In Singapore, it is not uncommon for Terminal Discharges (TDs) to be carried out from hospitals. Such discharges see terminally ill patients being sent home to die, in accordance to their said wishes.
In practice, however, concerns may develop over prognostication, potential compromises in care and routine cessation of treatments that cannot be maintained in the home setting. As a result, if due diligence is not exercised, parallels may be drawn with Passive Euthanasia (PE).
In this essay, we will discuss the circumstances in which TDs are undertaken, and touch on familial determinations of care and circumnavigation of direct patient involvement. Using a hypothetical case scenario, we will focus on case-specific assessments and highlight the fundamental flaws in associating euthanasia with TD.
We will then see how we can mitigate the risks of carrying out PE by utilising a Multi-Disciplinary Team (MDT) for a context- and patient-specific approach to TDs.