Wait a second!
More handpicked essays just for you.
More handpicked essays just for you.
Hmong religion and spirituality
Cultural Diversity in Healthcare Quizlet
Hmong religion and spirituality
Don’t take our word for it - see why 10 million students trust us with their essay needs.
In “The Spirit Catches You and You Fall Down” by Anne Fadiman, the whole story revolves around Lia, the thirteenth child of Lee family. Lee family was a refugee family in USA and Lia was their first child to be born in US. At the time of time of birth, she was declared as a healthy child but at the age of three it was founded that she is suffering from epilepsy. In the words of western or scientific world the term epilepsy mean mental disorder of a person and in Hmong culture, epilepsy is referred to as qaug dab peg (translated in English, "the spirit catches you and you fall down"), in which epileptic attacks are perceived as evidence of the epileptic's ability to enter and journey momentarily into the spirit realm (Wikipedia, 2014)
In this case, communication and medications adoptions were the main difference in the treatment of a Lia. Though Lia’s parents and her doctors want best for her, but the above barriers were creating a hindrance in her treatment. They both were not understanding each other and interpreter was also not there, doctors want to transfer her to another best hospital because they were not getting with her disease but her parents misunderstood the situation and thought they were shifting her for their own benefit.
In expansion to these convictions, Hmong likewise have numerous traditions and folks that are negotiated by those of the American standard and therapeutic groups; for instance, some Hmong customarily perform custom creature sacrifice and in view of extremely particular entombment customs and the alarm of every human's numerous souls potentially getting away from, the accepted Hmong convictions don't consider anybody experiencing obtrusive restorative surgery. Hmong medicinal framework is dependent ...
... middle of paper ...
...e.
Lia Lee existed in a persevering vegetative state for 26 years. She kicked the bucket (died) in Sacramento, California, on August 31, 2012 at the age of 30. At that age she weighed 47 pounds (21 kg) and was 4 feet 7 creeps (1.40 m) tall; numerous kids with serious cerebrum harm have restricted development as they grow. Fadiman said that pneumonia was the prompt reason for death. (Farrar, 2014)
In the US., the therapeutic group seldom has approaches to correspond with individuals of societies so drastically unique in relation to standard American society; even a great interpreter will think that it troublesome deciphering ideas between the two separate societies' reality ideas. American specialists, not at all like Hmong shamans, regularly physically touch and cut into the collections of their patients and utilize an assortment of capable medications and meds.
All informants and sources are listed according to the chapters in which they contributed. Her major helpers, such as her interpreter, the Lees, the doctors who treated Lia, and a few others, have a special thanks from the author at the beginning of this section. Fadiman consulted a vast array of sources from both perspectives of Lia’s story. She also read nearly all of the available literature about the Hmong at that time, which admittedly was not abundant compared to now. Overall, those she spoke to seemed to be open and willing to talk about what had happened. The doctors freely admitted mistakes they made or may have made, and showed an interest in learning where they went wrong so that they could avoid any future
In conclusion, three things could have solved the cross-cultural problems between the Hmong and the American doctors. The doctors should have had more compassion toward the Hmong people, who have been discriminated and put down for very many years. They should have been more understanding toward the Hmong's belief and worked with and not undermine it. Lastly to compromise in all aspects in a relationship no matter what kind is a two way street, and if one party does not respect the other then the feeling will be reciprocated. You have to come to a middle ground or everything will fall apart like in Lia's case.
The two Hmong cultural values that were demonstrated by the Lee family are portrayed by their belief and view about the cause and method of cure for an illness. The Lee family comes from a culture that believes in holistic healing. They have an animalistic view about health and medicine. For instance an epileptic is seen as someone who has been chosen to be a healer. Most Hmong epileptic are shamans, therefore even though the Lee’s wish that their daughter’s illness will be cured, they also have a mixture of pride because “although shamanism is an arduous calling that require years of training with a master in order to learn the ritual techniques and chants, it confers an enormous amount of social status in the community and publicly marks the triv neeh as a person of high moral character since a healing spirit will never choose a no account host” (Fadiman,1997, p.21). It is not surprising that their view about health is reflected mostly in their traditional belief in the causes and the cure of an illness. For i...
...ation could have been improved between doctors and patients in simple ways. Interpreters were used and children went to school and helped translate for family members. These helped communication somewhat, but it wasn’t enough. There may not have been any other way to help, but some people tried to and doctors tried to be patient with the Hmong to understand what they wanted and to make them understand what was going on.
In the book The Spirit Catches you and you Fall Down, ethnocentrism can also be seen. Throughout the book the family and the doctors have different ideas of medicine/healing techniques are often disagreed on. It’s important for the doctor to see that biomedicine has its own intentions of saving patient through standard procedures and beliefs. Understanding those terms will shed some light on the culture of the patient, which has their own intentions, beliefs, and rules as well. Breaking down ethnocentrism to find an agreement is a good goal to accomplish in order have successful prognosis and healing. In addition, shedding the ethnocentrism will allow the doctors to see the different cultural beliefs and not judge right away. Although, some cultural remedies may not always work, it’s wrong for people to have the mindset of ethnocentrism without even considering their beliefs first.
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
Kleinman, A. 1980. Patients and Healers in the Context of Culture: An Exploration of the Borderland between Anthropology, Medicine, and Psychiatry. University of California Press.
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.
In the novel, “The spirit catches you and you fall down”, Anne Fadiman was brilliantly able to capture how communication between other cultures takes place in the medical community. She writes about the experience of a Hmong family, the Lee’s, to portray the dissimilarities between two distinct cultures, Hmong and American. Throughout the novel she takes us on a rollercoaster of a journey as problems arise due to many barriers that naturally occur when collaborating two very divergent ways of life. Unfortunately the journey she takes us on does not come with a happy ending as we all expect. the edifying friction between the young girl’s parents and her doctors caused her to wasted away because of medical conditions, epilepsy and septic shock, which could have been treatable. Nevertheless, although Fadiman’s book depicts an unambiguous state of affairs, it is an eye opener to the nuisance of cultural conflict that can be practical to all circumstances and can be utilized by all nurses to provide cultural competent care.
The family chose to do the healing ceremony at the temple instead of going ahead with the recommended surgery. People might choose or prefer to adhere to healing traditions of their communities and country of origin. Coordinating care with traditional healers and family members increase compliance and consent
The Hmong culture is evidence that health worlds exist. Health worlds exist in which health is understood in terms of its social and religious context (SITE BOOK). Spiritual beliefs in the Hmong culture are strongly connected to their view and description of health and illness (SITE 6). Illness in the Hmong culture is believed to be caused by evil spirits, a curse from an unhappy ancestor, or a separation of the soul from the body (California Department of Health Services, 2004). Paja Thao, the shaman in “The Split Horn” emphasizes his belief that a soul can separate from its body and the failure to return back to the body is a sign that the individual will become ill. Like the Chinese concept of ‘Ying and Yang’, Hmong people believe that the balance between the body and soul determines perfect health. Paja Thao believes that a body is attached to seven souls, and when there is a loss in a soul, illness occurs. In contrast to this holistic concept that the Hmong’s believe in, the Western culture is not able to predict when illnesses will occur. Instead, the dominant biomedical model of health focuses on preventing depression through a healthy life style, such as exercise and nutrition
If I was Foua Lee and her families’ social worker, I believe the biggest challenge I would face would be a lack of proper communication. Considering the Foua only knows Hmong in a verbal sense and not a written sense, it would be a challenge to have a beneficial conversation with her. In the case of discussing Lee’s medical needs, as a social worker I wouldn’t know how to stress the importance of her treatment to Foua and her husband. It is important for any social worker to not dwell on the difficulties of taking on a client like the Lee family. A good social worker takes the difficulties and develops a solution. I could hire a translator to come with me every time I meet with the Lee’s, or I could communicate with Foua via one of their English-speaking
In fact, Native American medicine men belief is firmly grounded in age-old traditions, legends and teachings. Healing and medical powers have existed since the very beginning of time according to Native American stories. Consequently they have handed down the tribe's antediluvian legends, which i...
Kleinman, Arthur M. “What Kind of Model for the Anthropology of Medical Systems?” American Anthropologist, New Series, Vol. 80, No. 3 (Sep, 1978), pp. 661-665.
Certain religious groups reject westernized medicine, like the Amish. Yet, for the most part most religions allow their medicinal practices to work in tandem with westernized medicine. For example, First Nations people tend to have a very holistic view when it comes to their surroundings and medicine. Aboriginal traditional approaches to health and wellness include the use of sacred herbs like sage or tobacco and traditional healers/medicine (pg. 5, Singh, 2009). However, they will not reject help from professionally trained doctors and medical staff. Much like other religions, First Nations put a strong emphasis on family/community. Consensus or decision-making is fairly common for them. A practitioner or medical staff member must remember to respect ceremonial objects such as tobacco or traditional blankets, include immediate family members when making a treatment decision, and to accommodate spiritual practices. Normally, organ donation is accepted UNLESS the organ is being removed from someone who is not deceased. First Nations’ believe that their bo...