Religious aspects of end to life issues of three major religions: A systemic review

Main Article Content

Dhrubajyoti Bhuyan
Sabita Dihingia
Atreyee Dutta
Khushpreet Kaur
Jibananda Das

Keywords

spiritual, beliefs, terminally ill, DNR

Abstract

Background and objective: The objective of our study was to examine the religious beliefs of devotees of the three major religions in the world about commonly met medical conditions at the end of life (EoL). We conducted a systematic review of a few observational studies that investigated the role of religion in frequently occurring end-of-life situations.
Materials and methods: The review utilized several databases, including Pubmed Central, Cochrane Library, MEDLINE, and EMBASE, to retrieve studies. The studies included analysis from healthcare practitioners, case studies, reviews from the general population, and other observational studies. Articles that had only a philosophical/ hypothetical focus were not included in the review. We examined European and Indian studies published in peer-reviewed journals between 2007 and 2020 where we identified 65 articles, which generated 456 references. From these references, we selected 20 articles for review. Significant heterogeneity within religions was observed, which could be attributed to variations in beliefs across different communities and cultures.
Results: The results of our study provide insight not only into the primary end-of-life concerns from a religious viewpoint but also contribute to understanding how religious doctrines and beliefs impact real patient decision-making and healthcare practices.
Conclusion: Prospective studies utilizing validated tools are necessary to obtain a comprehensive understanding of the effect of spirituality and religion on end-of-life outcomes.

Abstract 139 | PDF Downloads 124

References

1. Loike J. Gillick M. Mayer S, et al. The critical role of religion: caring for the dying patient from an Orthodox Jewish perspective. J Palliat Med. 2010;13:1267–71. DOI: 10.1089/jpm.2010.0088
2. Thornton K. Phillips CB. Performing the good death: the medieval Arsmoriendi and contemporary doctors. Med Human. 2009;35:94–9. DOI: 10.1136/jmh.2009.001693
3. Leget C. Retrieving the arsmoriendi tradition. Med, Health Care Philos. 2007;10:313–9. DOI: 10.1007/s11019-006-9045-z
4. Firth S. End-of-life: A Hindu view. Lancet. 2005;366:682–6. DOI: 10.1016/S0140-6736(05)67141-3
5. ThePewForum, Thefutureofworldreligions:Population growth projections, 2010-2050; 2015.
6. Leong M et al.How Islam Influences End-of-Life Care: Education for Palliative Care Clinicians. Journal of pain and symptom management. 2016; 52(6): 771- 774. DOI: 10.1016/j.jpainsymman.2016.05.034
7. Abudari G, Hazeim H, Ginete G. Caring for terminally ill Muslim patients: Lived experiences of non-Muslim nurses. Palliat Support Care. 2016 Dec;14(6):599-611. DOI: 10.1017/S1478951516000249
8. Mogadasian S, Abdollahzadeh F, Rahmani A, et al. The attitude of Iranian nurses about do not resuscitate orders. Indian Journal of Palliative Care. 2014;20(1):21–25. doi: 10.4103/0973-1075.125550
9. ur Rahman M, Abuhasna S, Abu-Zidan FM. Care of terminally ill patients: An opinion survey among critical care healthcare providers in the Middle East. African Health Sciences. 2013;13(4):893–898. doi: 10.4314/ahs.v13i4.5
10. Jayard SS, Irudayadason NA, Davis JC. Healing ministry and palliative care in Christianity. Indian J Med Ethics. 2017 Oct-Dec;2(4):238-243. doi: 10.20529/IJME.2017.054. PMID: 28501792.
11. van Wijmen MPS, Pasman HRW, Widdershoven GAM, et al. Continuing or forgoing treatment at the end of life? Preferences of the general public and people with an advance directive. Journal of Medical Ethics. 2014;41(8):599–606. DOI: 10.1136/medethics-2013-101544
12. Sharp S, Carr D, Macdonald C. Religion and end-of-life treatment preferences: Assessing the effects of religious denomination and beliefs. Social Forces. 2012;91(1):275–298. doi: 10.1093/sf/sos061
13. Choudry, M., Latif, A., & Warburton, K. G. (2018). An overview of the spiritual importances of end-of-life care among the five major faiths of the United Kingdom. Clinical Medicine, 18(1), 23-31. DOI: 10.7861/clinmedicine.18-1-23
14. Firth S. End-of-life: a Hindu view. Lancet. 2005 Aug 20-26;366(9486):682-6. doi: 10.1016/S0140-6736(05)67141-3. PMID: 16112306.
15. Sharma H. Jagdish V. Anusha P. Bharti S. End-of-life care: Indian Perspective. Indian J Psychiatry. 2013;55:s293–8. doi: 10.4103/0019-5545.105554
16. Chakraborty, R., El-Jawahri, A. R., Litzow, M. R., Syrjala, K. L., Parnes, A. D., & Hashmi, S. K. (2017). A systematic review of religious beliefs about major end-of-life issues in the five major world religions. Palliative & supportive care, 15(5), 609. DOI: 10.1017/S1478951516001061
17. Mohankumar D. Prospective end-of-life decision-making: A study of Asian Indian Hindu younger and older adults Doctoral dissertation. Lawrence: University of Kansas; 2009.
18. Doorenbos AZ, Nies MA. The use of advance directives in a population of Asian Indian Hindus. Journal of Transcultural Nursing. 2003;14(1):17–24. https://doi.org/10.1177/1043659602238346
19. Ramalingam VS, Saeed F, Sinnakirouchenan R, et al. End-of-life care beliefs among Hindu physicians in the United States. The American Journal of Hospice & Palliative Care. 2015;32(1):8–14. DOI: 10.1177/1049909113505138
20. Sharma RK, Khosla N, Tulsky JA, Carrese JA. Traditional expectations versus US realities: first- and second-generation Asian Indian perspectives on end-of-life care. Journal of General Internal Medicine. 2012 Mar;27(3):311-317. DOI: 10.1007/s11606-011-1890-7.
21. Moale AC, Rajasekhara S, Ueng W, Mhaskar R. Educational intervention enhances clinician awareness of Christian, Jewish, and Islamic teachings around end-of-life care. J Palliative Med. 2018; epub ahead of print DOI: 10.1089/jpm.2018.0077

Most read articles by the same author(s)