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Answer:
First, thanks for caring enough to ask the question.
If you have a Jewish patient, you should first talk to them to find
out what their concerns and needs are. These will differ based on the
movement with which they affiliate. For example, progressive Jews
(i.e., Reform and other liberal movements) may have less of a concern
about Kosher food and some of the other laws concerning purity and
modesty than traditional Jews. However, if you can't talk to them due
to the medical situation, assume they are strictly traditional until
you find out otherwise.
The primary concern from your point of view will be food. Traditional
Jews require strictly Kosher food. If your kitchen has the ability to
supply such food, great. Note that some hospitals provide both a
"regular Kosher" and a "strictly Kosher" diet. If a strictly Kosher
diet is available, let the patient know about it. If they are not able
to order their food, order from the strictly Kosher diet for them. If
your hospital does not have Kosher food, DO NOT assume that
Kosher-style food or any other food is acceptable. Instead, you may
have to go out an purchase food for that patient. What you want to
look for is food with "heckshers", or marks indicating that they are
Kosher. The best known marks are a U in a circle ([5]www.ou.org) or a
K in a circle ([6]www.ok.org). Kashrus Magazine
([7]www.kashrusmagazine.org) has an excellent list of these marks.
You want to aim for ready-to-eat food, so that you don't have to move
it into a container to cook it. Your kitchen is likely not Kosher;
cooking the food in a different container will make it non-Kosher. You
will want to serve it in the original container, unopened if possible,
so that the patient can see the hecksher. If possible, opt for food
that doesn't require you to touch the food (i.e., frozen dinners for
the oven are often preferable to those for the microwave, because for
the microwave you have to puncture the wrappings). Serve the food with
plastic utensils that have been individually wrapped, and let the
patient break the wrappings. Basically, you want to assure the patent
that you haven't touched the food.
If you can't come up with anything with a hecksher, provide fruit,
washed but otherwise untouched, with a plastic knife. Fruit is the one
product that comes naturally in its own sealed package.
Traditional male patients will have a need to pray. If they are
mobile, and you can provide them with connections with other Jewish
male adults in the hospital so that they can assemble a minyon (10
Jewish men), which will facilitate prayer. They should know the
prayers by heart, if this is a concern to them. If your staff chaplin
isn't familiar with Judaism, look up an Orthodox synagogue (alas,
often under Churches in the Yellow Pages) and see if their rabbi can
come over. If there are no Orthodox synagogues available, look for
Conservative or Reform synagogues. This order is not intended to show
any bias towards the movements. A traditional patient will likely be
more comforatable with a traditional Rabbi, so that is the best first
option. However, both Conservative and Reform rabbis have experience
with working with all movements in hospital settings, and can either
provide the necessary service, or have the contacts to find someone
who can.
Shabbat may or may not be a concern, depending on the state of the
patient. In a hospital setting, most patients are stuck in bed, and
most electrical appliances are necessary for life-saving. Don't ask
the patient to turn on and off their lights; just leave them on from
before Shabbat until after, or decide when you want them off. The same
goes for other discretionary appliances, such as televisions. Don't
ask the patient to carry things unless necessary for life (such as an
IV).
With respect to modesty: again, if the situation is life-threatening,
do what you need to do. If the patient is conscious, ASK THE PATIENT.
When providing gowns, ensure they provide appropriate coverage when in
public situations (use two, if necessary).
Lastly, with respect to purity. When dealing with patients of the
opposite sex, avoid touching unless medically necessary. It is likely
not a problem, but for traditional patients, it might be upsetting.
Better safe than sorry.
Finally, remember that Judaism places human life above all else. Thus,
in a life-threatening situation, do what you need to do to save the
life, even if that means violating Jewish law. However, if the
situation isn't immediately threatening, then you should take Jewish
law into consideration.
For a general statement of principles guiding medical care, see
[8]http://communities.msn.com/JudaismFAQs&naventryid=154. There is
also some good information at
[9]http://www.brooklynhospice.org/brooklynhospice/jhosp1.html and
[10]http://www.associated.org/agencies/89.htm.
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Last Update March 27 2014 @ 02:11 PM
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