Communication:
Primary
language is Arabic. Speech may be loud, expressive, and involve gesturing, with
an emphasis placed on nonverbal communication; avoid misinterpreting as anger
or confrontation. Title is important; ask how Pt or family prefers to be
addressed. Shaking hands (right hand only) is okay, but males should not initiate a handshake with a female.
Health-care Practices:
Same-gender
health-care provider is strongly preferred. Reluctant to share sensitive
medical information with someone other than family and friends.
Diet and Nutrition:
Pork,
pork products, and alcohol are prohibited by Muslims; medications should not
contain alcohol. Bread should accompany all meals. Pass food to Pt only with
your
right hand. During Ramadan, fasting is required from sunup until sundown.
Pain Management:
Most
individuals are stoic around strangers; take cues from family members regarding
patient discomfort. Pain medication is acceptable.
Death and Dying:
Pts should
face Mecca (NE from the U.S.) when death is imminent. Autopsy (if needed),
organ donation, and transplant are acceptable.
Taboos and Disrespect:
The left
hand is used for toileting and is considered dirty.
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