Honouring Wishes of Patients: An Islamic View on the Implementation of the Advance Medical Directive in Malaysia

Malek, Mohammad Mustaqim and Saifuddeen, Shaikh Mohd and Rahman, Noor Naemah Abdul and Yusof, Aimi Nadia Mohd and Majid, Wan Roslili Abdul (2021) Honouring Wishes of Patients: An Islamic View on the Implementation of the Advance Medical Directive in Malaysia. Malaysian Journal of Medical Sciences, 28 (2). pp. 28-38. ISSN 1394-195X, DOI https://doi.org/10.21315/mjms2021.28.2.3.

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Abstract

An Advance Medical Directive (AMD) is a document in which competent patients express their wishes regarding their preferred choice of future medical plans in the event they become incompetent. AMD is important in relation to the patient's right to refuse treatment. However, they must also consider cultural and religious values of different communities. In Islam, there are several concerns that need to be addressed, namely the validity of the AMD according to Islamic jurisprudence and patients' right to end-of-life decision-making. To address these concerns, this article refers to multiple sources of Islamic jurisprudence, such as the Quran, the tradition of Prophet Muhammad and the works of Islamic scholars related to this topic. Based on the findings, Islam does not forbid the use of AMD as a method to honour patients' wishes in their end-of-life care. Islamic jurisprudence emphasises on the importance of seeking patients' consent before carrying out any medical procedures. However, several conditions need to be given due attention, such as: i) a patient's cognitive capacity during the process of drawing up an AMD; ii) the professional views of medical experts; iii) the involvement of family members in end-of-life care and iv) the limitations of a patient's decision-making in creating an AMD.

Item Type: Article
Funders: Fundamental Research Grant Scheme: [FRGS/1/2018/SSI03/UM/02/9]
Subjects: B Philosophy. Psychology. Religion > BL Religion
Divisions: Academy of Islamic Studies > Dept of Fiqh & Usul
Depositing User: Ms Zaharah Ramly
Date Deposited: 24 May 2022 03:40
Last Modified: 24 May 2022 03:40
URI: http://eprints.um.edu.my/id/eprint/34987

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