‘Clarity from SC, dialogue on euthanasia need of the hour’ – Dr Nagesh Simha
The death of Aruna Shanbaug has brought into focus the urgent need for clarity from the Supreme Court on the issue of withholding or withdrawing futile medical treatment. While passing a judgement related to Aruna Shanbagh, the Supreme Court seems to have created some confusion by referring to “passive euthanasia”. Dr Nagesh Simha, President of the Indian Association of Palliative Care, tells Times of India how it is ethical to withhold or withdraw futile medical intervention and the urgent need for clarity in the law.
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We would like to add that a large number of patients being admitted to Intensive Care Unit eventually may have to be withdrawn from the life support. This process can be inhuman, without the introduction of palliative care at the right time. In fact, all principles of palliative care must be applied during intensive care, too. While life-saving measures are in place, comfort measures should be concurrently given so that the patient does not recollect the period of intensive care with terror. Eventually, when the time comes, weaning from artificial life support measures should also be associated with palliative care principles.