Question

Discuss a population-based policy or program that has been implemented for bloodless medicine. Discuss how cultural values and practices have been incorporated into the policy or program.

Answer 1

Ans) In one study, the purpose was to describe the rationale behind the establishment of a hospital-based program instituted to enhance the health of the Jehovah’s Witness community and to evaluate patient profiles and outcomes of gynecologic patients treated surgically at the institution, during the past 5 years, whose intake was through the Bloodless Surgery Program and who were not accepting of blood or most blood products.

- It further describe how a coordinated program dedicated to serving this particular population might improve outcomes and patient satisfaction.

- This program dedicated to the special needs of the Jehovah’s Witness community can be instituted in a community-based hospital with no evidence of increased morbidity, as evidenced by length of stay, hospital charges, and surgical blood loss, in a gynecologic patient population.

- Developmentof such programs is associated with a high level of patient satisfaction and the potential for improved patient care was it's conclusion.

- Problem orientation offers a means of adapting clinical methods in biomedical practice to cross-cultural care and study.

- Each step of the problem-solving process has parallel activities in traditional and family systems of care. At each step, discrepant expectations, practices, family function, and communication style highlight areas of potential concern in clinical problem-solving.

- Problem-solving across cultural boundaries often involves seeking help from members of the community, from the sociologic, anthropologic, and ethnographic literature, and from anthropologists.

- In addition, patients become an invaluable source of information and, when sick, often reveal issues that might otherwise never be disclosed.