Case Study of Ruqyah Therapy On Muslim Patient with Eczema

A case study on a female Malay living in the UK with serious eczema was presented. Her parents believed that it was a condition called santau, a common cultural belief in South East Asian countries. Santau is believed as the insertion of poisonous materials into the victim’s body with the help of jinn. Santau is normally differentiated from other medical skin conditions by the rapid deterioration of the condition and rapid improvement after successful treatment. Her skin condition was intolerable after a trip to Malaysia. Unable to be admitted to hospital because of the pressure on hospital beds during the Covid-19 pandemic, she resorted to intensive multiple-day ruqyah therapy, a therapy based on the incantation of verses from the Quran. Remarkable improvement was observed after three days. Apart from delivering therapeutic outcome, ruqyah therapy as a Traditional and Complementary Medicine has its role in relieving the pressure on the mainstream health system especially in time of pandemic.

Case Study of Using Ruqyah Complementary Therapy on a British Muslim Patient with Cluster Headache

A case study of a male British Muslim of Pakistani descend with severe cluster headache was presented. The patient only responded to morphine treatment but his condition continued to deteriorate. He resorted to ruqyah complementary therapy, which is based on incantations of the Quran, after seeking advice with a local imam (Islamic cleric). His condition improved significantly and continued to have weekly preventative ruqyah therapy. Since resorting to ruqyah, he has not any morphine treatment and the level and duration of pain have reduced significantly. Ruqyah is popular for the treatment of jinn possession but has also been found to have therapeutic effect on non-mental health problems. The case illustrates that complementing mainstream medicine with ruqyah can bring many benefits especially within the Muslim community. Cooperation between mainstream health service and faith healers is needed.

The Power of Prejudice: Cross-cultural Competency and Muslim Populations

Oh people! We created you from a male and a female and made you into nations and tribes so that you may know one another. Verily the noblest of you in the sight of Allah is the Most God-fearing of you. Surely, Allah is All-Knowing, All-Aware. (49:13) This oft-cited Quranic verse encapsulates the Islamic worldview on the raison d’être of different groups of people and ethnicities, thereby highlighting the importance of cross-cultural communication and Islam’s role in transcending these differences. The same worldview can be adopted in psychiatric practice to provide culturally competent patient-centered care. This paper introduces a clinical vignette of a Muslim patient with poor mental health and her experiences living in the US as a religious minority. The vignette frames the following discussion in the context of rising hate in the country and brings to light the consequences of Islamophobia on the mental health of American Muslim populations. The psychology of outgroup hate is explained by analyzing the literature produced on the interrelated topics of stereotypes, discrimination, prejudice, and xenophobia, and concludes with tools available for cross-cultural competency in a clinical setting.

Short Communications Caring for Muslim Patients - Some Religious Issues

Islam is a universal religion and a comprehensive way of life that cannot be separated from patients. Muslim patients are not just passive recipients of medical decisions, but have their own religious views and beliefs about how they would like to be cared for by the medical profession. With the increasing Muslim population in the west, problems arise when a Muslim patient is admitted to a hospital with non-Muslim health caregiver, particularly related to dietary and nutritional issues. The health team should be aware of the religious prohibitions in Islam such as wine or alcohol, flesh of swine, reptiles, birds with talons, canine animals or scavenging creatures, intoxicants etc. The guidelines presented in this paper would enable the health provider to serve their Muslim patients in the most appropriate manner.

Risk of Impingement on Polyethylene Liner of Total Hip Arthroplasty Prosthesis during Muslim Prayer (Salat) Activity

Total hip arthroplasty (THA) is one of the most successful orthopedic surgical procedures. Impingement believed to be the most common mechanism of dislocation after THA. Salat consist of several repeated physical movements which require several extreme hip joint movements. The potential impingement positions during salat activity have been revealed by the previous computer simulation study, some evidences of impingement from retrieved polyethylene liner also have been revealed from our recent preliminary data. Although further study is still needed in this field, we may give special advice to modify some movement for Muslim patient who receive THA when performing Salat activity.

Healthcare needs of the Muslim patient community in the undergraduate medical curriculum – Are we there?

Objective: Muslim patients have a unique set of healthcare needs that are related to their faith. These are generally not formally addressed in the medical curricula. The study aimed to recommend additional content that would better tailor the undergraduate curriculum to cater to the needs of this large cohort – Muslim patients. This is with the expectation that patients would have their faith-related health queries resolved by healthcare providers. Methods: A quantitative descriptive survey design was adopted. A 46-item questionnaire formulated through a literature review was put forth to experts using the Delphi Technique. Experts were selected based on having an academic rank of associate professor and above or medical education credentials. Three iterative rounds were conducted for exploring consensus over a period of five months. Panel agreement of >70% was the criteria for inclusion. Results: Items were categorized under 7 subject themes: Medicine, Psychiatry, Surgery, Gynecology, Obstetrics, Medical Ethics, and Islamic Studies. Consensus was eventually reached for 41 out of 46 items. These topics included but were not limited to “The Muslim patient in Ramadan: to fast or not to fast?” and “Muslim women and decision-making on pregnancy termination”. Conclusion: The study suggested that the topics proposed herein were in fact legitimate faith-related healthcare needs of Muslim patients. Their inclusion would add value to the undergraduate medical curriculum and would train practitioners to improve patient outcomes more holistically. doi: https://doi.org/10.12669/pjms.35.3.861 How to cite this:Haq H, Khan RA, Yasmin R. Healthcare needs of the Muslim patient community in the undergraduate medical curriculum – Are we there?. Pak J Med Sci. 2019;35(3):---------. doi: https://doi.org/10.12669/pjms.35.3.861 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Islamic Moral Judgement on Resuscitation Issue: Nursing Perspective

The primary goals of resuscitation are to preserve life, restore health, relieve suffering and limit disability. As nurses, executing the cardiopulmonary resuscitation (CPR) to a patient experiencing cardio-pulmonary arrest is essential in preserving life. However nurses face a dilemma in the decision making to either preserve the patient’s life or let the patient die naturally, if the patient’s autonomy as well as his family’s wish for a “do not resuscitate (DNR)” order. In this dilemma, the sanctity of life and the right to die is the main concern of this discussion. Islamic moral judgment, as the major concern here, should be studied as an alternative to analyse and provide a guideline that is in accordance with the Islamic teaching. Thus, this research is to provide the Islamic moral judgment on the resuscitation issue and its implication in nursing practices. The western ethics that represent the current practices on resuscitation is not included. The comparison was then made with the ultimate origin of Islamic teaching ie the Qur’an and Sunnah, as well as the notions of Muslim scholars on the subject. As the physician opines that CPR is to be beneficial to rescue a life, therefore refusing it may be considered as immoral. However, the DNR order is entirely acceptable if the doctor believes that CPR is futile and gives no benefit to the patient. The doctor has the authority to issue a DNR order if he is certain that the patient would not benefit from CPR without getting consent from the patient or his relative. Nursing implications: As nurses facilitate patients and family members in forming a decision about end of life hence engaging a comprehensive view of DNR based on Islamic teaching would provide an informed choice when advising a Muslim patient and family. The area to investigate would be on the degree of knowledge among nurses regarding the Islamic moral judgement on this matter is highly recommended for future management.

Preliminary Study on the Formulation of Syariah Compliant Generic Sustained Release Gliclazide Tablet Using Xanthan Gum

Gliclazide (1-(3,3a,4,5,6,6a-hexahydro-1H-cyclopenta[c]pyrrol-2-yl)-3-(4-methylphenyl)sulfonylurea) is a second-generation sulfonylurea which is orally administered in the treatment of non-insulin-dependent diabetes mellitus in adults. Sustain release drugs help to improve drugs bioavailability by controlling the time of drug release or prolonging it. We are reporting the preliminary formulation of sustain release gliclazide tablets with careful choice of all the ingredients and processes related to syariah compliance manufacturing of pharmaceutical products. In this work, xanthan gum, a natural gum was used to achieve the sustain release criteria. The tablets were produced by wet granulation and semi-automatic tableting process. Tablet characterisation was done following the British Pharmacopoeia (BP) criteria. We expect that the outcome of our study will result in a suitable formulation that could be useful for the formulation of such product that will be helpful for the Muslim patient especially during the fasting month.