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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| Format: | Conference or Workshop Item |
| Language: | English English |
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2019
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| 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 |
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iium-77335 |
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eprints |
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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 |
| _version_ |
1777413647024259072 |