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Patient Autonomy and Quality of Life in Terminal Illness: Comparing Medically Assisted Death with Life-Sustaining Interventions
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Patient Autonomy and Quality of Life in Terminal Illness: Comparing Medically Assisted Death with Life-Sustaining Interventions

Jordyn Dunaway, Jordyn Sumrall, Rachael Livingston, Dashaun Hartsfield and Ming Chen
2026
2026

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Abstract

Medically assisted death (MAiD) allows terminally ill adults to end life intentionally to relieve suffering and preserve dignity, while life-sustaining treatments like ventilation or dialysis prolong life in irreversible conditions (Twycross, 2024). Both approaches impact patient autonomy and quality of life: MAiD enables informed choices and may reduce suffering, whereas life-sustaining treatments can support or limit autonomy depending on preferences. Healthcare providers face ethical challenges in MAiD and need clear guidelines (Hébert & Asri, 2022; Henderson et al., 2025). System barriers also affect access, making patient choice a key concern (Hewitt et al., 2024). This project examines how MAiD versus continued life-sustaining treatment affects autonomy and quality of life.
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