Caring for Hindu patients at the end-of-life: A narrative review.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY Accounts of Chemical Research Pub Date : 2024-10-03 DOI:10.1017/S1478951524000439

Brinda Raval Raniga, Savannah Kumar, Rebecca McAteer Martin, Craig D Blinderman

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Abstract

Objectives: This paper reviews the existing literature to identify specific challenges that may arise in the context of providing palliative and end-of-life (EOL) care for Hindu patients in the physical, psychological, and spiritual domains. We offer practical strategies where appropriate to mitigate some of these challenges. We review how the Hindu faith impacts EOL decision-making, including the role of the family in decision-making, completion of advance directives, pain management, and decisions around artificial nutrition and hydration (ANH) and cardiopulmonary resuscitation (CPR).

Methods: The PubMed, MEDLINE Complete, Cochrane, and Embase databases were searched for articles using the search strings combinations of keywords such as Palliative care, Hindu, Hinduism, End of Life Care, India, Spirituality, and South Asian. Once inclusion criteria were applied, 40 manuscripts were eligible for review.

Results: Our results are organized into the following 4 sections - how Hindu religious or spiritual beliefs intersect with the physical, psychological, and spiritual domains: and decision-making at the EOL.

Significance of results: Hindu beliefs, in particular the role of karma, were shown to impact decision-making regarding pain management, ANH and CPR, and advance directive completion. The complexity of Hindu thought leaves a significant role for interpretation and flexibility for individual factors in decision-making at the EOL.

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关爱临终印度教病人：叙述性综述。

目的：本文回顾了现有文献，以确定在为印度教患者提供姑息治疗和生命末期（EOL）护理时可能会出现的生理、心理和精神领域的具体挑战。我们在适当的地方提出了切实可行的策略，以减轻其中的一些挑战。我们回顾了印度教信仰如何影响临终决策，包括家庭在决策中的作用、预先指示的完成、疼痛管理以及人工营养和水化（ANH）和心肺复苏（CPR）方面的决策：方法：在 PubMed、MEDLINE Complete、Cochrane 和 Embase 数据库中使用缓和医疗、印度教、印度教、临终关怀、印度、灵性和南亚等关键词组合检索文章。采用纳入标准后，有 40 篇手稿符合审阅条件：我们的研究结果分为以下四个部分--印度教宗教或精神信仰如何与生理、心理和精神领域相互交融：以及临终关怀的决策：结果表明，印度教信仰，尤其是因果报应的作用，会影响有关疼痛管理、无创产前和心肺复苏以及预先指示完成的决策。印度教思想的复杂性为临终前的决策留下了重要的解释空间和个人因素的灵活性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.