The court's verdict came on a plea filed in 2005 by Common Cause, an NGO seeking the right to make a living will authorising the withdrawal of life support
system in the event of the will-makers reaching an irreversible vegetative state.
However, there are no guidelines or regulations across all hospitals in the country about what practice should follow the diagnosis of brain death, such as withdrawal of life support
and organ donation.
By removing medical services that are keeping a patient alive, withdrawal of life support
impacts patient autonomy in the most fundamental way," McLachlin wrote.
The Court held that the consent regime imposed by the Ontario Health Care Consent Act applies and requires physicians to seek consent to the withdrawal of life support
In a recent survey by another tertiary care hospital in Karachi, it was noticed that there are confusions in the definition of brain death, end-of-life recognition and indications and processes of withdrawal of life support
and discrepancies were found for perceptions and attitudes between physicians and nurses.
For instance, if further medical care would be futile, meaning that the person's medical prognosis will never improve to allow him or her to be able to function without life support, the person does not wish to live continuously in this state, and withdrawal of life support
is planned, then a person can be deemed legally dead, despite not technically meeting the "irreversible" component of the UDDA.
Current practices for withdrawal of life support
in intensive care units.
The withholding and withdrawal of life support
were considered medical decisions after a DNR status was established.
This decision on withdrawal of life support
systems can only be made after review by medical experts and the high court.
This allows the withdrawal of life support
from patients in a permanently- vegetative state ( PVS) after prior approval from high courts.
Withholding and Withdrawal of Life Support
from the Critically Ill," New England Journal of Medicine 322 (1990): 309-315.
The powers given include the power to consent to the giving, withholding, or stopping of medical treatment, service, or diagnostic procedures, including the withdrawal of life support