how religion, culture affect spirituality

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    How religion & culture affect spiritualityAdapted from:1. Weber, J., & Kelly, J., (2007). Health Assessment in Nursing, 3rd. Edition. Philadelphia: Lippincott Williams & Wilkins.)2. Dillon, P., (2007).Nursing Health Assessment: A Critical Thinking, Case Studies Approach. Philadelphia: F.A. Davis Company

    Religion Culture Spiritual beliefs / meaning of life or sources of strength / healthcare practices

    Buddhism Malaysian Chinese:- Cantonese- Hokkien- Teochew- Hakka

    Others ethnicity

    Overview Illness End of life Nutrition

    Suffering is a part ofhuman existence, but theinward death of self andsenses leads to a state

    beyond suffering andexistence.

    Prayer and meditation areused for cleansing andhealing.

    Terminal illness may beseen as a uniqueopportunity to reflect onlifes ultimate meaning

    and the meaning of onesrelation with the world.

    Therefore, it is importantthat medication does notinterfere withconsciousness.

    Life is the opportunityto cultivateunderstanding,compassion, and joy forself and others.

    Death is associated withrebirth.

    Serene surroundings areimportant to the dignityof dying.

    Many are strictvegetarians.

    Some holy daysinclude fasting fromdawn to dusk butconsiderations areallowed for frail and

    elderly for whomfasting could createproblems.

    Hinduism Malaysian Indian:- Tamil- Malayalees

    - SindhisOthers ethnicity

    Nirvana (oneness withGod) is the primary

    purpose of the religion.

    Many have an altar intheir home for worship.

    Illness is the result of pastand current life actions(Karma).

    The right hand is seen asholy, and eating andintervention needs to be

    with the right hand topromote clean healing.

    Death marks a passagebecause the soul has nobeginning or end.

    At death the soul maybe reborn as anotherperson and ones Karma

    is carried forward.

    May but not all arevegetarian. Many holydays include fasting.

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    Religion Culture Spiritual beliefs / meaning of life or sources of strength / healthcare practices

    Hinduism Malaysian Indian:- Tamil- Malayalees

    - SindhisOthers ethnicity

    Overview Illness End of life Nutrition

    It is important forKarma to leave this life

    with as little negativityas possible to insure abetter life next birth.

    Holy water and basilleaves may be placed onthe body; sacred threadsmay be tied aroundwrist or neck.

    The deceased arm

    should be strengthened.

    Islam Malaysian MalaysOther ethnicity

    Mohammed is believedto be the greatest of all

    prophets.

    Worship occurs in amosque. Prayers occurs 5times a day.

    Prayers are done facing

    east toward the sacredplace in Mecca - Kiblatand often occur on a

    prayer rug with ritual

    washing of hands, faceand feet prior prayer.

    Allah is in control of thebeginning and end of life,and expressions of

    powerless are rare.

    To question or askquestions of healthcare

    providers is considered asign of mistrust so pts and

    family are less likely toask questions

    All outcomes, whetherdeath or healing, areseen as predetermined

    by Allah.

    It is important for dyingpts to face east and diefacing east.

    Prayer is offered butneed not be done by anImam (religious leader)

    Consumption of porkor alcohol is

    prohibited.

    Other meats must meetritual requirementsHalal.

    During the holy days

    of Ramadhan neitherfood nor drink is takenbetween sunrise andsunset, though frail, ill

    and young children areexempt.

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    Religion Culture Spiritual beliefs / meaning of life or sources of strength / healthcare practices

    Islam Malaysian MalaysOther ethnicity

    Overview Illness End of life Nutrition

    Women are to bemodest and are not to

    view men, other thantheir husbands, naked.

    Christianity A mixture of ethnicity Beliefs focus around the

    Old and New Testamentsof the Bible and viewJesus Christ as theSaviour.

    Prayers may be directedto one or all the Holy

    Trinity (God, Holy Spirit,and Jesus Christ).

    Beliefs usually culturallydeveloped vary withindenominations.

    Most view illness as a

    natural process for thebody and even as a testingof faith.

    Others may see illness as acurse brought on by livingoutside the laws of God

    and, therefore, retributionfor personal evil.

    There is belief in

    miracles, especiallythrough prayer.

    Western medicine isusually held in highregard.

    No special or universal

    food beliefs arecommon to Christiansreligions, althoughthere may be regionalor cultural beliefs.

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