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Stigma of mental illness summary
Stigma of mental illness summary
Stigma of mental illness summary
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High-Risk Health Behaviors and Health-Care Practices
Some high-risk health behaviors among Koreans include that women smoking in public are considered taboo, but many of them smoke at home. Korean men have higher incidence of alcohol consumption. Seat belts are not worn frequently. As a healthcare provider, it is important to educate Korean American to have moderate intake of alcohol and smoking cessation and also encourage the use of seat belt (Purnell, 2009).
Many Koreans, especially elders, may prefer Hanbang, also known as Hanyak, and oriental medicine, as the preferred method of healthcare practices (Rim Shin, Shin, & Blanchette, n.d.). Practitioners of traditional oriental medicine are called Hanui. Hanbang is derived from Chinese medicine
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Herbal medicine may be used in conjunction with Western medicine. Healthcare providers need to assess Korean clients the use of Western medicine and herbal medicine, and determine any harmful interactions. Some Koreans are stoic and are slow in showing emotional distress from pain and others express and discuss about their smallest discomforts. Mental illnesses are highly stigmatized in Korea. Some mental illness emotions are expressed as physical complaints, such as headaches, decrease appetites, fatigue, and insomnia (Purnell, 2009). Do not resuscitate orders would be common since prolonging life is seen as unacceptable. Discussing a person's terminal status is resisted. Organ donation and organ transplantation is very rare among Korean American, because this reflects on the traditional attitudes of integrity and purity. Koreans prefer healthcare providers that speak Korean and are older. Because of modesty, when women seek healthcare, such as Pap smear, mammography, and breast examination, they prefer a female healthcare provider (Purnell, …show more content…
We should encourage health promotion because Korean Americans have typically focused on curative rather than preventative measures (Beller, Pinker, Snapka, & Van Dusen, n.d.). It is important that we allow the family to care for the client. In Korea, patients do not typically have long-term stays in the hospital and are usually released to the care of their family at home, for both acute and chronic illnesses (Beller, Pinker, Snapka, & Van Dusen, n.d.). When assessing a client, we need to be aware of the use of herbal medicines and prevent drug interactions, and assess the use of alternative forms of healing like acupuncture that they might currently be using or have used. Healthcare workers need to be aware of communication styles and patterns such as: eye contact, spatial distancing practices and use of silenc (Purnell, 2009). The individuals should be addressed by their surname, with the title Mr., Mrs., Miss, Ms., Dr, or minister (Purnell, 2009). Korean Americans do not traditionally use social workers, but encourage patients to use personal resources such as the church; and also encourage use of the social worker when appropriate. Since mental illness is highly stigmatized in Korea. Healthcare workers can help can help to minimize concerns about stigmatization and “loss of face” by assuring client that
There is considerable evidence of the Lee’s having both low print and oral literacy. The Lee’s spoke very little English; they also were illiterate in both English and Hmong (Faidman, 1997). Another contributing factor to their health literacy was their beliefs about medicine. Because of the dissonance between the Lee’s beliefs and the American medical system, it was unclear if the Lee’s fully understood the cause of Lia’s epilepsy or the purpose of her prescribed medication. Their motivation to learn may also have been a factor; they believed they already knew what caused Lia’s epilepsy and what healing she needed. Faidman describes cases of successfully communicating western medical ideals with Hmong people, but Lia’s case is not an example of effective cross-cultural understanding. The Lee’s low level of health literacy severely impacted their ability to successfully understand and administer Lia’s medication, which may have negatively affected her health outcomes. Some strategies to improve communication suggested by Egbert and Nanna (2009) that may have helped the Lee’s include using plain language that is culturally sensitive, spending more time with the patient to ensure understanding, and using a, “...teach-back method, in which patients repeat back to the provider the information they believe they have just
...ulture is changing, Hmong are not all the same, importance of family, privacy issues, mental health issues, and small talk is important (Barrett et al., 1998, 181-182) . Overall, Barrett and others concluded that in order to improve interaction between patient and doctor all they have to do is follow these easy steps. First, is to be kind and have a positive attitude towards the patient and interpreter. Second, learn about each other’s cultures prior to meeting, to better understand each other. Third, better explain diagnosis and treatment options to patients. Fourth, improve translation providers need to get better interpreters who could concisely explain the consultation. Fifth, involve the family to make more thorough decisions. Sixth, respect patient’s decisions and there are still other alternatives to improve interaction (Barrett et al., 1998, 182-183).
This book addresses one of the common characteristics, and challenges, of health care today: the need to achieve a working knowledge of as many cultures as possible in health care. The Hmong population of Merced, California addresses the collision between Western medicine and holistic healing traditions of the Hmong immigrants, which plays out a common dilemma in western medical centers: the need to integrate modern western medicinal remedies with aspects of cultural that are good for the well-being of the patient, and the belief of the patient’s ability to recuperate. What we see is a clash, or lack of integration in the example of the story thereof. Lia, a Hmong child with a rare form of epilepsy, must enter the western hospital instead of the Laotian forest. In the forest she would seek out herbs to remedy the problems that beset her, but in the west she is forced to enter the western medical hospital without access to those remedies, which provided not only physical but spiritual comfort to those members of the Hmong culture. The herbs that are supposed to fix her spirit in the forest are not available in the western hospital. The Merced County hospital system clashes with Hmong animist traditions.
The Spirit Catches You and You Fall Down has challenged me to start thinking about different ways to approach cultural barriers. Using the Lee family and Lia as an example, the book identifies the challenges that the family faced over the years and the challenges that the providers experienced as well. As a result, the book highlights the need for cross-cultural communication in medicine, in an attempt to eliminate the barriers faced by both parties.
As our textbook states, “Communication includes the willingness of individuals to share their thoughts and feelings” (Purnell, 2103, p. 21). To that end, the Hmong people are primarily illiterate. For this culture, they have a belief that Americans are rude because direct eye contact is maintained when conversing, as well as asking direct questions. In order for there to be successful education regarding the risks of cupping or coining as well as needle pricks, it is important to know that when speaking to someone of the Hmong culture to use quick glances without starting and to initiate a light conversation prior to asking anything regarding their beliefs, health, etc. The Purnell Model of Cultural Competence states that the domain of high-risk behaviors is one area that healthcare providers can make a significant impact on a patient’s health status (Purnell, 2013, p. 30). Advice to the parents, under these circumstances along with other obstacles that could potentially be faced due to the very different cultural aspects, would best be given via one-on-one or through family counseling techniques. From what I have learned so far from our readings, spirituality plays a very important role in a cultures health and well-being. Knowing the beliefs pertinent to the culture you are treating allows you as the provider to better assist them to attaining better health and well-being. Trust is also paramount and it is very clear that to interfere with a person’s spirituality could possibly hinder their physical recovery and actually cause physical
Nguyen, D. (1985). Culture shock--a review of vietnamese culture and its concepts of health and disease. The Western Journal of Medicine, 142(3), 409-412. Retrieved from http://proxy.samuelmerritt.edu:2106/pmc/articles/PMC1306060/
...ge of all of their options for treatment. Another very important thing that can be done is to educated mental health professionals about the different aspects of the Asian culture. Being aware of how Asians view and how they have traditionally treated mental illnesses is extremely important to treating people from Asian cultures. Lastly, being open to using modern counseling and drug therapies with tradition ways of treatment is a great way to overcome the challenges of treating Asians.
programs, particularly with treatment initiation and retention. Hiring qualified staff of the same ethnic background may dramatically increase patient access and initiation into treatment. In addition, if the treatment provider is not of the same ethnic background, it is best that he or she take on an inquisitive role and not make any ethnocentric assumptions based on his own cultural heritage. The goat of the clinician should be to uncover social cultural issues that will affect acceptance, retention, and ultimately, treatment outcome". (Patrick Abbott, MD and Duane M. Chase. n.d para,
In 2015, I was chosen to be part of the USA Team Delegation to attend the World University Games in Gwangju, South Korea, as a Medical Intern. There, I was struck by the varied approaches to performance enhancement and the more holistic approach to medicine in general, exemplified through different stretching methods and ways to harness an individual athlete’s chi, or energy. In the Athlete’s Village, I experienced acupuncture from a smiling Korean doctor as he explained how they try to use less prescription medicine for their
As discussed before, many people take help of folk healers and resort to herbal treatments in conjunction with conventional therapy. Evidence suggests that some of the treatments may not be harmful when combined with conventional therapy (Reference). The proportion of Latino patients is increasing rapidly and it is anticipated to increase to 30 percent by 2050 (Reference). As physical therapists from a different cultural background, it becomes imperative to understand the need for good interpreters and to be culturally aware of the norms and values of different cultures.
Bentancourt et al. (2005) allows asserts that there are three distinctive reasons why cultural competency is so very important for the American healthcare system. American is composed of a very diverse population, which mean healthcare providers will continual be exposed to treating individuals from various backgrounds and from various cultures; their beliefs regarding their health or healthcare may range widely. When patients have a deficiency in the English language, proper healthcare delivery becomes increasingly more difficult as they will present symptoms in the syntax of their culture and their first language. Also, research shows the communication between the patient and their provider directly correlates to their satisfaction as well as their responsiveness or willingness to follow the health provider medical instructions; this ultimately affects the patient’s health outcome (Bentancourt et al., 2005). It’s fair to say that a successful health outcome is also contingent upon the interaction of the health provider and patient. Reports generated by the Institute of Medicine (IOM) – “Crossing the Quality Chasm and Unequal Treatment, confirms that cultural competence that focuses on the care of patient through
Cultural blindness can lead to misconceptions and the inability to treat patients efficiently. Culture, religion, beliefs, values, social economic standings, education, mentality, morals, and treatment are all different from person to person, community, and groups. These barriers can be overcome by treating each patient as a unique individual and seeking to learn about cultural beliefs and differences, without reservations or pre-judgments but with an open and willing mind. These inhibiting barriers can be crossed through acceptance and commonality can be established. Through Patient-centered communication and attentiveness to the patients’ interpretation, discussion of lifestyle and treatment choices in an open and non-judgmental manner, and understanding of patient views, concerns and information needs can lead to cultural sensitivity and appreciation (Dean, R,
Traditional Chinese Medicine: An Introduction [NCCAM Backgrounder]. (n.d.).National Center for Complementary and Alternative Medicine [NCCAM] - nccam.nih.gov Home Page. Retrieved December 11, 2011, from http://nccam.nih.gov/health/whatiscam/chinesemed.htm
1) Three good topics to teach to student from K-5 would be: a. HE5.1: Comprehension to health related promotion and disease prevention to enhance health: Students wil be taught to adquire and mantain healthy behaviors. Students from fifth grade will have to describe these behaviors and to prevent risk of injuries and/or illness during their lifespan. Here, kids will leart to describe the relationship between healthy behaviors and personal health as they develop strategies an skills used to enhnace their personal hygine and identify factors that can lead to cancer, heart diseases, obesity and diabetes. These will also describe how to prevent injuries that are comon and health problems by describing how people can affect the health and safety
Chinese-American Charles Feng (2012) remarks in the peer-reviewed Journal of Young Investigators, that traditional medicine differs vastly in its philosophy from allopathic medicine, and the combination of traditional and allopathic medicine is more effective than either independent healthcare system (para. 17). The integration of traditional medicine causes doctors to become familiar with strong and weak facets of either system, and expand their understanding of their patient’s health and treatment (para.