Cultural implications were evaluated from the Hmong perspective, using the book “The Spirit Catches You and You Fall Down.” The assessment was based on the Hmong people and followed the Geiger and Davidhizar’s transcultural assessment model. Five areas were focused on in particular from their model: Environmental Control, Social Organization, Communication, Space, and Time Orientation. The result reaffirmed that there is a huge cultural divide that caused many errors in the care of young Lia Lee, including many miscommunications that could have been prevented. I briefly touch on the importance of cultural awareness in the health care industry and why it is important to be sensitive to the culture of others.
Health in all cultures is an important aspect of life. A person’s cultural background, religion and/or beliefs, greatly influences a person’s health and their response to medical care (Spector, 2004). These diverse cultures guide decisions made in daily life; what food eaten, living arrangements made, medications taken and medical advice listened to. A nurse must be knowledgeable and respectful of these diverse cultures and understand their importance when providing care. This understanding helps to build a strong nurse/patient relationship, increasing patient compliance, which ensures positive outcomes are met. Patients who are satisfied
As a Filipino-American nurse living in Los Angeles, California, this writer has been a witness and an active participant in the multifactorial influences/aspects that affect the Filipino-Americans, in health and illness. Being a grandmother of wonderful grandkids has brought me further exposure to the plight of elderly Filipino-Americans in the United States of America.
As nurses we know medical professionals more than ever are responsible for treating large diverse populations. Understanding cultural differences in various populations is crucial to produce positive outcomes. Nurses have a major role in health care promotion. Nurses should be treating the patient as a whole in mind, body, and spirit. This should be included in community treatment too. Individual, family, environment, and community assessments are necessary to provide the care and improve health care outcomes in the community as a whole. The World Health Organization’ s (WHO) definition of community is “a group of
There are several hindrances that immigrant’s population encounter when they migrated to a new country. For sure, obtaining a good quality of health care is one of the most difficulties that the immigrants will be faced in the new country due to several reasons such as language barrier, cultural beliefs and lack of education. These elements could absolutely complicate the medical system. One of the immigrant population who began to migrate gradually to the United States in the 18th century is the Hmong. They arrived in the United States with their traditional customs. Hmong culture, in general, is entirely different from the way of life in the United States. In particularly, Hmong’s health care has completely different systems of health in the America. Their health care depends extremely on their traditional beliefs which are seeing illness as animism matter. On the other hand, the Western medical system is rationalism that means the medical system relies primarily on biomedical beliefs. As I result, the contrast between Hmong traditional beliefs and Western biomedical beliefs built a lack of understanding of both sides
A vital foundation for a high-quality care delivery is an efficacious communication between the patient and the healthcare providers (Gengler & Jarrell, 2015). Fadiman (1997) recounted the conflict between a refugee family from Laos and a small hospital in California over the care of Lia Lee, a Hmong girl with severe epilepsy, in her book The Spirit Catches You and You Fall Down. Despite both sides wanting the best care for Lia, the lack of cross-cultural communication between her Hmong family and her American doctors, lead to her tragedy (Fadiman, 1997). Awareness regarding the disparities in culture and language of our patient with ours and how to address them should be taken into account when providing healthcare since the life of a
Who is the person the nurse is caring for? Where is that person from? Does this person speak English, or understand what the caregiver is saying? What is this person’s cultural background? What are the health beliefs of this person, what are their illness beliefs and practices? These questions are answered differently depending upon the person and their heritage. As healthcare providers it is important to have a broad knowledge base in regards to different cultures and people’s practices to deliver effective health care. In 2006, the population of
Important health decisions are made by the entire family. It is not uncommon for three generations to live under one roof and the oldest father is in charge. The people of Vietnamese culture tend to hide their true feelings or fears as it is considered rude to speak up or offer frank honesty (Kemp,
At least 50% of all adults and children are exposed to a psychologically traumatic event (such as a life-threatening assault or accident, humanmade or natural disaster, or war). As many as 67% of trauma survivors experience lasting psychosocial impairment, including post-traumatic stress disorder (PTSD); panic, phobic, or generalized anxiety disorders; depression; or substance abuse.(Van der Kolk, et al, 1994) Symptoms of PTSD include persistent involuntary re-experiencing of traumatic distress, emotional numbing and detachment from other people, and hyperarousal (irritability, insomnia, fearfulness, nervous agitation). PTSD is linked to structural neurochemical changes in the central nervous system which may have a direct
Jones, K. (2005). NBC: Vietnamese refugees fled to U.S. - US news | NBC News. Retrieved from http://www.nbcnews.com/id/7667875/ns/us_news/t/after-saigons-fall-new-home-vietnamese/#.VnWAShUrLIV
The competency, “Analyze determinants of health and disease using an ecological framework” was met through the exercise, “Health Problem Analysis Worksheet” and through reading Chapter 2 in the book Public Health: What it is and How it Works.
Today when people move across continents with the help of technology their culture and heritage moves along with them. Almost each and every continent is populated with people from different nations who have diverse traditions and cultures. Thus knowledge of health traditions and culture plays a vital role in nursing. People from different cultures have a unique view on health and illness. Culture-specific care is a vital skill to the modern nurse, as the United States continues to consist of many immigrants who have become assimilated into one culture. I interviewed three families of different cultures: - Indian (my culture), Hispanic and Chinese. Let us see the differences in health traditions between these cultures.
A disparity can be defined as a difference, an inequality, a discrepancy, a gap, or an inconsistency. Within individual cultures, there are health disparities, or specific differences of a population in the existence of health outcomes, disease, health care access, and value of health care services existing across ethnic and racial groups. Disparities can stand for ineffectiveness within the system of health care and thus accounting for unnecessary costs. (Douglas and Paquiao, 2010) The Filipino culture has numerous factors leading to insufficient access to care and reduced quality of care, some of them being cultural habits concerning diet, language, and screening rates, as well as behavioral and mental health. Every culture has its own traditional beliefs and values amongst which can be shared transculturally to better international health whereas there are also those that are influenced by the Filipino culture that can be seen as non beneficial to future generations.
Vietnamese cuisine can be very diverse due its geography and climate. There is no accurate average temperature for the whole country. The Vietnamese national culture emerged from a concrete living environment: a tropical country with many rivers and the confluence of great cultures (Vietnam Country). Vietnam is a long, narrow country in Southeast of Asia that borders south China, east of Laos and Cambodia. Vietnam is practically the size of Italy and Japan put together; and is divided into three regions: north, central, and south.
Vietnam is world’s 13th most populous country, majorly consisting of Viet and Kinh ethnic groups. Vietnam has Vietnamese as official language and some other languages exist in minority groups. Vietnam adopted “seclusion” policy which made the country isolated and faced a deep crisis which led them on brink of bankruptcy. After 1995, started globalizing and established relation with United States and Vietnam also became member of WTO in 2006. There are many aspects that helped Vietnam to grow faster. PESTLE (Political, Economic, Social, Technical, Legal and Environmental) analysis helps in analyzing overall business opportunities and ease of doing business in country. Vietnam PESTLE analysis is as follows:-