Caring for patients of diverse religious traditions: Islam, a way of life for Muslims
George Mason University, College of Health & Human Services, Fairfax, Virginia 22030, USA. Home Healthcare Nurse
07/2007; 25(6):413-7. DOI: 10.1097/01.NHH.0000277692.11916.f3
You have been a nurse for many years, yet you have never cared for a patient who practices Islam until now. You are assigned to a Muslim family for a home visit. What aspects about Muslim beliefs and way of life might be helpful to know before your visit?
Available from: Hamdan Jahdali
- "Some believe that advance directives are not allowed because God (Allah) is the only one who may decide the future and life and death of a person while others believe that Muslims may be reluctant to issue advanced directives because they may believe that life and death are entirely in the hands of God, and only God can decide how long each person lives or when he or she dies. Thus patient should be left to " live " as long as God wills, not according to their own wills (Miklancie 2007; Gatrad 1994). We believe that there are no contradictions between believing in these concepts and in planning future medical therapy particularly in relationship with end of life issues. "
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ABSTRACT: Advance directives are specific competent consumers' wishes about future medical plans in the event that they become incompetent. Awareness of a patient's autonomy particularly, in relation to their right to refuse or withdraw treatment, a right for the patient to die from natural causes and interest in end of life issues were among the main reasons for developing and legalizing advance medical directives in developed countries. However, in many circumstances cultural and religious aspects are among many factors that can hamper implementation of advance directives. Islam and Muslims in general have a good understanding of death and dying. Islam allows the withholding or withdrawal of treatments in some cases where the intervention is considered futile. However, there is lack of literature and debate about such issues from an Islamic point of view. This article provides the Islamic perspective with regards to advance medical directive with the hope that it will generate more thoughts and evoke further discussion on this important topic.
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ABSTRACT: A cross-sectional studywas carried out to determine the prevalence of complementary and alternative medicine (CAM) use by breast cancer survivors.
A descriptivesurveydesignwasdeveloped. Information on sociodemographic characteristics, cancer clinical treatment history, and use of CAM were obtained through a modified self-administered questionnaire from 116 Malay breast cancer survivors aged 21 to 67 years who were 2 years postdiagnosis and currently undergoing follow-up treatment at breast cancer clinics at Hospital Kuala Lumpur and Universiti Kebangsaan Malaysia Medical Centre.
Data suggest that 64% of the participants were identified as CAM users; dietary supplements were the most common form used, followed by prayer and Malay traditional medicine. Within the wide range of dietary supplements, multivitamins were most often taken followed by spirulina, vitamin C, evening primrose oil, and herbal products. Contrary to other findings, the CAM users were found to be older, had secondary education levels, and were from middle-income households. However, there was no significant difference between CAM users and nonusers in this study. Family members played an important role as the main source of information along with doctors/health care providers, friends, and printed materials/mass media. The reasons participants gave for using CAM were mainly to assist in healing the body's inner strength, to cure cancer, and to reduce stress. Only half of the participants consulted with their physicians regarding the safety of CAM use. The participants began to use CAM while undergoing clinical treatments. Most of the participants used CAM for more than a year. About RM100 to RM149 (31.88 USD to 47.50 USD at press time) were spent monthly on CAM by 32% of the participants. The CAM use was found to be effective and beneficial for patients' disease states, and they were contented with the usage of the CAM therapies. Multivariate analysis revealed that thedecision to use or not to use CAM was not dependent on sociodemographic background or cancer clinical treatment history.
CAM was commonly used by breast cancer survivors as a coping mechanism to battle the disease.
Available from: Waqas Ahmed
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