PCV Provides Act 39 Update Programs for Hospice Nurses ...and a special thank you to our terrific volunteers
Many thanks to all of you who made contributions in response to Patient Choices Vermont's (PCV's) Spring Fundraising appeal. With this strong community behind us, we can continue to offer a wide range of educational services and work to streamline Act 39. If you missed our spring communications, you can always donate online or by mail.
Patient Choices Vermont
PO Box 671
Shelburne, VT 05482
ACT 39 UPDATE PROGRAMS FOR HOSPICE NURSES
Patients and families who contact Patient Choices Vermont to learn more about medical-aid-in-dying almost always tell us how important and supportive their hospice nurses (and volunteers!) are. We deeply appreciate all of those who help provide hospice services. During discussions about end-of-life options including medical-aid-in-dying, Patient Choices Vermont always recommends the inclusion of hospice nurses as they are close to the patients, knowledgeable and compassionate, and able to serve as a trusted resource for discussions about end-of-life care and choices.
To support their services and expertise, PCV has been making the rounds to Vermont’s hospice programs to offer an update about what’s happening with Act 39 in Vermont. Here’s what’s included in PCV's 2021 Hospice Training and Update Programs:
If you would like to schedule an educational session for your hospice organization, contact Toni Kaeding MS RN.
Toni Kaeding, MS RN, PCV Board Chair, is a nurse whose work has spanned clinical, academic, administrative, and policy positions in Vermont. She retired from the University of Vermont where she held both faculty and administrative appointments in the College of Nursing & Health Sciences. She was founding Director of the Freeman Scholars Program. In 2012, Toni was named recipient of the Founder’s Award by the Vermont Medical Society. She enjoys cross-country skiing and running and lives at the end of the road with her family in Worcester, Vermont. Toni handles the many calls PCV receives from patients and doctors. She helps educate students and community members.
VOLUNTEER SPOTLIGHT: THE PEOPLE BEHIND THE PCV THANK-YOU NOTES, DATABASE, AND MORE
People from all walks of life are drawn to volunteering with PCV, offering expertise, time and energy.
Barbara Deal: If you have made a contribution to PCV in the past couple of years, you have received a thank-you card from Barbara Deal, a resident of Bristol, VT. Barbara was Director Addison County Hospice in the mid '90's and has a long-standing belief in encouraging people to say what they want the end of their lives to be like. She commented, "It has been an honor to serve PCV in this limited but sincere way. I have two dear friends who chose to use Act 39 and I am full of gratitude to PCV who made their choice possible."
Ann Crocker: Many thanks to Barbara as she now passes this responsibility to Ann Crocker. As Ann says, "It is an honor for me to be able to contribute to Patient Choices Vermont by thanking our donors. Each donation supports the very important work of educating Vermonters so that people who terminally ill are aware of Act 39 and the choice that it offers."
Nancy Hawley: Nancy is a business consultant specializing in business processes, systems, and information and accounting solutions. She has supported various aspects of PCV’s work since its founding in 2002. She recommended, configured and continues to maintain PCV’s supporter database. Her expertise in business data systems helps provide PCV with intelligent information for planning our fund-raising campaigns, and communicating effectively with donors. Thank you, Nancy!
Jonathan Crocker: Jonathan helps fine-tune PCV’s communications, providing editing services and expertise in story-telling for PCV videos. He also tracks donations and keeps the supporter database accurate and up to date. Jonathan says, “I am humbled and inspired by the people whose stories I have encountered in this work; by both their courage and their generosity in sharing such deeply emotional journeys. Like them, I hope these stories help spread awareness of the value of medical-aid-in-dying, and can help others through the experience.”
Congratulations New Mexico!
New Mexico’s new medical-aid-in-dying law just went into effect. Named for Elizabeth Whitefield, a long-time Albuquerque family law judge and attorney who did not live long enough to testify on behalf of the bill in 2019, the new law brings the option of support for peaceful death to New Mexico residents.
New Mexico is the tenth U.S. jurisdiction to enact a death with dignity law.
Thanks so much to donors from Randolph, Chester, Shelburne, Springfield, South Burlington, Hinesburg, Ferrisburg, Dummerston, Burlington, Hardwick, Newbury, Peacham, Warren, Salisbury, Underhill, East Thetford, Derby, Greensboro, Norwich, Weybridge, and many other towns.
We are very grateful to all the people who have responded to PCV’s spring fundraising letter with generous contributions. Our education programs and our work to improve Act 39 are possible only with your support. Thank you for making end-of-life choice a priority in your giving.
In the past month, PCV board members have given five educational seminars for healthcare providers and community members around the state. We've been pleased to respond to numerous requests for our brochure, Vermonter's Guide to Medical Aid in Dying, coming from churches, community centers, and hospice organizations.
Our Videos make up the most popular page on our website.
As one donor recently wrote, “The video of a woman going through the actual process of using Act 39 gave me a lot of reassurance. Keep up the good work!”
People have had a particularly powerful response to our video of Karen Oelschlaeger. Karen was extremely grateful for medical aid in dying and chose to be an advocate even in the last week of her life when she spoke to a reporter from VPR. The recent Vermont Public Radio story powerfully framed the struggle that certain parts of the Act 39 process have on people seeking aid in dying.
“I am always deeply impacted when I hear of someone whose end-of-life was made better by their having control at the end. I am eternally grateful to Karen and her family for sharing her story and her words in the recent VPR interview to help others have a better path as they near the end of their lives.” - former Lieutenant Governor David Zuckerman (PCV Advisory Board Member)
May 20th was the eight-year anniversary of Act 39. Let us know that you're celebrating by making a donation of $88, or $888, or perhaps a multiple of $8, such as $48, or $96…be creative!
Many thanks, and happy spring!
Betsy Walkerman, President
Patient Choices Vermont
“Those 48 hours were a nightmare. Just the sheer emotional toll it took on my mother was so painful to watch.” - Duncan Allen-Burns, son of Dee Allen, who used aid in dying in Dec., 2020
When we heard Duncan’s words, we were more convinced than ever that we have to work hard for patient-focused improvements to Act 39.
Duncan was referring to the mandatory 48-hour delay that all patients must endure after all other parts of the rigorous Act 39 approval process have been completed. The Act 39 process also requires that two separate requests to use Act 39 be made at least 15 days apart — in the physical presence of the doctor.
“I could not wait to get through that timeline. Removal of that [in-person] requirement would be a huge relief.” - Karen Oelschlaeger
Karen was 37 years old and dying from stomach cancer. You can hear the pain and frustration in her voice on the PCV video as she describes the arduous process of traveling to required appointments.
We’re on it. Let’s tune up Act 39.
At PCV’s urging, Senate Bill S.74 was introduced in February, 2021 to make three important improvements to the law:
— First S.74 would adjust the timeline to eliminate the final 48-hour delay.
This change would be a huge relief for people like Dee Allen. Dee’s health was deteriorating so quickly from a devastating neurological disease that she feared she would lose the ability to self-administer the medication while waiting the last 48 hours before the prescription could be written. As she expressed in her video on PCV’s website, this period seemed to have no purpose and caused needless suffering.
— Second, S.74 would enable people to make their Act 39 requests via telemedicine.
This change would remove a tremendous burden for people like Karen, for whom an hour-long ride to an appointment was a nightmarish experience.
—Third, S.74 would correct a technical deficiency in the immunity clause of Act 39.
Act 39 currently provides legal immunity only for doctors. Access to medical personnel and pharmacists would be more consistent and predictable if legal immunity were explicitly spelled out for everyone involved in the process.
When Act 39 was created, legislators placed great weight on preventing improper use of the law. The current process includes five qualification requirements, an eight-step process including certification by two doctors, and full documentation. (PatientChoices.org/act-39-overview) Now, with eight years of experience and zero reports of abuse, it’s time to listen to the people who the law is intended to serve and make proper use of the law less onerous for dying people. The next year will be critical for our work on S.74.
Patient Choices Vermont is the only Vermont organization focused on the rights of people who want the option of medical aid in dying.
Successful legislative work requires time, effort and, frankly, money.