• book review,  healthcare,  readings,  spiritual care,  spirituality

    Notes on the book by Puchalski, C. M., Ferrell, B. “Making Health Care Whole: Integrating Spirituality into Patient Care”

    This book is created on the basis of the national conference, where spiritual and palliative care experts gathered to discuss guidelines for incorporating spirituality into palliative care. The question is vital as in the past years there has been more and more attention given to the role of spirituality within palliative care, its necessary part in caring for ill and dying patients. Simply recognizing the importance of addressing spiritual issues in healthcare proves not to be enough, and the healthcare professionals need to be educated specifically on what spirituality is and how spiritual care should be delivered.  The book “Making Health Care Whole” is meant to provide necessary definitions of…

  • book review,  opinion,  readings,  religion,  spiritual care

    Notes on “Midrash and Medicine. Healing Body and Soul in the Jewish Interpretive tradition”

    The book is a collection of essays and articles that present the views of some of the most sensitive people to the ideas of jewish cultural tradition of midrash within the healthcare settings. The book is divided into themes, within each of them two different people present their perspective views on the given subject. These are not always the opposite views, I would rather call them complementary of each other. For example, in the first pair essays exploring the use of metaphors in the healing process both Rabbi Simka Y. Weintraub and Stuart Schoffman describe the use of metaphors in understanding of one’s illness and in accessing the healings. While…

  • book review,  cultural competency,  healthcare,  readings,  religion,  spirituality

    Notes on the book by Anne Fadiman “The Spirit Catches You and You Fall Down”

    The book “The Spirit Catches You and You Fall Down” raises many issues, including the cultural barriers, their impact on health care, immigration, racism, laws and rules, and many more. While the book is really about the collision of two systems – the system of medical care in United States and the world system of the Hmong population, it is also about the deeper reasons for the problems that rose in this story. A lot of the Hmong character, brave and noncompliant, is demonstrated through the history of the Hmong people, their involvement in the “American” war (where it was seen as an advantage), their belief that the U.S. is…

  • book review,  holistic approach,  opinion,  readings,  spirituality

    Notes on “Health and Long Life The Chinese Way”

    a book by Livia Kohn This book is a comprehensive guide through the Chinese system of viewing the person in the Universe. It is written in a very structured way, so that even those who are unfamiliar with the numerous words and concepts do not get confused and are able to grasp the idea of the Chinese view.  The body in Chinese health and long life practices is a constantly moving and changing combination of different forms of Qi (life energy). The organs within the body are classified according to the five phases which correspond with the seasons and the Five elements, such as Wood, Metal, Earth, Water, and Fire.…

  • book review,  healthcare,  holistic approach,  opinion,  readings,  spirituality

    Notes on the book “Modern and Global Ayurveda : Pluralism and Paradigms”

    Modern and Global Ayurveda is a collection of papers presented at a 2004 conference convened by the Dharam Hinduja Institute of Indic Research at the University of Cambridge edited by Dagmar Wujastyk, an independent scholar in Indology at the University of Bonn and Frederick M. Smith, Professor of Sanskrit and Classical Indian Religions at the University of Iowa. This book briefly touches the history of Ayurveda and then explores in detail its development in the modern times, its coexistence with classical western medicine, the ideological differences between the “ancient” and modern ways of teaching and practice, its growth in the West and it’s new appearance back in India. In other…

  • articles,  cultural competency,  healthcare,  opinion,  readings,  religion

    Notes on article by N. E. Conner and L. S. Eller “Spiritual perspectives, needs and nursing interventions of Christian African–Americans”

    The article concludes that “the potential for spiritual care to influence both the psychological and physiological health of patients either directly or indirectly speaks to the urgency of providing patients with appropriate spiritual assessment and interventions” (631).  I found this to be the most important part of the article, because while the authors had chosen to explore one subgroup as an example of the spiritual needs of the patients, this conclusion refers to all patients. “Respondents also wrote in their need for nurses to pray with and share personal beliefs with them. We found that 41% of desired spiritual nursing interventions were related to nurses’ direct participation in spiritual activities,…

  • articles,  cultural competency,  healthcare,  opinion,  readings,  religion

    Notes on the case study by T. Borneman, O. Klein, J. Thomas, B. Ferrel “Spiritual Care for Jewish Patients Facing a Life Threatening Illness”

    The article is a case study of a 65 year old lady diagnosed with end-stage lung cancer, who is Jewish by birth but who does not share the Jewish religious beliefs. We are shown some of the challenges that chaplains and physicians would need to face in working with Jewish patients.  The quote below summarized the main idea of the article (case study): “[This case] illustrates the great differences in belief among jews and demonstrates that clinicians and chaplains cannot make assumptions based on a patient’s self-identification as Jewish”(p.61). We see that there is no one right way to deal with Jewish patients, just as there is not one particular…

  • articles,  cultural competency,  healthcare,  opinion,  readings

    Notes on the case study by E. Li and C. Wen “Should the Confucian Family-Determination Model Be Rejected?”

    This article describes a case that happened in a hospital in China, when a young lady on the 9th month of pregnancy came in and was diagnosed with severe pneumonia, followed by a sharp drop in cardiopulmonary function and general edema, and soon after arriving at the hospital went into coma. The doctors considered cesarian section as the optimal solution to save the lives of the mother and the baby, but the father of the child did not give his permission for the surgery, and the other relatives of the woman were hard to reach. Because the surgery had been postponed until the hospital could have consent from the family…

  • articles,  cultural competency,  healthcare,  readings,  religion

    Notes the article by by Sarah M. Whitman “Pain and Suffering as Viewed by the Hindu Religion”

    There are many interesting points made in this article, including the whole idea of acceptance and detachment from the outcome of whatever action. The idea of acceptance is central in Hindu religion as is the concept of Karma through which all the life’s misfortunes are viewed.  At the same time, the author shows us with the example of several scientific studies, that acceptance-based strategies in dealing with chronic pain have proved to be more efficient than control-based strategies. Bringing these scientific facts to parallel the religion-based approach is very helpful for medical professionals, for whom it may be difficult to grasp this strategy only based on belief.  Another interesting parallel…

  • book review,  cultural competency,  healthcare,  holistic approach,  readings,  religion

    Medicine is a Humane Art: the Basic Principles of Professional Ethics in Chinese Medicine by Zhang and Cheng

    This article provides a review of the history of Chinese medicine and the growth and development of medical ethics in this context. What I found especially interesting is the emphasis on the way ethics is addressed, how ethically right behaviour is promoted. We see that Chinese culture pays much attention to moral evaluation, which is expressed by the filial obedience, being respectful and nice to others independent of their social status, and in cherishing life, with appreciation of mortality. Confucius taught that everybody had an inner sense of right and wrong, which they knew by self examination, rather than by following laws and restrictions.  “Benevolence is the core of Confucian…