Do Not Resuscitate: A Case Study from the Islamic Viewpoint
Physicians practicing in the West are encouraged to discuss advance directives, including the Do Not Resuscitate (DNR) order, with their patients or their patients' families, especially when the prognosis is poor. From an Islamic standpoint, there are no clear guidelines on DNR orders for a Muslim patient in a setting of a nonterminal illness. A literature review on this topic was carried out, including a search of religious texts on the subject. It resulted in the following conclusion: It is imperative to seek remedy in life-threatening situations. When treatment benefit is doubted, seeking remedy becomes optional. If the treatment is futile, then it is not recommended to continue such treatment. It is encouraged for Muslim patients to have a living will, but they are discouraged from putting in a DNR order that covers all situations. In other words, they should be full code if there is a reasonable chance of recovery.
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).