Within Jain dharma, the clear answer is:

No – even if she had not been admitted to the hospital, or not taken to the hospital, her actual lifespan would not have become longer.

1. Why not? (According to āyuṣya karma)

• The exact last moment of life is decided by āyuṣya karma when that birth is taken.
• This end-point is fixed – not a second earlier, not a second later.
• Hospital / no hospital, home / ICU / road – these are external conditions (nimitta).
• The real cause of death is āyu karma getting over, not the hospital, not the treatment.

So from Jain view:

• If her āyuṣya was to end on that exact date and time,

then in any situation something would have happened so that death still occurred at that moment: - At home – sudden collapse, breathless attack, etc. - On the way – as actually happened. - In hospital – on ventilator, in ICU, etc.

The place and way could differ, but the time would not.

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2. “But sometimes treatment seems to extend life?”

Jain dharma explains this in two ways:

• What we call “extended” or “reduced” lifespan is from our limited view.
• In truth, all those extra days / months with treatment were already included in that person’s āyuṣya karma.
• The same karma also arranged:

- The doctor, - The medicines, - The operation, - The decision to go or not go to hospital.

So:

• Medical treatment is an instrumental cause (nimitta) arranged by karma.
• It does not create new āyuṣya; it only helps unfold what was already fixed.

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3. For your specific situation

So regarding your relative:

• If her death was fixed for that exact time,

then: - Without hospital – she would still have passed away at that time, in some other way. - Without taking her out that day – something else would have happened in hospital at that same moment.

Therefore, within Jain perspective:

> No decision of the family shortened her life. > Her āyuṣya karma completed; you were only nimitta.

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4. How this helps you emotionally

Instead of:

• “If we had not admitted her…”
• “If we had brought her home earlier…”
• “Maybe she would have lived longer…”

Try to gently rest in:

• “Her time was over according to her āyuṣya karma.”
• “We were only instruments; we did what we could with the understanding we had.”
• “May her soul move ahead towards peace and right path.”

You can now:

• Ask forgiveness from her in your heart:

“Michchhāmi Dukkaḍaṃ / Khamat Khamnā, for anything done knowingly or unknowingly.”

• Do Navkār mantra, pratikraman, dāna, swādhyāy, keeping her soul in mind.
• Turn guilt into prārthanā (prayer) and sankalp (resolve) to live more dharmic and aware.

From Jain dharma side: Her life did not become shorter because of hospital or your decisions. Her āyuṣya karma simply completed.