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Caring for Hindu Patients PDF

138 Pages·2016·2.438 MB·English
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0108014 246x352 1pp 13/6/08 10:22 Page 1 C CARING FOR HINDU PATIENTS a r i Hindus form a significant proportion of society today, and healthcare professionals in all settings and n g locations need an awareness of their beliefs and cultural expectations, to communicate effectively f and provide care in an appropriate manner. This book provides that information in a concise and o r practical form. H With a brief and cohesive overview of Hinduism, and a short examination of the population’s i n demographic diversity, the book explores issues such as language, dress, diet and festivals with d emphasis on their practical relevance to healthcare professionals. u P Considering the health needs of Hindu patients at various life stages, the book focuses on birth and a t childhood, and adult issues related to marriage, family structure, contraception, abortion, infertility i e and adoption. It also enhances the reader’s understanding of Hindu approaches to death, to help n medical and nursing staff offer care sensitive to the needs of Hindu patients – needs that extend well t s beyond the immediate and the physical, and encompass longer-term emotional and spiritual requirements. The book is essential practical reading for every healthcare professional. ‘To improve the health of our patients, we need to be able to address all the issues which affect their health and wellbeing. This includes not only diseases but also their environment, education, employment and spiritual health. To be successful, we need to know far more about the context of people’s lives, their religions and the cultures in which they have been brought up. This book is vital to E any modern-day health professional. It helps us diagnose and care for Hindu patients, but goes beyond d it this on a journey that makes us far better health carers. It teaches us to speak the “language” of all our e d patients.’ Sam Everington in the Foreword b y D Other Radcliffe books of related interest iv ia s h CARING FOR MUSLIM PATIENTS CARING FOR DYING PEOPLE T h Second Edition OF DIFFERENT FAITHS a k Edited by Aziz Sheikh and Third Edition ra r Abdul Rashid Gatrad OBE Julia Neuberger , R a s CARING FOR JEWISH PATIENTS TRANSCULTURAL GERIATRICS a m Joseph Spitzer caring for elderly people of Indo-Asian origin a Edited by Diviash Thakrar, n d THE DOCTOR’S COMMUNICATION Partha Ghosh and Shahid Anis Khan ala HANDBOOK NARRATIVE-BASED PRIMARY CARE D Rasamandala Das and Aziz Sheikh a Fifth Edition a practical guide s a n Peter Tate John Launer d A z iz S Foreword by Sam Everington OBE h e ik ISBN: 978-1-85775-598-5 h www.radcliffe-oxford.com Electronic catalogue and worldwide online ordering facility. 9 781857 755985 Caring for Hindu Patients Caring for Hindu Patients Edited by DIVIASH THAKRAR General Practitioner, Northwood GP with Specialist Interest in Cardiology, Hillingdon Hospital RASAMANDALA DAS Educational Consultant based in Oxford specialising in Education and Hinduism and AZIZ SHEIKH Professor of Primary Care Research and Development University of Edinburgh Foreword by DR SAM EVERINGTON obe General Practioner, Tower Hamlets Radcliffe Publishing Oxford (cid:129) New York CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2008 by Diviash Thakrar, Rasamandala Das and Aziz Sheikh CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20160525 International Standard Book Number-13: 978-1-138-03084-8 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, please access www.copyright.com (http://www.copyright.com/) or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of users. For organizations that have been granted a photocopy license by the CCC, a separate system of payment has been arranged. Trademark Notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe. Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site http://www.crcpress.com Contents Foreword vii Preface ix Contributors x Acknowledgements xii Introduction 1 Part One: The Hindu tradition 1 Hinduism: the tradition speaks for itself 5 VIPIN AERY, RASAMANDALA DAS AND KRISHNA DHARMA 2 Social and demographic characteristics of Britain’s Hindu population 25 DR ROGER BALLARD Part Two: Issues related to healthcare 3 The need for cultural sensitivity 41 DR HEENAKUMARI GHANSHYAMBHAI PATEL, DR PAUL OLIVER AND DR BHANU RAM 4 Birth and childhood customs 55 DR NILAMANI GOR 5 Marriage and family life 65 DR VIBHA RUPARELIA 6 Death and bereavement 77 DR DIVIASH THAKRAR AND VIPIN AERY Appendices 1 Important Hindu deities 85 RASAMANDALA DAS 2 Twelve important festivals 87 RASAMANDALA DAS 3 Important Hindu groups represented in the UK 89 RASAMANDALA DAS 4 Hindu resources on the World Wide Web 93 DR BHAVESH KATARIA 5 Dietary leafl ets 101 AUDE CHOLET Glossary 115 NIMA SUCHAK Foreword Mahatma Gandhi’s life is an inspiration to all of us. He was a great healer of individuals and communities. Learning about his religion and way of life helps us as health professionals to be far more than scientists. To be really successful, we have to use our role to help individual patients with all their health needs, while at the same time improve the health of all the communities in which we live. Many of us were trained to be scientists. Today with the access to knowledge that most people have, and a more equal society, we need to have far more inclusive and adaptable skills. The relationships we have with our patients need to range from being a scientist to a counsellor, from a friend to a partner in self care. Our knowledge also needs to be much wider. To improve the health of our patients, we need to be able to address all the issues which affect their health and wellbeing. This includes not only diseases but also their environment, education, employment and spiritual health. To be successful, we need to know far more about the context of people’s lives, their religions and the cultures in which they have been brought up. This book is vital to any modern-day health professional. It helps us diagnose and care for Hindu patients, approximately one in a hundred of our community, but goes beyond this on a journey that makes us far better health carers. It teaches us to speak the ‘language’ of all our patients. If we learn to do this, any consultation will have a better outcome. In particular, the 80% which are about long-term illness. Evidence now suggests that some of the biggest improvements in the care of chronic disease will come from helping our patients to manage their own illnesses. For us to make all this happen, we have to understand the context in which all our patients live. Dr Sam Everington Barrister, OBE General Practitioner, Tower Hamlets Deputy Chair, BMA, 2004–07 (Acting Chair, 2007) Ministerial Advisory Board on Primary Care (Access), 2007–present May 2008 vii This is a concise and easy to read text which provides valuable information for the busy medical professional working in a modern multi-cultural practice. This book is a goldmine of insights into Hinduism with helpful summaries and appendices on matters as they relate to health. Understanding culture and tradition improves the care and communic a- tion we have with our patients and this book covers many of the important issues and rituals from birth through to death. There are also clear sign- posts to other resources and key sites on the web. This book should be available in every healthcare environment. Dr Ivan F Trotman md frcp Consultant Physician, Mount Vernon Hospital Clinical Director, Mount Vernon Cancer Network How does one rise to the challenge of representing the multiple facets and interpretations encapsulated within Hinduism for those interested in caring for the Hindu patient? This concise book rises to this challenge and elegantly succeeds by approaching the subject matter innovatively by focus- ing on the key concepts that explain both the similarities and differences between different Hindus. Through the metaphorical cycle of birth, mar- riage and death, the authors guide the reader towards developing cultural sensitivity to aid their consultations as well as inform them of Hindu beliefs and practices relevant to the care of the Hindu patient. The case studies and the appendices full of practical tips are a great help to busy practition- ers faced with Hindu patients on a regular basis. Dr Sabby Kant mrcgp GP and Medical Author The Hindu faith is considered ‘a way of life’ pervading all aspects of its adherents’ day-to-day existence. As a Minister of the Hindu Faith and medi- cal doctor I consider this book a comprehensive and exceptional account of Hindu ethos coupled with clear practical applications when interacting with Hindu patients. Dr Raj Pandit Sharma President, Hindu Priest Association UK Preface Providing high-quality clinical care for the diverse communities that now make up British society is an important challenge for the NHS; furthermore, the extent to which this is achieved is a clear indicator of our social commitment to equal opportunities. However, achieving this aspiration is no easy task, as evidenced by persistent health inequalities – and this despite the good intentions of the skilled and diligent professionals who plan, deliver and evaluate care. Many people from within these minority faith and ethnic communities believe that this, to a large extent, refl ects an inadequate understanding of the relationship between religious and ethnic identities, and the impact of these identities on access to care and the quality of its delivery. There is now a large and relatively well-established Hindu community in Britain, members of which are making a substantial and important contribution to the social, economic and intellectual development of these isles. This cont ri- bution is increasingly recognised. Far less appreciated is that members of this same community have particular health and social care needs. Caring for Hindu Patients is an extremely welcome publication. For the fi rst time, it provides carefully considered, evidence-based and readily accessible insight into the healthcare needs of British Hindus. With its contributions from well-respected members of the British Hindu community and others, it will, we hope, prove to be a much-valued resource for medical, nursing and other health- care professionals, working both in hospitals and community settings. We wish this landmark work the success it deserves. National Council of Hindu Temples, Hindu Forum of Britain, Hindu Council UK, BAPS Swaminarayan Sanstha and ISKCON May 2008 ix

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