Hospice Palliative Care Act Article 7
Non-applying CPR or LST shall be complied with followings:1. Be diagnosed to by terminal illness patient by 2 physicians.2. A signed letter of intent is required. However, a letter of intent signed by a minor shall obtain the consent of his/her legal representative. When a minor is unable to express his/her will, the legal representative shall sign the letter of intent.The physicians in the preceding paragraph, subparagraph 1, shall be qualified specialist physicians.If a terminal illness patient, who has become unconscious or failed to express clearly his/her will, has not signed the letter of intent of the preceding paragraph, subparagraph 2, his/her closed relative may replace by signing a consent. For those who do not have closed relatives, a medical advice for the best interest of the terminal illness patient would be issued instead after the examination of the hospice palliative care team. The consent or the medical advice shall not contradict the expressed desire of the terminal illness patient before being unconscious or unable to express his/her will.The closed relative in the preceding paragraph includes the following:1. Spouse.2. Adult children and grandchildren.3. Parents.4. Siblings.5. Grandparents.6. Great grandparents, great grandchildren or third-degree collateral relative by blood.7. first-degree direct relation by marriage.For those terminal illness patients who fulfill those set forth in paragraph 1 to paragraph 4 about non-applying CPR or LST, the originally CPR or LST treatment may be terminated or withdrawn.The consent of the closed relative in paragraph 3 may be done by one person; if there is no unanimity among several closest relatives, a priority list in accordance with the listing of the paragraph 4 shall be set up. If a conscent of one with lower priority is against the will of one with higher priority, the one with higher priority shall show his/her will in written before the non-application, termination or withdrawal of CPR or LST.
中文原文 安寧緩和醫療條例第7條
不施行心肺復甦術或維生醫療,應符合下列規定:
一、應由二位醫師診斷確為末期病人。
二、應有意願人簽署之意願書。
但未成年人簽署意願書時,應得其法定代理人之同意。
未成年人無法表達意願時,則應由法定代理人簽署意願書。
前項第一款之醫師,應具有相關專科醫師資格。
末期病人無簽署第一項第二款之意願書且意識昏迷或無法清楚表達意願時,由其最近親屬出具同意書代替之。
無最近親屬者,應經安寧緩和醫療照會後,依末期病人最大利益出具醫囑代替之。
同意書或醫囑均不得與末期病人於意識昏迷或無法清楚表達意願前明示之意思表示相反。
前項最近親屬之範圍如下:
一、配偶。
二、成年子女、孫子女。
三、父母。
四、兄弟姐妹。
五、祖父母。
六、曾祖父母、曾孫子女或三親等旁系血親。
七、一親等直系姻親。
末期病人符合第一項至第四項規定不施行心肺復甦術或維生醫療之情形時,原施予之心肺復甦術或維生醫療,得予終止或撤除。
第三項最近親屬出具同意書,得以一人行之;其最近親屬意思表示不一致時,依第四項各款先後定其順序。
後順序者已出具同意書時,先順序者如有不同之意思表示,應於不施行、終止或撤除心肺復甦術或維生醫療前以書面為之。
一、應由二位醫師診斷確為末期病人。
二、應有意願人簽署之意願書。
但未成年人簽署意願書時,應得其法定代理人之同意。
未成年人無法表達意願時,則應由法定代理人簽署意願書。
前項第一款之醫師,應具有相關專科醫師資格。
末期病人無簽署第一項第二款之意願書且意識昏迷或無法清楚表達意願時,由其最近親屬出具同意書代替之。
無最近親屬者,應經安寧緩和醫療照會後,依末期病人最大利益出具醫囑代替之。
同意書或醫囑均不得與末期病人於意識昏迷或無法清楚表達意願前明示之意思表示相反。
前項最近親屬之範圍如下:
一、配偶。
二、成年子女、孫子女。
三、父母。
四、兄弟姐妹。
五、祖父母。
六、曾祖父母、曾孫子女或三親等旁系血親。
七、一親等直系姻親。
末期病人符合第一項至第四項規定不施行心肺復甦術或維生醫療之情形時,原施予之心肺復甦術或維生醫療,得予終止或撤除。
第三項最近親屬出具同意書,得以一人行之;其最近親屬意思表示不一致時,依第四項各款先後定其順序。
後順序者已出具同意書時,先順序者如有不同之意思表示,應於不施行、終止或撤除心肺復甦術或維生醫療前以書面為之。