The Spirit Catches You And You Fall Down By Anne Fadiman

Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how they take care of their health, and how they make decisions related to their health (U.S. Department of Health & Human Services, 2015). As a nurse, it is important to understand that not every patient shares the same healthcare beliefs. A nurse must be able to perform his or her duties without judgement and care for each patient with respect for their own unique set of beliefs and morals. In this paper, the Puerto Rican culture will be discussed, from family units to religious and cultural beliefs, as well as how Western Medicine fits into their healthcare.

It is a story about a family who shows so much loyalty to their traditions and cultures, but it clashes with the strict American “norm” and creates conflict for their most prized possession, their daughter. Young Lia’s health is at risk when the doctors are trying to treat her epilepsy, but the culture barrier between them and her parents put her at risk. Lia’s parents, Nao Kao and Foua Lee believe that their ancient traditions and healing is what Lia needs in order to get better, but Lia’s doctors prescribe her with many prescriptions to help with the seizures and her parent’s inability to read or speak English to communicate

In the documentary, “The Split Horn: Life of a Hmong Shaman in America,” portrays the journey of an immigrant Hmong family battling to maintain their cultural traditions alive in the United States. In the Hmong culture, it is believed that every individual has seven souls and if they have an illness, for example sickness, it means that their soul has departed or taken by evil spirits. Hmong people believe in Shamans, who are gifted and respected people who can make contact with their ancestors and return the lost souls of people. In this documentary, the main character Paja Thao is a shaman who is challenged by American customs to keep his cultural Hmong traditions alive and pass it down to his children. Paja becomes sick because he feels like his children don’t care about the Hmong tradition anymore because they don’t participate in his rituals and realizes his children have assimilated to the American culture. The different ways one can look at Paja’s illness is by acknowledging the Hmong culture and by looking at the perspective of the biomedical world.

The author was trying to show how the difference between two cultures can influence in health care. The author showed how the difference between illness and disease also affects the forms of treatment. It is important to recognize the patient’s cultural beliefs because this may help us to recognize how effective the given treatment can be and in what ways we can enhance the treatment without sacrificing the patient’s cultural beliefs. The author also showed how both the parents and the doctors care about Lia but what they thought was best for Lia varied. The doctors thought that the parents were harming the treatment by not being compliant and the parents thought that the doctors were hurting Lia by giving her so much medicine.

Cultural Competency in general is related to the ability to serve people in an appropriate way where they feel respected. In health care this refers to comfortable treatments that meet the standards of the patient from any backgrounds with all their different ways of living. Health care is a very important matter to every culture with different beliefs, traits, linguistics, etc. As Tamu Nolfo, the certified prevention specialist states in the short video “What is cultural competence and why is it important?”, there is still a problem with inequality in the United States. This makes it difficult to connect with such diverse cultures and backgrounds. It is; however, very important to have health care providers with cultural competent manners

In The Spirit Catches You and You Fall Down, Anne Fadiman introduces the reader to the Hmong culture and to the Lee’s family experience with western medicine. Throughout the book it talks of the past interactions of the Hmong and Americans, showing reasoning why the Hmong already mistrust Americans and western medicine.

“The Spirit Catches You and You Fall Down” by Anna Fadiman tells the story of Lia Lee, a Hmong child with epilepsy, whose life could have been different if only her family was caught up in western medicine. This book reveals the tragic struggles between a doctor and patient because of lack of communication.

Many immigrants have an extremely difficult time migrating to different parts of the world due to cultural differences, language barriers, and homesickness. Nowadays, there are translators and help available for those that are migrating from different countries. However, what if someone had migrated to the United States and barely had any of that support? The Spirit Catches You and You Fall Down is an incredibly touching book speaking of the struggle of the Hmong immigrants and the walls that were built between them and Americans, particularly the American doctors and medical system. The book focuses on a particular child, Lia Lee, and her family - specifically her parents, Foua Yang and Nao Kao Lee. The book starts from when Lia Lee was still

In a healthcare setting you will see different cultures that will come and go. It is very important to know how to deal with each culture so that you can help them while still making sure they are comfortable. Native Americans have many different characteristics because of the different tribes from all over the world. Healthcare providers should be familiar with them so they know how to distinguish them if needed. While knowing their characteristics they should also know how to interact with Native Americans as well since their culture is a lot different than ours, we want to make sure that we don’t disrespect them. Our healthcare providers would impact Native Americans and healthcare by showing them that we respect them and want to be there to help them anyways that we can so

Ethnomedicine has been historically defined as any healthcare system not present in the West; now, ethnomedicine is defined as the any cultural beliefs which surround healing in a community. The Hmong—an ethnic group located within present day Laos, Vietnam, and Thailand—have a particular system of ethnomedicine which is described as personalistic. Within a personalistic system, an active agent is the underlying cause of a disease—or etiology. Humans can be the cause of the disease as well as a number of non-human and supernatural agents. When Lia Lee began seizing at three months of age, her parents understood that the active agent which caused her epilepsy was a door slamming which caused her soul to fly from her body, an illness called quag

As I listened to the Riverbend scenario I thought of my own cultural competence and how at one time I knew very little of the Hmong culture. Working in a city where Asians make up only 3% of the population, this is a population I knew little about. I have learned that most Hmong are from the mountainous region of Laos, and are granted preferred refugee status by the U.S. (Cobb, 2010). From 2000 to 2010 the number of Hmong grew 40%, there are currently 260,073 Hmong people living primarily in California, Minnesota, and Wisconsin. Even though the Hmong people seem to be prospering after thirty years in the U.S., there are still challenges with communication, understanding of cultural beliefs, and use of traditional medical practices (United States Census Bureau, 2013)

In the book, The Spirit Catches You and You Fall Down, Anne Fadiman explores the cultural collision between the Hmong Lee family and their American doctors. Along with the culture clash, the social stigma against the Hmong family brings to light a lot of the systematic, moral, and ethical issues that can arise in our healthcare. Ultimately, the combination of the cultural clash in medical perspectives, the underlying social stigma, the inadequate treatment, and the miscommunication hindered the proper diagnosis and recovery of led to the demise of the Hmong child. However, many of the problems could have been easily avoided or resolved with more patience, objectivity, and most importantly, cultural competence. Cross-cultural methods and approaches should be taken to accommodate for the diverse patient population in our communities.

There are many negative stigmas in regards to seeking treatment for mental illness. Is it possible that people around the world choose to not seek treatment due to these stigmas? Or does one’s cultural beliefs keep them from seeking treatment as well? Negative attitudes and beliefs toward people who have a mental health condition is common in America and countries around the globe. The stigma does not only pertain to the people who suffer from the mental illness but those who provide the treatment as well. Psychiatry is criticized for it’s a medicalization of normal behavior. As well as its lack of cultural competency ultimately leading to misdiagnosis of minority patients. With the recent change in global demographics,

Paula is a 43-year-old HIV-positive Latina lady initially from Colombia. Aside from confronting the disgrace of her HIV status and a bipolar issue, she is a divorced person who loses custody of her child’s (Plummer, Makris, Brocksen, 2014). She is accordingly inclined to psychological and emotional distress (Plummer et al., 2014). The Physician who is treating Paula with her may physical ailment ended up baffled with her because she utilizing all-encompassing medication instead endorsed prescription (Plummer et al., 2014). Therefore, he was not culturally competent when it came to Paula Catholic foundation. They were additionally interlaced in her feelings and emotions about death and dying. Many parts of Paula's Latino culture played out for her situation. For instance, her inclination to abandon standard medical intercessions and fall back on more all-encompassing and home cures is steady with Latino culture. What's more, Paula was always impervious to including outcasts (i.e., community resources, friends, aides, etc.) in her care/life. She clutched the political conviction that family issues ought to managed about from within the family. What made this troublesome for Paula was the way that her family was not involved in her life. She would not like to depend on outsiders. However, she was distant from everyone else and honestly had no way out. The psychiatrist assumed a part in

Over the past four months, this course has been one of the most eye-opening experiences I have had during my first year of college. Although I have always realized the importance of being culturally competent in daily life, specifically healthcare, I was unaware of the many ways that cultural competence can be obtained. This class gave me the opportunity to view situations from a different perspective, especially through the weekly discussion boards and peer responses. Learning from classmate can teach more valuable lessons than listening to boring lectures or reading hundreds of pages in a textbook because it is easier to relate to experience rather than hypothetical situations. For example, one of the discussion boards asked us to detail