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首页> 外文期刊>American journal of bioethics >Ethical Obligations and Clinical Goals in End-of-Life Care: Deriving a Quality-of-Life Construct Based on the Islamic Concept of Accountability Before God (Taklif)
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Ethical Obligations and Clinical Goals in End-of-Life Care: Deriving a Quality-of-Life Construct Based on the Islamic Concept of Accountability Before God (Taklif)

机译：临终关怀中的道德义务和临床目标：基于伊斯兰在上帝面前的责任制（Taklif），推导生活质量构建

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End-of-life medical decision making presents a major challenge to patients and physicians alike. In order to determine whether it is ethically justifiable to forgo medical treatment in such scenarios, clinical data must be interpreted alongside patient values, as well as in light of the physician's ethical commitments. Though much has been written about this ethical issue from religious perspectives (especially Christian and Jewish), little work has been done from an Islamic point of view. To fill the gap in the literature around Islamic bioethical perspectives on the matter, we derive a theologically rooted rubric for goals of care. We use the Islamic obligation for Muslims to seek medical treatment as the foundation for determining the clinical conditions under which Muslim physicians have a duty to treat. We next link the theological concept of accountability before God (taklif) to quality-of-life assessment. Using this construct, we suggest that a Muslim physician is not obligated to maintain or continue clinical treatment when patients who were formerly of, or had the potential to be, mukallaf (the term for a person who has taklif), are now not expected to regain that status by means of continued clinical treatment.
机译：临终医疗决策对患者和医生都提出了重大挑战。为了确定在这种情况下放弃医学治疗在道德上是合理的，临床数据必须与患者价值一起解释，并根据医生的道德承诺进行解释。尽管从宗教的角度（尤其是基督教和犹太人）已就该道德问题撰写了大量文章，但从伊斯兰的角度来看，所做的工作很少。为了填补围绕伊斯兰生物伦理学问题的文献资料中的空白，我们推导了从神学角度出发的护理目标。我们将穆斯林的伊斯兰义务视为寻求医疗服务，以此作为确定穆斯林医师有义务治疗的临床条件的基础。接下来，我们将神面前的责任（神学）的神学概念与生活质量评估联系起来。使用这种构造，我们建议，当以前不曾或有可能是穆卡拉夫（有taklif的人）的患者现在不希望接受回教医师时，没有义务维持或继续进行临床治疗。通过持续的临床治疗来恢复该状态。

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