Turkish imams and their role in decision-making in palliative care: A Directed Content and Narrative analysis

Muishout, George; Topcu, Nuray; Croix, Anne de la; Wiegers, Gerard; Laarhoven, Hanneke W. van

doi:10.1177/02692163221095200

Cited by 5 publications

(3 citation statements)

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“…It is important to involve the Muslim patient and their relatives in the decision making related to their medical care. They may wish to consult with their cleric or with the hospital chaplain to fully ensure that the animal-derived surgical product is acceptable for healing purposes when no other available alternative exists [ 38 – 40 ].…”

Section: Discussionmentioning

confidence: 99%

The muslim patient and medical treatments based on porcine ingredients

Bokek-Cohen,

Gonen,

Tarabeih

2023

BMC Med Ethics

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Porcine-derived products serve as an effective solution for a wide range of human ailments; however, there may be objections to their use due to Islamic religious prohibitions on consuming products derived from pigs. In order to enhance the cultural competence of medical practitioners who treat Muslim individuals, which constitute about one fifth of the world population, this study aimed at evaluating the knowledge and positions of Muslim patients on this subject. A questionnaire presenting 15 uses of porcine-derived materials was filled out by 809 Muslims. The level of knowledge about the permissibility of these uses and participants’ position on whether it should be approved was assessed. Findings show that Muslims are not familiar with Islamic religious jurisprudence that permits the use of porcine products to save lives after it has undergone an essential transformation known as Istihala. The respondents expressed a negative attitude towards the medical use of porcine-derived substances based on imprecise knowledge about the permissibility of use of porcine-derived materials, devices and treatments. We offer recommendations for improving the informed consent obtained from Muslim patients prior to conducting porcine-based treatments.

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Section: Discussionmentioning

confidence: 99%

The muslim patient and medical treatments based on porcine ingredients

Bokek-Cohen,

Gonen,

Tarabeih

2023

BMC Med Ethics

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“…9 While a legal right, there is acknowledgement in the literature that this has raised ethical concerns for clinicians, cultural groups and faith leaders. [10][11][12] The incidence of tracheostomy ventilation in MND patients is reported to be less than 1%. 13,14 The literature is therefore limited.…”

Section: Bispectral Index Monitoring Of Palliative Sedation For Home ...mentioning

confidence: 99%

“…9 While a legal right, there is acknowledgement in the literature that this has raised ethical concerns for clinicians, cultural groups and faith leaders. 10 –12…”

Section: Introductionmentioning

confidence: 99%

Bispectral Index monitoring of palliative sedation for home withdrawal of tracheostomy ventilation: A case report

Barclay,

Barbato,

Yerbury

et al. 2024

Palliat Med

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Background: Tracheostomy ventilation in motor neurone disease is an uncommon life-sustaining treatment. Best practice is having a plan for ventilation withdrawal, but the literature to guide practice is limited. Case reports have documented standard doses of opioids and benzodiazepines used for sedation in such cases. Case: A 49-year-old man was diagnosed with motor neurone disease in 2016. He commenced tracheostomy ventilation in 2018. In 2022 and 2023, planning was undertaken, at the patient’s request, for withdrawal of tracheostomy ventilation at home, when he was no longer able to communicate with technology. Case planning: Planning included Bispectral Index monitoring prior to cessation of ventilation, ensuring this only occurred when deep sedation was achieved. After ventilation withdrawal in 2023, a retrospective review of medications given and his level of sedation on monitoring was undertaken, with family consent. Outcome: Ventilation withdrawal was initiated after deep sedation was achieved, 6 h after commencing subcutaneous infusions of morphine, midazolam, clonazepam and phenobarbital. Lessons: Doses required to achieve acceptable sedation exceeded literature reports. Achieving deep sedation was a longer than expected process. Conclusion: More research using an objective measure of sedation is required, as clinical assessment of sedation in this context is compromised.

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