According to National Institute of Aging from the division of United States

According to National Institute of Aging from the division of United States National Institutes of Health, the term of End of Life Care is used to describe the medical care and support which are provided during the time nearing to the death. This care is applied not just in the time before breathing ceases and the heart stops beating but also to critically ill patients and older people often live with one or more chronic illnesses which need a lot of care for days, weeks, and even months before death. Patients normally can receive this care at home, in care home or hospitals depending on the needs and preference. In addition, depending on the needs and situation, the end of life care of the patients is usually provided by hospital doctors and nurses, general practitioner, community nurses, hospice staff and counsellors may all be involved, as well as social care staff, chaplains (of all faiths or none), physiotherapists, occupational therapists or complementary therapists.. In cases of illness or diseases which are cannot be cured, a holistic approach which deals with the whole person and not just the illness that is known as palliative care is taken to manage the patients towards the life of end care. The world’s religion play a bigger role in cycle and daily of life of their followers and most of the religion have rituals and beliefs concerning death. Islam is one of the religion with the most Muslim population in this world. The word of Islam has many meanings and one of them means acceptance of the will of Allah which includes Apart from that, the meaning of it also includes the peace that is attained through the inner which is from oneself, peace with the Creator and the peace with all the creations .Death in Islam and among the Muslim is believed that the spirit will continue to live and the path from this world to the day of surrection is achieved through dying with the belief of the spirit to be eternal and does not perish resulting from the death. Death is a definite thing that occur to every living creature in this world and they will get the taste of death with no exception of human like has been stated by the Creator in the third surah in Quran verse 185; “Every self will taste death. You will be paid your wages in full on the Day of Rising. Anyone who is distanced from the Fire and admitted to the Garden, has triumphed. The life of this world is only the enjoyment of delusion,”. The management of critically ill patients that had a iittle or no hope of getting better and waiting for the last breath from the Islamic views and perspectives can be discussed based on the life sustaining measures which comprises of the the doubt of giving the artificial nutrition and hydration to the patients, palliative care and disorder of consciousness. Generally, in medicine the artificial nutrition and hydration is one of the medical treatment that enable a person who is no longer can feed on through the normal way which is the mouth to receive nutrition (food) and also hydration (fluid). This treatment usually given by someone who is professionalized in this area that is the skilled physician or specialist to the patient through parenteral which is intravenous administration and enteral by putting the tube into the stomach. For someone who suffered from serious illness and no longer able to feed on the food and drink meant that the body already began to stop functioning and providing the artificial nutrition and hydration to the patients may be not able to bring back them to healthy and normal state. Although this kind of medical procedure can be done in the hope of extending the life and preserving the body strength but there is always risks and complications that may be outweighing the benefits. For instance, in the terminally ill patient, this kind of procedure may harm them by causing complications such as aspiration pneumonia, diarrhea, dyspnea, nausea and hypervolemia. In the Islamic view, rules concerning the care the critically and terminally ill patient is procured by the principle which is any kind of procedures or treatments that can bring injury or harm to the people should be avoided. This is based on what has been stated in Quranic verses in Surah… The decision to withdraw or withdraw the procedure from terminally ill patients must be made thoroughly through several ways such as informed consent, considering the clinical condition in order to minimize the harm to the patient, with agreement from the patient, family members, health care providers, and religious scholars. In this case the artificial nutrition is considered a type of basic care of a person and there is an obligation to provide these to them unless the consequences will lead to the shortness of life and other harmful complications which are against the principle of Islam. On the other hand, the other thing that to be noted and taken into top consideration is the condition of the patients’ body that are beginning to slowly shut down is not caused by the absence or shortness of food and fluid but due to the diseases and dying process. Apart from this procedure, there is always another way to ensure the patient patient’s comfort which is palliative cares by the professionals.

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