how to care for muslim patients

Muslims constitute large proportions of populations across both Muslim-majority countries and otherwise. Many antibiotics come in gel capsules, which are made of pig-based gelatin. Muslims place great importance on the preparation for death, dying and the afterlife. Padela AI, Killawi A, Heisler M, Demonner S, Fetters MD. Knowledge of the cultural and spiritual values of Muslims is critical in providing healthcare services to them. Spiritual care perceptions among patients, nurses, and physicians and the role of training. Ramadan began this past Sunday, May 5, which means our Muslim patients and providers will be fasting from sunrise to sunset for the next month. American Psychiatric Association. The influence of faith and religion and the role of religious and community leaders in prenatal decisions for sickle cell disorders and thalassaemia major. Muslim patients and cross-gender interactions in medicine: An Islamic bioethical perspective. Muslim patients should not only be treated with respect, but also with special attention to their needs. After death, traditionally the family and/or friends wash the body to prepare it for burial, which will occur as soon as possible. GUIDANCE - Edition 1 The guidance aims to provide practical support to health care professionals and carers who provide care to Muslims patients in hospitals and similar settings COMING SOON! Muslims are also required to give charity. Evaluating psychosocial support needs of female cancer patients in the State of Qatar. DEAR SOMEONE ELSE'S MOM: I know I should not be surprised that my grandfather would refuse to attend the baptism of my son, since he also refused to attend my wedding when I married a Christian woman a few years ago. -, Amin MEK, Abdelmageed A. Clinicians' Perspectives on Caring for Muslim Patients Considering Fasting During Ramadan. Dying in America: Improving quality and honoring individual preferences near the end of life. Although seen in more devout members, it may cover from ankle to lower face. Sachedina A. End-of-life: The Islamic view. The care of Muslim patients requires meeting the needs of specific cultures and beliefs. The site is secure. Therefore, oncology nurses should build trust with family members in addition to the patient. Health Care Providers' Handbook on Muslim Patients second edition. Cultural competencies in emergency medicine: Caring for Muslim-American patients from the Middle East. Ramadan has several implications to patients healthcare. It is customary to perform special prays for the patient. Portraying Islam and Muslims in MEDLINE: A content analysis. 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). Accessibility Vaccinations, blood transfusions, and other injections are allowed. 2020 Jun;59(3):1370-1387. Another way to make the patient more comfortable with a male physician is to include a female chaperone in the room, especially during a physical exam. We need to keep in mind that our Muslim community is not homogeneous. Practice parameter for cultural competence in child and adolescent psychiatric practice. Visiting the Sick Strong emphasis is placed on the virtues of visiting the sick. The American Diabetes Association/European Association for the Study of Diabetes . During the month of Ramadan, Muslim patients fast for approximately 15-16 hours every day. 2022 Apr 4;5:100101. doi: 10.1016/j.jmh.2022.100101. Islamic beliefs affect Muslim patients' attitudes and behavior. Discrimination in Health Care Settings. Our job is to ask how highly personal, individualized decisions, such as a womans choice to wear a hijab as an expression of her faith and a symbol of modesty, factor into our patients day-to-day lives. American Psychiatric Association. Bookshelf DisclosureThe author reports no financial relationships with any company whose products are mentioned in this article or with manufacturers of competing products. Furthermore, three key healthcare accommodations to address Muslim sensitivities were identified: (1) gender-concordant care, (2) halal food, and (3) a neutral prayer space. Demographic profiles of religious groups. I was raised a Muslim, and continue to practice my faith, while my wife follows the . Response: The imam reminds her to have faith in Allah and have hope because she is in a competent medical facility. During the fasting month of Ramadan, patients who are ill, pregnant, or nursing (infants) are excused from the fasting (Kridli, 2011). J Holist Nurs. Clinicians and administrators alike, particularly in the US, can benefit from enhanced knowledge about the Muslim faith. Ask Someone Else's Mom | July 7th, 2023. Alagraa R, Abujaber A, Chandra P, Doughty J. Some patients may not be open or comfortable enough to address sensitive issues, such as substance use. If you are unsure about how to care for a Muslim patient, you should ask them or their family members for guidance. Compassion, which Muslims believe is a fundamental part of healing, is a core value. What Does it Take to Be a Mental Health Professional. For example, in Islam, health is viewed as one of the greatest blessings that God (Allah) has bestowed on people. All rights reserved. Discovering Islam: Making sense of Muslim history and society. Would you like email updates of new search results? 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). sharing sensitive information, make sure youre on a federal These materials focus on the challenges that can confront Muslims in . The .gov means its official. Ciftci A, Jones N, Corrigan PW. Nicotine patches and other aids like it are also not allowed. This review . Copyright 2023Frontline Medical Communications Inc., Newark, NJ, USA. 3. Balboni MJ, Sullivan A, Amobi A, et al. Bethesda, MD 20894, Web Policies This field is for validation purposes and should be left unchanged. Real-life patient concerns and responses listed support a collaborative approach in caring for a Muslim patient. Nurses are essential in providing excellent healthcare to patients and their families. For example, refer to it as a "headscarf" or "veil.". Mental health stigma in the Muslim community. 2023 Apr 29. Due to perceived restrictions in medical care, the Muslim population may be at an increased risk for several diseases. This can be accomplished by understanding religious implications, perspectives on family, health, illness, diet, the influence of traditional medicine, and privacy concerns. Babgi A. Islamic Approaches to Patient Care: Muslim Beliefs and Healthcare Practices for Caregivers. LAUNCH VIDEO - End of Life & Palliative Care for Muslim Patients https://youtu.be/SN3nwbEhwQo Resources are available to help us provide the best possible care to our patients from various cultures and religions, including Muslim patients. BMC Public Health. The findings of this study can guide future research aimed at ensuring high-quality, culturally appropriate, patient-centered healthcare for Muslim women in the United States and other western countries. Their work has a special significance in Islam and is valued. Using a cross-sectional study design, a written survey was administered to a convenience sample of healthcare providers (n = 80) and Muslim women (n = 27). 2008 Jul;19(3):284-91. doi: 10.1177/1043659608317450. Responding to religious and spiritual diversity acknowledges the role that ones faith can play in coping with illness and making health care decisions and aligns clinician/health system practices with health care standards regarding cultural competence.53 A critical step toward truly patient-centered care is honoring the possibility, and reality, that patients and families are often guided by faith in the context of largely secular health care. Because of how the Muslim calendar works, the timing of Ramadan shifts over the years. Contemp Nurse. Saving You Time. -, Mutair AS, Plummer V, O'Brien AP, Clerehan R. Providing culturally congruent care for Saudi patients and their families. 2013 Aug;45(2):168-74. Keeping this in mind, we should avoid stereotypes and assumptions. A 44-year-old Muslim woman is admitted for management of complications related to lung cancer with metastasis to her spine. By following these guidelines, you can ensure that Muslim patients receive the best possible care. Muslims use their left hand to cleanse themselves. General advice for fasting Even for healthy Muslim patients, fasting can be stressful on the body. Retrieved from, Padela, A., Gunter, K., & Kilawi, A. Muslim women, particularly married women, bear more burden of the house duties and raising children, which limits their time to care for themselves (Ezenkwele & Roodsari, 2013). Some patients may not be open or comfortable enough to address sensitive issues, such as substance use. After an acute decompensation, family decides to withdraw life-sustaining care. The .gov means its official. 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. Find a clinic near you and learn more about options available for getting access to care. The Crescent of Care Model by Lovering is offered to aid understanding of five key areas of culturally competent care. Response: With staff input, the imam (an Islamic leader) counsels her on the benefit of pain control to relieve suffering under the circumstances. doi:10.1016/j.ejon.2012.02.004, Kridli, S.A. (2011). The Oncology Nursing Society (ONS) is a professional association that represents 100,000 nurses and is the professional home to more than 35,000 members. J Relig Health. This review is provided to familiarize the reader with tensions at the intersection of Islam and Westernized health care in advanced illness contexts. The importance of spiritual assessment when caring for older adults. When treating Muslim patients, remember to: Related Go to: Continuing Education Activity Muslims constitute large portions of populations in many countries, both Muslim-majority and otherwise. Ramadan Fasting and Maternal and Fetal Outcomes in Pregnant Women with Diabetes Mellitus: Literature Review. Therefore, it is up to individual organizations to develop such a module with the help of knowledgeable Muslim community leaders. September 26, 2022 Samuel Health Care Should Muslim Nurses Care For Male Patients? MDedge: Keeping You Informed. Healing with the medicine of the Prophet. Local health department partnerships with faith-based organizations. 4. 2022 Apr 19;22(1):335. doi: 10.1186/s12884-022-04664-5. Muslims are considered to be the fastest-growing religious group in the world. Disclaimer. Gonzlez-Pascual JL, Esteban-Gonzalo L, Rodrguez-Garca M, Gmez-Cantarino S, Moreno-Preciado M. Nurs Inq. See our Other Publications. 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. 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. Winslow GR, Wehtje-Winslow BJ. Providing culturally sensitive care to the childbearing Islamic family. During Ramadan, the Holy Month of Islam, healthcare professionals should be particularly culturally sensitive and respectful. The imams role in meeting the counseling needs of Muslim communities in the United States. doi: 10.2196/42775. Bethesda, MD 20894, Web Policies Clipboard, Search History, and several other advanced features are temporarily unavailable. Patient-centered care in the Middle East and North African region: a systematic literature review. al-Shahri MZ, al-Khenaizan A. Palliative care for Muslim patients. and transmitted securely. Demographic profiles of religious groups. The site is secure. bugs, snakes and lizards) Culturally Competent Care of Muslim Patients. 2013;52(10):1101-1115. official website and that any information you provide is encrypted government site. Contraception. Worldwide violence perpetrated by people identifying as Muslim has been a growing fear for people living in the US and elsewhere. A majority (93.8%) of responding patients reported that their healthcare provider did not understand their religious or cultural needs. Bethesda, MD 20894, Web Policies We can rely on resources to provide the highest level of care to our patients from various cultures and religions. Smoking is not encouraged, but smoking of cigarettes or the hookah is common in Islamic countries. Unable to load your collection due to an error, Unable to load your delegates due to an error. "What it really takes" - A qualitative study of how professionals coproduce healthcare service with immigrant patients. 2002 Aug;2(4):222-8. doi: 10.1053/adnc.2002.34550. Careers. Cultural sensitivity in caring for the Muslim patients requires a basic understanding of Islam. 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% . After confirming the diagnosis, family decides to make the patient DNR/DNI. He added that in his experience, many patients gravitate towards their faith during a hospital stay or illness. Fasting during the holy month of Ramadan. Guimond ME, Salman K. Modesty matters: Cultural sensitivity and cervical cancer prevention in Muslim women in the United States. The imam prays with her and comforts her by indicating that special healing prayers will take place during Jummah (Friday noon prayer) by the hospitals Muslim community. As we prepare for the inevitable reality of death, and the accompanying pain and . It is also suggested that men are required to cover from navel to the knee, and some will wear a small head covering, called a kufi. By Staff Writer. Ahead of Ramadan, Dr. Yosef Khan, National Director for Healthcare Quality Research and Bioinformatics with the National Heart Association, led a webinar for NAFC members about culturally competent care of Muslim patients on behalf of the Islamic Medical Association of North America (IMANA). Muslim patients must be understood in order to treat their mental illnesses. Muslims are a diverse group, and there is no single way to care for them. The https:// ensures that you are connecting to the Interprofessional training focused on care in advanced illness for older Muslim patients might include a review of the following: The Five Pillars of Islam, Procedures Related to Prayer, Principles of Pain/Symptom Management, Role of Family and Religious Leaders in Health Decisions, Islamic Definition of Death, Obligation to Preserve Life and the Exceptions, and Procedures Related to Death.46,48 With the growing focus on interprofessional health professions education and interdisciplinary health care delivery,49 it may be beneficial to add a Muslim clinician to the health care team in areas where there are substantial Muslim populations. Islam is currently the 3rd most common religion in the United States, with 3-4 million members, and the NAFC serves 20 Muslim clinics. Clinicians and systems are not insulated from the undercurrent of discrimination against Muslims. Washington, DC: American Psychiatric Association; 2013:750-757.6. PMC Muslim Americans widely seen as victims of discrimination [Internet]. As a result, the care of Muslim patients provides challenges for many non-Muslim healthcare providers. Oncology nurses need to recognize the influence of men in the life of Muslim women and attempt to involve them in the health decision-making process (Kawar, 2013). Foods contaminated with any of the above products. Other barriers may be due to the complexity of the health care system and the lack of culturally competent medical services and professionals. -, Aboul-Enein BH, Aboul-Enein FH. The .gov means its official. Journal of Transcultural Nursing, 19, 284291. Most will not eat pork products. HHS Vulnerability Disclosure, Help This practice has been associated with oral cancer. Health care professionals responses to religious or spiritual statements by surrogate decision makers during goals-of-care discussions. For the bedridden patients who cannot fully prostrate themselves, it would show a great sign of respect to position the bed to face Mecca, which is southeast in the U.S. Death and its preparation are very important parts of the Islamic life cycle. The experience of advanced or terminal illness adds another layer to this culturally and religiously embedded behavior, particularly for women. 2013;52(10):1101-1115. It can be a challenge for religious Muslims to navigate the decidedly secular US health system and the approaches to care that characterize it. 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. For example, Muslims should be provided with dietary information that is consistent with their religious beliefs. For example, if a male healthcare professional is talking to or asking questions of a female patient while her partner is in the room, but the patient does not respond, the healthcare professional should ask the patient if she would prefer he talk to the partner. 2017 Oct;24(4). 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. E-mail: First Amendment to the United States Constitution, Bill of Rights (Dec 15, 1791). Support Care Cancer. This year, it falls in May as days grow longer. Islamic medical ethics must be learned by healthcare professionals in order to resolve ethical issues that may arise in the care of a Muslim patient. Epub 2020 Jan 15. When caring for a Muslim patient, being sensitive to the traditions and cultural norms can go a long way to forming a strong patient-physician relationship. PMC All patients should be advised to maintain a healthy diet throughout the lengthy period without food. 1 R13 HS 15630-01/HS/AHRQ HHS/United States. Epub 2022 Dec 16. Cultural competence in nursing Muslim patients. Nursing Times. Zahner SJ, Corrado SM. Overall, Dr. Khan explained that starting a conversation about faith with patients is important to providing the highest quality of care for them and improvingoutcomes. While fasting, patients must refrain from eating or drinking anything, including water, food, and most . Place the patient in a room on the perimeter of the clinic . Patient-centered care requires health professionals to look past news headlines and unchecked social media so they can deliver high-quality care to all patients. The Islamic faith can influence decision-making, family dynamics, health practices, risks, and the use of healthcare. These people do not need to fast. There is, of course, variation between individual Muslim patients and families. Some may view their mental illness as a weakness of faith, a punishment by God, or an affliction caused by a supernatural spirit, and therefore may feel that following religious doctrine will resolve their psychological distress.4 They may need additional encouragement to see a therapist or take psychotropics, and they may prefer specific treatments that reflect their cultural values, such as supplements. Background Cancer is a global disease that affects all populations, including Muslims. The handbook aims to help health workers understand the religious beliefs and practices of Muslims that can affect health care, and provide links to further advice and resources. In order to protect the patient from harm, precautions are taken, and proportionality requires that any treatment be effective and not excessive. Her husband provides minimal emotional support. Muslim patients may also have a different concept of healing than non-Muslims because of their religious beliefs. Nuclear or extended family is the core institution of Muslim society, and decisions regarding health and treatment are made collectively (Ezenkwele & Roodsari, 2013). Islam provides spiritual guidance as well as an emphasis on maintaining health. Tips For Preventing Illness In Immunocompromised Patients. Beneficence, justice, humanity, precaution, and proportionality are the five basic principles of Islamic medicine. 2021 Jul;29(7):3697-3705. doi: 10.1007/s00520-020-05881-4. Gender concordance of clinicians is linked to modesty as well. Ernecoff NC, Curlin FA, Buddadhumaruk P, White DB. Muslim womens narratives about bodily change and care during critical illness: A qualitative study. Non-Muslim nurses must have theoretical and empirical insights into treatment methods and caring for terminally ill Muslim patients. WHO definition of palliative care [Internet]. Karen Peterson-Iyer. This site needs JavaScript to work properly. www.pewforum.org/files/2014/01/global-religion-full.pdf, https://doi.org/10.1007/s11606-011-1965-5, https://doi.org/10.1016/s0140-6736(11)61041-6, https://doi.org/10.1007/s10903-007-9106-2, https://today.yougov.com/news/2015/02/20/muslim-americans-widely-seen-victims-discriminatio/, https://doi.org/10.1007/s00520-011-1335-1, https://doi.org/10.1001/jamainternmed.2015.4124, https://doi.org/10.1007/s10943-014-9942-z, https://doi.org/10.1016/j.jpainsymman.2016.05.034, https://doi.org/10.1016/j.socscimed.2007.07.029, www.nationalconsensusproject.org/NCP_Clinical_Practice_Guidelines_3rd_Edition.pdf, www.who.int/cancer/palliative/definition/en/, https://doi.org/10.1080/00981389.2015.1046574, https://doi.org/10.1097/01.cnq.0000314472.33883.d4, https://doi.org/10.1080/13557851003624273, https://doi.org/10.1007/s10943-010-9357-4, https://doi.org/10.1136/bmj.331.7531.1486, https://doi.org/10.1016/s0140-6736(05)67183-8, https://doi.org/10.1007/s10943-010-9428-6, https://doi.org/10.1007/s10943-015-0157-8, https://doi.org/10.1017/s0144686x14001007, https://doi.org/10.1111/j.1547-5069.2011.01427.x, https://doi.org/10.1007/s11019-012-9382-z, https://doi.org/10.1016/s0140-6736(11)60236-5, https://pmr.uchicago.edu/training/iim-internship, https://doi.org/10.1177/104990910101800409, https://doi.org/10.1377/hlthaff.2013.0827, https://doi.org/10.1097/00124784-200405000-00010. Careers. Provider perspectives on patient-centered contraceptive counseling for Latinas in Baltimore, MD. Ramadan lasts for 30 days and is based on the Islamic lunar calendar, which is 10 to 12 days shorter than the solar calendar and starts at sunset. 5: Let Your Muslim Patients Take the Lead With Shaking Hands 1. MeSH Religion and mental health: the case of American Muslims. Zaidi D. On strengthening compassionate care for Muslim patients. Nursing Times. Washington, DC: American Psychiatric Association; 2013:750-757.6. Disclaimer. The site is secure. 2004;43(1):45-58.5. 2023 Feb 9;23(1):135. doi: 10.1186/s12913-023-09132-0. Ramadan Ramadan is a holy month that requires fasting from sunup to sundown, meaning nothing of nutritional value can enter the body, including water. Area of most recent Muslim patient care. 2012;6(2):15-37.3. Doing so can help build the therapeutic alliance and improve the accuracy of the diagnosis and the appropriateness of treatment. Ahmed S, Atkin K, Hewison J, Green J. Female patients or residents should only be cared for by female staff. Schizophrenia & Other Psychotic Disorders, Meeting the mental health needs of American Muslim patients, White House opioid panel calls for more addiction specialists, MedPAC offers more details of MIPS replacement, Public health hazard: Bring your flu to work day, MACRA Monday: Documenting current medications, Former pharma exec nominated for top HHS post, MACRA Monday: Elder maltreatment screening, CMS to enlist Medicare Part D plans to combat opioid abuse, Marketplace confusion opens door to questions about skinny plans, HealthCare.gov seeing more action this fall, Drug prices a key focus of Senate HELP examination of Azar nomination, Managing Partial Response to Antidepressant Therapy, Nurse Practitioners / Physician Assistants, Ask about what roles their culture and religion play, Understand their explanation of their symptoms, Work to overcome any stigma patients may perceive related to having a psychiatric disorder, Engage your team to identify cultural and religious factors. (2013). If patients cannot stand up for prayer, they can sit in a chair or bed (Ezenkwele & Roodsari, 2013). Muslims will prefer to use their right hand for eating and drinking. This site needs JavaScript to work properly. The intimate nature of cancer and cancer treatment call for oncology nurses to develop a deeper understanding of the cultural practices and health beliefs of Muslim patients. The following are some general guidelines for providing care to Muslim patients in the cancer care setting. With all patients, the care should be crafted to fit the individual. Diversity and Equality in Health and Care, 9, 171. Zeilani R, Seymour JE. Embalming should be avoided unless required by civil law, and cremation is not allowed by Islamic law. 1. Healthcare and Medical News for Atlanta Physicians. Bethesda, MD 20894, Web Policies 4: Respect the Modesty of your Muslim Patients All health practitioners should be able to provide culturally competent care. Muslims are considered to be the fastest-growing religious group in the world. Lovering, S. (2012). Barriers to breast cancer screening participation among Jordanian and Palestinian American women. The nation's highest court sided with a Catholic foster care agency in Philadelphia in 2021 that declined to consider same-sex couples as clients. The handbook covers a range of topics includingprayer, holy days, fasting, end of life issues, sexual and reproductive health, and food requirements. Shah SM, Ayash C, Pharaon NA, Gany FM. However, if there is no alternative to a necessary medication, consumption isallowed. (In 2018, Ramadan starts May 15 and last through June 14.). Muslims will generally wash their hands, face, and feet in preparation for prayer (known as wudu).22 Balboni TA, Vanderwerker LC, Block SD, et al. Pittsburgh, PA 15275 3. Before each prayer, Muslims perform the ablution (wudu), which is washing the exposed parts of the body such as face, hands, and feet (Najeh, 2004). This is an important concern for Muslim patients with advanced illness who spend a good deal of time in hospitals, clinics, and other health care environments. Pumariega AJ, Rothe E, Mian A, et al; American Academy of Child and Adolescent Psychiatry (AACAP) Committee on Quality Issues (CQI). However, there are some general guidelines that can be followed to ensure that Muslim patients receive the best possible care. Ali M, Adams A, Hossain MA, Sutin D, Han BH. Methods: Before Cultural formulation interview. 3. The following are examples of prohibited items, i.e. The role of imams in American Muslim health: Perspectives of Muslim community leaders in Southeast Michigan. The literature has identified the influence of religious beliefs and cultural values on Muslim patients notions of healing. HHS Vulnerability Disclosure, Help In Islamic art, images of humans and animals are considered dead because the only thing that can be created is God. 2022 Nov 14.

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