A Qualitative Study on the Ethical Issues and Islamic Rulings in End of Life Care

Mohd Azaman, Faizatul Najihah and Che Mohamad, Che Anuar and Mahmud, Mek Wok and Abdul Ghani, Muhammad Rasydan and Abdul Rahim, Mohamad Shahrir and Md Tahir, Mohd. Faiz and Shahar, Mohamad Arif and Hashi, Abdurezak Abdulahi and Mohamad, Hasbullah and Ismail, Mohd Nizamuddin and Nanyan, Suhaila and Roslan, Rosazra and Azmi, Ahmad Najib and Mokhtar, Ahmad Wifaq and Osman, Ariff (2021) A Qualitative Study on the Ethical Issues and Islamic Rulings in End of Life Care. In: 3rd World Congress on Integration and Islamicisation 2021, IIUM Kuantan Campus.

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Abstract

The advancement of medical therapy that leads to the discovery of new medical treatments is indeed a blessing to human beings. However, the advancement came with certain ethical concerns involving decisions or procedures which, to a certain extent, contradicting with Islamic values and principles. Amongst the issues that emerged are related to the new diagnosis of brain death, implications of withdrawal and withholding of life support, terminal sedation in palliative care or double effect and the newly advanced medical directives. These issues have raised crucial ethical concern to the Muslim community, particularly to physicians who directly and regularly involved end of life care. Data were gathered through individual interviews: face to face and in-depth semi-structured involving 13 Muslim scholars in Fiqh and Law and Medicine ranging from palliative care, internal medicine, cardiologist, intensivist, family medicine and psychiatrist. Focus group discussions were also conducted twice to further analysed the ethical decision in end of life. Data were subsequently analysed using framework analysis with the aid of the NVivo 11. Our study has identified several other important ethical issues in end of life care, including the recently emerged advance medical directives. However, two fundamental issues currently necessitate serious attention from medical, legal and Islamic perspectives, i.e. (1) the determination of death based on the criteria of brain death and (2) The diagnosis of medical futility. The majority of the experts we interviewed were aware of the issues in end-of-life care. They have responded well and share helpful information, including advance medical directives. Several ethical issues related to the end of life care, including the diagnosis of brain death and medical futility, are important topic to be discussed due to their multifaceted implications, i.e. medical, social, legal as well as Islamic faith

Item Type:	Conference or Workshop Item (Other)
Uncontrolled Keywords:	End of life care, Qualitative research, Islamic ruling, Ethics, Brain death, Palliative care
Subjects:	B Philosophy. Psychology. Religion > BJ Ethics > BJ1188 Religious ethics R Medicine > R Medicine (General)
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Science > Department of Biotechnology
Depositing User:	DR ABDUREZAK ABDULAHI HASHI
Date Deposited:	30 Sep 2021 14:33
Last Modified:	30 Sep 2021 14:33
URI:	http://irep.iium.edu.my/id/eprint/92520

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