FatwaJohorMedicine & Health
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 implement an advance medical directive (AMD) in end of life care?
Short answer
The Johor State Fatwa Committee ruled that qualified medical practitioners may diagnose medical futility leading to the cessation of primary or curative treatment when that treatment is no longer effective 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 qualified medical practitioners may diagnose medical futility leading to the cessation of primary or curative treatment when that treatment is no longer effective and is considered futile. Such a diagnosis must be made professionally by a team of specialists taking into account prognosis, life expectancy and quality of life, the views of all relevant disciplines, and a discussion with the closest family members. Implementing an advance medical directive (AMD) is also permissible, and where the patient and the medical specialist disagree, the specialist's view takes precedence. The fatwa also 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 pelaksanaan (AMD) di antara pihak pesakit dengan pakar perubatan, maka pandangan pakar perubatan adalah lebih diutamakan.
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.”, 27 July 2020. https://said.johor.gov.my/perkhidmatan/paparan_detail_fatwa.php?id=1492. Found via Rujuk Fatwa: https://rujukfatwa.com/en/fatwa/ruling-medical-futility-advance-medical-directive-7296/