Legal and ethical issues in end of life care

End of life (EOL) care presents a number of legal and ethical challenges in all societies irrespective of their economic, cultural, or religious backgrounds. The issues range from attempts to prolong the lives of dying patients through highly advanced medical technologies, to efforts to terminate...

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Main Authors:	Rathor, Mohammad Yousuf, Shahar, Mohammad Arif
Format:	Conference or Workshop Item
Language:	English
Published:	2018
Subjects:	RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
Online Access:	http://irep.iium.edu.my/64321/ http://irep.iium.edu.my/64321/ http://irep.iium.edu.my/64321/1/64621_Political%20Economy%20of%20Deregulation.pdf

id	iium-64321
recordtype	eprints
spelling	iium-643212018-07-24T08:07:07Z http://irep.iium.edu.my/64321/ Legal and ethical issues in end of life care Rathor, Mohammad Yousuf Shahar, Mohammad Arif RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine End of life (EOL) care presents a number of legal and ethical challenges in all societies irrespective of their economic, cultural, or religious backgrounds. The issues range from attempts to prolong the lives of dying patients through highly advanced medical technologies, to efforts to terminate life prematurely through euthanasia and medically assisted suicide. Many physicians are unfamiliar with EOL care and tend to be more cautious than necessary. Frequently, many dying patients are subjected to CPR, intubated and put on ventilators. Then they feel helpless when there are no ventilators and ICU beds for patients who will benefit most from such care. Simply giving therapy which is of limited benefit and which may impinge on the rights and needs of others is not fair. The legal position is clear that competent adults have the right to refuse or discontinue medical interventions and that physician need not strive to preserve life at all costs. Similarly patients cannot demand a treatment that is not in their best interests. The physicians play an essential role in clarifying the goals of medical treatment at EOL, educating patients and families, helping them deliberate about a proposed treatment plan which is reasonably achievable and realistic. Therefore there is a need to disseminate relevant information to specific target groups and public in general about some key issues affecting care at the EOL. The objective of this article is to evaluate EOL preferences in clinical practice in Malaysia to help prioritize and enhance knowledge regarding advance care planning; DNR status, withdrawing and withholding treatment, etc. This will encourage optimal utilisation of hospital facilities and services thus reducing hospital operating costs due to prolonged unnecessary hospitalisation. 2018 Conference or Workshop Item NonPeerReviewed application/pdf en http://irep.iium.edu.my/64321/1/64621_Political%20Economy%20of%20Deregulation.pdf Rathor, Mohammad Yousuf and Shahar, Mohammad Arif (2018) Legal and ethical issues in end of life care. In: 7th International Conference on Law And Society (ICLAS 7), 11th-13th April 2018, Kota Kinabalu, Sabah. (Unpublished) https://iclas2018.org/
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine
spellingShingle	RA1001 Forensic Medicine. Medical jurisprudence. Legal medicine Rathor, Mohammad Yousuf Shahar, Mohammad Arif Legal and ethical issues in end of life care
description	End of life (EOL) care presents a number of legal and ethical challenges in all societies irrespective of their economic, cultural, or religious backgrounds. The issues range from attempts to prolong the lives of dying patients through highly advanced medical technologies, to efforts to terminate life prematurely through euthanasia and medically assisted suicide. Many physicians are unfamiliar with EOL care and tend to be more cautious than necessary. Frequently, many dying patients are subjected to CPR, intubated and put on ventilators. Then they feel helpless when there are no ventilators and ICU beds for patients who will benefit most from such care. Simply giving therapy which is of limited benefit and which may impinge on the rights and needs of others is not fair. The legal position is clear that competent adults have the right to refuse or discontinue medical interventions and that physician need not strive to preserve life at all costs. Similarly patients cannot demand a treatment that is not in their best interests. The physicians play an essential role in clarifying the goals of medical treatment at EOL, educating patients and families, helping them deliberate about a proposed treatment plan which is reasonably achievable and realistic. Therefore there is a need to disseminate relevant information to specific target groups and public in general about some key issues affecting care at the EOL. The objective of this article is to evaluate EOL preferences in clinical practice in Malaysia to help prioritize and enhance knowledge regarding advance care planning; DNR status, withdrawing and withholding treatment, etc. This will encourage optimal utilisation of hospital facilities and services thus reducing hospital operating costs due to prolonged unnecessary hospitalisation.
format	Conference or Workshop Item
author	Rathor, Mohammad Yousuf Shahar, Mohammad Arif
author_facet	Rathor, Mohammad Yousuf Shahar, Mohammad Arif
author_sort	Rathor, Mohammad Yousuf
title	Legal and ethical issues in end of life care
title_short	Legal and ethical issues in end of life care
title_full	Legal and ethical issues in end of life care
title_fullStr	Legal and ethical issues in end of life care
title_full_unstemmed	Legal and ethical issues in end of life care
title_sort	legal and ethical issues in end of life care
publishDate	2018
url	http://irep.iium.edu.my/64321/ http://irep.iium.edu.my/64321/ http://irep.iium.edu.my/64321/1/64621_Political%20Economy%20of%20Deregulation.pdf
first_indexed	2023-09-18T21:31:17Z
last_indexed	2023-09-18T21:31:17Z
_version_	1777412527446032384

Legal and ethical issues in end of life care

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