Alfred I. duPont Hospital for Children v. Guevara

794 A.2d 579, 2001 Del. LEXIS 437, 2001 WL 1289313
Supreme Court of Delaware·Decided October 23, 2001·No. No. 506, 2001·Published·Cited by 4 cases

Opinion

HOLLAND, Justice:

Five-month-old Michael Arzuaga-Gue-vara (“Michael”) is a patient in the pediatric intensive care unit at the Alfred I. duPont Hospital for Children (“Hospital”). Michael is suffering from severe brain damage and other injuries allegedly inflicted by his father, Jonathan Arzuaga (“Father”). It is undisputed that Michael will spend the rest of his life in a persistent vegetative state.

This is an appeal by the Father from a final judgment entered by the Court of Chancery on October 9, 2001. The Court of Chancery issued a Memorandum Opinion and Order1 appointing Yadira Guevara (“Mother”) as the permanent guardian for Michael. That order gave the Mother authority to instruct the Hospital to withdraw the ventilator that is assisting Michael’s ability to breathe. In this appeal, the Father does not challenge the merits of the Court of Chancery’s findings that Michael has suffered severe permanent brain injuries and that it is in his best interest to deescalate life support to allow nature to take its course.

The sole issue presented in this appeal is whether the Court of Chancery had jurisdiction over the guardian proceedings that were initiated by the Hospital. We have concluded that the Court of Chancery had jurisdiction to act upon the Hospital’s petition. Accordingly, the judgment of the Court of Chancery is affirmed.

Substantive Facts

On September 1, 2001, Michael was admitted to the pediatric intensive care unit at the Hospital. Michael has remained in intensive care since the date of his admission. He is being kept alive with the assistance of life support through the use of a ventilator and feeding tube.

Michael’s doctors have diagnosed him as suffering from multiple serious injuries, including extensive irreversible brain damage. ' Michael’s doctors agree that Michael will never be able to walk, talk, see, feed himself, or perform even the most basic cognitive functions. He will require constant, intense medical intervention for the remainder of his life.

Although Michael is in a persistent vegetative state, the evidence is uncontroverted that the medical technology presently in place can extend the length of Michael’s life. Michael’s treating physicians all agree that the quality of his extended life will always be abysmal. It is also uncon-troverted that Michael will likely die within a short period of time if he is taken off the ventilator. An independent medical examination conducted at the request of [581] Michael’s attorney guardian ad litem corroborates the diagnosis and prognosis of the treating physicians.

Almost immediately after Michael’s admission to the hospital, New Castle County police officers arrested Jonathan Arzuaga, Michael’s natural father, for suspicion of crimes associated with Michael’s injurie;:. To date, Jonathan Arzuaga remains in custody at Delaware Correctional Center in default of secured bail. On October 9, 2001, a grand jury in New Castle County returned an indictment against Jonathan Arzuaga charging him with Assault by Abuse or Neglect,2 Assault in the Second Degree,3 Endangering the Welfare of a Child, (two counts)4 and Offensive Touching.5 No arraignment date has been sot.

Shortly after Michael’s admission to the hospital, his parents disagreed on whether to place a “Do Not Resuscitate Order” (“DNR Order”) on his medical chart. Michael’s Mother agreed to have a DNR Order placed on Michael’s medical chart, Michael’s Father refused to consent to the placement of a DNR Order. This litigation was commenced because Michael’s Mother and Father could not agree on the course of Michael’s treatment.

Procedural Facts

On September 13, 2001, in an effort to obtain definitive guidance regarding Michael’s medical care, the Hospital filed an emergency petition in the Court of Chancery. The Hospital’s petition was filed pursuant to 12 Del. C. § 3901 and sought to have the Mother appointed as interim guardian for purposes of consenting to or withholding Michael’s medical treatment. The Court of Chancery scheduled a hearing to determine whether to appoint the Mother as Michael’s interim guardian. Prior to that hearing, the Court of Chancery appointed Kathryn Laffey, Esquire, who is acting on a pro bono basis, as an attorney guardian ad litem for Michael. The Father has been represented by counsel from the Office of the Public Defender throughout the course of all proceedings.

On September 19, 2001, an evidentiary hearing on the Hospital’s emergency petition was held by the Court of Chancery. At the hearing, counsel for the Father objected to the Court of Chancery’s jurisdiction, arguing that the Family Court had exclusive jurisdiction. The Father also suggested that a third party be appointed as Michael’s interim guardian instead of the Mother.

At the conclusion of the hearing, the Court of Chancery granted the Hospital’s petition and appointed the Mother as Michael’s interim guardian.6 The Court of Chancery’s order specifically allowed her to consent to the entry of a DNR Order. That order precluded her, however, from consenting to the de-escalation of life support.

Subsequently, the attorney guardian ad litem appointed for Michael filed a motion with the Court of Chancery. That motion sought the entry of an order instructing the Hospital to de-escalate medical intervention and the placement of a “Do Not Re-Intubate Order” on Michael’s medical chart. A hearing was scheduled for October 2, 2001. Once again, the Father was represented by counsel. David Ferry, Esquire, also acting on a pro bono basis, [582] represented the Mother at that hearing and has continued to represent her.

At the October 2, 2001 hearing, counsel for the Father again objected to the Court of Chancery’s jurisdiction. The hearing proceeded over the Father’s objection. The attorney guardian ad litem presented testimony from one of Michael’s attending physicians and a neurologist at the hearing. The Mother also testified. The Father did not testify or present any evidence.

A few days after the October 2 hearing, the Court of Chancery entered an opinion and order granting the relief sought. The portion of that order that permitted the Mother to consent to the de-escalation of life support was stayed by the Court of Chancery, however, to allow the Father time to appeal to this Court. Upon the filing of a Notice of Appeal, this Court entered an order requiring expedited briefing and continuing the stay.

Chancery Asserts Guardianship Jurisdiction

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Alfred I. duPont Hospital for Children v. Guevara, 794 A.2d 579, 2001 Del. LEXIS 437, 2001 WL 1289313 (Del. 2001).

794 A.2d 579 (Alfred I. duPont Hospital for Children v. Guevara) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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