Nanaimo Regional General Hospital. NEWS BULLETIN file photo (Nanaimo News Bulletin file image)

Supreme Court vindicates B.C. doctor who medicated dying woman against her son’s wishes

Health Professions Review Board’s decision deemed transparent and justifiable

The Supreme Court of B.C. has decided there will be no judicial review of a ruling regarding an end-of-life care case that happened in Nanaimo.

A man calling on a provincial health tribunal to reverse a ruling on a case involving his now-deceased mother had his application for judicial review dismissed by the Supreme Court of B.C. last week.

The case involves Thomas William Sanders’s mother, Arleane, an 80-year-old double amputee who experienced pressure ulcers, wound infections and extreme pain, and doctors including Robin Love, a palliative care physician in Nanaimo, according to court documents.

Arleane was admitted to Nanaimo Regional General Hospital multiple times between November 2014 and March 2015 according to the documents, which state that Love was one of the doctors who provided care to her during her time at NRGH.

Prior to admission to NRGH, Arleane spent months living at Nanaimo Seniors Village, where she required daily dressing changes and “often screamed in pain” and one doctor wrote that staff overmedicated her so that “she would not be a nuisance,” court documents show.

In November 2014, the son had become concerned about the side effects of pain medication his mother was taking, which included opioids. Thomas, described in court documents as a “well-intentioned” man, had become so concerned that he believed the opioids his mother was taking were causing her to experience “delirium” and that she was being over-medicated to the point where she could no longer eat or drink. It was at that point that Love was brought in to address issues of pain management and medication options, as well as conflict between the son and hospital staff, according to court documents. Arleane had granted her son permission to give or refuse consent to medical care on her behalf through a representation agreement in 2013.

By early March 2015, Arleane was admitted to NRGH following the development of a large open cavity and there was no possibility of treating it, according to court documents, which also state that Thomas refused to consent to increasing Arleane’s pain medication and disagreed with Dr. Love and hospital staff over pain management plans. Nurses at NRGH were “distressed and tearful” and found it hard to provide care because Thomas interfered with their ability to provide painkillers.

On March 6, 2015, Love, who has more than 20 years of experience, called the son and told him his mother was in extreme pain and dying and needed better pain medication to reduce her suffering. Thomas disagreed, believing that Love was not acting in Arleane’s best interests.

Thomas’s decision-making privileges were eventually taken away by Love following advice from multiple health organizations including Vancouver Island Health Authority, as well as a legal opinion. Thomas filed a complaint to College of Physicians and Surgeons of British Columbia against Love, arguing that the doctor’s actions violated the Health Care Professions Act, that end-of-life care had begun without proper consent and that he was improperly removed as his mother’s representative.

In the final days before her death, the doctor said nurses treating Arleane were “completely traumatized” and that one nurse had witnessed the woman crying for two days. Love told Thomas that his “personal ethics and morals mandated that he provide proper pain medication.”

Arleane died on March 22, 2015.

Following her death, the College of Physicians and Surgeons of B.C.’s inquiry committee conducted an investigation into Thomas’s complaint against Love. After the inquiry committee ended up dismissing the complaint in 2016, Thomas contacted the Health Professions Review Board, which determined the committee’s investigation had been adequate.

Thomas filed a application for judicial review with the Supreme Court of B.C. last year, seeking to have the review board’s decision quashed and to have the board rule that Love breached his professional obligations.

Last week, the Supreme Court dismissed the application for judicial review. In his decision, Justice Michael Brundrett noted that this case was not a “clear situation in which a physician plainly acted illegally against the wishes of a representative” and that the Health Professions Review Board’s decision was transparent and justifiable.

Although the Vancouver Island Patient Care Quality Review Board determined in 2016 that “it does not appear that the hospital had the right to revoke or override” the son’s representation agreement with his mother, the Supreme Court decision concluded that the inquiry committee was entitled to their finding that Love’s conduct was “satisfactory.”

The inquiry committee, the HPRB and the Supreme Court did not make a legal finding over the issue of consent that had been raised by the petitioner.



nicholas.pescod@nanaimobulletin.com

Like us on Facebook or follow Nicholas Pescod on Twitter

Just Posted

BC Wildfire crew rescues lost puppies

They were just leaving the Monashee Complex of fires when they found the cutest creatures.

Casual memberships now available through the Kootenay Carshare Coop

The Kooteany Carshare Cooperative is now offering a new casual membership. Waving… Continue reading

Sister Says playing Saturday at Revelstoke Summer Street Fest

Canadian siblings bring their soulful indie-pop sound to Grizzly Plaza

Ministry denies request for air quality monitoring in Revelstoke

Revelstoke City Council’s request that an air quality monitoring system be re-established… Continue reading

City of Revelstoke and CSRD reach fire protection agreement

A new fire protection agreement has been negotiated between the City of… Continue reading

UPDATE: Air quality improves slightly

Breathing conditions are improving, though still not ideal

Evacuation alert for Dark Lake Valley area

There are 21 properties are affected

B.C. team stays alive in Little League World Series after another nail-biter

Surrey-based squad scored a 6-4 win over Mexico reps in Williamsport on Monday

Kids, seniors at risk as smoke from distant fires hangs over parts of B.C.

B.C. Centre for Disease Control says children’s lungs don’t fully develop until about age 10

B.C. mother charged in 7-year-old daughter’s death appears in court

The 36-year-old mother, of Langley’s Aaliyah Rosa, has been charged with second-degree murder

Troops heading to Lumby/Cherryville to lend a hand with wildfires

Canadian Armed Troops expected to be in the area by the end of the week

Thieves target tires and rims in Shuswap

Salmon Arm RCMP report two recent incidents, a van used in one theft was stolen in Surrey

VIDEO: Teen soccer phenomenon Alphonso Davies to visit B.C. kids camp

The 17-year-old Vancouver Whitecap player is one of the youngest players in MLS history

25-year-old Edmonton man pronounced dead on Shuswap Lake houseboat

Sicamous RCMP deem death to be non suspicious, BC Coroners Service investigating

Most Read