TNPSC Thervupettagam

New draft guidelines on passive euthanasia 2024

October 31 , 2024 24 days 97 0
  • Union Health Ministry comes up with new draft guidelines on passive euthanasia.
  • The Doctors should take a "considered decision" on withdrawal of life support in terminally ill patients on the basis of certain conditions including a documented informed refusal by the patient or their kin.
  • The guidelines laid out four conditions for the passive euthanasia to take a "considered decision in a patient's best interests, to stop or discontinue ongoing life support.
    • The individual has been declared to have had a brainstem death
    • There is medical prognostication and a considered opinion that the patient's disease condition is advanced and not likely to benefit from aggressive therapeutic interventions,
    • A patient/surrogate documented informed refusal, following prognostic awareness, to continue life support
    • Compliance with procedures prescribed by the Supreme Court.
  • A Terminal illness in the draft guidelines has been defined as an irreversible or incurable condition from which death is inevitable in the foreseeable future.
  • Severe traumatic brain injury which shows no recovery after 72 hours or more is also included.
  • For a patient without capacity, foregoing of Life Support proposals should be made by a consensus among a group of at least three physicians who form the Primary Medical Board (PMB).
  • A Secondary Medical Board of three physicians with one appointee by the Chief Medical Officer of the district must validate the decision by the PMB.

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