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Healing by Heart , livre ebook

Vanderbilt University Press - Kathleen A. Culhane-Pera , Dorothy E. Vawter , Phua Xiong , Barbara Babbitt , And Mary M. Solberg

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409 pages

English

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Description

Healing by Heart is a book of stories--stories of people's search for culturally responsive health care from U.S. providers. It offers resources to providers and institutions committed to delivering culturally responsive health care, paying special attention to building successful relationships with traditional Hmong patients and families. It makes available extensive information about the health-related beliefs, practices, and values of the Hmong people, including photographs of traditional healing methods.

Ranging in age from young infants to older adults, the patients in the stories present a wide range of health problems. The clinicians are from family practice, internal medicine, pediatrics, emergency medicine, surgery, obstetrics-gynecology, psychiatry/psychology, and hospice.

Each of the fourteen case stories is accompanied by discussion questions as well as two or three commentaries. The commentaries--written by patients, family members, shaman, Western clinicians (including Hmong physicians, nurses, and social workers), medical anthropologists, health care ethicists, social workers, psychologists, and clergy--are rich in personal reflections on cross-cultural health care experiences. Readers are rewarded with a combination of perspectives, including those of Hmong authors who have not previously published in English and scholars with years of professional experience working with the Hmong in Laos, Thailand, and the United States.

The editors offer a model for delivering culturally responsive health care with special attention to matters of cross-cultural health care ethics. The model identifies questions health care providers can focus on as they seek to understand the health-related moral commitments and practices prevalent in the cultural groups they serve, ethical questions that arise frequently and with great poignancy in cross-cultural health care relationships, and points to consider when a patient's treatment wish challenges the provider's professional integrity.

By sharing stories of suffering, confusion, and success, Healing by Heart couples an accessible method of learning about others with concrete recommendations about how to enhance cross-cultural health care relationships.

Sujets

Health Care Issues

CAB Direct (database)

Health

Fitness

Informations

Publié par	Vanderbilt University Press
Date de parution	01 octobre 2003
Nombre de lectures	0
EAN13	9780826591715
Langue	English
Poids de l'ouvrage	3 Mo

Informations légales : prix de location à la page 0,1000€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

HealingbyHeart Clinical and Ethical Case Stories of Hmong Families and Western Providers

Edited by Kathleen A. Culhane-Pera, Dorothy E. Vawter, Phua Xiong, Barbara Babbitt, and Mary M. Solberg

Healing by Heart

Clinical and Ethical Case Stories

of Hmong Families and Western Providers

Edited by Kathleen A. CulhanePera, Dorothy E. Vawter, Phua Xiong, Barbara Babbitt, and Mary M. Solberg

Vanderbilt University Press N A S H V I L L E

This book is printed on acid-free paper. Manufactured in the United States of America Design by Dariel Mayer

Library of Congress Cataloging-in-Publication Data

Healing by heart : clinical and ethical case stories of Hmong families and Western providers / edited by Kathleen A. Culhane-Pera ... [et al.].— 1st ed. p. ; cm. Includes bibliographical references and index. ISBN 0-8265-1430-8 (cloth : alk. paper) ISBN 0-8265-1431-6 (paper : alk. paper) 1. Hmong Americans—Medical care—Case studies. [DNLM: 1. Asian Americans—psychology—Asia, Southeastern—Case Report. 2. Asian Ameri-cans—psychology—United States—Case Report. 3. Delivery of Health Care— methods—Asia, Southeastern—Case Report. 4. Delivery of Health Care— methods—United States—Case Report. 5. Cultural Characteristics—Asia, Southeastern—Case Report. 6. Cultural Characteristics—United States—Case Report. 7. Professional-Patient Relations—Asia, Southeastern—Case Report. 8. Professional-Patient Relations—United States—Case Report. W 84 AA1 H434 2003] I. Culhane-Pera, Kathleen A. RA448.5.A83H43 2003 362.1’089’95942073—dc21 20030 02518

Contents

List of Illustrations

Preface and Acknowledgments

Introduction

PA R TI Health-Related Cultural Beliefs, Practices, and Values

Hmong Culture: Tradition and Change Kathleen A. Culhane-Pera, M.D., M.A., and Phua Xiong, M.D.

PA R TI I Women’s Health: Case Stories and Commentaries

Controlling Fertility: A Case Story Hmong Preferences for Natural Family Planning Marline A. Spring, Ph.D., and Mayly Lyfoung Lochungvu Social, Cultural, and Ethical Aspects of Controlling Fertility in the Hmong Community Peter Kunstadter, Ph.D.

Woman with Pregnancy Complications: A Case Story

The Cultural Complexity of Obstetrical Care Helen B. Bruce, R.G.N., S.C.M., M.T.D., C.N.M., and Chue Xiong, R.N.

Conflicting Cultural Practices in Deciding about a Cesarean-Section Carol A. Tauer, Ph.D.

Healing by Heart

Woman with Vaginal Bleeding: A Case Story

Culturally Responsive Care for a Hmong Woman with Vaginal Bleeding Deu Yang, L.P.N., and Deborah Mielke, M.D.

Influence of Conversion to Christianity on a Hmong Woman’s Decision about Hysterectomy: A Pastor’s Perspective Lu Vang with Phua Xiong, M.D.

PA R TI I I Children’s Health: Case Stories and Commentaries

Children with High Fevers: Case Stories Hmong Health Beliefs and Practices Concerning Childhood Fevers Kathleen A. Culhane-Pera, M.D., M.A., and Va Thao, L.P.N. State-Ordered Medical Care for Our Son: Parents’ Perspective Parents (Anonymous)

Family-Centered Cultural Collaboration in Pediatric Care Donald Brunnquell, Ph.D., and Stephen Kurachek, M.D.

Bottle-Fed Toddler with Anemia: A Case Story

Iron-Deficiency Anemia in Bottle-fed Toddlers Cher Vang, M.P.A., and Christopher L. Moertel, M.D.

A Culturally Informed Public Health Response to Pediatric Anemia in the Hmong Community Elanah Dalyah Naftali, Dr.P.H., R.D., and Mao Heu Thao, L.P.N., B.A.

Infant with Down Syndrome and a Heart Defect: A Case Story

Defining Best Interest for a Hmong Infant: A Physician’s Challenge Gregory A. Plotnikoff, M.D., M.T.S.

“Why Do They Want to Hurt My Child?”: The Mother’s Perspective Phua Xiong, M.D

PA R TI V Chronic Disease: Case Stories and Commentaries

Man with Diabetes and Hypertension: A Case Story

Type 2 Diabetes Mellitus in the Hmong Community Kevin A. Peterson, M.D., M.P.H., May Lee Vang, A.A., and Yer Moua Xiong, M.P.H.

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106

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vii

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War Veteran with Depression and Posttraumatic Stress Disorder: A Case Story

PA R TV I End-of-Life Care: Case Stories and Commentaries

PA R TV Mental Illness: Case Stories and Commentaries

Integrating Hmong and Western Approaches to Spiritual Illnesses Thomas Vang, M.S.

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Social and Spiritual Explanations of Depression and Nightmares Bruce T. Bliatout, Ph.D., M.P.H., M.S.Hyg., Dr.Ac.

Contents

Young Woman with Kidney Failure and Transplant: A Case Story

Changing Gender Roles and Domestic Violence in the Hmong Community: A Feminist Perspective Pacyinz Lyfoung, J.D.

Woman with Psychosis: A Case Story

Cultural Interpretations of Psychosis Joseph Westermeyer, M.D., Ph.D.

Endstage Mai Neng Moua

“I Tell You This Story of Healing”: A Shaman’s Perspective Yer Moua Xiong, M.P.H., as told by Nkaj Zeb Yaj

Traditional Hmong Concepts of Wife Beating Mymee Her, Ph.D., and Chue Pao Heu

Painful Cultural Differences in a Hmong Family: The Mother’s Perspective Phua Xiong, M.D.

Domestic Violence: A Case Story

Depression and Posttraumatic Stress Disorder: Prevailing Causes and Therapeutic Strategies with Hmong Clients Vang Leng Mouanoutoua, Ph.D.

Hospice Patient with Gallbladder Cancer: A Case Story

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251

224

Cultural Complications in End-of-Life Care for a Hmong Woman with Gallbladder Cancer Kathleen A. Culhane-Pera, M.D., M.A.

viii

Healing by Heart

The Husband’s Plea for Provider Honesty Phua Xiong, M.D.

Pregnant Woman with a Brain Hemorrhage: A Case Story

Strategies for Health Care Providers and Institutions to Deliver Culturally Competent Care Elizabeth C. Walker Anderson, B.A., and Patricia F. Walker, M.D., D.T.M.&H.

Accommodation of Cultural Differences in End-of-Life Care Karen G. Gervais, Ph.D.

A Widowed Mother’s Search for a Good Place to Die: A Case Story

Providing a Spiritually Appropriate Place for My Mother’s Care and Death Mrs. Chang’s Daughter (Anonymous)

“Please Help Me”: A Physician Responds to a Hmong Woman’s End-of-Life Struggles Kathleen A. Culhane-Pera, M.D., M.A.

PA R TV I I Culturally Responsive Health Care

A Model for Culturally Responsive Health Care Recommendations for Health Care Practitioners Recommendations forHealth Care Administrators and Educators Recommendations forPublic Policy Makers Dorothy E. Vawter, Ph.D., Kathleen A. Culhane-Pera, M.D., M.A., Barbara Babbitt, B.S.N., R.N., M.A., Phua Xiong, M.D., and Mary M. Solberg, Ph.D.

Editors and Contributors

Index

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297 305 343 347

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363

Illustrations

Gallery I, following page 32 P L AT E S 1. A blacksmith works at his forge 2. A young woman wears both a twisted metal necklace and a rosary 3. A White Hmong baby girl wears her traditional hat to keep her soul happy 4. An older man wears a shirt with a white fabric cross 5. A woman has a circular bruise on her forehead from a traditional healing method 6. A woman shows linear bruises from vigorous coin rubbing 7. A shaman places blood from a sacrificed pig on a boy’s shirt 8. A man blows along a knife’s metal blade to ease a woman’s chest pain 9. A woman sits during a shaman’s healing ceremony 10. A shaman communicates with spirits about a person’s illness. 11. A symbol indicates that a household member is following a prohibition 12. A woman prepares spirit money for spiritual ceremonies 13. An in-law carries spirit money to participate in part of a funeral 14. A New Year spirit table is situated below the household spirit altar 15. A White Hmong family dresses up for the New Year 16. A male household head communicates with his ancestral spirits 17. A son feeds his sick mother 18. A woman shows bone and hide fragments sucked from a sick man’s stomach

Gallery II, following page 208 P L AT E S 19. A woman holds her newborn infant in a hospital 20. A man holds a boiled egg during a wrist string-tying ceremony 21. A hospitalized patient recovers from an operation 22. A father extends his hand as a soul-caller ties strings on his wrist 23. A medicine woman wears her traditional headdress