Irish Independent

Doctors cleared to operate-on disabled woman

- Tim Healy

DOCTORS have been granted permission to carry out a mastectomy on an intellectu­ally disabled woman.

A judge made orders yesterday based on evidence that the woman lacks capacity to understand she has breast cancer or the consequenc­es of failure to treat it.

The woman, aged in her seventies, has been in residentia­l care for some years and has been diagnosed with schizophre­nia and intellectu­al disability.

The HSE, on foot of evidence of three doctors and supported by members of the woman’s family and her courtappoi­nted guardian, applied yesterday to the president of the High Court for orders permitting the surgery to be carried out shortly.

The applicatio­n was made to Mr Justice Peter Kelly in the context of an intended applicatio­n to have the woman made a ward of court.

Counsel for the HSE said the unanimous view of three medical practition­ers involved in the woman’s care and treatment was that she lacked the necessary mental capacity to understand the seriousnes­s of her cancer condition, and make appropriat­e decisions on treatment.

The doctors, including the woman’s treating psychiatri­st, said she did not appear to understand she was at risk if she did not undergo treatment, he said.

The woman had maintained there is nothing wrong with her breast, the court was told.

Mr Justice Kelly said that all the evidence was that the woman lacked capacity to understand her diagnosis and to consent for herself to the treatment.

He made orders permitting the treatment to be carried out, plus all necessary ancillary orders.

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