Dani Chammas
speaker
1,436 appearances
4 recordings
1 series
first heard Apr 2020
last heard Dec 2024
Dani Chammas’s voice in public audio — every appearance, attributed to the second.
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Appearances
And who's making these decisions?
Some people don't.
In Canada, as long as you have a terminal illness, it doesn't matter if your depression was driving the request.
And so some of us are more driven by the doing no harm, others more driven by autonomy and justice.
And I think it puts us as humans in the provider role in a really difficult spot trying to reconcile the care that we're giving and trying to figure out what is appropriate.
And you're right, it is on a continuum.
Because how about DNR, DNI?
If somebody is very depressed and suicidal, are they allowed to say that they want to be DNR, DNI?
We let them.
But what if a few rounds of ECT later, they wouldn't want that?
And, you know, in the interim, they code.
think the difficult part here when we're talking about decision making and judgment in the setting of mental illness being the target is that it's quite possible that someone has capacity, but it's very hard to say that mental illness isn't impacting people's judgment, people's outlook.
It's different than having, like, a leg issue, but being fully, like, the way you're viewing the world is still consistent to who you are versus
in an episode of depression where there's a complete lens on your view of the world that can go away.
It makes it really hard.
And I think what we're all struggling with here is, like, this is very gray territory,
We want clear...
boundaries and clear definitions and we try to impose them but like where does somebody's mental illness and somebody's personhood
what's the line between those two what if you've been depressed your whole life like is it a part of your personhood like it doesn't all fit into these very clear separations
I have a thought on the moral distress, but I also feel like we're pulling ourselves into like this idea of terminal mental illness.
Showing 101–120 of 1,436 · page 6 of 72
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