Gui e lne sf W i hd r w a lofTr a t e nt d i or t a e m ofI r ve r i l Cr tc a ly I lPa te nt on re sb y i i l l i s As i t d Re s i a t Support sse p r ory s

I I oduc i . ntr ton 1. T he m edia pr esi i I a a elew her i the w ord,s c l of s n ndi, s s on en l i com m i tted to pr di the bes ovi ng t heathcae tr tm ent a a l r ea nd dopt ethia pr cti i the tr tm ent ofpa entsBenefti the c l a cesn ea ti . i ng s ka doi them no ham i the Hi i nd ng c r s ppoc a cr r i a the oa r ounds i a ce to the r ti efan nd th es w th dvi phys i n to “f l the m ethod oftr tm ent w hi a di to m y a l a j ia c ol ow ea ch, ccor ng bity nd udgm entsI i , cons f the beneft ofm y pa entsa a tan fom w ha i or der i ti , nd bs i r teveri del i a s eterous nd m ichi s evous Benefcence a non- af s nce ae the fr t atiul ted ethia pr ”. i nd m lea a r is r c a c l ecepts t tha s the phys a pa ent fa ew or . et i n- ti r m ci k 2. I ea i l s lter c a as ti ofpa ent a ncr sng evel of i a y nd ser on ti utonom y ha gi new di ens to ve ven m i ons i or ed cons f types tr tm ent to be a esed to apa ent.N eed f tr ns r nf m ent or of ea ddr s ti or a paency i n ci c la oa i the new m a atha s l vs ever da pr cti a ongs the m edia l a ppr ch s ni ntr t hal ii t y y a ce m t cl per onnel M a gi the ir sbl c i c l i pa entsthe na e oftr tm ent to be s . na ng r ever i y rtial l ti , y l tur ea a i s ed, ti e a m a dm niter the m nd nnerf w i a a oflf s or thdr w l ie uppor ae cr i laea tha requie t r uc a r s t r i or ed publ deba to evol acons us orhom ogenei ofa oa a ong the m edia nf m i c te ve ens f ty ppr ch m cl per onnela to a d a hocim . s nd voi d- s 3. I aj nt cons ta on ofthe m edia per onnel or ng a the P os a te I ti n oi ul ti cl s w ki t tgr dua ns tute ofM edia cl Educ ton a R es r ( GI ER ) Cha gah w i the l lfa ni m os y pr cti ng a the ai nd each P M , ndi r th ega r ter ty, tl a ci t Hi Cour ofP unj b a Haya , gl lbes pr cti , tudi a r gh t a nd r na the oba t a cess es nd ecom m enda ons ti of m edia a s a ons nd cour j c l soci ti a t udgm ents ve been s ed.T he f l i pr ha tudi olow ng oposl ae bei as r ng s ugges to the m edia fa ni i I atha s ls v a a exor um f deba a ted c l r ter ty n ndi t hal er e s n di or te nd f m ul ti ofgui i f w i a a oftr tm entsn ir sbl c i c ly i pa ents or a on del nes or thdr w l ea i rever i y rtial l ti l on Asited R es r tor S uppor . s s pia y ts I. W hy needed? I P a ents i ir sbl end-ta dieaes w her ther ae l e cha ti w th r ever i e, s ge s s ( e e r i ttl nces r of ecover w ho y) ae i r ntuba a r an on as ted ventia on m a lngeron f da , nd s eti es or ted nd em i si s lti yi or ysa om m f w eeks m onths or . i . Fa ly, pr ctual the oces r ul i pr onga on of“vegeta ve lf – a our eo m ier f s es tsn ol ti ti ie” s c f s y or ever yone, pecal f the pa ent a hi/herf m i es ily or ti nd s a l y. T her i al erng of' gni ofdea due to f l i s pr e s ow i di ty th' uti nvai e ve ocedur a es nd dii s ntegr ti ofbody. a on T her i a ol y no cha ofa i pr e s bs utel nce ny m ovem ent ors vv l ur ia. I i extr el ta ng on the f m i t s em y xi a l phys al fna al a ps y i ly,i ncily nd ychol c ly. c ogial Fa i m em ber gener l know ofthe outcom e but ae i as te ofc lct, bl to ml y s al y r n ta onfi una e expr s nd decde.A cons ed m edia opi on w i hel them to r ol thei es a i i der c l ni l p l es ve r confi , ovi com f t a pea to m a a i or ed decii lctspr de or nd ce ke n nf m s on.

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II S pec fcS i ti w hen the need f w i a i as ted r pia y s I. ii tua ons or thdr w ng si s es r tor uppor m a aie: t y rs 1. Br i s dea I m ea the s ge a w hi alf an-tem th. t ns ta t ch l uncti ofthe br i s ha ons an-tem ve per a m nentl a ir sbl ceaed a i s cer fed i s f m a i s m a y nd rever i y s nd s o tii n uch or nd n uch nnera nd on stif cti ofs condi ons nd r a sa on uch ti a equiem ents s a be pr c i r am y esrbed, aBoad of by r m edia exper cons ti ofthe f l i na el — cl ts i ng s ol ng, m y: ow i . the r s ed m edia pr cti oneri chage ofthe hos ta i w hi br i s egiter c l a ti n r pi l n ch an-tem dea ha occured; th s r

ai n ndependent r s ed m edia pr cti oner bei a pecil t to be egiter c l a ti , ng s as i nom i ted by the r s ed m edia pr cti oners ii i cl us () fom na egiter c l a ti pec fed n a e i,r the pa ofna es ppr nel m a oved by the Appr i te Authorty; opra i i. aneur ogit oraneur urgeon to be nom i ted by the r s ed m edia i i ol s os na egiter cl pr cti oners fed i cl us () fom the pa ofna esa oved by the a ti pecii n a e i,r nel m ppr Appr i te Authorty; a opra i nd i. the r s ed m edia pr cti onertr ti the per on w hos br i s dea v egiter c l a ti ea ng s e an-tem th ha occured. s r W her br i s dea ofa per on,es tha ei e an-tem th ny s l s n ghteen yeas a occur a i r of ge, s nd s cer fed i the m a tii n nnerr er ed to a ef r bove, ny ofthe paents the decea ed per on m a a r of s s y gi a ve uthorty,n s f m a i s m a i i uch or nd n uch nnera m a be pr c i s y esrbed,orthe w i a a of f thdr w l les i uppor. f t 2. Deep c ai the pr ence ofal the f l i om n es l of olow ng: i Chr c pr ous di gnos a doc . oni, evi l a yed nd umented a nced, dva end s ge diea e. ta s s i i N or . ecogni bl a tr ta e orr sbl ca e ofa exa ba on. za e nd ea bl ever i e us n cer ti i. N o concur ent a i s a on ofahypnoti eda ve/ opi d over e. i i r dm nitr ti c/s ti oi dos i. N o hypother i ( v m a body tem per tur m or tha 35 degr Celi ) a e e n ee s . us v . Al a e( to i)ae doc l bov i v r umented to be tr by a l s tw o s ait doctor . ue t eat pecils s I Ethia P rnci es el ted to w i a i oflf s V. c l i pl r a thdr w ng ie uppor ts 1. T he I a M edia Counci( r esi lConduct, nd Ethis R egul ti w i r r to ndi n cl l P of s ona a c) a ons th egad pr esi lconduct, quette a ethis m s pr cti ofeutha saa m iconduct. of s ona eti nd c ter the a ce na i s s T he excepti i, i a a ofs on s w thdr w l uppor ng devi to s tan cadi pul onay f ti ces us i r o- m r uncti on aterbr i dea Asited s cde a a f an th. s s uii nd betm ent to s cde ae l ly pr c i a hence uii r egal osrbed nd s l not be i ged by am edia pr cti oner hal ndul c l a ti . 2. T her i a i por nt diti on betw een i esn m ta s ncti ntenti lkii a al i aper on to di ona lng nd low ng l s e undercr ums nces enti ic ta m oned a ‘ an dea a ‘ om a a s br i th’ nd c ’ bove. 3. P hys i ns ve a obl ti to m a pa ents f ta e durng dyi W i i a ha n i on c ga ke ti com or bl i ng. thhol ng di ther py to pr de com f t i not i a ovi or s ntended to orequiaent to kii T he i vl lng. l ntenti ae ons r c i c ly i por nt i deter i ng the m or lti , ii ,ibiti a l lti . rtial m ta n m ni ai esdecs ons l l es nd egai es a i 4. T hes prnci esae not i a a contr di y to the exiti s a, elgi a l l e i pl r n nyw y a ctor s ng oci l r i ous nd ega v l ors tem sn I a aues ys i ndi . V. R ecom m enda ons ti 1. Af pr ter operevaua on ofthe pa ent, condi on s d be a l ti ti the ti houl dequa y expli a tel aned nd dic s w i a l s tw o ofthe ‘next ofthe ki ofthe pa ent w ho ae know n to be sused th t eat n’ ti r l ng aterthe pa ent a ae prm ai r pons e f hi / herc r T he ‘next ofthe ooki f ti nd r i rl es y i or s bl a e. ki s d be ‘egal com petent’ i vdua fom a ongs the s n’ houl l ly ndii l r s m t pous a the a t e nd dul chi en, r l dr paents nd br a other /s ter a defned i the O r a T r ns a ti Act ofI a s i ss i s n g n a pl nta on ndi . 2. T he is ofbeneft a bur s d be cl ry a c l l expli sues i nd den houl eal nd am y aned. 3. R egadi w i a i a r ng thdr w ng, dequa ti e ( i m um 24 hour )s d be gi to the f m iy to te m m ni s houl ven a l m a adecii ke s on. 4. T he i or ed a w rtten cons s d be obtaned i the hos ta c s r ds W her nf m nd i ent houl i n pi l a e-ecor . e ther i acour a nted guadi n f apa ent w ho i m ental i, , her cli s es t ppoi r a or ti s ly l or w l e am to c tody/a orguadi ns p ofm i c l en orm ental il s ae r us nd r a hi nor hi dr ly l per ons r epor to be ted pendi i cour , j idi ona Ditrct Cour orhi ng n tsthe urs cti l s i t gherc ts halbe i our s l nvoked f or a opra diecti . ppr i te r ons 5. Ventia w i a a: Gener ly, e ae tw o m ethods hi ae f l ed: ltor thdr w l al ther r w ch r ol ow i . I m edi te extuba on. m a ti i i . T er i lw ea ng – Gr dua m na ni a l ? P r ersow /gr dua w i a a. ef l a l thdr w l ? Ens e pa ent com f t, eleve a ety, e a ol cs s ti a s l ur ti or r i nxi us nxi yti / eda ves nd l y ow r educe the ventia y as ta ltor si nce. s ? Endotr chea / tr cheos y tube m a be r oved / l t i pl ce dependi upon a l a tom y em ef n a ng the need ordes e ofthe pa ent a i r ti nd/orthe f m i a l y. ? T he need to keep the pa ent i the hos ta ( to dichage)s d be s r tel ti n pi l or s r houl epaa y dic s w i the f m iy a decded a di y. sused th a l nd i ccor ngl 6. Alotherr ne tr tm ents a be conti l outi ea m y nued a us l s ua.

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VI Cour i v ons . t nter enti : P er is s l be s m si hal ought fom the j i di ona Dit i Cour Hi Cour ( her on r urs cti l srct t/ gh tw everthe l tter a ha orgi lj i di on)w her tr tm ent i bei gi to the pa ent, her the pa ent i i a s i na urs cti e ea s ng ven ti w e ti sn per itentl vegeta ve s te a cha s s y ti ta nd nces r v ls of evia eem r ote underone orm or ofthe em e f l i s ti : ol ng i ons ow tua i . T her i no una m i a ong the next ofthe ki f f therm a gem ent ofthe es ni ty m n or ur na pa ent f w i a a oflf s ti or thdr w l ie uppor or t, T he nea r a ve pr r el ti oduces oofofdecl r ti m a by the pa ent w hie i a pr aa on de ti l n s ound s te ofm i a heath tha he s l not be r us ta ora i s ed ta nd nd l t hal es ci ted dm niter bl w hen he goesnto ir sbl com a e condi on, ood i rever i e tos ti or T he a ttendi doctor ortea ofdoctor ae not i ng s m sr ndecii orha dif ences s ve ve fer ofopi on ofw hetherornot to conti the tr tm ent, ni nue ea or T her exits pec a c r ums nces t r r ahi e s s i l ic ta tha equie gherj cilopi on. udi a ni

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i. v VI.P ublc t o I iai n

T he text ofthes gui i s l be aal bl f eel a the hos ta w her the pa ent i e del nes hal v ia e r y t pi l e ti s a i dm tted.T he aal bity ofthe document s l be dipl yed i the hos ta a the hos ta v ia l i hal sa n pi l nd pi l s f s l be s fcentl s i zed to expli orr d the doc taf hal ufii y ens ti an ea ument to a pa ent orr a ve ny ti el ti a ttendi on the pa ent. ng ti

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