Download or read book End of Life Care in the Hmong American Community written by Kate Emily Brevik and published by . This book was released on 2016 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: The United States health care system has caused cross-cultural controversy over the past several decades. The prominence and evolution of Westernized medicine in the United States has inconspicuously created the notion that biomedical practices are superior to other forms of health and healing. As a result, health care systems have experienced a decline in patient satisfaction and quality of care for minority patients, particularly within the Hmong-American community in La Crosse, Wisconsin. In efforts to eliminate the health disparities that minorities face, health care systems have implemented cross-cultural intervention strategies at organization, clinical, and provider levels. However, issues persist, particularly at the provider level of end-of-life care. Research indicates that ethnic minorities living in Western societies have lower access to end-of-life services and support when compared to dominant populations (Seymour et al., 2007). This paper addresses the barriers that Hmong Americans face within the United States health care system, specifically during end-of-life care, and introduces a framework of culturally sensitive practices in order to formulate suggestions and practical solutions that address the health disparities Hmong Americans experience during end-of-life care.--

Download or read book Hmong Community Perceptions on End of Life Care written by Mai Ger Lor and published by . This book was released on 2017 with total page 180 pages. Available in PDF, EPUB and Kindle. Book excerpt: The purpose of the project was to assess the level of awareness the Hmong community has about end of life services in attempt to understand the best approach to address the barriers of this topic. Despite the growth of the Hmong community over the years, cultural taboos still restrict members from openly discussing and learning about care services impacting families and loved ones. Participants in this study were Hmong American adults ranging in educational backgrounds and age groups from Sacramento, California. The findings of the research revealed the community's lack of knowledge of the treatment terms and services pertaining to end of life care. The participants' perception of learning and speaking about end of life services was evaluated in attempt to understand the factors hindering individuals from utilizing care services for themselves and their family members.

Download or read book Hmong American Concepts of Health Healing and Conventional Medicine written by Dia Cha and published by Psychology Press. This book was released on 2003 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's healthcare system in the twenty-first century faces a variety of pressures and challenges, not the least of which is that posed by the increasingly multicultural nature of American society itself. Large numbers among the Hmong, immigrants from the landlocked Asian nation of Laos, continue to prefer their own ancient medical traditions. That these Hmong Americans should continue to adhere to a tradition of folk medicine, rather than embrace the modern healthcare system of America, poses questions that must be answered. This book takes up the task of examining Hmong American concepts of health, illness and healing, and looks at the Hmong American experience with conventional medicine. In so doing, it identifies factors that either obstruct or enable healthcare delivery to the Hmong, specifically a target sample of Hmong Americans resident in Colorado. Drawing upon scientific methods of data collection, the research reveals attitudes currently held by a group of American citizens toward health and medicine which run the gamut from the very modern to those which have prevailed in the highlands of Southeast Asia for centuries.

Download or read book Hmong American Concepts of Health written by Dia Cha and published by Routledge. This book was released on 2004-03-01 with total page 262 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's healthcare system in the twenty-first century faces a variety of pressures and challenges, not the least of which is that posed by the increasingly multicultural nature of American society itself. Large numbers among the Hmong, immigrants from the landlocked Asian nation of Laos, continue to prefer their own ancient medical traditions. That these Hmong Americans should continue to adhere to a tradition of folk medicine, rather than embrace the modern healthcare system of America, poses questions that must be answered. This book takes up the task of examining Hmong American concepts of health, illness and healing, and looks at the Hmong American experience with conventional medicine. In so doing, it identifies factors that either obstruct or enable healthcare delivery to the Hmong, specifically a target sample of Hmong Americans resident in Colorado. Drawing upon scientific methods of data collection, the research reveals attitudes currently held by a group of American citizens toward health and medicine which run the gamut from the very modern to those which have prevailed in the highlands of Southeast Asia for centuries.

Download or read book Understanding Hmong Elders Care Preferences for the Dying Process written by Youhung Her-Xiong and published by . This book was released on 2020 with total page 179 pages. Available in PDF, EPUB and Kindle. Book excerpt: Hmong elders, who moved to the United States as political refugees from Southeast Asia have sought to maintain their cultural traditions and find that having those traditions honored at end of life (EOL) may prove to be difficult. This difficulty arises from healthcare providers having limited knowledge on providing culturally sensitive EOL care to Hmong elders. The dearth of knowledge contributed to Hmong elders experiencing a dying process that is not culturally sensitive (Culhane-Pera, 2003a). Additionally, acculturation and intercultural adaptation could impact traditional methods of EOL care. The religion, spiritual beliefs, and spiritual rituals that Hmong elders have and practice could also influence their EOL care preferences. This qualitative study sought to explore Hmong elders' care preferences for the dying process with regard to their acculturation, intercultural adaptation, religion, and spiritual beliefs and practices. Semi-structured interviews conducted with 30 Hmong elders who were not terminally ill explored their acculturation strategies and care preferences for the dying process. Transcripts were analyzed via conventional and directed content analysis with Berry's acculturation typology (1997; 2005; 2015) and Ward's intercultural adaptation framework (2001) guiding the directed content analysis portion. Findings were related to Hmong elder participants' EOL care preferences with regard to the physical, psychosocial, and cultural care domains. Directed content analysis resulted in four categories of acculturation strategies: separation, separation & integration, integration, and integration & assimilation. Results suggested that some participants have adapted psychologically and socioculturally, while others have not. Participants reported some adaptations in response to their adult children's adaptations. Christian participants believed in prayers as part of their EOL care and preferred to receive prayers. Animist participants spoke of soul loss and preferred spiritual rituals such as soul calling to be conducted. Participants also recognized the impact of the Western culture on their traditional caregiving methods. Findings have practice, policy, and research implications. Social workers and healthcare professionals should ensure that culturally sensitive assessments and care are provided to Hmong elders. Policies should promote culturally sensitive services for Hmong and other refugees and immigrant communities. Future research should include interviews with Hmong adult children as they are most likely the preferred caregivers.

Download or read book Hmong American Concepts of Health Healing and Conventional Medicine written by Dia Cha and published by Routledge. This book was released on 2003-07-03 with total page 252 pages. Available in PDF, EPUB and Kindle. Book excerpt: America's healthcare system in the twenty-first century faces a variety of pressures and challenges, not the least of which is that posed by the increasingly multicultural nature of American society itself. Large numbers among the Hmong, immigrants from the landlocked Asian nation of Laos, continue to prefer their own ancient medical traditions. That these Hmong Americans should continue to adhere to a tradition of folk medicine, rather than embrace the modern healthcare system of America, poses questions that must be answered. This book takes up the task of examining Hmong American concepts of health, illness and healing, and looks at the Hmong American experience with conventional medicine. In so doing, it identifies factors that either obstruct or enable healthcare delivery to the Hmong, specifically a target sample of Hmong Americans resident in Colorado. Drawing upon scientific methods of data collection, the research reveals attitudes currently held by a group of American citizens toward health and medicine which run the gamut from the very modern to those which have prevailed in the highlands of Southeast Asia for centuries.

Download or read book Perceptions of Health Care Among Hmong Americans written by Stacy Thang Yang and published by . This book was released on 2012 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Hmong immigrated to America as a result of various life threatening conditions that prevented them from being able to live an ordinary life. Despite the huge population of Hmong who have settled in California, Minnesota, Wisconsin and Michigan, they still experience challenges when utilizing the modern health care system and its services. This study explores Hmong Americans' perceptions toward both traditional and modern health care and their utilization of these services. Participants in this study were Hmong American adults who are former refugees and immigrants from Laos and Thailand. The findings of this research study reveal that there are indeed challenges and obstacles that have prevented Hmong Americans from utilizing modern health care, as well as its services, such as different philosophies toward health and illness, providers' lack of understanding about the Hmong's cultural beliefs and/or practices, and lack of sufficient English comprehension skills to communicate with health care providers.

Download or read book Healing by Heart written by Kathie Culhane-Pera and published by . This book was released on 2003 with total page 416 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Download or read book End of life Issues Among Mexican Americans written by Sergio Z. Camarillo and published by . This book was released on 2013 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Despite the benefits of hospice and palliative care, these services often go under-utilized, especially among racial and ethnic minority groups. The utilization of quality palliative care is limited by many factors including culture. This study examined the cultural factors that contribute to the under-utilization of palliative care services by Mexican-Americans at end-of-life. A convenience sample consisting of five Mexican-Americans living in a midsize Central California city was used. Participants also completed the Short Acculturation Scale for Hispanics (SASH). Overall, 80% of participants had no previous knowledge about palliative care or hospice care. It is critical that health professionals understand the cultural factors that influence the attitudes of Mexican-Americans at end-of-life.

Download or read book Hmong and American written by Vincent K. Her and published by Minnesota Historical Society Press. This book was released on 2012 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: Farmers in Laos, U.S. allies during the Vietnam War, refugees in Thailand, citizens of the Western world, the stories of the Hmong who now live in America have been told in detail through books and articles and oral histories over the past several decades. Like any immigrant group, members of the first generation may yearn for the past as they watch their children and grandchildren find their way in the dominant culture of their new home. For Hmong people born and educated in the United States, a definition of self often includes traditional practices and tight-knit family groups but also a distinctly Americanized point of view. How do Hmong Americans negotiate the expectations of these two very different cultures? This book contains a series of essays featuring a range of writing styles, leading scholars, educators, artists, and community activists who explore themes of history, culture, gender, class, family, and sexual orientation, weaving their own stories into depictions of a Hmong American community where people continue to develop complex identities that are collectively shared but deeply personal as they help to redefine the multicultural America of today.

Download or read book The Second Fifty Answers to the 7 Big Questions of Midlife and Beyond written by Debra Whitman and published by W. W. Norton & Company. This book was released on 2024-09-10 with total page 195 pages. Available in PDF, EPUB and Kindle. Book excerpt: Expert guidance for living a longer, healthier, more meaningful second half of life. As she approached her fiftieth birthday, Debra Whitman, a globally recognized expert on aging, wanted to delve deeper into why so many Americans struggled to live well as they aged. And she began to wonder what was in store for her own second fifty. Suddenly, the questions she’d been studying for years became personal: How long will I live? Will I be healthy? Will I lose my memory? How long will I work? Will I have enough money? Where will I live? How will I die? Americans are now living decades longer than previous generations. These added years offer exciting possibilities but also raise crucial questions. In her groundbreaking book, Whitman provides a roadmap for navigating, and celebrating, the second half of life. Drawing on compelling stories from her own family and people across the country, interviews with experts, and cutting-edge research, she shares insights on brain health, the contributions and concerns of an older workforce, caregiving, financing retirement, and more. Her findings are often surprising: Americans over fifty are a boon to—not a drain on—the economy. Dementia rates have actually been declining as more people achieve higher levels of education and adopt healthier lifestyles. And while we’ve long known that staying connected to others is critical to mental health, it turns out it is also linked to a stronger immune system, lower blood pressure, and a longer life. Whitman presents practical steps we can take to help create a better second fifty for ourselves. But we can’t do it alone. Whitman also calls for urgently needed changes that would make it easier for every American to enjoy a vital and meaningful second half of life. Whether you are approaching fifty, into your later years, or caring for someone who is, you’ll find a wealth of wisdom in these pages. Informed by Whitman’s unmatched expertise and her deep passion, The Second Fifty is an indispensable guide for living well in the twenty-first century.

Download or read book The Spirit Catches You and You Fall Down written by Anne Fadiman and published by Macmillan. This book was released on 2012-04-24 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt: Winner of the National Book Critics Circle Award for Nonfiction, this brilliantly reported and beautifully crafted book explores the clash between a medical center in California and a Laotian refugee family over their care of a child.

Download or read book Palliative Care written by Diane E. Meier and published by John Wiley & Sons. This book was released on 2011-01-07 with total page 470 pages. Available in PDF, EPUB and Kindle. Book excerpt: Palliative Care is the first book to provide a comprehensive understanding of the new field that is transforming the way Americans deal with serious illness. Diane E. Meier, M.D., one of the field's leaders and a recipient of a MacArthur Foundation "genius award" in 2009, opens the volume with a sweeping overview of the field. In her essay, Dr. Meier examines the roots of palliative care, explores the key legal and ethical issues, discusses the development of palliative care, and presents ideas on policies that can improve access to palliative care. Dr. Meier's essay is followed by reprints of twenty-five of the most important articles in the field. They range from classic pieces by some of the field's pioneers, such as Eric Cassel, Balfour Mount, and Elizabeth Kübler-Ross, to influential newer articles on topics such as caregiving and cost savings of palliative care. The reprints cover a wide range of topics including: Why the care of the seriously ill is so important Efforts to cope with advanced illness Legal and ethical issues Pain management Cross-cultural issues Philosophical perspective The demand for palliative care has been nothing short of stunning largely because of palliative care's positive impact on both the quality and the cost of care provided to seriously ill individuals. By providing a wide-ranging perspective on this growing field, this book will serve as a guide for developing meaningful approaches that will lead to better health care for all Americans.

Download or read book Perspectives on Palliative and End of Life Care written by Rebecca S Allen and published by Routledge. This book was released on 2018-06-13 with total page 172 pages. Available in PDF, EPUB and Kindle. Book excerpt: Individuals and families face challenges at the end of life that can vary significantly depending on social and cultural contexts, yet more than ever is now known about the needs that cut across the great diversity of experiences in the face of dying and death. A number of behavioural interventions and clinical approaches to addressing these needs have been developed and are available to help providers care for clients and assist them in achieving their goals. Perspectives on Palliative and End-of-Life Care: Disease, Social and Cultural Contexts explores how these interventions can be used to address a range of issues across social and cultural contexts for those in need of end of life care. With perspectives from experienced clinicians, providers, and caregivers from around the world, the book offers a strong foundation in contemporary evidence-based practice alongside seasoned practice insights from the field and explores interventions for people as diverse as HIV caregivers in Africa and individuals dying with dementia. In addition, readers will learn about the process of caring for individuals with chronic illnesses including severe mental illness; weigh the impact of policy regulations on the availability of and access to palliative care and interventions; and be able to compare the different issues experienced by family caregivers and formal caregivers. As the companion volume to Perspectives on Behavioural Interventions in Palliative and End-of-Life Care, this book will be of interest to a wide variety of individuals, such as academics, researchers and postgraduates in the fields of mental health, medicine, psychology and social work. It will also be essential reading for healthcare providers and trainees from psychosocial and palliative medicine, social work and nursing.

Download or read book Palliative Care for Advanced Alzheimer s and Dementia written by Gary Martin, PhD and published by Springer Publishing Company. This book was released on 2010-07-23 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: 2010 AJN Book of the Year Award Winner in both Gerontologic Nursing and Hospice and Palliative Care! "This book...provides important information on best practices and appropriate ways to care for a person with Alzheimer's and advanced dementia. Drs. Martin and Sabbagh have assembled a team of experts to help craft recommendations that should ultimately become standards that all professional caregivers adopt." -Michael Reagan Son of former President Ronald Reagan President, Reagan Legacy Foundation This book testifies that caregivers can have a monumental impact on the lives of persons with advanced dementia. Through specialized programming and a renewed effort toward patient-centered care, caregivers can profoundly enrich the quality of life for these persons. Providing guidelines for health care professionals, caregivers, and family members, this book introduces palliative care programs and protocols for the treatment of people with advanced dementia. The book is designed to guide professional caregivers in meeting the needs of patients and their families, providing insight into the philosophy, assessment, planning, implementation, and evaluation measures involved in interdisciplinary palliative care. The chapter authors offer guidelines and standards of care based on contributions from nurses, physical therapists, social workers, dietitions, psychologists, family caregivers and pastors. An exhibit at the end of every chapter clearly articulates the standards of care appropriate for all advanced dementia facilities and health care staff. This book helps caregivers: Enhance the physiological, psychological, social, and spiritual well-being of the patient and the patient's family Anticipate and meet the patient's basic human needs: hunger, thirst, body positioning, hygiene, continence, and management of any pain Ensure that the patient's surroundings are safe, comfortable, and homelike Address health care decisions that will support the patient's right to self-determination until the end of life

Download or read book The Latehomecomer written by Kao Kalia Yang and published by Coffee House Press. This book was released on 2010-12-15 with total page 251 pages. Available in PDF, EPUB and Kindle. Book excerpt: In search of a place to call home, thousands of Hmong families made the journey from the war-torn jungles of Laos to the overcrowded refugee camps of Thailand and onward to America. But lacking a written language of their own, the Hmong experience has been primarily recorded by others. Driven to tell her family’s story after her grandmother’s death, The Latehomecomer is Kao Kalia Yang’s tribute to the remarkable woman whose spirit held them all together. It is also an eloquent, firsthand account of a people who have worked hard to make their voices heard. Beginning in the 1970s, as the Hmong were being massacred for their collaboration with the United States during the Vietnam War, Yang recounts the harrowing story of her family’s captivity, the daring rescue undertaken by her father and uncles, and their narrow escape into Thailand where Yang was born in the Ban Vinai Refugee Camp. When she was six years old, Yang’s family immigrated to America, and she evocatively captures the challenges of adapting to a new place and a new language. Through her words, the dreams, wisdom, and traditions passed down from her grandmother and shared by an entire community have finally found a voice. Together with her sister, Kao Kalia Yang is the founder of a company dedicated to helping immigrants with writing, translating, and business services. A graduate of Carleton College and Columbia University, Yang has recently screened The Place Where We Were Born, a film documenting the experiences of Hmong American refugees. Visit her website at www.kaokaliayang.com.

Download or read book Social Aspects of Care written by Nessa Coyle and published by Oxford University Press. This book was released on 2016 with total page 137 pages. Available in PDF, EPUB and Kindle. Book excerpt: 'Social Aspects of Care' provides an overview of financial and mental stress illness places, not just on the patient, but on the family as well. This volume contains information on how to support families in palliative care, cultural considerations important in end-of-life care, sexuality and the impactof illness, planning for the actual death, and bereavement.