Hmong Culture Essay

III. (Credibility Statement): You guys are probably like why should I listen to this guy, “he 's probably making this up or something” but hey why would i lie about my culture.

This entry book” spirit catches you and you fall down” is talking about the cultural conflict between the Hmong's culture and American culture. These differences are brought by the strong beliefs in the Hmong's culture, and the difficulties to accept a new culture. There is a lot of misunderstanding/conflicts between these two cultures in the book. Usually, when the doctors are trying to convince the Lee's family about Lia's treatments, the Lees are stuck in their ways and really hard to accept what the doctors have to say about their beloved daughter. They believe in their own ways, even if it is helpful or not. They refuse to accept the doctors' ideas, and because the treatments that the doctors give are based on the scientific experiences, so the doctors believe that the Hmong's ideas are unreasonable or even stupid .However, when the culture conflicts face the love, these cultural differences become meaningless, which lead me to think that love is the only way that bring these cultures to connect.

I am Hmong and comes from a family of nine. My parents are refugees from Laos who came to the United States to escape communism after the Vietnam War. I was born in Oroville, California in the year 1994 and moved to Milwaukee, Wisconsin in 1997. My parents moved here in hope to find a good job to provide for the family as well as a better education for their children. As I got older, I realized that how important it is to help out one another. I am where I’m at because of the support I received from my family and my community. This is the reason why I tried my best to be a part of my community when I was in high school and while I am in college. In high school I took the opportunity to be involved with my school by joining school organizations.

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.

When parents apply religious or cultural beliefs concerning spiritual healing, faith healing, or preference for prayer over traditional health care for children, concerns develop. This dilemma is unraveled in Anne Fadiman 's true story, The Spirit Catches You and You Fall Down, where the study of cross cultural medicine holds a significant value in all profession. The book chronicles the vast cultural differences between mainstream Americans and the Hmong, and how language and cultural barriers affected Lia 's treatment. To understand the Lees we really need to understand the Hmong culture.

     The Hmong Culture of South Asia is a very interesting ethnic group. Between 300,000 to 600,000 Hmong live in Southeast Asian countries, such as Vietnam, Laos, Thailand, and Myanmar. About 8 million more live in the southern provinces of China. Since the Vietnam War ended in 1975, Hmong refugees from Southeast Asia have settled in Australia, France, Canada, and the United States. The largest Hmong refugee community lives in the United States with a population of about 110,000. The U.S. Department of state has tried to spread Hmong refugees out across the country to reduce the impact on any one region. Because Hmong families tend to be large in numbers, the community grows rapidly.

The Hmong population in the United States was estimated in 2009 by the American Community Survey (ACS) at around 236,000. (Pfeifer, Chiu, and Yang, p.54, 2013)The largest settlements were found in the Midwest with approximately 107,000 people. The West was second largest at approximately 94,000, the South third at approximately 23,000, and the Northeast with the lowest population at approximately 2,000. The remaining settlers were scattered throughout the United States. (Pfeifer, Chiu, and Yang, p.54, 2013) According to the 2009 ACS 41.6 percent of Hmong Americans speak English less than very well, with 90.4 percent speaking a language other than English. (Pfeifer, Chiu, and Yang, p.56, 2013) A high percentage of the Hmong to this day prefer

Asians have migrated to and have lived in the Americas since the days of our founding fathers. The first to come from the Eastern Hemisphere were a small group of Filipinos in the early 18th century that settled in present day Louisiana. The first major influx of Asian Americans was Chinese Americans who came in the 1800’s to find financial opportunity during the California gold rush. They settled in the Golden State and eventually spread out all over the United States, creating the now-famous Chinatowns that millions of Americans visit every year. There is a continual migration of well educated South Asians and East Asians for job and education opportunities and their success has formed the basis for the “myth of the model minority” (MMM). This is the idea that all people who are Asian American and Pacific Islanders (AAPI) are successful both socioeconomically and educationally. This does have a logical basis rooted in statistics—AAPI students are reported to have higher grade point averages, math scores, and overall standardized tests scores on tests such as the Scholastic Aptitude Test (SAT) and the American College Testing Exam (ACT). Other studies often use a racialized rhetoric comparing Asian Americans to white Americans in terms of education and socioeconomic status while contrasting them to the so-called “lazy” and “incapable” Hispanic and African Americans.

“Health is influenced by culture and beliefs” (NRS-429V, 2011, p. 1). In order for the nurse to properly care for the patient, she must know and understand the patient’s culture. “Cultural care is a comprehensive model that includes the assessment of a client’s cultural needs, beliefs, and health care practices” (NRS-429V, 2011, p. 1). It is not enough to just know where the patient lives or where he came from. The nurse must embrace the concept of cultural competence and cultural awareness. This requires not only the awareness of the cultural beliefs and values of their patients, but also

With the large increase multicultural population in the United States, nurses encounter patients with differences in healthcare beliefs, values and customs. To provide adequate nursing care, nurses must be aware of these differences. They must respect and acknowledge the patient’s culture. To do this, nurses need education on cultural competence to ensure patient satisfaction and better patient outcomes.

As the immigrant population currently projected to overtake latinxs and hispanics as largest group of residents in the United States of America, Asian Americans have shown their will to survive in a way that many groups have not, and that is by banding together in order to achieve the life they deserve. Taking the overgeneralization of pan-ethnicity and using it as a device for increased numbers and support for the causes of a group of people who otherwise may not have much to do with each other, is a testament to how vulnerable they must have felt as well as how successful they have managed to be many aspects of progress. What I have gained from this course is the understanding that at the root of ethnic studies and the Asian American community is the “for us, by us” sentiment that contributed to the blurred lines between the different part of their communities as social, political and cultural, structures, collectives and groups which came out of an obligation and necessity to protect those immigrants and their future generations from a country which has always pushed European superiority in all aspects of society.

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 nurse can develops cultural knowledge by educating herself or himself about the world view of other cultures and ethnic groups (Creasia & Parker, 2007) about diseases and health conditions, and variations in drug metabolism (Lee, et al, 2006). Some of the ways a nurse can acquire knowledge by reading about different cultures, attending continuing education courses on cultural competence, and attending cultural diversity conferences (Lee, et al, 2006). In clinical setting, a nurse should ask patients how they wish to be addressed. Never make assumptions about individuals or their beliefs. Try to ask questions about cultural practices in a thoughtful manner. Always find out what the client knows about health problems and treatments. In addition, show respect for the client’s support group, for example family, friends, religious leaders, etc.Understand how men and women fit in the client’s society. In some cultures, the oldest male is the decision-maker for the family, even for treatment decisions. If we know who the decision makers are in the family, we can work more efficiently with them to get the better outcomes. This will take time; eventually, nurses will possess a comprehensive knowledge in different cultures, if these are accomplished (Hagman, 2007).

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