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Bosnian groups
Bosnians and Herzegovinians migrated to Australia primarily after World War II. The family is the focus of life and religion plays an important part in people's lives. Many Bosnians are Muslims, for whom Islam is both their religion and a way of life. In Muslim society the aged are regarded as valuable members of the family, providing a wealth of Islamic knowledge. They reinforce family values and assist in raising children. Bosnians generally do not have an understanding of palliative care.
Religion
Although Bosnians are predominantly Muslim, some are Orthodox and some are practising Catholics and Jews. Mourning is a prescribed way of dealing with death and wailing is practised.
Place of treatment
Our consultants varied on this question, ranging from "home strongly preferred, to "depends on the individual" to "hospital preferred". It is not always possible to stay at home and respite care or nursing homes may be used.
Communication of diagnosis/prognosis
The news is traditionally given to the family, but this varies with the patient. The family normally passes on the news to relatives and friends.
Role of family/relatives/friends
Treatment options are normally discussed at a family level and then a decision is made. Family support is strong, with many visitors to alleviate boredom and distress.
Role of health professionals/volunteers
Professionals are held in high regard and depended upon to advise and inform. It is important for professionals to show compassion and understanding.
Volunteers may not be welcome in the family home, as Bosnians are not used to this concept. The family and friends usually provide all the support needed. If a volunteer is sent to a family home, he/she has to be strongly recommended as an expert.
Attitudes to pain relief
There are no taboos, however giving morphine is usually regarded as a sign of being "near the end" and this can increase anxiety. Check whether medications contain alcohol or ingredients made from pigs (applicable for practicing Muslims).
The community attitude towards euthanasia
Not well received, due to religious convictions, but still an individual decision. Some may support it.
Taboo words
Our correspondents varied. One felt that the words death and cancer were taboo, but another considered that Bosnians accept that in Australia, doctors are likely to use the words death, dying and cancer.
Cancer is sometimes seen as punishment and that it could be inherited. Also that it may be contagious.
Do not point at the location of a cancer, because this "invites trouble". It is acceptable to describe a location in words.
Handling of the body
This will vary depending on the religious background. For Muslims, the body should be handled as little as possible, ideally only by members of the same sex, who are also Muslims.
Burial
A cemetery burial is usual, following the tradition of the appropriate religion.
Islam encourages burial as soon as possible, preferably on the day of death. Cremation is forbidden.
In the Orthodox religion, cremation is not permitted because it is believed that we are made from earth and that we shall return to the earth. Elaborate mausoleums may be used.
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