Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings

Aims / Background: The ethical issues surrounding end of life care are recent subjects of heated discussions. While issues like brain death has been thoroughly deliberated and well responded by Islamic authorities; some remain far from certainty and requires further exploration. This study aimed t...

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Main Authors: Che Mohamad, Che Anuar, Mohd Azaman, Faizatul Najihah, Abdul Ghani, Muhamad Rasydan, Abdul Rahim, Mohamad Shahrir, Md Tahir, Mohd Faiz, Shahar, Mohammad Arif, Hashi, Abdurezak Abdulahi, Mohamad, Hasbullah, Ismail, Mohd Nizamuddin, Nanyan, Suhaila, Roslan, Rosazra, Azmi, Ahmad Najib, Mokhtar, Ahmad Wifaq, Mahmud, Mek Wok, Osman, Ariff
Format: Conference or Workshop Item
Language:English
English
Published: 2019
Subjects:
Online Access:http://irep.iium.edu.my/77335/
http://irep.iium.edu.my/77335/1/3rd%20Nusantara%20Conference%202019%20book.PDF
http://irep.iium.edu.my/77335/2/NuCMI%20Medical%20Futility%20and%20Maqasid%20DrAnuar%202019%20Version%202.pdf
id iium-77335
recordtype eprints
spelling iium-773352019-12-24T04:52:46Z http://irep.iium.edu.my/77335/ Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings Che Mohamad, Che Anuar Mohd Azaman, Faizatul Najihah Abdul Ghani, Muhamad Rasydan Abdul Rahim, Mohamad Shahrir Md Tahir, Mohd Faiz Shahar, Mohammad Arif Hashi, Abdurezak Abdulahi Mohamad, Hasbullah Ismail, Mohd Nizamuddin Nanyan, Suhaila Roslan, Rosazra Azmi, Ahmad Najib Mokhtar, Ahmad Wifaq Mahmud, Mek Wok Osman, Ariff KBP Islamic Law KBP1 Islamic law.Shariah.Fiqh KBP173.25 Islamic law and other disciplines or subjects KBP425 Uṣūl al-fiqh. Jurisprudence and theory of law. Science of legal reasoning. R Medicine (General) RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid Aims / Background: The ethical issues surrounding end of life care are recent subjects of heated discussions. While issues like brain death has been thoroughly deliberated and well responded by Islamic authorities; some remain far from certainty and requires further exploration. This study aimed to identify various clinical situations with ethical implications related to selected major issues in end of life care followed by in-depth analysis on the medical aspects and Islamic legal rulings. Methodology: A qualitative study was conducted involving the followings: 1. Literature review gathering relevant materials performed using various search engines and databases. 2. Content analysis on the collected materials performed to identify various clinical situations related to end of life care. Major issues were subsequently shortlisted. 3. In-depth interviews of medical experts and religious scholars conducted to gather views and understanding on the major issues. Their responses recorded, transcribed and analysed using Nvivo 11. 4. Series of roundtable discussions attended by medical professionals and Islamic Studies academicians conducted to establish research framework, questionnaire formulations and elaborate the findings. Results: We found that one of the major issues in end of life care is the determination of death based on the diagnosis of brain death and medical futility. In contrast to brain death, there is neither clinical guidelines nor official Islamic legal rulings for the diagnosis of medical futility. Although the concept of medical futility for discontinuation of care for the terminally ill has been introduced in the 1980s, no consensus on accepted diagnostic criteria are available to date. From Islamic legal perspectives, the diagnosis of death based on the establishment of medical futility is ‘permissible’ as it conforms to the principles of qawaid al fiqhiyyah and maqasid al shari’ah. Conclusion: Medical futility is one of the major ethical issues in end of life care. It warrant in depth analysis from both medical and Islamic viewpoints. 2019-09-14 Conference or Workshop Item PeerReviewed application/pdf en http://irep.iium.edu.my/77335/1/3rd%20Nusantara%20Conference%202019%20book.PDF application/pdf en http://irep.iium.edu.my/77335/2/NuCMI%20Medical%20Futility%20and%20Maqasid%20DrAnuar%202019%20Version%202.pdf Che Mohamad, Che Anuar and Mohd Azaman, Faizatul Najihah and Abdul Ghani, Muhamad Rasydan and Abdul Rahim, Mohamad Shahrir and Md Tahir, Mohd Faiz and Shahar, Mohammad Arif and Hashi, Abdurezak Abdulahi and Mohamad, Hasbullah and Ismail, Mohd Nizamuddin and Nanyan, Suhaila and Roslan, Rosazra and Azmi, Ahmad Najib and Mokhtar, Ahmad Wifaq and Mahmud, Mek Wok and Osman, Ariff (2019) Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings. In: Persidangan Nusantara Ke 3- Isu- isu Perubatan Menurut Perspektif Islam, 14-16 Sep 2019, Zenith Hotel, Kuantan Pahang. (Unpublished)
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
English
topic KBP Islamic Law
KBP1 Islamic law.Shariah.Fiqh
KBP173.25 Islamic law and other disciplines or subjects
KBP425 Uṣūl al-fiqh. Jurisprudence and theory of law. Science of legal reasoning.
R Medicine (General)
RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
spellingShingle KBP Islamic Law
KBP1 Islamic law.Shariah.Fiqh
KBP173.25 Islamic law and other disciplines or subjects
KBP425 Uṣūl al-fiqh. Jurisprudence and theory of law. Science of legal reasoning.
R Medicine (General)
RC82 Medical Emergencies, Critical Care, Intensive Care, First Aid
Che Mohamad, Che Anuar
Mohd Azaman, Faizatul Najihah
Abdul Ghani, Muhamad Rasydan
Abdul Rahim, Mohamad Shahrir
Md Tahir, Mohd Faiz
Shahar, Mohammad Arif
Hashi, Abdurezak Abdulahi
Mohamad, Hasbullah
Ismail, Mohd Nizamuddin
Nanyan, Suhaila
Roslan, Rosazra
Azmi, Ahmad Najib
Mokhtar, Ahmad Wifaq
Mahmud, Mek Wok
Osman, Ariff
Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings
description Aims / Background: The ethical issues surrounding end of life care are recent subjects of heated discussions. While issues like brain death has been thoroughly deliberated and well responded by Islamic authorities; some remain far from certainty and requires further exploration. This study aimed to identify various clinical situations with ethical implications related to selected major issues in end of life care followed by in-depth analysis on the medical aspects and Islamic legal rulings. Methodology: A qualitative study was conducted involving the followings: 1. Literature review gathering relevant materials performed using various search engines and databases. 2. Content analysis on the collected materials performed to identify various clinical situations related to end of life care. Major issues were subsequently shortlisted. 3. In-depth interviews of medical experts and religious scholars conducted to gather views and understanding on the major issues. Their responses recorded, transcribed and analysed using Nvivo 11. 4. Series of roundtable discussions attended by medical professionals and Islamic Studies academicians conducted to establish research framework, questionnaire formulations and elaborate the findings. Results: We found that one of the major issues in end of life care is the determination of death based on the diagnosis of brain death and medical futility. In contrast to brain death, there is neither clinical guidelines nor official Islamic legal rulings for the diagnosis of medical futility. Although the concept of medical futility for discontinuation of care for the terminally ill has been introduced in the 1980s, no consensus on accepted diagnostic criteria are available to date. From Islamic legal perspectives, the diagnosis of death based on the establishment of medical futility is ‘permissible’ as it conforms to the principles of qawaid al fiqhiyyah and maqasid al shari’ah. Conclusion: Medical futility is one of the major ethical issues in end of life care. It warrant in depth analysis from both medical and Islamic viewpoints.
format Conference or Workshop Item
author Che Mohamad, Che Anuar
Mohd Azaman, Faizatul Najihah
Abdul Ghani, Muhamad Rasydan
Abdul Rahim, Mohamad Shahrir
Md Tahir, Mohd Faiz
Shahar, Mohammad Arif
Hashi, Abdurezak Abdulahi
Mohamad, Hasbullah
Ismail, Mohd Nizamuddin
Nanyan, Suhaila
Roslan, Rosazra
Azmi, Ahmad Najib
Mokhtar, Ahmad Wifaq
Mahmud, Mek Wok
Osman, Ariff
author_facet Che Mohamad, Che Anuar
Mohd Azaman, Faizatul Najihah
Abdul Ghani, Muhamad Rasydan
Abdul Rahim, Mohamad Shahrir
Md Tahir, Mohd Faiz
Shahar, Mohammad Arif
Hashi, Abdurezak Abdulahi
Mohamad, Hasbullah
Ismail, Mohd Nizamuddin
Nanyan, Suhaila
Roslan, Rosazra
Azmi, Ahmad Najib
Mokhtar, Ahmad Wifaq
Mahmud, Mek Wok
Osman, Ariff
author_sort Che Mohamad, Che Anuar
title Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings
title_short Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings
title_full Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings
title_fullStr Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings
title_full_unstemmed Medical futility: a major ethical issue in end of life care: an outlook from medical and Islamic legal rulings
title_sort medical futility: a major ethical issue in end of life care: an outlook from medical and islamic legal rulings
publishDate 2019
url http://irep.iium.edu.my/77335/
http://irep.iium.edu.my/77335/1/3rd%20Nusantara%20Conference%202019%20book.PDF
http://irep.iium.edu.my/77335/2/NuCMI%20Medical%20Futility%20and%20Maqasid%20DrAnuar%202019%20Version%202.pdf
first_indexed 2023-09-18T21:49:04Z
last_indexed 2023-09-18T21:49:04Z
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