Professional Documents
Culture Documents
1) Voluntary
2) Non-voluntary
3) Involuntary
Voluntary
Voluntary euthanasia occurs with the fully-
informed request of a decisionally-competent adult
patient or that of their surrogate (proxy).
This should not be confused with death after
treatment is stopped on the instructions of the
patient himself either directly or through a do not
resuscitate (DNR) order.
Enforcing a DNR order has never been considered
assisted suicide or suicide of any kind, at least in
the eyes of the law. Patients of sound mind have
always had a right to refuse treatment.
Non-voluntary
Non-voluntary euthanasia occurs without the fully-
informed consent and fully-informed request of a
decisionally-competent adult patient or that of their
surrogate (proxy).
An example of this might be if a “patient” has
decisional capacity but it is not told they will be
euthanized; or, if a patient is not conscious or
lacks decisional-capacity and their surrogate is not
told the patient will be euthanized.
Involuntary
Involuntary euthanasia occurs over the objection of a
patient their surrogate (proxy).
An example of this might be if a patient with decisional
capacity (or their surrogate) is told what will happen. The
patient (or surrogate) refuses yet the patient is
euthanized anyway.
This is generally considered murder. If a patient slated for
euthanasia changes his or her mind at the last minutes,
the doctor is categorically required by law to honor that
wish. In most other countries removing or denying
treatment without the clear instruction of the patient is
usually seen as murder.
in a discussion of euthanasia presented in 2003 by the
European Association of Palliative Care (EPAC) Ethics
Task Force, the authors offered the unambiguous
statement:
Active euthanasia
refers to a physician painlessly putting to death some
persons suffering from incurable condition or diseases.
Passive euthanasia
refers to any act of allowing the patient to die, which
may include failing to provide necessary medication as
well as taking a patient off life support.
Legal Status
Some governments around the world have
legalized voluntary euthanasia but generally
it remains as a criminal homicide. In the
Netherlands and Belgium, where euthanasia
has been legalized, it still remains homicide
although it is not prosecuted and not
punishable if the perpetrator (the doctor)
meets certain legal exceptions.
In Islamic Point Of View
“men who celebrate the praises of Allah, standing, sitting, and lying
down on their sides, and contemplate the (wonders of ) creation in the
heavens and the earth, (with the thought): “Our Lord! Not for naught
Hast Thou created (all) this! Glory to Thee! Give us salvation from the
penalty of the fire.”
Qur’an 3:191
this is an act of killing, and killing is a major sin and thus forbidden in
Islam, the religion of pure mercy.
The Islamic Code of Medical Ethics
(1981 p.67)
In his/her defense of life, however, the Doctor is well
advised to realize his limit and not transgress it. If it is
scientifically certain that life cannot be restored, then it
is futile to diligently keep the patient in a vegetative
state by heroic means or to preserve the patient by
deep freezing or other artificial methods.