Thirty-two-year-old Harish Rana was moved to the All India Institute of Medical Sciences (AIIMS) on Saturday. He is now under the care of a specialised medical team for passive euthanasia and is admitted to the palliative care unit at AIIMS’ Institute Rotary Cancer Hospital.
Supreme Court Approves Right to Die with Dignity
On March 11, the Supreme Court upheld Rana’s right to die with dignity, permitting the withdrawal of clinically assisted nutrition and hydration. Rana has been in a vegetative state since 2013, following a fall from the fourth floor of his postgraduate accommodation that caused severe head injuries and left him with complete quadriplegic disability. He was a student at Panjab University.
Palliative Care Protocols in Place
As per Times of India, hospital sources confirmed that Rana will remain under palliative care specialists and other doctors who will strictly follow established medical and legal protocols for passive euthanasia. This process generally involves withholding or withdrawing life-sustaining treatment for patients with irreversible medical conditions, while ensuring adequate pain relief and supportive care.
When contacted, Dr Seema Mishra, professor and head of the Department of Onco-Anaesthesia and Palliative Medicine, declined to comment. Sources added that doctors have strict instructions not to speak to the media.
Focus Shifts to Comfort and Symptom Relief
Sources explained that when recovery is no longer possible, treatment shifts entirely to palliative care, which focuses on relieving symptoms and keeping the patient comfortable rather than prolonging life artificially. Care plans are tailored to each patient, addressing physical, psychological, and social needs. Doctors continuously assess the patient’s condition, and decisions are made in consultation with the family. The duration of this phase can vary from days to weeks.
Expert Insights on Passive Euthanasia
Dr Sushma Bhatnagar, former AIIMS chief and professor of onco-anaesthesia and palliative medicine, stated that once doctors determine the condition is irreversible, the focus shifts to comfort care.
“In such situations, life-support measures such as oxygen, artificial nutrition, or other medical support may be gradually withdrawn. The process is carried out slowly and carefully to ensure the patient does not experience distress or discomfort. The aim is not to prolong suffering but to maintain the patient’s comfort. However, the exact duration varies widely and cannot be predicted without assessing the patient’s condition,” she explained.