Unit 14: Cultural and Spiritual

What are the 4 C's of Cultural Assessment?

CALL, COPE, CONCERNS, CAUSED.

CALL

What do you call the problem you are having now?

COPE

How do you cope with the problem?

CONCERNS

What are your concerns regarding the problem?

CAUSED

What do you think caused the problem?

What are important nursing considerations for a Muslim patient?

Women must be cared for by female providers, especially during childbirth.

What type of provider may a Muslim woman prefer?

A female provider, especially during childbirth.

What should Muslim women wear in the presence of males?

Head and body coverings.

What are Muslim patients' handwashing considerations?

They follow strict rules about hand washing.

How often do Muslim patients pray?

5 times a day, facing Mecca.

What foods and drinks do Muslim patients avoid?

Alcohol and pork.

What is Ramadan?

A holy month when Muslim patients may fast.

What should nurses know about Muslim patients who are dying?

Dying patients may confess their sins.

Which direction should a Muslim patient's body face after death?

Facing Mecca.

How is a Muslim patient's body prepared after death?

The body is washed, wrapped in white cloth, and a prayer is said.

How soon should a Muslim patient's burial take place?

As soon as possible (ASAP).

What are important nursing considerations for a Hindu patient?

They may be modest and prefer same-gender caregivers.

Which hand is considered clean in Hindu culture?

The right hand.

Which hand is used for unclean tasks in Hindu culture?

The left hand.

Which hand should a nurse use when shaking hands with a Hindu patient?

The right hand.

What dietary practices may Hindu patients follow?

Some are strict vegetarians and refuse medications with animal byproducts. Others avoid pork or beef.

What should nurses know about Hindu patients and medications?

Some may refuse medications containing animal byproducts.

When might Hindu patients fast?

During times of crisis.

What position might a Hindu patient prefer near death?

Lying on the floor.

What might a Hindu patient wear during death rituals?

A thread around the neck or wrist.

What may Hindu patients prefer after death?

Cremation.

What should nurses know about life support for Hindu patients?

They may not want artificial prolongation of life.

What are important nursing considerations for a Jehovah's Witness patient?

Many are strictly against receiving blood transfusions, blood byproducts, or blood as food or medication.

What should nurses know about blood transfusions for Jehovah's Witness patients?

Many refuse any type of blood transfusion.

Can Jehovah's Witness patients receive medications containing blood byproducts?

Many refuse medications containing blood byproducts.

Are organ donation and transplantation generally allowed for Jehovah's Witness patients?

Yes, they are generally allowed.

What foods do Jehovah's Witness patients avoid?

Foods containing blood or prepared with blood.

Do Jehovah's Witnesses believe in an afterlife immediately after death?

No, they do not believe in an immediate afterlife.

How may Jehovah's Witnesses view death?

As a time of celebration rather than sadness.

What are Jehovah's Witness burial practices?

Similar to other Christian faiths.

What should nurses know about cameras and recording devices during Jehovah's Witness death rituals?

Cameras and recording devices generally aren't permitted.

What are important nursing considerations for a Jewish patient?

Some practice a Kosher diet.

What is a Kosher diet?

A diet that follows Jewish religious dietary rules.

What happens on the 8th day after a Jewish male's birth?

Circumcision is performed.

Who may a Jewish family want to speak with when death is expected?

A Rabbi about end-of-life care.

How soon should a Jewish patient's burial take place?

Usually within 24 hours after death.

Is embalming preferred in Jewish traditions?

No, embalming is not preferred.

What are important nursing considerations for a Scientology patient?

They oppose psychiatry, psychology, and medications that alter the psyche or sensations in the body.

What does Scientology believe about psychiatry and psychology?

The Church of Scientology opposes psychiatry and psychology.

What types of medications may Scientologists oppose?

Medications that alter the psyche or sensations in the body.

What are Scientology beliefs about childbirth?

Births should be silent.

What should nurses know about epidurals and other birthing drugs for Scientologists?

The church does not support epidurals or other drugs commonly used during childbirth.

What does Scientology teach about breastfeeding?

The church does not support breastfeeding.

What are Scientology beliefs about physical health?

They promote physical fitness and mental health.

Is tobacco endorsed in Scientology?

No, tobacco use is not endorsed.

What do Scientologists believe happens to the soul after death?

The human soul passes from one body to the next through reincarnation.

Do Scientologists believe the soul is judged after death?

No, the process is automatic with no judgment of the soul.

Are there rituals before death in Scientology?

No, there are no rituals before death.

What burial options are accepted in Scientology?

Burial or cremation.