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UID:108@buddhiststudies.utoronto.ca
DTSTART;TZID=America/Toronto:20200226T120000
DTEND;TZID=America/Toronto:20200226T140000
DTSTAMP:20200213T182652Z
URL:https://buddhiststudies.utoronto.ca/events/end-life-care/
SUMMARY:Religion\, Medicine\, Bioethics\, and the Law in End-of-life Care
DESCRIPTION:"Religion\, Medicine\, Bioethics\, and the Law in End-of-life C
 are"\n\nA talk on doctoral research by Sean Hillman (PhD\, Religion/Bioeth
 ics/South Asian Studies\, U of T 2019)\, Clinical Ethicist at Lakeridge He
 alth (Centre for Clinical Ethics) and also Buddhist Corrections Chaplain a
 t Bath and Collins Bay Institutions.\n\nRegister at https://munkschool.uto
 ronto.ca/ai/event/29261/\n\nThis talk is based on a recently defended doct
 oral study investigating end-of-life care issues in contemporary India fro
 m the perspectives of Indian and Tibetan religious adherents\, through the
  lenses of religious studies\, bioethics and the law. The need came in par
 t from a paucity in bioethics studies related to the ancient Indic religio
 us traditions of Buddhism\, Hinduism and Jainism\, and from some studies i
 gnoring the non-theistic Indic traditions altogether. Additionally\, direc
 t requests came from a Jain community organization for bioethical approach
 es to an end-of-life ritual fasting and immobilization practice (sallekhan
 ā) as it continues to be legally contested. Medical approaches to decisio
 n-making can assist with the dual purposes of protecting vulnerable Jains 
 from coercion and also in satisfying detractors.\n\nA major research quest
 ion was whether religious views impact end-of-life decision-making of pati
 ents\, families and health care professionals. Medical decision-making per
 vades the conversations and analysis throughout\, and it is proposed that 
 decision-making moments that involve patients and/or families along with h
 ealth care providers create micro-level transient neocultures\, stemming f
 rom Ortiz’s transculturation theory.\n\nThree core chapters address: att
 empts to block disclosure of bad news in sharing of sensitive medical info
 rmation\; ritual fasting and immobilization at the end of life\; and expos
 ure to and attitudes towards end-of-life care models including pain manage
 ment\, hospice palliative care and assistance in dying.\n\nPrimarily ethno
 graphic\, the study also uses textual\, legal and media analyses. Field wo
 rk lasted for six months over 2014-2015 and research took place at four fi
 eld- sites in India: Delhi\, Dharamsala and Jaipur in North India\, and Co
 chin in South India. In-person interviews were conducted with fifty inform
 ants belonging to various religious traditions\, mainly from the major anc
 ient Indic religions\, one medieval Indian religion and the monotheistic S
 emitic religions for added perspectives. Among the participants were biome
 dical and traditional healthcare providers\, all physicians save one medic
 al student and two nurses.\n\nThis study is an advocacy anthropology proje
 ct with hopes that it proves helpful in India and other jurisdictions wher
 e South Asian religious adherents receive end-of-life care so that cultura
 lly safe care can be better provided. As such\, the study offers a number 
 of practical findings\, recommendations and suggestions. The chapter on ri
 tual fasting at the end-of-life is currently being published in a collecti
 on on the topic in India\, edited by Prof. Chistopher Chapple.\n\nDr. Sean
  Hillman is a clinical bioethicist with the Centre for Clinical Ethics (CC
 E)\, a consultant organization based at Unity Health Toronto and contracte
 d to seven institutions in Ontario. Over the last several years Sean has b
 een the ethics lead for the five-hospital Lakeridge Health system in Durha
 m region. He also is a Buddhist Corrections Chaplain for two facilities in
  the Kingston region. Sean was a bedside caregiver in hospital for almost 
 two decades and did a year-long fellowship in Clinical and Organizational 
 Bioethics also at the CCE. A medical anthropologist and textualist\, Sean 
 recently completed his doctorate in religion and the collaborative program
 s of\nbioethics and south Asian studies at U of T.\n\nA scholar of various
  Asian philosophies and languages for almost thirty years\, with a major f
 ocus on the Indic religious traditions\, Sean has spent five years living\
 , studying and researching in India. Sean's current research projects are 
 on maximizing decisional participation by those who might have mental capa
 city interferences\, and on how to better understand why families may requ
 est aggressive medical management for their loved-ones despite a poor prog
 nosis (including religious logic such as vitalism\, non-harm and filial pi
 ety). Sean is a member of Durham Family Resources community advisory commi
 ttee for their “recognizing capacity” pilot project which advocates fo
 r increased inclusion of those with intellectual\, cognitive or communicat
 ion challenges and for including supported decision making in Ontario heal
 thcare law.
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  108N\, North House:geo:43.6646809,-79.39667559999998
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DTSTART:20191103T010000
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