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When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings

When it is ethically justifiable to stop medical treatment? For many Muslim patients, families, and clinicians this ethical question remains a challenging one as Islamic ethico-legal guidance on such matters remains scattered and difficult to interpret. In light of this gap, we conducted a systemati...

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Autores principales: Mohiuddin, Afshan, Suleman, Mehrunisha, Rasheed, Shoaib, Padela, Aasim I.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Routledge 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144300/
https://www.ncbi.nlm.nih.gov/pubmed/32284707
http://dx.doi.org/10.1080/11287462.2020.1736243
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author Mohiuddin, Afshan
Suleman, Mehrunisha
Rasheed, Shoaib
Padela, Aasim I.
author_facet Mohiuddin, Afshan
Suleman, Mehrunisha
Rasheed, Shoaib
Padela, Aasim I.
author_sort Mohiuddin, Afshan
collection PubMed
description When it is ethically justifiable to stop medical treatment? For many Muslim patients, families, and clinicians this ethical question remains a challenging one as Islamic ethico-legal guidance on such matters remains scattered and difficult to interpret. In light of this gap, we conducted a systematic literature review to aggregate rulings from Islamic jurists and juridical councils on whether, and when, it is permitted to withdraw and/or withhold life-sustaining care. A total of 16 fatwās were found, 8 of which were single-author rulings, and 8 represented the collective view of a juridical council. The fatwās are similar in that nearly all judge that Islamic law, provided certain conditions are met, permits abstaining from life-sustaining treatment. Notably, the justifying conditions appear to rely on physician assessment of the clinical prognosis. The fatwās differ when it comes to what conditions justify withdrawing or withholding life- sustaining care. Our analyses suggest that while notions of futility greatly impact the bioethical discourse regarding with holding and/or withdrawal of treatment, the conceptualization of futility lacks nuance. Therefore, clinicians, Islamic jurists, and bioethicists need to come together in order to unify a conception of medical futility and relate it to the ethics of withholding and/or withdrawal of treatment.
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spelling pubmed-71443002020-04-13 When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings Mohiuddin, Afshan Suleman, Mehrunisha Rasheed, Shoaib Padela, Aasim I. Glob Bioeth Research Articles When it is ethically justifiable to stop medical treatment? For many Muslim patients, families, and clinicians this ethical question remains a challenging one as Islamic ethico-legal guidance on such matters remains scattered and difficult to interpret. In light of this gap, we conducted a systematic literature review to aggregate rulings from Islamic jurists and juridical councils on whether, and when, it is permitted to withdraw and/or withhold life-sustaining care. A total of 16 fatwās were found, 8 of which were single-author rulings, and 8 represented the collective view of a juridical council. The fatwās are similar in that nearly all judge that Islamic law, provided certain conditions are met, permits abstaining from life-sustaining treatment. Notably, the justifying conditions appear to rely on physician assessment of the clinical prognosis. The fatwās differ when it comes to what conditions justify withdrawing or withholding life- sustaining care. Our analyses suggest that while notions of futility greatly impact the bioethical discourse regarding with holding and/or withdrawal of treatment, the conceptualization of futility lacks nuance. Therefore, clinicians, Islamic jurists, and bioethicists need to come together in order to unify a conception of medical futility and relate it to the ethics of withholding and/or withdrawal of treatment. Routledge 2020-03-22 /pmc/articles/PMC7144300/ /pubmed/32284707 http://dx.doi.org/10.1080/11287462.2020.1736243 Text en © 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Articles
Mohiuddin, Afshan
Suleman, Mehrunisha
Rasheed, Shoaib
Padela, Aasim I.
When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings
title When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings
title_full When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings
title_fullStr When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings
title_full_unstemmed When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings
title_short When can Muslims withdraw or withhold life support? A narrative review of Islamic juridical rulings
title_sort when can muslims withdraw or withhold life support? a narrative review of islamic juridical rulings
topic Research Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7144300/
https://www.ncbi.nlm.nih.gov/pubmed/32284707
http://dx.doi.org/10.1080/11287462.2020.1736243
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