International Journal For Multidisciplinary Research

E-ISSN: 2582-2160   •   Impact Factor: 9.24

A Widely Indexed Open Access Peer Reviewed Multidisciplinary Bi-monthly Scholarly International Journal

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Volume 8 Issue 5
September-October 2026

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Role of Do Not Escalate Treatment (DNET) Consent in End-of-Life Care: A Clinical and Ethical Perspective

Author(s) Vasimkhan I Pathan
Country India
Abstract Background: Advances in medical technology have improved survival in critically ill patients; however, aggressive treatment escalation may not always provide meaningful improvement in quality of life or clinical outcomes. In advanced or irreversible illness, continued escalation may impose treatment burden without achieving the goals valued by the patient.

Aim: To highlight the importance of Do Not Escalate Treatment (DNET) consent in clinical practice and to examine its relationship with patient autonomy, informed consent, end-of-life care, and the Indian legal framework governing withholding or withdrawal of life-sustaining treatment.

Methodology: A descriptive review was undertaken based on the structure and application of a DNET consent process used in healthcare practice. The review considers clinical, ethical and legal principles relevant to decisions about limitation of invasive interventions when treatment is unlikely to improve prognosis or quality of life.

Conclusion: DNET can support ethical, compassionate and patient-centred care when it is used as part of a structured clinical process. Clear communication, capacity assessment, documentation, multidisciplinary review, appropriate legal safeguards and continuing palliative care are essential. In India, the Supreme Court's decisions in Common Cause v. Union of India and Harish Rana v. Union of India provide an important legal context for end-of-life treatment decisions.
Keywords Do Not Escalate Treatment, End-of-Life Care, Patient Autonomy, Informed Consent, Palliative Care, Healthcare Ethics
Published In Volume 8, Issue 5, September-October 2026
Published On 2026-10-05
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E-ISSN 2582-2160
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CrossRef DOI prefix of IJFMR is 10.36948/ijfmr

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