Breaking the taboo of “the will of life” in India

In 2010, IP Yadev, a surgeon from Karara, southern India, faced one of his most difficult decisions in his life.

He must decide to let his father (a patient with advanced cancer) alive, fulfill his wishes, and express it verbally to prevent all treatment and end his pain.

Warning: This article contains some painful details

“As a son, I feel that I have the responsibility to do my best to extend my father's life. This makes him unhappy, and he finally died alone in a dense nursing department.

He said that this experience had a profound impact on him and helped him realize the importance of pre -medical instructions (AMDS), also known as the will of life.

The childlike will is a legal document. This document allows a person for more than 18 years to choose the medical service they want to accept. If they have the illness or status, there is no hope of recovery, and they cannot make a decision by themselves.

For example, they can specify that they don't want to be placed on their lives, or insist on providing them with sufficient pain drugs.

exist 2018The Supreme Court of India allows people to formulate a will of life, so as to choose passive euthanasia. According to strict guidelines, medical care can be withdrawn to speed up the death of people. Active euthanasia-Any behavior of intentionally helping a person to commit suicide-it is illegal in the country.

However, despite the legal approval, there is no concept of truly evacuating the desire of life in India. Experts say that this has a lot to do with the way of talking to the Indians, or not to talk about death. Death is usually considered a topic of taboos, and any mention of it is considered to bring bad luck.

But now we are trying to change this.

In November, Dr. Yadev and his team launched the first plan in the Government Medical College of Kollam District, Karara, to educate people to provide information with the phone in person with the knowledge of people's life. Volunteers will also carry out templates for publicity campaigns and distribution.

Creating a living will require family members to make a public and honest dialogue. Although there are some resistance, radicals and institutions are still taking measures to raise awareness. Although they are cautious, people's interests are growing.

Karara is ahead of these dialogues. Currently, it has the country Best Prices Treatment NetworkThe organization that provides life termination care has also begun to promote the publicity campaign around living will.

March, About 30 people come from pain and palliative treatment society Life will be signed in Thrissur City. Dr. E Divakan, the founder of society, said that gestures aim to make this idea more popular among people.

Mr. Yadev said: “Most people have never heard of the term, so they have many problems, such as whether such instructions can be abused, or whether they can change their will in the future.” The 1950s and 1960s.

He said: “At present, the upper class of the educated by the facility is using the facility. However, with the grass -roots awareness movement, we expect the crowd to expand.”

According to the command of the Supreme Court, a person must draft a will, signed with two witnesses present, and proved by a notary or constitutional official. Then, a copy of the will must be submitted to the custodian appointed by the state government.

Although the standard exists on paper, many state governments have not yet established these mechanisms. This is Dr. Nikhil Data, a gynecologist in Mumbai City, who realized his will to make a living two years ago because he did not have the custodian he could submit.

Therefore, he went to court, which led to the Mahara Shitra government appointed about 400 officials from the local institutions of the state to be the custodian of the will.

June, Guoa's order of the Supreme Court A surrounding will and the judge of the High Court became the first person to register in the state.

Saturday, Canataka ordered Regional health officials nominate people to serve as the main medical committees who need to prove their life will. (Two medical committees must prove that patients meet the necessary criteria for implementing their aspirations, and then doctors can take action.)

Mr. DATAR also advocates a centralized digital repository for the national will of life. He can also provide his will on his website for free as a template. He believes that when the patient is in a plant state and recovers, it will help prevent family and doctors.

“Usually, family members don't want the person to endure more of the treatment of Mr. DARAR,” Patients can't express their wishes in the end. “

Life will not just choose passive euthanasia. Dr. Yadev recalled that a person hopes his wishes to point out that he should put him in the support of his life if he needs his condition.

Mr. Yadev said, “He explained that his only child lived abroad until his son did not want to die before he saw him.” “You can choose the way you want to die. He said. “He said.

Medical care advocates said that the dialogue around palliative treatment gradually developed in the country, thereby promoting the living will.

Dr. Sushma Bhatnagar at the Institute of Medical Sciences of Delhi said that the hospital is setting up a department to educate patients about biological wills. She said: “Ideally, doctors should discuss life's will with patients, but there is a gap between communication.” She added that training doctors to make these dialogues can help to ensure that a person died dignified.

Mr. Yadev said: “In our life, our choice is considered correct by the wishes or society of our loved ones.”

“At least in death, let us make our own interests and completely our own choices.”