FatwaJohorMedicine & Health
HUKUM DIAGNOSIS “MEDICAL FUTILITY” DAN ARAHAN AWAL PERUBATAN (ADVANCE MEDICAL DIRECTIVE-AMD) DALAM PENJAGAAN AKHIR HAYAT (END OF LIFE CARE) DI MALAYSIA
Are a medical futility diagnosis and an advance medical directive (AMD) permissible in end of life care in Malaysia?
Short answer
The Johor Fatwa Committee permits qualified medical practitioners to diagnose medical futility leading to the cessation of primary or curative treatment, when such treatment is no longer effective and does not lead to recovery, or when primary or emergency treatment would be…
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 Fatwa Committee permits qualified medical practitioners to diagnose medical futility leading to the cessation of primary or curative treatment, when such treatment is no longer effective and does not lead to recovery, or when primary or emergency treatment would be futile. The diagnosis must be made professionally by a team of medical specialists considering prognosis, diagnosis including life expectancy, and quality of life, with input from the various disciplines involved and a family conference with the nearest relatives. Implementing an AMD is permissible, and if the patient and the medical specialists conflict, the specialists' opinion takes precedence. The fatwa also calls for ethical guidelines on end of life care 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) diantara 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”, 29 January 2020. https://said.johor.gov.my/perkhidmatan/paparan_detail_fatwa.php?id=240. Found via Rujuk Fatwa: https://rujukfatwa.com/en/fatwa/ruling-medical-futility-advance-medical-directive-malaysia/