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This narrative review attempts to fill this gap by formulating a framework that incorporates Islamic bioethical values into palliative care provision in the Middle East. The narrative review was carried out based on databases such as PubMed, Scopus, and Google Scholar for the period 2000-2025. Classical Islamic sources, the Qur\u2019an, Sunnah, Ijm\u0101\u02bf (juristic consensus), and Qiy\u0101s (analogy), were compared with modern ethical and clinical studies in order to synthesise themes and formulate a practice-focused framework. Islamic bioethics focuses on principles like \u1e25if\u1e93 al-nafs (protection of life), l\u0101 \u1e0darar (no harm), al-um\u016br bi-maq\u0101\u1e63idih\u0101 (intent counts), and maq\u0101\u1e63id al-shar\u012b\u02bfah (higher purposes of Islamic law). These principles were used to describe 5 domains of palliative care spiritual care, truth-telling and disclosure, advance care planning, pain and suffering, and end-of-life decision-making, to demonstrate their applicability and moral importance. The integrative framework brings faith-based ethics into synergy with evidence-based practice, and guides clinicians on topics like Do-Not-Resuscitate (DNR) orders, removal of futile treatment, palliative sedation, and communication with and engagement of families. The framework also outlines the religious counsellor and ethical consultation roles in facilitating decision-making and policy formation. 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