On June 29, 2011, the Ontario Court of Appeal released an important judgment for both the medical profession and those acting as substitute decision-makers for incapable persons.
In Rasouli v. Sunnybrook Health Sciences Centre 2011 ONCA 482, the Respondent, Mr. Rasouli, had been placed on a mechanical ventilator after bacterial meningitis left him with severe brain damage. Several doctors had concluded that Mr. Rasouli was in a permanent vegetative state with no hope of regaining consciousness. Those physicians responsible for his care proposed that he be taken off life support and given palliative care until he died.
Ms. Salasel, Mr. Rasouli’s wife and substitute decision maker, held out hope and refused to consent.
The Court of Appeal concluded that the withdrawal of Mr. Rasouli from life support and his placement on end-of-life palliative care constituted “treatment” under the Health Care Consent Act, 1996 (Ont.) and therefore required Ms. Salasel’s consent.
Without that consent, the physicians’ proposed course of action had to be referred to the Consent and Capacity Board to determine whether it was in Mr. Rasouli’s best interests.
- Summary prepared by Jennifer L. Wright, Associate Family Law Lawyer with Epstein & Associates








