Caseworkers are involved with finding, coordinating, and implementing the needed services for Ella, if she goes home. The costs will be calculated as well. One disadvantage of home care is that her family may not be prepared to take on the huge responsibility which is a high demand. Also, being at home Ella will have one on one attention, wherein being in the hospital, she can’t get that. A hospital is a licensed nursing facility wherein at home isn’t. Some patients are placed in hospitals because they require more medical attention than home care can accommodate. Last but not least, hospital facilities are equipped with emergency response systems but home care isn’t. My advice for Ella is that she needs to remain in the hospital since she …show more content…
Her husband is an American descent and believes in traditional methods as well as spiritual methods in their healing. Ella does not like modern medicine and most likely taught her children to believe the same. There probably a divide between family members. According to (Sen., 2015), “Lack of drug standardization, information, quality control, and strict monitoring are the primary lacunae in the promotion of traditional Indian herbal products”. John is in a position where he just wants
Ella Miller 7 what is best for Ella and would like for her last days to be as pleasant as possible. In the journal written by (Ruuska, 2014), “As for Indian medicine powers, there were plenty of spirit accounts on record, but no explanation for them”. He feels he probably cannot practice his traditional methods in the hospital. Grief occurs also with the surviving members of the family after Ella passes. Her family has been dealing with this disease for many years. They’ve been concerned, worried and taking care of her throughout her ordeal. They’ve been having issues about her types of medical care. They’re concerned about if she is getting the best treatment for her condition. If she has medical insurance, which I assume that she does, then what is covered and what isn’t. Worries about out of pocket costs
There are several cultural and traditional issues that can arise because Ella and her huband John have totally different ideas regarding treatment. “Culture is also dynamic and adaptive. It attempts to maximize the potential for group success in the face of environmental challenges, and there remains today a tension in cultural groups between maintaining shared values and norms and adjusting to forces for change both within and outs:” (Kreuter & McClure, 2004). Ella is in to alternative remedies and her husband is for traditional methods of treatment. This is a conflict of interest and being that Ella is weak she may leave decision making up to her family which will probably go against the wishes she originally set for herself. “Complementary and alternative medicine (CAM), includes a wide range of approaches like herbal medicine, traditional therapies, mind-body intervention etc., and has gained its popularity worldwide in recent years. “a group of diverse medical and health care systems, practices, and products that are not generally considered part of Conventional Medicine ” (Jaiswal et. al, 2015).
According to Lia’s parents, they believe that Lia’s soul was taken by a dab in a different realm after her sister slammed a door. In Hmong culture, having seizures is associated with having honor and the power to heal. Her parents believed that she should be treated with her culture’s holistic remedies, which includes: animal scarifies, multiple herbs, and rituals. By taking Lia to the hospital, they believed American medicine and practice was the cause of her deterioration. They reacted by not
The decision of whether or not to place an aging parent into a long-term care facility, or to try and to keep them in their own home or yours is one that many American families are facing each day. Factors in dealing with this decision are too numerous to count but we will address a few of them in the following paper, like the financial aspects, psychosocial, and meeting the overall needs of our ever aging parents.
The Native American woman interviewed has a strong holistic approach when viewing medicine compared to Western civilization. Before seeking any medical attention she states she will first try teas, herbs and other supplements in soothing common ailments. She often bakes
The reliance on western medicine was insufficient. The doctors were die-hard subscribers to western medicine who urgently wanted the child in care, while the parents were resistant and preferred their own customary traditions for addressing the situation according to their mystic “diagnosis.” The clashes provide insights into Hmong culture representative of a pattern of beliefs that clash when patients from other countries face hospital trips in western hospitals. The fact is that all less developed cultures, as western medicine would call them, are reliant on their mythologies and ancient rituals stretching back hundreds of years to determine their course of treatment for their children. In fact, the rituals that they adhere to become so difficult to understand because saving the parents in the ancient spiritual cultures is not the same as saving a patient according to western medicine. The Hmongs are clearly philosophical, and even accepting of the fate of their child, as they believe that the child has already been departed from the body. They hope that the situation is only temporary, and are trying to revive the girl, but also seem prepared to face the spiritual truth if they believe the spirit will not leave. Of course, the doctors feel this is voodoo and they just want to save the child's physical life, or correct her condition. The Hmongs seem more yielding on what they believe to be the fate of their child, and focus on the spiritual character of treatment according to her soul, while the doctors are trying to directly intervene with the physical
The Spirit Catches You and You Fall Down is a piece of journalism that demonstrates the clash between western medical practices and that of the Hmong culture. Both the physicians and Lia’s family are trying to do their best to improve Lia’s medical condition but the two cultures’ idea of treating her epilepsy contradict each others. Additionally, western medical culture and Hmong culture have different definitions for Lia’s illness. The western definition of her illness is epilepsy meaning a disruption of the electrical signals in the brain and the Hmong definition of epilepsy is soul exiting the body. As a western reader through the emersion in your culture you are subjective to have the opinion that the western way for handling epilepsy is the right way and from the Hmong perspective they are naturally subjective to think that the Hmong way of handling the epilepsy is the best way. There is not a clear answer to which way is the right way to handle Lia’s medical situation without being bias of your own culture. Not one way of medicine is better than the other, they are just different. The Hmong definition of medicine is takes a more personal holistic and spiritual approach in contrast to the westerner’s definition having an objective scientific approach. Although we cannot conclude which way of handling Lia’s medical situation is clearly the right way the one thing that is certain is that the two different cultures disrupt each other’s care for Lia. Fadiman’s journal on
Accountable Home Care is a home health care service institution. Their home care agencies are located in Columbus, Ohio and Chagrin Falls, Ohio. Accountable Home Care provides home health care services to the areas of Columbus, Ohio, Cleveland, Ohio, Worthington, Ohio, Bexley, Ohio, Upper Arlington, Ohio, Mayfield Heights, Ohio, Beachwood, Ohio, Parma, Ohio, Solon, Ohio, and the surrounding areas. Their services include live-in care, personal care, homemaking care, Alzheimer’s care, respite care, hospice care, and transportation. Accountable Home Care offers free in-home assessments.
Your senior loved one is important and there are many different senior care services available. What do you do, how do you decide what service is best? In short, with all of the other choices in the market, why choose Comfort Keepers?
The writer explores the misunderstanding between her parents and the doctors. This cultural clash is basically a result of the Hmong’s involvement in the Vietnam War and their struggle to survive in America. Though both of the parents and doctors of the little girl want her to recover as soon as possible, their methods were quite different. In the Hmong culture, epilepsy is referred to as quag dab ped and in English is translated as the spirit catches you and you fall down (Fadiman, 1997, 22). In Hmong culture the illness are believed to be the cause of some spiritual linkages that is often considered as an honorable condition because it’s believed that the person has been chosen to be a healing spirit.
Many seniors live in areas where cold weather is a way of life, especially in winter. These are not the chilly breezes that come off the water in Florida, these are freezing temperatures that can cause severe hardships, loss of power and electricity, frozen pipes, and loss of services. In-home care personnel can help your senior loved ones prepare for the cold weather.
When creating care plans for children it is so important to include the child’s family in their care as it will benefit in this case both James and his family in helping to meet his milestonesIt is especially important when creating care plans for children to include where possible the philosophy of children’s and young person’s nursing which is family centred care. (Glasper and McEwing, 2010). Family centred care does not mean that parents have to remain with their child at all-times in hospital.it Care planning is all about prioritising what is best for the patient and putting the patient first (in this scenario James) but also incorporating family centred care in the patients plan. As discussed in care plan 3, we saw how James experienced anxiety as a result of hospitalisation for the first time and how his mother also suffered from anxiety as a result of not being able to stay with James all the time. In spite of this, James’ individualised care plan alleviated this problem by assigning him a nurse that he built a trusting relationship with and by creating a home environment for him by bringing in some family photos and comforts like his blanket and favourite toys.
The book “The Spirit Catches You and You Fall Down” is an interesting book that explores the distinctions in the perception of human conditions. An explanatory model of illness provides an opportunity to understand how people view their medical conditions (“Explanatory Illness,” n.d.). The explanatory model of illness provides a vantage point for healthcare professionals to understand an individual’s perception of his/her illness (“Explanatory Illness,” n.d.). The model seeks to explore the complex relationship between the physiological condition of an individual and the individual’s social and cultural background.
Caring Hands Residential Living will provide 3 meals and 2 snacks to each resident per day. Reminders will be provided for those residents who are able to manage their own medication. If the resident is capable enough to manage his own medication, a locked container will be provided in the resident’s room for the purpose of safely storing medication. Medication will be locked and secured in a centrally located area for those residents who prefer or require the assistance of the staff. Transportation and medical appointments will be available as per the exigencies of the
In 2013, Dorota Slawa Mankowska et al, worked on real study for a home care company that present the care for the at patients in their homes by staff members. They developed the mathematical model that aim to optimizing economical service cost and take care about individual qualifications of the staff, time preferences of patients, number of the staff required to this patient and certain time of patient’s drugs. This model has been able to achieve low average waiting times for patients, low traveling cost for caregivers, a fair distribution of inevitable tardiness, and service hundred patients in acceptable runtime.
To provide strategies and policy options to keep children and young people in out-of-home-care in education with a relatively satisfied performance, and to help the government in training and supporting for foster carers as they play a significant role in the academic performance and development of the children and young persons under their care.