Although Ting was considered first by the medical staff under code two, Relationship with Patients, their initial support for the parent’s decision and their inability to create a trusting relationship became a barrier when Ting became ill. “Code two calls for the consideration of culture, religion, gender, and primary language to be taken into account when planning patient-centered care” (ANA, 2001, p.18). The proper steps would’ve been to have open discussions from the beginning in order to build trust and create a comfortable environment for both the patient and her family. The last code, Primacy of interest, was exemplified when the healthcare team used translating services to communicate with the parents. This, however, was unsuccessful since the majority of the discussion took place with her
Overcoming Language Barriers and Seeing Perspective The Spirit Catches You and You Fall Down by Anne Fadiman is a novel based on the real-life story of the Lee’s, a Hmong family who move to Merced, California after escaping from their home country of Laos following World War II. When the Lee’s arrive to Merced, they speak no English and are expected to adapt to Western culture. For them, it was complete culture shock. The novel focuses on Nao Kao and Foua Lee’s youngest daughter Lia, who is diagnosed by modern medicine with epilepsy and by holistic medicine with the spirit catches you and you fall down. Throughout the novel the Lee’s struggle to effectively communicate with many doctors, nurses and social workers due to the language barrier and cultural divide between the Hmong and the Americans.
There were also reasons some parents fear about their child’s health status might worsen after procedures (12.5%) and one parent came out with religious reason (12.5%). Some parents believed lumbar puncture procedures could cause mental retardation to their children (17). Equally important reasons were their children were too small for procedures and it could cause unbearable pain to their children. Besides, some parents said the procedure way too dangerous since it involved in poking children spinal cord and it could weaken children’s kidney. Researchers postulate the arise in wrong belief among the community about lumbar puncture in some way could lead to paralysis to patients.
In Anne Fadiman’s book, The Spirit Catches You and You Fall Down, two cultures clash with each other in the struggle to save Lia Lee, a Hmong child refugee with severe epilepsy. Although Lee and her family live in the United States, and thus receive medical care from Westerners, her family believes that Lee’s condition is sacred and special. The following miscommunications, both culturally and lingually, between the American doctors and the Lee family leave Lia Lee in comatose at the end of the book. However, Lia Lee could have been saved if the Lee’s had a better understanding of the American doctors’ intentions, and the American doctors understood the Hmong culture. Essentially, the tragedy of Lia Lee can be attributed to the clash of American and Hmong cultures at both the surface and sub-surface level.
Linda would feel guilty for cheating on Mike due to conscience and the society’s values that emphasize on being loyal to our spouse and looking down own those betraying their marriage. Hence, Linda might suppress her desires to progress her relationship with Damian although having to sacrifice her wish of having love and belongingness. Moreover, Linda might compensate for her wrongdoing by focusing more on her family. For instance, she would treat Mike even better, being a good wife and mother to a further extent so that she will feel less guilty about her previous actions of betraying the family. To obey the moral values of the society, Linda would stop meeting and break her relationship with Damian despite having the possibility that she might also feel guilty or sorry for Damian as she would be hurting him because both of them were serious and committed to their relationship.
That’s when her current mother Gigi stepped in, "Even though she had safety and medical care, she didn't have love. If these children don't learn to function in a family with love, they will be forever impacted," she said to Readers Digest. Her adopted father agreed and wanted to help as well. Maci was about to age out of
As previously mentioned, patients had essentially no role in their medical decisions until about a couple decades ago. People believed that this was okay because they trusted their doctor to make the right choice of treatment. Patient autonomy and shared-decision making has recently become prevalent in the medical field which allows the patients and doctors to collaborate about the best option possible. This is a very good thing because it allows the patient and the physician to make a unified decision that is acceptable to both party’s values and beliefs. This type of decision making is only made possible because it allows the physician to contribute their wide range of experience and knowledge and the patient to contribute their aims/goals and values.
For the placater communication, Laura’s mother feels bad for her daughter. By Laura’s mother feeling bad for her, it allows there to be some form of peace to the family. The mother wants there to be less fighting going on between Laura and her father. 8. What stage of recovery is this family in and why?
Their interest is for social change although some doctors might find it to ethically incorrect while other doctors find it to be righteous. However, most doctors according to the Hippocratic oath are sworn to serve the public in their best interest if it brings them well being in health and causes no harm. From doctor to doctor just like person-to-person they might agree or disagree over this controversy of editing children’s genomes. I feel most doctors will be for this decision because it involves saving life and being a doctor their task is to resolve health issues to their best of
Moreover, Nearly 80% of patients’ family in this research welcomed FPDR practice. In contrast, the health care providers reported that they would be more supported if the relatives could share the dying moments with their loved one, if family members were supported, if there was enough staff and well trained to support the families, if the resuscitation actions were organised, if the presence of family members will not be harm them emotionally, if will not be a risk of litigation. However, the nurses were much supported to FPDR from doctors. Although some limitations were mentioned in this study, comparing to other researches in this assignment, the author was demonstrated transparency to reach this research rigorous in data collection and analysis stages. Though health care organizations support the option of FPDR, different perceptions are viewed from health care professions.