• Abdul Rab is a 55-year old male with Arab Origins. He practices the Muslim Religion.
• He is married and has two sons in their early twenties.

Thoughts about Mr. Rab's culture and religion:

• Mental illness is one of the most feared medical conditions among Arab Muslims. Psychiatric illnesses are thought to be a loss of faith or possession by evil.
• Young adult's chances of marriage are often affected by family medical issues.
• Most Muslims believe recovery is in the hands of God.
• Muslims practice a high standard of modesty.
• Muslims resist eating and taking medication during Ramadan (lasts one month sometime in April-June. Eating and drinking (even water) are prohibited for sunrise to sunset. Use this link to learn more about Ramadan and Diabetes

https://diabetesvoice.org/en/caring-for-diabetes/can-i-fast-with-diabetes-during-ramadan/Links to an external site.

• In Arab countries, patients are typically told only the good news about their diagnosis.

Scenario:

Mr. Rab is at the office for a follow up appointment concerning newly diagnosed diabetes. It is three days before Ramadan begins.

1. (5 pts) Given the above information, what consideration should the Medical Assistant think about when rooming the patient? How would you show the patient respect?

2. ( 10 pts) When speaking with Mr. Rab, Dr. Practon observes the patient's body language and overall demeanor. The patient is not his normal self and the doctor worries that the patient might be exhibiting mild depression.

A. what body language might the doctor be seeing?

B. What must Dr. Practon consider before speaking to the patient about the issue?

3. (10 pts) In the role of a patient coach, you are meeting with Mr. Rab after he has been seen by the physician. His blood sugar levels were high today. The physician asked you to discuss his nutrition and medication management.

A. What issues does the patient coach need to consider when speaking to the patient about his diet?

How would the you demonstrate respect for his religion while at the same time discussing his nutritional

needs as a diabetic?