Culture considerations- pacemaker

[rbanning33]

I am needing help with cultural considerations in patients with pacemakers and receiving pacemakers.

during surgery

jewish- blood transfusions

after

jewish- kosher diet? different than the dash diet

any other suggestions

[AceOfHearts<3]

Look up what a kosher diet entails, they can still follow the dash diet on it.

There are other religious groups that will refuse blood products, you should be familiar with the big one (jehovah's witness). I also wouldn't be that concerned about blood loss with a pacemaker assuming everything goes ok.

[NurseEmmy]

There are certain religions that are against nearly all medical interventions. Look into those as well.

[nutella, MSN, RN]

Considerations for Jewish patients:

1. Always ask about their specific needs - we are not "all the same" . There are different "denominations" plus level of observance varies.

2. Differences between orthodox, modern orthodox, reform, conservative, and recontructionist.

3. Ask if a pat wishes the kosher menu/diet - not everybody will do that as it can be difficult to eat for some.

4. If the patient and family observe Shabbat you need to discharge before it starts Friday afternoon/evening - times varies according to candle lightening time. Some patients will not go home until the end of Shabbat, which is Saturday afternoon/evening. So if you know the patient is Jewish and will be D/C on Friday or Saturday you need to ask if this is ok/acceptable. In the US, most will have no problems with getting discharged but some may.

5. Kosher diet -- you can also google Kashrut. Certain things are not eaten and there are a bunch or rules - would be too much to write about it but you can look it up. Sometimes family brings in food from home. Families or pat may ask you if the hospital has a kosher kitchen. If you have a Jewish pat at Passover, they will most likely ask you if the food is kosher for Passover. One hospital I worked at set up a kosher kitchen for the holidays and some patient would only eat the food after they confirmed with their Rabbi that it is ok.

6. Special rules about contact between genders for orthodox patients ....

7. Don't shave off a beard or long hair in front of the ears (males)

8. Orthodox women may wear a wig because some of them cover their hair when they are married - in that case you will see a wig stand - if you are a female nurse the female patient may ask your for assistance to cover the hair if they are unable to do so,

9. Modesty can be important..

10. When we die there are special rules for how to prepare a body and we like to be buried as soon as possible - the family would be able to tell you if that applies.

Hope that helps ...

[amoLucia]

Is this homework? What have you discovered during YOUR research?

[rbanning33]

thank you!