FatwaSarawakMedicine & Health
HUKUM DIAGNOSA ‘MEDICAL FUTILITY’ DAN ARAHAN AWAL PERUBATAN (ADVANCED MEDICAL DIRECTIVE – AMD) DALAM PENJAGAAN AKHIR HAYAT (END OF LIFE CARE)
What is the ruling on a medical futility diagnosis and on the Advanced Medical Directive (AMD) in end of life care?
Short answer
The Sarawak State Fatwa Council ruled that it is permissible for a qualified medical practitioner to 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
- Sarawak State Mufti Department
- Status
- Fatwa committee decision
- Series
- Info Fatwa
- Topic
- Medicine & Health
No evidence of gazettement in the source — this is not a gazetted fatwa.
Summary
The Sarawak State Fatwa Council ruled that it is permissible for a qualified medical practitioner to diagnose medical futility leading to the cessation of primary or curative treatment, when that treatment is no longer effective and is considered futile. The diagnosis must be made professionally by a team of specialists considering the diagnosis, prognosis and the patient's quality of life, take into account all the specialist views involved, and include a family conference with the nearest kin. Implementing an AMD is permissible, and if the patient's side and the medical specialists disagree, the specialists' view takes precedence.
Written in our own words from the original fatwa — check the source before acting on it.
Hukum pelaksanaan Arahan Awal Perubatan (AMD) adalah harus.
Read the full fatwa on the Sarawak website (new tab)
How to cite
Cite the original fatwa and its authority. Rujuk Fatwa is only where you found it.
Sarawak State Mufti Department. “HUKUM DIAGNOSA ‘MEDICAL FUTILITY’ DAN ARAHAN AWAL PERUBATAN (ADVANCED MEDICAL DIRECTIVE – AMD) DALAM PENJAGAAN AKHIR HAYAT (END OF LIFE CARE)”, date not stated. https://muftinegeri.sarawak.gov.my/web/subpage/fatwa_list/#hukum-diagnosa-medical-futility-dan-arahan-awal-perubatan-advanced-medical-directive-amd-dalam-penjagaan-akhir-hayat-end. Found via Rujuk Fatwa: https://rujukfatwa.com/en/fatwa/ruling-medical-futility-advanced-medical-directive/