Strategies for improving cultural competence in individuals and
systems include:
- Encouraging family to participate in healthcare decision
making
- Incorporating culture-specific values into health
promotion
- Providing cultural awareness training
- Providing an environment that allows traditional healers
- Providing interpreter services
- Recruiting minority staff
Hinduism
Hinduism is one of the world's oldest religion with roots and
customs dating back more than 4000 years. It is the third-largest
religion, with nearly one billion followers worldwide.
Beliefs
- An attitude of mutual tolerance and belief that all approaches
to God are valid.
- Duties to God, parents, society, and teachers.
- Future lives influenced by how one faces disability, illness,
or death.
- Goal to break free of an imperfect world and reunite with
God.
- Pain and suffering are seen as a result of prior actions
(karma).
Death
- The atmosphere around a dying person must be peaceful.
- Autopsy and organ donation acceptable.
- Children under age two usually buried.
- Cremation is common on the day of death and the body not left
alone until cremated.
- Immediately after death, the family may wash the body and the
priest may pour water into the mouth.
- No restriction on the prolongation of life.
- Religious chanting before and after death by family, friends,
and priest.
- The Gita or scripture is recited to provide comfort.
- The last thoughts are of God
Diet
- Fasting is important on special holy days as wells as certain
days for the lunar calendar, and days of the week representing
specific deities.
- The right hand is used for eating and the left hand for
toileting and hygiene.
- Vegetarianism common, or may avoid beef and pork.
Health
- Bathing after a meal may be considered the cause of
dyspepsia.
- Blood and blood products acceptable.
- Father or husband is the primary spokesperson for the family
and to whom questions should be directed, and women may not request
special care.
- Hot water can be added to cold, but cold water may not be added
to hot.
- Organ donation and receipt acceptable.
- Personal hygiene important and daily bathing required.
- Prayer for health is not favorable; stoicism is
preferable.
Holy Issues
- Must be barefoot during religious worship
- Must sit at a lower elevation than where the deity image has
been placed.
- No formal hierarchical structure
- Not a church-based religion
- Praying, meditating, recitation, and scripture reading
- Special respect for elders
- Specific ceremonies vary due to local customs
- A supportive environment and privacy for rites
- Ten to eleven days after birth, the
- priest performs the naming ceremony.
Pregnancy
- Against abortion, unless the mother's life is in danger.
- Birth control and artificial insemination acceptable. ..
- Circumcision is uncommon.
- The exact time of birth is important.
- May not want to name the newborn immediately
Symbols and Rites
- Sacred writings and objects include candles, fresh flowers,
incense, prayer beads, and sandalwood.
Clinical Significance
- No clinical issues that inhibit healthcare.