Ethical justification in medical futility and advanced medical directive from the Islamic perspective

Introduction: Medical futility and advanced medical directive are related issues in end-of-life medical decisions that present challenge to doctors and patients in terminal condition and to doctors and family members of patients who are critically ill in the ICU. Materials and Methods: A qualitative...

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Main Authors:	Osman, Ariff, Che Mohamad, Che Anuar, Mohd Azaman, Faizatul Najihah, Abd Ghani, Muhamad Rasydan, Shahar, Mohammad Arif, Md Tahir, Mohd Faiz, Abdul Rahim, Muhamad Shahrir, Mahmud, Mek Wok, Mohamad, Hasbullah
Format:	Article
Language:	English
Published:	Kulliyyah of Medicine, International Islamic University Malaysia 2018
Subjects:	BP1 Islam R Medicine (General)
Online Access:	http://irep.iium.edu.my/68715/ http://irep.iium.edu.my/68715/ http://irep.iium.edu.my/68715/1/Medical%20futility%20and%20advanced%20mdical%20directive.pdf

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recordtype	eprints
spelling	iium-687152018-12-24T08:35:48Z http://irep.iium.edu.my/68715/ Ethical justification in medical futility and advanced medical directive from the Islamic perspective Osman, Ariff Che Mohamad, Che Anuar Mohd Azaman, Faizatul Najihah Abd Ghani, Muhamad Rasydan Shahar, Mohammad Arif Md Tahir, Mohd Faiz Abdul Rahim, Muhamad Shahrir Mahmud, Mek Wok Mohamad, Hasbullah BP1 Islam R Medicine (General) Introduction: Medical futility and advanced medical directive are related issues in end-of-life medical decisions that present challenge to doctors and patients in terminal condition and to doctors and family members of patients who are critically ill in the ICU. Materials and Methods: A qualitative study comprises of literature search and an in-depth interview of experts was carried out to determine the clinical situations in medical futility and the ethical considerations from the Islamic perspective that justify forgoing medical treatment and also the practice of advanced medical directives in the country. Results: In such scenarios, clinical data must be interpreted alongside patient values, as well as the physicians’ ethical commitments. From the Islamic perspective, doctors are the authorised person to diagnose medical futility and forgo medical treatment. Forgoing treatment is permissible as long as it conforms to the maqasid and qawaid al-shariah principles that guide the decision-making process. The practice of advanced medical directive is still at its infancy in this country. From the Islamic perspective, upon considering the maqasid and qawaid al-shariah principles, it should be permissible and its practice should be encouraged as it assists the doctors and the surrogate decision-maker to decide to the withdrawal of treatment. Conclusion: Ethical justification on medical futility conforms to the maqasid and qawaid al-shariah principles and forgoing medical treatment is permissible in Islam. Advanced medical directive assists in the decision-making of forgoing treatment in the presence of utility and thus its practice should be promoted. Kulliyyah of Medicine, International Islamic University Malaysia 2018-12 Article PeerReviewed application/pdf en http://irep.iium.edu.my/68715/1/Medical%20futility%20and%20advanced%20mdical%20directive.pdf Osman, Ariff and Che Mohamad, Che Anuar and Mohd Azaman, Faizatul Najihah and Abd Ghani, Muhamad Rasydan and Shahar, Mohammad Arif and Md Tahir, Mohd Faiz and Abdul Rahim, Muhamad Shahrir and Mahmud, Mek Wok and Mohamad, Hasbullah (2018) Ethical justification in medical futility and advanced medical directive from the Islamic perspective. International Medical Journal Malaysia, 17 (Supplementary 1). p. 72. E-ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/vol_17_no_3_supp_1/MRS2018-73.pdf
repository_type	Digital Repository
institution_category	Local University
institution	International Islamic University Malaysia
building	IIUM Repository
collection	Online Access
language	English
topic	BP1 Islam R Medicine (General)
spellingShingle	BP1 Islam R Medicine (General) Osman, Ariff Che Mohamad, Che Anuar Mohd Azaman, Faizatul Najihah Abd Ghani, Muhamad Rasydan Shahar, Mohammad Arif Md Tahir, Mohd Faiz Abdul Rahim, Muhamad Shahrir Mahmud, Mek Wok Mohamad, Hasbullah Ethical justification in medical futility and advanced medical directive from the Islamic perspective
description	Introduction: Medical futility and advanced medical directive are related issues in end-of-life medical decisions that present challenge to doctors and patients in terminal condition and to doctors and family members of patients who are critically ill in the ICU. Materials and Methods: A qualitative study comprises of literature search and an in-depth interview of experts was carried out to determine the clinical situations in medical futility and the ethical considerations from the Islamic perspective that justify forgoing medical treatment and also the practice of advanced medical directives in the country. Results: In such scenarios, clinical data must be interpreted alongside patient values, as well as the physicians’ ethical commitments. From the Islamic perspective, doctors are the authorised person to diagnose medical futility and forgo medical treatment. Forgoing treatment is permissible as long as it conforms to the maqasid and qawaid al-shariah principles that guide the decision-making process. The practice of advanced medical directive is still at its infancy in this country. From the Islamic perspective, upon considering the maqasid and qawaid al-shariah principles, it should be permissible and its practice should be encouraged as it assists the doctors and the surrogate decision-maker to decide to the withdrawal of treatment. Conclusion: Ethical justification on medical futility conforms to the maqasid and qawaid al-shariah principles and forgoing medical treatment is permissible in Islam. Advanced medical directive assists in the decision-making of forgoing treatment in the presence of utility and thus its practice should be promoted.
format	Article
author	Osman, Ariff Che Mohamad, Che Anuar Mohd Azaman, Faizatul Najihah Abd Ghani, Muhamad Rasydan Shahar, Mohammad Arif Md Tahir, Mohd Faiz Abdul Rahim, Muhamad Shahrir Mahmud, Mek Wok Mohamad, Hasbullah
author_facet	Osman, Ariff Che Mohamad, Che Anuar Mohd Azaman, Faizatul Najihah Abd Ghani, Muhamad Rasydan Shahar, Mohammad Arif Md Tahir, Mohd Faiz Abdul Rahim, Muhamad Shahrir Mahmud, Mek Wok Mohamad, Hasbullah
author_sort	Osman, Ariff
title	Ethical justification in medical futility and advanced medical directive from the Islamic perspective
title_short	Ethical justification in medical futility and advanced medical directive from the Islamic perspective
title_full	Ethical justification in medical futility and advanced medical directive from the Islamic perspective
title_fullStr	Ethical justification in medical futility and advanced medical directive from the Islamic perspective
title_full_unstemmed	Ethical justification in medical futility and advanced medical directive from the Islamic perspective
title_sort	ethical justification in medical futility and advanced medical directive from the islamic perspective
publisher	Kulliyyah of Medicine, International Islamic University Malaysia
publishDate	2018
url	http://irep.iium.edu.my/68715/ http://irep.iium.edu.my/68715/ http://irep.iium.edu.my/68715/1/Medical%20futility%20and%20advanced%20mdical%20directive.pdf
first_indexed	2023-09-18T21:37:29Z
last_indexed	2023-09-18T21:37:29Z
_version_	1777412918065758208

Ethical justification in medical futility and advanced medical directive from the Islamic perspective

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