FatwaJohorMedicine & Health
HUKUM DIAGNOSIS “MEDICAL FUTILITY” DAN ARAHAN AWAL PERUBATAN (ADVANCE MEDICAL DIRECTIVE-AMD) DALAM PENJAGAAN AKHIR HAYAT (END OF LIFE CARE) DI MALAYSIA
What is the ruling on a medical futility diagnosis and the advance medical directive (AMD) in end-of-life care?
Short answer
The Johor State Fatwa Committee ruled that a qualified medical practitioner may diagnose medical futility leading to the ending of primary or curative treatment, when the treatment is no longer effective, does not lead to recovery and is considered futile.
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 ruled that a qualified medical practitioner may diagnose medical futility leading to the ending of primary or curative treatment, when the treatment is no longer effective, does not lead to recovery and is considered futile. The diagnosis must be made professionally by a team of specialists, considering the patient's prognosis, diagnosis, life expectancy and quality of life, with input from all the specialties involved and a discussion with the closest family. Implementing an advance medical directive (AMD) is permissible. The fatwa also states that an ethical guideline on end-of-life care should be issued for medical practitioners.
Written in our own words from the original fatwa — check the source before acting on it.
Harus bagi pengamal perubatan yang berkelayakkan membuat Diagnosis "Medical Futility" yang menjurus kepada penamatan rawatan utama atau kuratif dalam keadaan-keadaan berikut:
Read the full fatwa on the Johor website (new tab)
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=220. Found via Rujuk Fatwa: https://rujukfatwa.com/en/fatwa/medical-futility-diagnosis-and-amd-end-of-life-care/