Sikhs and Medicine

Dr Rameet Singh UberoiGP ST1

04/03/2009

Sikhs in the UK

The Sikh community has an “ethnic origin” under section 3(1) of UK Race Relations Act 1976

“almost a race, almost a nation’”

2001 Census, • Sikhs number approximately 336, 000. • 4th largest UK faith after Christians, Muslims and Hindus• Up to third generation migrants

• Centred around West/East London & Birmingham

Basic Principles• Way of life – adjusting self while maintaining values

• Discourage intervention in biological processes but where they help individuals, no objection is taken.

• Sikhs do not believe in dogma or laws but at all times Sikhs must exert self control

• Free will and free choice to make decisions based on evidence

• Indian and western influences results in varying views amongst sikhs.

Privacy

• Allow family to help with responsibilities.

• Sensitive subjects should only be discussed with the patient. The impression that family decision is always important can be wrong and can attract a negative response.

• E.g. Do not remove headwear without specific consent.

Organ/soft tissue donation

• Sikhs are influenced by Indian thinking when it comes to Post-mortems or organ donations.

• Sikh faith is not against it.

• Always discuss with patients and relatives. A rational presentation is encouraged.

• Blood transfusion - accepted

Abortion/TOP

• Rates of abortion are below the UK average

• Acceptable if the health of the mother is at risk.

• Individual choice regarding regarding IVF, contraception.

Animal products

• Lots of Sikhs are vegetarian.

• No problems with drugs from animal sources

Sickness and dying

• Sikhs do not believe in elaborate rituals but set prayers can be offered.

• Terminal care accepted

• During sickness quiet prayer space should be provided – no need for symbols/artefacts.

www.sikhsinthediaspora.com