Background: In medical society, there are controversial issues that called withholding and withdrawing life support. Withholding life support is delaying the provision of new or advanced life support therapy without stopping ongoing life support therapy, and withdrawing life support is stopping some or all of the life support therapy given to patients. This decision was not only based on medical aspects but also related to bioethics and medico-legal aspects and presented moral dilemmas for healthcare practitioners. Maria Fidelis C. Manalo's article, "End-of-Life Decisions about Withholding or Withdrawing Therapy: Medical, Ethical, and Religio-Cultural Considerations," provides a comprehensive review of the complex considerations involved in making these decisions. Purpose: This commentary article aims to critically examine the ethical dimensions of resuscitation decision-making, particularly regarding Do Not Resuscitate (DNR) orders. Conclusion: The commentary advocates for a patient-centered approach to end-of-life care that integrates medical expertise, ethical principles, and cultural considerations. It emphasizes the necessity of proactive communication and advance care planning to ensure that patient's wishes are understood and respected, thereby mitigating potential ethical conflicts.

Keywords: Ethical, Decision making, Withholding, Withdrawing, Do not resuscitate, End-of-life care, Medical, Religio-cultural, Deontology.

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Source of funding:

No funding has been reported.

Conflict of Interest:

The authors declare that they have no conflict of interest.

Consent for publication:

The authors declare that they consented to the publication of this commentary.