The Case Of Lanesha Johnsons

The social worker needs to study more on what it means to be Jewish in America to increase her knowledge and understanding of the dynamics of the cultural impact it has on Bea’s current bereavement and social support systems. There is race, culture, and religion that is included with understanding what it means to be Jewish in America. Bea was not a practicing Jew and the social worker needs to gain additional understanding on how that impacts Bea and how it affects her interaction within the Jewish community, this supports the understanding of the empowerment and advocacy for Bea. The social worker will also gain additional knowledge on the limitations of the current cultural systems in place to develop additional support plans to provide the support to Bea that her current cultural system is unable to provide, this includes the financial support that Bea will be needing to meet her living

This article discusses what is best for a child and how each situation can be is uniquely delicate. It also talks about the continuity, attachment, and emotional impact of removing a child from the care of long-term caregivers, such as grandparents.

Many years ago, an epileptic Hmong girl named Lia Lee entered a permanent vegetative state due to cross-cultural misunderstanding between her parents and her doctors. An author named Anne Fadiman documented this case and tried to untangle what exactly went wrong with the situation. Two key players in her narrative were Neil Ernst and Peggy Philp, the main doctors on Lia’s case. As Fadiman describes, “Neil and Peggy liked the Hmong, too, but they did not love them… [W]henever a patient crossed the compliance line, thus sabotaging their ability to be optimally effective doctors, cultural diversity ceased being a delicious spice and became a disagreeable obstacle.” (Fadiman 265) At first glance, this statement seems to implicate Neil and Peggy as morally blameworthy for a failure to be culturally sensitive enough. However, upon further inspection of the rest of the book, it becomes clear that Neil and Peggy’s failure to be more culturally sensitive to their Hmong patients was caused by structural issues in the American biomedical system. To prove this point, this paper will first present a background to Lia’s case, then discuss possibilities for assigning blame to Neil and Peggy, then show evidence for the structural issues in American biomedicine, before finally concluding.

The case study of Lia Lee is interesting and serves as a cautionary tale as it explores the consequences of cultural misunderstanding. In this case both the parents and medical staff sought the same thing; they both wanted Lia to have a positive outcome. Unfortunately, both groups had distinct ideas regarding how to achieve the common objective. This division was rooted in each sides individual cultural beliefs.

What social and cultural barriers may have made it difficult for the doctors to communicate with Jessica’s family? What might have the doctors done to increase the chances that Jessica’s family understood the true nature of the problems in this terrible circumstance?

Fadiman confronts another interviewing barrier when she works with the medical staff of Merced County Medical Center, the hospital where Lia Lee was taken and treated many times. Fadiman constantly reviewed Lia’s medical records, as well as consulted and interviewed many of the physicians and nurses who worked with Lia and her family. Fadiman had to alter her interviewing style and the way in which she planned the interviews while interviewing the staff of Merced County Medical Center. These individuals did not require an interpreter because they were native English speakers. Because of this, Fadiman had an easier time communicating with the interviewees, but had to remember the culture they were used to. The resident doctors and nurses Fadiman was discussing Lia’s case with worked at the Family Practice Residency, which receives most of its payment through government programs like Medi-Cal or Medicare (Fadiman 1997:24). Because of this, most patients this staff was used to seeing were low-income, and

On 01/28/2016 Ms. Soraya Johnson came to the SSO to meet with CM Watterson for an ILP meeting. HS De La Torre inquired to Ms. Johnson to stay a little longer to develop a Housing Plan. Ms. Johnson agreed and the following was discussed during Housing Plan.

Anne Fadiman wrote this book to document the conflict between cultural barriers and how they affect medical issues. In this book, Lia Lee is a Hmong child was has epilepsy and battles cultural medical differences. The main struggle in this story is the conflict between the doctors and parents because they cannot seem to get on the same page. While writing the book, Fadiman stated that there was a “clash of cultures”. (Fadiman, preface) Meaning, there are two different sides to the story and the problem has not be solved.

One of the biggest cultural issues encountered with the client is her lack of understanding about the health care systems and medical treatments needed for her son. In the past she has

The Purnell Domains of Culture assessment gives a vast amount of information in regards to a persons cultural background, family and heritage that gives care provides a better understanding of their client or clients family. As a future care provider, I took the time to speak to Mrs. Smith about herself and family to gain insight on whom they are as a family and what influences them to be who they are today. Over the course of the domains of culture I have been able to increase my perception of who and what drives this family and how their beliefs came about.

Lupe is 45 year old Mexican Americans woman, and she has two adult children, which are both adults. Lupe has a mother in her late 60s, and the mother expects Lupe to visit her. Lupe has started attending numerous church social function in hopes she might meet someone; furthermore, she does not want to end up like her mother, alone. Her husband left and never helped support his children 16 years ago, and they were never married. Lupe’s daughter, Lucia, moved in with her own daughter named Eva, and Lucia left her boyfriend due to the same financial problems. It appears history is repeating itself again with her daughter; consequently, Lupe was injured on the job, and she needs physical therapy. Lupe appeared depressed refers, and her doctor referred her to a counselor. Lupe has an enormous amount of problems, and it is no wonder she is suffering from depression.

I have come to the conclusion that if an individual wants to work in healthcare they must respect cultural differences of all patients they come in contact with. Outside of the burns, Marie is in wonderful condition; she is healthy, well feed and thriving. Before noting the burns, Linda would consider Mrs. Saeto as a truly caring and compassionate parent, and it is further validated by her desire to make Marie healthy; although by means that are highly scrutinized practices in the American culture. It would be my recommendation to talk with Mrs. Saeto about her curing practices and suggest alternatives in modern medicine that would provide less harm to the child; all while remaining culturally sensitivity to Mrs. Saeto. The last thing Linda needs is Mrs. Saeto to feel disrespected as a patient by rejecting her culture and way of life. And it is not within Linda’s power to force someone to assimilate to the American way of life. Keep in mind, Mrs. Saeto already

I must be honest, this was a very stressful week for me, and so I wasn’t looking forward to reading the 3 assigned chapters. When I started reading the first chapter about theorist Madeleine Leininger, I was hooked, my main focus, as a nurse is to provide a caring environment for my patients and treat each of them as a special individual, with their own unique needs. Madeline’s theory really made me think, I know that I haven’t always met the cultural needs of my patients. I can remember providing care to many patients of ethnic backgrounds, sometimes I incorporated the specific cultural needs of the patients, but when this occurred it wasn’t because I followed a program or policy in place in the hospital or clinic. Most of the time it was the patient or family that provided the information that helped me to meet the patient’s cultural needs. It really made me think about how I could change this right away. I plan to research the website and gather more information. The next step is to gather more information about our patient population and then implement a program to address this issue in the clinic.

In this case study Dr.Williams is visited by Juan and his family , throughout the visit with Juan Dr.Williams acts very unprofessionally by refusing to speak to Juan during the visit or even to look at him instead only addressing his parents even when Juan Asked a question at which point Dr.Williams would answer Juans parents . Dr.Williams also dismissed the parents concerns and suggestions to speak to Juan's other doctors about his previous history with them. Furthermore Dr.Williams dismissed the fact that after his treatment plan the family was confused and instead of explain the treatment plan to the family he let themselves from the office without any answers. After this horrifying appointment for the family they decided to not return to Dr.Williams , however even with there no call no show Dr.Williams did not call the family back instead he aloud them to drop out of his care without ever bothering to find out why. In this paper I will evaluate what I would have done during an appointment with Juan and his familiy then I will describe what kind of

Through my subsequent work experiences I have seen how easily such cases are pushed to the side and ignored by families, medicine, and legal bodies alike. This was the first instance in my life where books and lessons melted away and revealed the reality –that such scenarios could just as easily happen in my life. While theory and hypotheticals yielded easy answers in the classroom, I was to learn that moral platitudes where of no help when drugging through the onerous aspects of the rules of healthcare. My initial interest in the law arose out of interest in protecting my family and I from the legalities that had placed us in this