130615P - MANAGING THE TERMINALLY ILL - (Word Slides)

Paper at the 9^th International Seminar & Workshop of the Islamic Hospital Consortium Malaysia held in Kuala Lumpur under the theme ‘Spiritual Support in Health Care’ by Professor Omar Hasan Kasule MB ChB (MUK), MPH (Harvard), DrPH (Harvard) Faculty of Medicine King Fahad Medical City Riyadh Saudi Arabia. EM omarkasule@yahoo.com, WEB: www.omarkasule-tib.blogspot.com.

HOLISTIC APPROACH

·         Managing the terminally ill requires a multi-disciplinary approach

·         Comprehensive, shumuuli;

·         Balanced, tawazun,

·         Equilibrium, e’itidaal.

CONFORT

·         The dying patient should be made comfortable by maintaining social interaction and communication

·         Controlling pain

·         Hygiene

·         Nutrition

·         Hydration

·         Assistance to perform acts of ibadat.

SPIRITUAL PREPARATION

·         Spiritually the patient should be prepared cognitively and emotionally for death.

·         Death is not a terminal but is a transitional event from the lower hayat al duniyat to better hayat al akhirat

·         He should be encouraged to repent sins, seek forgiveness from those he wronged, and forgive those who wronged him.

LEGAL PREPARATION

·         Legally he should be advised to pay debts and to write a will.

·         Difficult decisions of an ethico-legal nature have to be resolved towards the end of life by using maqasid and qawa’id

·         Withholding and withdrawing life support

·         Do not-resuscitate orders

·         Euthanasia

·         Organ donation

·         Research

TOTAL CARE

·         As part of total care hospitals should be involved in some aspects of preparation for burial.

·         Advise to family on mourning

·         Hospital represented at janazat and burial

·         Salat al janazat for all dead at every salat in the hospital