Through the Eyes of the Patient and the Health Care Professional

Allied health professionals are confronted with different death and dying practices. An effective allied health professional recognizes the importance of understanding different cultural practices, and learns how to evaluate the death, dying, and spiritual beliefs and practices across the cultures.

Read the two specified case histories and choose one for this assignment.

Chapter 4, “Stories of Abby: An Ojibwa Journey” and Chapter 14, “Stories of Shanti: Culture and Karma,” by Gelfland, Raspa, and Sherylyn, from End-of-Life Stories: Crossing Disciplinary Boundaries (2005), from the GCU Library.

Identify your role as a health care professional in supporting Abby’s or Shanti’s dying rituals, and in creating strategies for displaying respect while still providing quality care. Identify communication strategies necessary in caring for your select person. Integrate your strategies as you develop a care plan describing how you would approach the situation and care for the patient. Review the “Care Plan” template prior to beginning.

Include the following in your care plan:

Communication: family and patient
Treatment options that align with the specific culture
Education: family and patient
Family roles in the process
Spiritual beliefs
Barriers
Cultural responses
Any additional components that you feel would need to be addressed (from your perspective as a health care professional)

 

Sample Solution

Exploring Death Rituals: The Torajan People of Indonesia

 

For this exploration, I will select the Torajan people of Sulawesi, Indonesia. Their death rituals are among the most elaborate and unique in the world, differing significantly from common Western practices.

Torajan Death Rituals: An Overview

The Torajans believe that death is not an abrupt event but a long, gradual process towards Puya (the land of souls). This belief profoundly influences their death rituals, known as Rambu Solo’.

  1. Deceased as “Sick Person” (To Makula’): When a person dies, they are initially not considered truly “dead” but rather a “sick person” or “sleeping” (To Makula’). The body is treated as if alive – brought food and drink, spoken to, and given cigarettes – and kept in the family home, sometimes for months or even years. During this period, the deceased’s spiritual essence is believed to still linger in the house. The family communicates with the deceased, showing respect and affection.
  2. Elaborate Funeral Ceremony (Rambu Solo’): The main funeral ceremony, Rambu Solo’, is often delayed significantly, sometimes for years. This delay is due to the immense cost and complexity of the ritual, which involves sacrificing dozens, sometimes hundreds, of buffalo and pigs. The number of sacrifices reflects the social status and wealth of the deceased and their family, as these animals are believed to carry the soul to the afterlife. The ceremony is a major social event, attracting hundreds or thousands of guests.
  3. Body Preparation and Storage: Before the Rambu Solo’, the body undergoes traditional preservation, often involving formaline injections (a modern adaptation) or traditional methods using natural herbs. The body is wrapped in many layers of cloth. During the waiting period, bodies might be kept in a specific room within the house, sometimes in a coffin.
  4. Procession and Burial: During the Rambu Solo’, the deceased’s body is typically moved from the house in an elaborate, highly decorated funeral tower or coffin, often carried by many people amidst music and chanting. This procession can be quite lively. Burial sites are unique:
    • Cliffside Graves (Londa, Lemo): Coffins are placed in carved-out caves in sheer rock faces. Wooden effigies (tau tau) resembling the deceased are placed on balconies outside the caves, watching over the land.
    • Hanging Graves: For very old, revered individuals, coffins might be hung from cliffs.
    • Baby Graves (Baby Trees): Deceased babies who have not yet teethed are sometimes buried within the trunks of living trees, symbolizing their return to nature and growth.
    • Family Tombs: Elaborate, often multi-story, carved stone tombs are also used.
  5. Ancestor Veneration: Ancestors play a continuous role in Torajan life. The Rambu Solo’ is a way to ensure the deceased’s successful journey to Puya and their transformation into an revered ancestor. Families continue to interact with and honor their ancestors, seeking guidance and blessings.

This question has been answered.

Get Answer
WeCreativez WhatsApp Support
Our customer support team is here to answer your questions. Ask us anything!
👋 Hi, Welcome to Compliant Papers.