Cross-cultural aspect

A patient has the right to medical care, taking into consideration respect for the attitudes, values, and customs presented by them. This also applies to beliefs related to their religious affiliation. The pre-interview is an opportune moment to establish a diagnostic and therapeutic plan with the patient. The patient should be informed about the purpose of the planned procedure, how to prepare for it, and have the opportunity to ask questions. If the patient does not accept the planned treatment for religious reasons, it is good practice to emphasize that we respect their worldview. During the conversation, it is helpful to determine whether the issue lies with the entire procedure or just a specific element. We should present alternative options to the patient, which may involve modifying the procedure or exploring other forms of treatment. It is important to communicate the consequences of changing the diagnostic and therapeutic plan, such as lower treatment effectiveness, more general outcomes, or a longer duration of the procedure. It is crucial for the patient to consciously decide on the planned treatment, understanding the consequences of their choices. 

One example of the impact of religious beliefs on the rehabilitation process could be the reluctance of nuns to undergo examinations in underwear or swimwear. It’s important to note that this situation may vary depending on the particular convent to which the nun belongs and her individual beliefs. Therefore, having a conversation with each patient and determining an acceptable treatment plan is crucial. 

Useful solutions might include: 

– If a nun is unwilling to remove her habit but lower limb exercises are planned, suggesting the use of training pants could allow for more comfortable exercises without exposing the habit. 

– If a nun does not accept removing her habit or veil but it hinders physiotherapy (e.g., a plastic element of the veil obstructs neutral head positioning in a treatment bed opening), asking if it’s possible for the nun to use a mission dress during medical procedures, as it is more comfortable to use. 

– Some nuns may accept removing their habit with a limited number of people present (e.g., individual baths or exercises, treatments in separate rooms, or therapy conducted only by female physiotherapists). 

– There are also nuns for whom the issue is not the removal of the habit itself but the societal reaction to this fact; That’s why they prefer to come to the clinic already dressed in civilian clothing (other than their religious habit). 

1. What similarities have you noticed in your culture?

2. What differences have you noticed in your culture?

3. What should you pay attention to when caring for a patient with different cultural values?