Hmong Health Issues

They also feel as if their traditions and rituals are not practiced as much as it would if they were living back home. Many Hmong's start taking on American values, and as the new generation learns their culture and practices, it's hard to follow because they deviate towards the dominant culture which is American. Culture is said to decrease generation by generation and it influences portrayals of health and illness, and the treatments that individuals utilize. Individuals are all impacted by the cultural context in which are found; therefore, health benefits and practices are likewise culturally affected. (Warwick-Booth et al, 2014).

“Between the ages of eight months and four and a half years, Lia Lee was admitted to MCMC seventeen times and made more than a hundred outpatient visits to the emergency room and to the pediatric clinic at the Family Practice Center.” The Lee family was a regular visitor at the hospital but it did not make thing between the Lee family and the hospital any easier. There was many issues between Lia’s family and the Merced hospital staff. Many of these issues steamed from many different areas of things. Between the Lee’s a Hmong family and the American doctors at Merced Hospital there were several cultural differences on what both parties wanted. Cultural difference was not the only thing they did not see eye to eye on there was also a huge language barrier between the Lee family and the workers at Merced hospital.

In addition, relying on a doctor who does not share the same beliefs as one does can become fearful. Trusting the doctor for full treatment is necessary but when from a different cultural background it can prevent them on trusting them. According to a research article, Cross- Cultural Medicine a Decade Later, clearly states “when the basic belief structure of biomedicine and another set of health beliefs differs radically, problems and frustrations almost inevitably arise” (Barker, 1992, p.249). The central purpose of the research was to show whether or not health beliefs between patient and doctor differs will they find it difficult to interpret the symptoms and treatment variations to accommodate their beliefs. However, the doctor having faith in one’s health beliefs can sometimes be beneficial for the patients because they’ll be fully understood and not misjudged as being crazy. As stated by the author, for the article Chinese Health Beliefs of Older Chinese in Canada, “the findings support the previous prescriptive knowledge about Chinese health beliefs and illustrate the intergroup socio-cultural diversity that health practitioners should acknowledge in their practice” (Lai, 2009, 38). Like the Chinese, Hmong’s too first go to their shaman for traditional treatment rather than going to the doctor; to them an illness and their healing is more of a spiritual thing that

Anne Fadiman’s novel, The Spirit Catches You and You Fall Down, addresses key concerns regarding health and medicinal relationships with cultural beliefs. She challenges readers to consider what is known about western medicinal practices and beliefs, based on science, and recognize its effectiveness when paired with cultural understanding. This novel portrays some of the greatest medicinal and health challenges and cultural failures of western societies. There were several cultural competency themes integrated throughout the book, however, it surprised me at how distant western practices and the Hmong’s healing methods were at the beginning. It seemed as if it would be a stretch to form a connection between these two extremities,

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.

Most Hmong fear western medicine because of a lack of understanding, and a refusal to try to understand. The Lees had the importance of the medicine that was given to them explained to them many times, but they still believed that their thoughts about medicine and disease were far superior. In contrast, the Americans also refused to even attempt to understand the Hmong culture; even though slightly adapting to their medicine would have likely made the Lees much more compliant. This general misunderstanding of the other culture is best summarized by Fadiman, saying,

The Lees, a Hmong family, came to the United States in the 1970s as refugees from Laos, and lived in Merced, California. Unlike most immigrants, the Hmong population was less amenable to assimilation. The traditional health beliefs and practices of the Hmong population were disputed by the practices of Western medicine. This became very event when the Lees took their three-month-old daughter, Lia Lee, to the emergency room in Merced. Lia was diagnosed with epilepsy a disease that had two different meaning among the Hmong population and Western medicine.

It is not always easy to decide about the care of a patient, because the patient’s cultural beliefs do not always coincide with the beliefs of the nurse. Ephesians 4:2 in “Be completely humble and gentle; be patient, bearing with one another in love” (English Standard Version). God has loved us unconditionally from the beginning of time, and has always been patient with us. It is time that humans show the love that God has for us onto others and respect one another no matter the differences. This paper will discuss the importance of respecting another person’s culture, what stigma is and whether if Lia’s family viewed her that way, brief history of the Hmong, the preventions that could have taken place, and how to incorporate

Different kinds of cancer, diabetes, infectious diseases as well as chronic diseases that was once unknown to the indigenous people has been on the rise within the

The Native American culture is the original culture of the United States. Members of Native American tribes live throughout the country. “There are an estimated 4.9 million persons, in 565 federally recognized tribes who are classified as American Indian or Alaska Native (AI/AI), alone or in combination with one or more other designated racial classifications. This demographic group compromises 1.6% of the U.S. population” (Horowitz, 2012). Wisconsin is home to the Ho-Chunk (Winnebago), Ojibwa (Chippewa), and the Potawatomi tribes (“American”, 2014). It is important for nurses within this state, as well as any other state, to understand the Native American belief system in order to provide a quality healthcare experience. Nurses are the primary point of contact in the healthcare setting. Client advocacy is one of the nurse’s major roles. Therefore, the nurse should have the highest level of diversity understanding for the cultures within the local region.

Medicine, to the modern day world, is a way of healing the sick and helping people experience life to their full potential. It is an ingredient of a culture that allows the culture to survive through decades and centuries at a time. But what if the medicine that we know as helpful is actually harmful? When a child cuts their knee the first thing an adult would do is check the scrape and then assess the damage. After assessing the damage, the adult would normally plan a course of treatment to ensure the child would not lose a limb in the near future. After treating the child with a mixture of antibacterial wipes, bandages and ice cream, what if the child is not better, but actually worse? That is what happens when you compare the medical practices of the Hmong to the medical practices of the Americans, both cultures believe that the others will cause more damage than good in respect to healing the soul and body.

This comprehensive assessment identifies how health disparities are intertwined with the socioeconomic condition the Native Hawaiians and other Pacific Peoples (NHPP) live in. Factors such as education, wages, affordable housing, and access to health care have a profound effect to on the lives of NHPP. Among these factors, low educational achievement results in lower wages that affect the individual's (of family's) access to housing, healthcare, and a better lifestyle. Effects of low educational attainment are further supported by a study completed by the Virginia Commonwealth University Center on Society and Health (2011) wherein it states, "People with fewer years of education have worse health than those with more education - even when

Health promotion can be looked out differently within each ethnic group and can most definitely influence how one manages his/her own health. Within the AI/AN population, a lot of home remedies passed down from generation to generation exist, so seeking out traditional medicine isn’t really a main source of healing. The American Indian/Alaska Native resident may have a holistic view in which people community, nature and spirituality are interconnected and interrelated. This perspective views physical, spiritual, mental and emotional health in unity, instead of indiscrete categories. Sickness may be viewed as a result of disharmony between the

There has been some major improvement in the health and wellbeing of Indigenous people in the past years, there is still some health issues that remain a problem in the indigenous community which still increase the percentage of mortality and morbidity among the group. As of June 30, 2011, there was an estimated 669,900 Indigenous people across Australia which represent the 3% of total Australian population, where the majority of indigenous Australian live in metropolitan or regional and 8% lives in remote areas of Australia according to Australian Bureau of Statistics (2013). The death rates for indigenous population are much higher compare to non-indigenous population across all age group and largest contributory cause of death are circulatory diseases (Australian Institute of Health and Welfare, 2011).

Vietnamese community is the same as the other communities around the world. They came to American soil to build a better life. A good citizen, people that rise due to their moral standards and strong cultural beliefs. They maybe living an American dreams, but health disparities are still among the problems of many Vietnamese people. Language barriers, reluctance and lack of knowledge are some of the risk factors that often seen to the Vietnamese health problems. Therefore, as a health care providers and advocator, further education and helpful resources are the best tools to help decrease the health problems of Vietnamese