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HUKUM DIAGNOSIS “MEDICAL FUTILITY” DAN ARAHAN AWAL PERUBATAN (ADVANCE MEDICAL DIRECTIVE-AMD) DALAM PENJAGAAN AKHIR HAYAT (END OF LIFE CARE) DI MALAYSIA

Is it permissible for doctors to diagnose medical futility and end treatment, and are Advance Medical Directives (AMD) allowed in Islam?

Short answer

The Johor State Fatwa Committee, adopting the decision of the 115th National Muzakarah, ruled that qualified medical practitioners may diagnose medical futility leading to the cessation of primary or curative treatment when such treatment is no longer effective or is deemed…

JohorFatwa committee decision

A reference, not a fatwa. First sentence of the summary below — read the original fatwa and consult your state authority before acting.

Authority
Johor State Mufti Department
Date
Status
Fatwa committee decision
Series
Fatwa Negeri Johor
Topic
Medicine & Health

No evidence of gazettement in the source — this is not a gazetted fatwa.

Summary

The Johor State Fatwa Committee, adopting the decision of the 115th National Muzakarah, ruled that qualified medical practitioners may diagnose medical futility leading to the cessation of primary or curative treatment when such treatment is no longer effective or is deemed futile. The diagnosis must be made professionally by a team of specialists considering the patient's diagnosis, prognosis and quality of life, input from all relevant disciplines, and a discussion with the closest family members. Implementing an Advance Medical Directive (AMD) is also ruled permissible. The fatwa further calls for ethical guidelines on end of life care to be issued for medical practitioners.

Written in our own words from the original fatwa — check the source before acting on it.

Hukum pelaksanaan Arahan Awal Perubatan (AMD) adalah harus. Sekiranya berlaku percanggahan dalam perlaksanaan (AMD) diantara pihak pesakit dengan pakar perubatan adalah lebih diutamakan.

Excerpt from the original fatwa · Johor

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How to cite

Cite the original fatwa and its authority. Rujuk Fatwa is only where you found it.

Johor State Mufti Department. “HUKUM DIAGNOSIS “MEDICAL FUTILITY” DAN ARAHAN AWAL PERUBATAN (ADVANCE MEDICAL DIRECTIVE-AMD) DALAM PENJAGAAN AKHIR HAYAT (END OF LIFE CARE) DI MALAYSIA”, 29 January 2020. https://said.johor.gov.my/perkhidmatan/paparan_detail_fatwa.php?id=116. Found via Rujuk Fatwa: https://rujukfatwa.com/en/fatwa/medical-futility-and-advance-medical-directive-ruling/

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