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g e n e r a l i n f o r m a t i o n T he following information is provided to help you become more aware of your patients and co-workers views, traditions, and actions. While you can use this information as a guide, keep in mind that all people within a culture are not the same. Be sure to ask your patients and their families about specific beliefs, practices, and customs that may be relevant and important during medical treatment and hospitalization. When describing the Indian culture, the following information could apply to Indians visiting from India. Each piece of information does not necessarily apply to all people from India. You should address the patient in a courteous manner. All people, without regard to culture, race, gender and disability, want to be treated with respect and courtesy. The official languages of India are Hindu and English, which is mostly used in administration and education, and was a mainstay of the British colonial rule. A great majority of Indians are Hindu. About a fifth are affiliated Christian, Muslim and other minority religions. Although the caste system was abolished, in some respects it still plays a significant role. Because Hinduism arose from no single person or institution, it is seen as eternal and unchanging in its essence. Believers regard it as having existed forever.

i n t e r - p e r s o n a l r e l a t i o n s h i p s relationship roles gestures Indians arrange marriages among their own A western woman should not initiate a kind because they believe marriage needs handshake with a man. Many Indian women family support to be successful. will share a handshake with a foreign woman, but not a man. decision-making There is a conflict in many Indian homes where teenage children, taught in school to think independently, clash with Indian parents who demand unquestioning obedience. conflict resolution To express remorse or honesty the Indian people will grasp their earlobes. Pointing is to be done with a chin or a full hand - fingers are used only with children and prisoners and can be considered offensive. Elders in India are never addressed by their first name. In general Indians are assertive and outspoken. Religion usually does not play a role in resolving conflicts about health matters. Generally Indians listen to the physician. Where there is a disagreement, it might be necessary to bring in an unbiased third party or to back up one s position with a publication. personal and cultural traditions Indian Americans are afraid that their traditions will be lost unless vigorous efforts are made to preserve them. At temples and mosques, Indian parents try to offer, through religious education and social and cultural activities, a viable alternative to excessive Westernization, which they equate with a permissive lifestyle. Unmarried and married women wear a bindi or a dot on their forehead as a cosmetic adornment. Widows aren t permitted to wear bindi, because they are not supposed to do anything to look attractive. 2

t r e a t m e n t i s s u e s medical treatment food Doctors are seen as an authority figure, and Foods prepared at the religious functions are he/she should be the one to deliver any bad generally vegetarian. news. It should be delivered to the family first or to the patient when the family is present. Meat and fish are widely eaten, but some communities are vegetarian, especially Hindus It may be beneficial to contact a family and Jains. Most Hindus avoid beef, because member when dealing with an older patient. the cow is a sacred animal to them, and Indians deal well with uncertainty, although Muslims avoid eating pork. they want any information regarding their well- Jains, who have very strict dietary laws, avoid being to be shared with them. eating even root vegetables, because it Indian patients like to be well-attended and treated with respect and courtesy. violates their belief in non-violence against even the smallest creature on earth. emotions Absolute reverence for life, or ahimsa, is fundamental to everyday experience of Hinduism. Generally, most Indians are calm and dignified in any situation. death The basic rituals to commemorate death vary upon tradition. Please take into accord any request the family might have. Hindus believe that humanity is cast into a long cycle of repetitive incarnation, known as samsarea. Everyday life, our day-to-day experience of existence is seen as a burden, very often a painful one, thanks to the working-out of karma from our current life and past incarnations. This process is seen as an intrinsic part of the human condition. 3

? Most Indians speak English fluently, but they also speak their native language. India has 15 major languages and 844 different dialects with most of the major languages represented in the Chicago area. g l o s s a r y word meaning Ha Nahi Dhanyavaad Aapakaa svaagat hai kripyaa Shamma Kare Namaste Alavidha Aapka naam kyahai? Achchhay Buray Mataji Pitaji Jyaadaa Paani Yes No Thank you You re welcome Please Excuse me Hello Goodbye What is your name? Good Bad Mother Father A lot Water 4

Event Date Description New Year January 1 Marks the first day of the New Year. Republic Day January 26 Celebration of the establishment of the new Republic of India. Indian Independence Day August 15 Celebrates Indian Independence from colonial rule. Mahatma Ghandi s Birthday October 2 Celebrates the birth of this illustrious Indian leader. Christmas December 25 Marks the birth of Jesus Christ. Sources Linton, Cynthia. Indian Americans. The Ethnic Handbook: A Guide to Cultures and Traditions of Chicago s Diverse Communities. Chicago, IL: Business Press, 1997. Toropov, Brandon and Buckles, Luke O.P. Idiot s Guide to World Religions. India Encyclopedia Britannica. 1998. http://www.travlang.com/languages 5