how to care for muslim patients

Cultural formulation interview. Therefore, patients may ask for a same-gender provider to care for them, except in case of emergency, in the absence of the preferred provider, or if the patient grants permission (Yosef, 2008). Treasure Island (FL): StatPearls Publishing; 2023 Jan. 1Koenig HG, Al Shohaib S. Islam and mental health [Internet]. Carvajal DN, Bevilacqua KG, Caldwell MT, Zambrana RE. Demographic profiles of religious groups. Retrieved from. Muslims constitute large proportions of populations across both Muslim-majority countries and otherwise. and transmitted securely. Retrieved from http://www.pewforum.org/2015/05/12/chapter-3-demographic-profiles-of-re, Rasool, G.H. Health beliefs, practice, and priorities for health care of Arab Muslims in the United States: Implications for nursing care. Religion is an important part of many patients cultural perspectives and value systems that influence them during advanced illness and toward the end of life when they directly face mortality. Health beliefs, practice, and priorities for health care of Arab Muslims in the United States. Recommendations to optimize care for Muslim patients and their families include Islamic cultural awareness training for health care staff, assessment of patients and families to determine needs, and community health partnerships with local Islamic institutions. Encountering and caring for Muslim patients requires knowledge of and respect for cultural observances. General fasting practices. Psychosocial-spiritual interventions among Muslims undergoing treatment (2014). J Am Acad Child Adolesc Psychiatry. This minimizes exposure and tells the patient of the reasoning for removing any articles of clothing. (2004). Dying in America: Improving quality and honoring individual preferences near the end of life. Key challenges included lack of providers' understanding of patients' religious and cultural beliefs; language-related patient-provider communication barriers; patients' modesty needs; patients' lack of understanding of disease processes and the healthcare system; patients' lack of trust and suspicion about the healthcare system, including providers; and system-related barriers. 8600 Rockville Pike official website and that any information you provide is encrypted It is important for Muslims to face Mecca during prayer. This article describes what is important in providing culturally and religiously sensitive care to Muslim and Middle Eastern patients. Health workers should always consult their patient about theirpersonal level of religious observance. J Muslim Mental Health. With a Muslim population reported to be a quarter million and with 35 mosques in the metro area, Atlanta ranks as the city with the sixth largest Muslim population in the country. Mataoui can be reached at fatmazohra.matao001@umb.edu, with copy to editor at CJONEditor@ons.org. Accessibility If a person of the opposite gender must perform the physical exam, the general rule of thumb is to inform the patient that an article of clothing must be removed for the examination, but it will be immediately returned. Many can trace their heritage to >50 predominantly Muslim countries. Since 1975, ONS has provided a professional community for oncology nurses, developed evidence-based education programs and treatment information, and advocated for patient care, all in an effort to improve the quality of life and outcomes for patients with cancer and their families. Their findings identified unwelcoming behaviors in healthcare providers as a barrier to care, and specified the need for gender-concordant health care (same-gender healthcare providers caring for same-gender patients). The handbook was developed by Queensland Health in partnership with the Islamic Council of Queensland and forms part of the Multicultural Clinical Support Resource folder. Objective: Caring for Muslim patients: Understanding cultural and - MDedge Touch of any kind is prohibited between genders. In the case that the family members are not able to attend the hospitalized patient, the Imam (the worship leader of a mosque, similar to a priest or rabbi) should be notified of the patients condition to counsel and console the patient. Here is some general advice for such patients from Lida Faroqi, DPM, director of clinical research, DISCOVeR Lab: Contemp Nurse. 1. I was raised a Muslim, and continue to practice my faith, while my wife follows the . These people do not need to fast. Believing in Allah, Arabic for God, and Mohamed as his prophet (the last prophet in the lineage of prophets starting from Abraham). Many Muslims only eat fish, chicken, or beef that is specifically slaughtered. The imams role in meeting the counseling needs of Muslim communities in the United States. Be sure to approach this topic with sensitivity. HOSPICE CARE When it comes to end-of-life preferences and care in the Islamic faith, some patients prefer to die at home with the support of their families and very little or no help from healthcare providers. Zahner SJ, Corrado SM. Sign up to receive email updates from the NAFC! However, those who do choose hospice care do not expect you to tell them or remind them of their terminal illness. Does the interfaith chaplaincy model have room for Muslims experiences? Counsel from an imam can assist this process and understanding. In Islam, men and women are required to dress modestly and to maintain physical boundaries between the sexes. Drug Testing in Management of Chronic Pain , 5 Best Practices for Treating Your Muslim Patients, New Pain Management Laws and Rules in Georgia, The Use of Dexmedetomidine in Pediatric Anesthesia, Post-Concussion Syndrome and Vestibular Involvement, Georgia Society of Oral and Maxillofacial Surgeons (GSOMS) Summer Meeting 2023, 2023 Advances In Womens Health Conference. Be patient, and be Allah the Most Highs servant, he said in the Quran. Use of this Web site is subject to the medical disclaimer. Background Cancer is a global disease that affects all populations, including Muslims. Performing five daily prayers. 8600 Rockville Pike Response: A Muslim chaplain informs her about using the option of Tayammum (dry ablution in place of ritual washing) and offering her prayers as soon as she cleans herself and changes clothes with assistance from hospital staff. Guidelines for Caring for Muslim Women Who Wear a Hijab In addition, when Muslim women are wearing hospital gowns, the oncology nurse should offer to close the curtains or keep the door closed to maintain privacy (Padela & Rodriguez del Pozo, 2011). Cultural Competence in the Care of Muslim Patients and - StatPearls 2016 Dec;14(6):599-611. doi: 10.1017/S1478951516000249. Alcohol and intoxicants 2. Globally, Muslims represent substantial portions of society, and Islam remains the fastest-growing religion in the world. Adv Neonatal Care. Address Disclaimer. Muslims have reported discrimination in health care settings, including denial of services, on the basis of their religion.4-6 An Economist poll of 1000 adult US citizens found that Muslims face "a great deal" (39%) of discrimination in America.7 Respondents reportedly perceived discrimination to be higher for Muslims than for Christians (23% . It is highly likely that a healthcare professional will care for a Muslim patient during his or her career. Because some Muslim patients may be more comfortable presenting their psychological concerns as somatic symptoms, they may first seek care from a primary care physician. Retrieved from http://www.ispu.org/pdfs/620_ispu_report_aasim%20padela_final.pdf. Would you like email updates of new search results? Islam makes exception for sick people, travelers, pregnant and menstruating women, and children (typically children start fasting aroundage 10). Nurses and other health professionals are in a position to have a tremendous impact. In: StatPearls [Internet]. (2009). Before A 44-year-old Muslim woman is admitted for management of complications related to lung cancer with metastasis to her spine. Prescription of Controlled Substances: Benefits and Risks. Clipboard, Search History, and several other advanced features are temporarily unavailable. Caring for Muslims in the healthcare setting requires knowledge of their cultural and spiritual values. However, this form of tobacco consumption may even be worse than cigarette smoke. The site is secure. Response: With staff input, the imam (an Islamic leader) counsels her on the benefit of pain control to relieve suffering under the circumstances. Although some non-Muslims may view aspects of this requirement to be extreme, such as Muslim womens wearing of the hijab (head/body cover variations), knowledge of its purpose is important in understanding Islam and, ultimately, providing culturally sensitive care. The gender role in Muslim communities is an important factor to identity and to consider when planning care and sharing information. Some are American-born, including a significant African American Muslim population. and transmitted securely. J Muslim Mental Health. Bethesda, MD 20894, Web Policies (2014). 2018 Apr/Jun;35(2):94-99. For many, this includes fear of all Muslims, the second-largest religious group in the world with 1.6 billion adherents and approximately 3.5 million in the US alone. Nurses can expect to care for patients from different cultures and faith traditions and need to develop cultural competence. The care of Muslim patients requires meeting the needs of specific cultures and beliefs. Supporting Muslim Patients During Advanced Illness - PMC Epub 2022 Dec 16. Our Muslim patients come from diverse and varied backgrounds, from the Indian subcontinent to those born in the United States. 3: Understand the Islamic Dietary Code Subtle and overt forms of Islamophobia: microaggressions toward Muslim Americans. Arab-American culture and health care. Projections indicate a doubling of the US Muslim population by 2030.2 A growing and aging Muslim population will have care needs related to chronic and terminal illnesses. 3. This makes fasting particularly trying. The importance of recognizing the strong link of postpartum depression, stigma against mental illness and medications, unique cultural beliefs, effect of discrimination, and emphasis on modesty in this patient population can serve as important tools in understanding the patient and . Unequal treatment: Confronting racial and ethnic disparities in health care. 2008 Jul;19(3):284-91. doi: 10.1177/1043659608317450. BMC Health Serv Res. ONS is committed to promoting excellence in oncology nursing and the transformation of cancer care. A Focused Ethnography. Eye contact is also commonly avoided, especially in mixed-gender situations. When Islam only aids in the prolongation of a terminal illness, it is permissible for Muslim patients to receive treatment. Muslim patients and cross-gender interactions in medicine: An Islamic bioethical perspective. Dr. Khan reiterated that a patient can break fast if it is necessary to their health, and that open conversation is important during this time. 2020 Apr 17;17(8):2791. doi: 10.3390/ijerph17082791. Muslims will generally wash their hands, face, and feet in preparation for prayer (known as wudu).22 Globally, Muslims represent substantial portions of society, and Islam remains the fastest-growing religion in the world. -, Amin MEK, Abdelmageed A. Clinicians' Perspectives on Caring for Muslim Patients Considering Fasting During Ramadan. Animals improperly slaughtered or dead before slaughtering Hope in Iranian mothers of children with cancer: a descriptive correlational study. Death and Dying in Islam: How Best to Care For Muslim Patients This field is for validation purposes and should be left unchanged. NCI CPTC Antibody Characterization Program, Blankinship LA. Muslims are not a monolithic group; they vary widely in their religious adherence, cultural background, and acculturation. Learn about the many ways you can get involved with the NAFC and in your community from ways to give, information on volunteering, becoming a member and more! The Health Care Providers' Handbook on Muslim Patients is a quick-reference tool for health workers to use when caring for Muslim patients. 5: Let Your Muslim Patients Take the Lead With Shaking Hands If patients cannot stand up for prayer, they can sit in a chair or bed (Ezenkwele & Roodsari, 2013). Nadal KL, Griffin KE, Hamit S, et al. Unauthorized use prohibited. As clinicians, we should not make assumptions based on outward appearances or our preconceived notions of our patients, especially when it comes to gender roles. Muslim Patients: Guidelines For Providing The Best Possible Care When providing care to Muslim patients, it is important to be aware of and respectful of their religious beliefs and practices. J Muslim Mental Health. Tayammum, touching both hands to clean sand and sweeping them over the face and hands, can be done if the person is too ill for the standard wudu ritual washing.24 The availability of certain items, such as prayer rugs, and an acknowledgment and understanding of the importance of prayer, have been identified by some Muslims as ways to assist adherence to religious practice while ill in health care facilities.25,26 Turning immobile Muslim patients beds toward Mecca for prayer, making Qurans readily available, and replacing wall-hanging crucifixes (in traditionally Catholic hospitals) with crescents (a symbol of Islam for some adherents), if the institution will allow, have also been described as ways to make clinical space more welcoming for prayer and Islamic faith.27, Science, medicine, and faith are not separate in Islam. Irajpour A, Ghaljaei F, Alavi M. Concept of collaboration from the Islamic perspective: The view points for health providers. doi:10.1016/j.ejon.2012.02.004, Kridli, S.A. (2011). 4. Some patients will not feel comfortable consuming it because of that. Nurses from non-Muslim backgrounds may benefit from a greater understanding about Islamic values and cultural practices that may influence health beliefs, use of health care (such as cancer screening), and the impact of family dynamics and decision-making processes (Rasool, 2015). These areas include prayer, medical treatment values, role of religious authority, modesty, medical decision making, advance care planning, and pain management. Federal government websites often end in .gov or .mil. Prayer needs, modesty requirements, approaches to decision making, need for a Muslim chaplain or liaison, and dietary requirements (ie, halal [prepared per Islamic law specifications] or vegetarian meals) are among a Muslims concerns during a hospital stay or care during advanced illness. Although seen in more devout members, it may cover from ankle to lower face. There is no one-size-fits-all solution to caring for a sick loved one. HHS Vulnerability Disclosure, Help Cultural Religious Competence in Clinical Practice. 2023 Jun 23;7:e42775. 2002 Aug;2(4):222-8. doi: 10.1053/adnc.2002.34550. During this period you may see an increased incidence of sialadentis and sialolithiasis. BMC Pregnancy Childbirth. As the Muslim population continues to grow in the United States, there is a need for increased education on culturally congruent care to assure the highest quality of nursing care. There is, of course, variation between individual Muslim patients and families. The strict dietary code includes only eating meat that is appropriately slaughtered, similar to kosher foods in Orthodox Judaism. Thibault GE. Nurses' Competency in Caring for Muslim Patients - ResearchGate We can conclude from this verse of Noble Quran that no matter what is happening to us, we must remain faithful and patient as God has placed us. 2021 Jul;29(7):3697-3705. doi: 10.1007/s00520-020-05881-4. Retrieved from, Padela, A., Gunter, K., & Kilawi, A. Keeping this in mind, we should avoid stereotypes and assumptions. Muslim patients may engage in prayer five times a day (dawn, mid-day, midafternoon, sunset, night) while facing Mecca, a holy city in Saudi Arabia (Ezenkwele & Roodsari, 2013). Smedley BD, Stith AY, Nelson AR, editors. Providing Culturally Appropriate Care to American Muslims With Cancer - ONS Would you like email updates of new search results? Demographic profiles of religious groups. Shah SM, Ayash C, Pharaon NA, Gany FM. If you are unsure about how to care for a Muslim patient, you should ask them or their family members for guidance. Please enable it to take advantage of the complete set of features! Ciftci A, Jones N, Corrigan PW. Resources are available to help us provide the best possible care to our patients from various cultures and religions, including Muslim patients. Contraception. The term is primarily associated with food, but it also covers products that include ingredients derived from animals, such as soap, cosmetics or medicine. Epub 2012 May 29. The handbook covers a range of topics includingprayer, holy days, fasting, end of life issues, sexual and reproductive health, and food requirements. Skin-to-skin contact between men and women, even shaking hands, is considered inappropriate (Yosef, 2008). When treating Muslim patients, remember to: Related Treating Patients During Ramadan - Stanford Medicine The experience of advanced or terminal illness adds another layer to this culturally and religiously embedded behavior, particularly for women. Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients. Islam provides spiritual guidance as well as an emphasis on maintaining health. Epub 2017 Mar 13. LAUNCH VIDEO - End of Life & Palliative Care for Muslim Patients https://youtu.be/SN3nwbEhwQo Postdoctoral Fellow at the Geriatric Research Education and Clinical Center at the Durham Veterans Administration Medical Center and a Senior Fellow at the Duke University Center for the Study of Aging in NC. Can You Claim Compensation for Back Injuries? Patient-centered care in the Middle East and North African region: a systematic literature review. When a Muslim patient engages in prayer, nurses should avoid interrupting or walking in front of him or her unless for an emergency (Healthcare Chaplaincy, 2009). Prayer is one of the five pillars of Islam. People are treated with equal respect and equality by Muslims, regardless of race, wealth, or social standing. The Islamic faith can influence decision-making, family dynamics, health practices, risks, and the use of healthcare. The experience of participating in this project will strengthen Muslim relationships and foster mutual support. 1 in 3 Rural Americans Struggle to Afford Health Care Medical expenses are more difficult to pay for than food and housing, a new poll finds. Ask the Muslim patient or resident if they have any dietary restrictions. The site is secure. Some female patients will not shake hands with a male practitioner. Journal of Medical Ethics,37, 4044. The https:// ensures that you are connecting to the Padela et al.s (2011) groups also identified that the role of the spiritual leader (imam) in health promotion will provide the needed spiritual support to promote health for Muslim patients. Spiritual care is a component of the holistic approach to care and treatment. Physical modesty for women, usually involving the physical covering of the body, signifies respect for self and devotion to and respect for Allahone of the five pillars of Islam.22 Modesty in dress applies to men as well, but Muslim women are more iconic for their modest attire.37 Modesty in ones affairslanguage and actionsapplies to both men and women and shows respect for society, interpersonal relationships, and Allah.38 This includes refraining from vanity as well as unlawful or hurtful behavior. In her current state, she is becoming dependent on others, losing independence in simple activities, and is concerned about the well-being of her children. Mental health clinicians are well aware of the dangers of the social stigma that their patients may experience.3 These dangers are no different when it comes to Muslim patients, who often may face double discrimination for their religion and for having a mental illness. Muslim patients keep physical contact with the opposite gender to a minimum. Cultural formulation interview. -, Ezenkwele UA, Roodsari GS. Health care professionals responses to religious or spiritual statements by surrogate decision makers during goals-of-care discussions. The sick Muslim is usually happy to receive many visitors. As a result, fasting can last 15-17 hours in some parts of the US. The authors take full responsibility for the content of the article. After death, traditionally the family and/or friends wash the body to prepare it for burial, which will occur as soon as possible. These limitations may develop as a result of Islamic cultural beliefs and practices. Support Care Cancer. It is common knowledge that women dress modestly. Although there is some evidence that intermittent fasting during Ramadan may be of benefit in losing weight and cardiometabolic risk factors, there is no strong evidence these benefits apply to people with diabetes. OB ward 30 . I believe that Allah is with those who wait for the right time. Objective: The nursing profession demands knowledge, awareness, and experience regarding the ethnic, religious, cultural, and social constructs involved in patient care. They require fresh water to cleanse themselves before they can begin their prayers. The Muslim faith encompasses several ethnicities with diverse views regarding illness and healthcare. This fear has further increased by the tense rhetoric heard from the recent US presidential campaign and the new presidential administration. Ramadan has several implications to patients healthcare. Nicotine patches and other aids like it are also not allowed. With all patients, the care should be crafted to fit the individual. Balboni TA, Vanderwerker LC, Block SD, et al.
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