https://onlinelibrary.wiley.com/doi/10.1111/imj.16085">no legal barrier in Australia</a> to stop them. What might prevent them is how their doctor responds, and whether there are the services and organisations willing to fulfil this request ethically and practically. The next step in considering this form of organ donation is to discuss the prospect publicly. Every extra donated organ is potentially lifesaving. So we should make every effort to consider potential safe and ethical ways to increase donation and transplantation rates.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/206298/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /> <a href="https://theconversation.com/profiles/robert-ray-1441988">Robert Ray</a>, Affiliate Associate Lecturer, School of Medicine, <a href="https://theconversation.com/institutions/deakin-university-757">Deakin University</a> Image credit: Shutterstock This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/people-thinking-of-voluntary-assisted-dying-may-be-able-to-donate-their-organs-we-need-to-start-talking-about-this-206298">original article</a>.

Body

New details surrounding Emma Pattison’s prior arrest

Warning: This article contains distressing content that some readers may find confronting. It is now known that Emma Pattison, the headmistress at a private school in the UK who police believe was shot dead by her husband, <a href="https://oversixty.com.au/news/news/disturbing-new-details-emerge-in-death-of-head-teacher-husband-and-daughter" target="_blank" rel="noopener">made a distress call</a> to a family member just hours before she was discovered. Further to that, new details have emerged that reveal that Mrs Pattison was arrested by Surrey police following a domestic row with her husband, George, seven years ago. Mr Pattison telephoned police one evening just prior to midnight, claiming that Mrs Pattison had slapped him around the face in their home. Only a short time later – two minutes or so – Mr Pattison then called the station back to ask the police officers not to come, saying that the matter was inconsequential and that he had overreacted. However, Surrey police decided to proceed with the home visit to investigate the complaint, and arrested Mrs Pattison on suspicion of common assault. Mrs Pattison was then questioned in the presence of a solicitor, and was subsequently released without charge. While a full investigation <a href="https://oversixty.com.au/news/news/headmistress-husband-and-daughter-found-dead-on-school-grounds" target="_blank" rel="noopener">into their deaths</a> has commenced, Surrey police are currently refusing to discuss Mrs Pattison’s arrest seven years ago in 2016, stating instead that autopsy results on the bodies of all three of the deceased are expected by the end of the week. Police have yet to disclose the official cause of death, but are confident no one else was involved in the "isolated" incident. Detectives confirmed a firearm registered to George, of which he had a license for, was found at the scene and they are treating the tragedy as a double murder and suicide. Detectives suspect George killed his wife Emma, 45, and little Lettie before taking his own life. Detective Chief Inspector Kimball Edey, senior investigating officer on the case, said, “This is an incredibly traumatic incident and we are working around the clock to investigate and understand the exact circumstances which led to this point." Don't go it alone. Please reach out for help. Lifeline: 13 11 14 or lifeline.org.au Beyond Blue: 1300 22 4636 or beyondblue.org.au Headspace: 1800 650 890 or headspace.org.au Image credits: epsomcollege.org.uk

News

Disturbing new details emerge in death of head teacher, husband and daughter

Warning: This article contains distressing content that some readers may find confronting. A headmistress at a private school in the UK made a distress call to a family member just hours before she was found dead, a report has claimed. School principal Emma Pattison, the head teacher of private school Epsom College in Surrey, England, was <a href="https://oversixty.com.au/news/news/headmistress-husband-and-daughter-found-dead-on-school-grounds" target="_blank" rel="noopener">found dead</a> alongside her 39-year-old husband, George, and seven-year-old daughter Lettie on the school grounds earlier this week. As an investigation into their deaths has commenced, the BBC has reported that Emma made a frantic phone call to a relative with concerns about her partner. By the time the worried relative arrived at the house, which is surrounded by other properties occupied by college staff and is close to the prestigious school’s rifle range, all three were dead. Police have yet to disclose the official cause of their deaths, but are confident no one else was involved in the "isolated" incident. Detectives confirmed a firearm registered to George, of which he had a license for, was found at the scene and they are treating the tragedy as a double murder and suicide. Detectives suspect George killed his wife Emma, 45, and little Lettie before taking his own life. Detective Chief Inspector Kimball Edey, senior investigating officer on the case, said, “This is an incredibly traumatic incident and we are working around the clock to investigate and understand the exact circumstances which led to this point." “We understand the public concern and upset, and we will clarify what we can, when we can, while respecting the right to a level of privacy for the families of those who have lost their lives." The community is reeling from the tragedy, as devastated neighbours who knew the "lovely" family shared how "heartbroken" they are. One person said, “It is just shocking and unimaginable.” Chloe Rathbone, a nursery worker who looked after Lettie, told The Times, “I am utterly so heartbroken over this awful news." “They were such a lovely family and Lettie was perfect in every way, everything you could have wished for in a little girl.” <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">Don't go it alone. Please reach out for help. <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">Lifeline: 13 11 14 or lifeline.org.au <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">Beyond Blue: 1300 22 4636 or beyondblue.org.au <p style="font-size: 16px; box-sizing: border-box; margin-top: 0px; margin-bottom: 1rem; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">Headspace: 1800 650 890 or headspace.org.au Image credits: Getty Images / <em style="font-size: 16px; box-sizing: border-box; caret-color: #212529; color: #212529; font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, 'Helvetica Neue', Arial, sans-serif, 'Apple Color Emoji', 'Segoe UI Emoji', 'Segoe UI Symbol', 'Noto Color Emoji';">epsomcollege.org.uk

News

Easy living at The Alba is the perfect choice for older Australians

Moving into one of the luxuriously appointed apartments at <a href="https://thealba.com.au/?utm_medium=online&utm_source=OverSixty" target="_blank" rel="noopener">The Alba</a> from mid-2023 will give residents the best of both worlds – independent living but with all the services of a resort when needed. For older Australians, this is easy living done well in a stunning setting close to the tranquility of Albert Park Lake. The Alba is a brilliantly conceptualised development where the residents’ privacy and security are paramount. However, premium services, including cleaning, laundry and chef-prepared meals, are always available. Anyone fortunate enough to secure one of the imposing apartments at The Alba will be afforded one of the greatest luxuries of all – the time to please themselves. Without the burden of daily chores, residents can give their creativity free rein by starting a project in the arts & crafts room or finding the most enjoyable way of keeping fit with exercise classes at every level. The development also includes a cinema, a library and a café that is also open to the local community. Some may simply prefer to relax on the spectacular rooftop terrace with views over Albert Park Lake and the Melbourne city skyline. Getting the most out of life At the end of each day filled with stimulating activities, there’s the option of returning to a sparkling apartment without even having to pick up a vacuum cleaner. Or sitting down to a beautiful, chef-prepared fresh meal in The Alba’s elegant rooftop restaurant, where the emphasis is on seasonal produce, simply prepared. Some may care to treat themselves further and welcome each day with a hand-delivered breakfast box filled with fresh delights. Consider it a reward for a lifetime of hard work. Residents simply choose the support options that best suit their needs – and they can be dialled up or down as required. These extra services are being put in place to foster freedom and independence, along with the confidence to go about your life while knowing that help is always available. Should urgent medical attention be required, there are emergency call buttons in each apartment, with nurses available close by at the onsite residential care. An opulent place to call home There are 60 one-and two-bedroom easy living apartments at The Alba, which allows plenty of choice to find the right one to suit every individual. No expense has been spared in creating a space that residents will be proud to call home. The Alba was designed by the internationally renowned, award-winning architects Fender Katsalidis, who have set a new benchmark for independent living in an Over 55s development. Each luxuriously appointed apartment has a sleek living and dining area, a kitchen with premium appliances and one or two bathrooms, plus a laundry. Many have balconies that take in sublime views over Albert Park Lake or the Melbourne city skyline. It’s all about attention to detail here, including superb finishes throughout and everything is at your fingertips whether you want to surf through cable television channels or seamlessly entertain friends. It’s also a thoughtful design to support you in living in your new home as you age in place. A vibrant community awaits within The Alba The Alba is all about feeling connected – not only to the beauty which surrounds the development but also when it comes to socialising. It will be easy to naturally mingle with other residents who may share similar interests as yours at the many activities throughout the day. There are community club rooms, a cinema, a wellness centre, dinners or lunches in the restaurant and a welcoming café within walking distance of your front door. An extra level of care is available onsite The Alba has 95 residential aged care suites for those who need 24/7 care and support in the form of residential aged care that’s well supported with daily activities. The aged care suites are also beautifully appointed with soothing views. It is a great option for couples who are suddenly at different stages of life from one another. With such close proximity, it’s easy to visit throughout the day and reassuring to know that a loved one still remains in the heart of the community. This is just another way that the caring staff at The Alba are able to treat everyone with dignity and respect. Entertaining friends and family has never been easier There are so many welcoming spaces at The Alba where family and friends may come together. This includes resident lounges and the stylish restaurant that serves lunches and dinners daily. Or perhaps a barbecue on the recreational terrace? Everything can be easily arranged by the staff, including organising a special celebration. At The Alba, residents have the confidence and the support to enjoy life on their own terms. After all, they’re not just settling into an apartment here but entering the next phase in their life’s story. *Expressions of interest in <a href="https://thealba.com.au/?utm_medium=online&utm_source=OverSixty" target="_blank" rel="noopener">The Alba</a> are now open. The Alba is scheduled to open in mid-2023. This is a sponsored article produced in partnership with <a href="https://thealba.com.au/?utm_medium=online&utm_source=OverSixty" target="_blank" rel="noopener">The Alba</a>.

Real Estate

Our Partners

Over 60

News

Shop

Catalogues

Contests

Entertainment

Travel

Health

Lifestyle

Finance

Property

Games

Information

Keep up to date

Search

Man dies after months-long wait for at-home care

Husband of Aussie TV presenter dies two years after his wife's passing

School apologises for removing memorial after girl's suicide

Parents disappointed by Principal's response to daughter's suicide

Controversial suicide capsule applications suspended amid investigation

Arrests made after woman ends her life in "suicide pod"

"We won't recover": Grieving parents speak out ahead of daughter's funeral

Tragic flaw sees man use voluntary assisted dying drugs prescribed for his wife

"I don't call that a life": Couple sign up to die in double suicide pod

New study links Ozempic and Wegovy to suicidal thoughts

Shocking theory behind grandma's broad daylight murder-suicide

"The most gorgeous family": Tributes flow for slain mother and daughter

What happens if you want access to voluntary assisted dying but your nursing home won’t let you?

People with dementia aren’t currently eligible for voluntary assisted dying. Should they be?

Terminally ill teacher convicted of child abuse granted end-of-life permit

23-year-old reveals why she's chosen to end her life

People thinking of voluntary assisted dying may be able to donate their organs. We need to start talking about this

New details surrounding Emma Pattison’s prior arrest

Disturbing new details emerge in death of head teacher, husband and daughter

Easy living at The Alba is the perfect choice for older Australians

Our Partners