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Do not resuscitate, brain death, and organ transplantation: Islamic perspective

Muslim patients and families are often reluctant to discuss and accept fatal diagnoses and prognoses. In many instances, aggressive therapy is requested by a patient's family, prolonging the life of the patient at all costs. Islamic law permits the withdrawal of futile treatment, including life...

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Autores principales: Chamsi-Pasha, Hassan, Albar, Mohammed Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398001/
https://www.ncbi.nlm.nih.gov/pubmed/28469984
http://dx.doi.org/10.4103/2231-0770.203608
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author Chamsi-Pasha, Hassan
Albar, Mohammed Ali
author_facet Chamsi-Pasha, Hassan
Albar, Mohammed Ali
author_sort Chamsi-Pasha, Hassan
collection PubMed
description Muslim patients and families are often reluctant to discuss and accept fatal diagnoses and prognoses. In many instances, aggressive therapy is requested by a patient's family, prolonging the life of the patient at all costs. Islamic law permits the withdrawal of futile treatment, including life support, from terminally ill patients allowing death to take its natural course. “Do not resuscitate” is permitted in Islamic law in certain situations. Debate continues about the certainty of brain death criteria within Islamic scholars. Although brain death is accepted as true death by the majority of Muslim scholars and medical organizations, the consensus in the Muslim world is not unanimous, and some scholars still accept death only by cardiopulmonary criteria. Organ transplantation has been accepted in Islamic countries (with some resistance from some jurists). Many fatwas (decrees) of Islamic Jurisprudence Councils have been issued and allowed organs to be donated from living competent adult donor; and from deceased (cadavers), provided that they have agreed to donate or their families have agreed to donate after their death (usually these are brain-dead cases). A clear and well-defined policy from the ministry of health regarding do not resuscitate, brain death, and other end-of-life issues is urgently needed for all hospitals and health providers in most (if not all) Muslim and Arab countries.
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spelling pubmed-53980012017-05-03 Do not resuscitate, brain death, and organ transplantation: Islamic perspective Chamsi-Pasha, Hassan Albar, Mohammed Ali Avicenna J Med Review Article Muslim patients and families are often reluctant to discuss and accept fatal diagnoses and prognoses. In many instances, aggressive therapy is requested by a patient's family, prolonging the life of the patient at all costs. Islamic law permits the withdrawal of futile treatment, including life support, from terminally ill patients allowing death to take its natural course. “Do not resuscitate” is permitted in Islamic law in certain situations. Debate continues about the certainty of brain death criteria within Islamic scholars. Although brain death is accepted as true death by the majority of Muslim scholars and medical organizations, the consensus in the Muslim world is not unanimous, and some scholars still accept death only by cardiopulmonary criteria. Organ transplantation has been accepted in Islamic countries (with some resistance from some jurists). Many fatwas (decrees) of Islamic Jurisprudence Councils have been issued and allowed organs to be donated from living competent adult donor; and from deceased (cadavers), provided that they have agreed to donate or their families have agreed to donate after their death (usually these are brain-dead cases). A clear and well-defined policy from the ministry of health regarding do not resuscitate, brain death, and other end-of-life issues is urgently needed for all hospitals and health providers in most (if not all) Muslim and Arab countries. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5398001/ /pubmed/28469984 http://dx.doi.org/10.4103/2231-0770.203608 Text en Copyright: © 2017 Avicenna Journal of Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Review Article
Chamsi-Pasha, Hassan
Albar, Mohammed Ali
Do not resuscitate, brain death, and organ transplantation: Islamic perspective
title Do not resuscitate, brain death, and organ transplantation: Islamic perspective
title_full Do not resuscitate, brain death, and organ transplantation: Islamic perspective
title_fullStr Do not resuscitate, brain death, and organ transplantation: Islamic perspective
title_full_unstemmed Do not resuscitate, brain death, and organ transplantation: Islamic perspective
title_short Do not resuscitate, brain death, and organ transplantation: Islamic perspective
title_sort do not resuscitate, brain death, and organ transplantation: islamic perspective
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5398001/
https://www.ncbi.nlm.nih.gov/pubmed/28469984
http://dx.doi.org/10.4103/2231-0770.203608
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