Hmong Culture The Hmong primarily originated from the “mountainous areas of China, Burma, Vietnam, Thailand, and Laos” (Purnell, 2014, pg. 236) and immigrated to the United States in 1975 after the Vietnam War. Primarily refugees from Laos, the Hmong people began immigrating to the United States in large numbers “after communist forces came to power in their native country.” (Bankston, 2014, pg. 332) Mainly settling in California, the Hmong began to be dispersed by American refugee settlement agencies across the country in the 1980s, also settling in Wisconsin and Michigan. Communications Hmong speak what is known as “either White or Green Hmong, sometimes called Blue” (pg. 237.) as stated in Purnell (2014). These languages differ as they are not always interpreted the same to those that speak the other language of Hmong. Always have a professional interpreter available who can primarily speak the patient’s language. According to Purnell (2014) “Hmong children often have not developed a vocabulary that can fully interpret medical terms” (pg. 238) and should be …show more content…
While women mostly “retain the name from which they were born, they are still considered a member of their husband’s clan.” (Purnell, 2014, pg. 240) There is not single leader of the Hmong, instead there are leaders for each clan whom are older males. While the father or husband is the decision maker of the family, the oldest son takes over decision making if he dies. Marriage within the Hmong culture is characterized as the daughter living with their husband and in-laws, and the boys marrying before they are considered adults. Often times girls are married at a young age when they enter puberty, and may stop attending school to be with their husband and family once started. The marriage is a traditional ceremony and not a legal marriage. So states that have laws of being a certain age do not
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They’re talking to you. It’s their way of discreetly saying you need to work” says Lee. And then she starts defining what does Hmongspeak really means: “Hmongspeak is universal. It’s a way of implying something as opposed to saying things directly”. After that Lee starts sharing some personal experiences.
Cultural insensitivity is prevalent throughout the Hmong’s journey with the American health care system. Between 8 months and 4.5 years Lia was in the hospital seventeen times and made more the one hundred visits to ER and paediatric clinic. The health care system failed to attempt to understand the Hmong language and culture, which lead to the Hmong adapting their cultural traditions and familiarities to please
This case is about the not knowing the knowledge of the cultural norms practiced. A traditional method of healing, in the Hmong culture, also known as Cao Gio, or "coining. There is another type of healings also used such as “cupping” oil is applied to the area of interest, then a small glass cups are placed; adheres suction to the cup, light is projected onto the cups for about 10-15 minutes. Once removed they leave a symmetrical bruise on the area of interest.
The case of Lia Lee can be used holistically to showcase the negative effects which a culture and language barrier can produce between doctor and patient. It can reveal how communication and cultural sensitivity can aid in medical practice. Nevertheless, Lia’s case also shows the need for doctors and healthcare practitioners to learn more of about a culture so that treatment may be administered smoothly and without complete comprehension of the patient and their
When people hear about elderly individuals most will assume that they are wise, filled with endless amounts of wisdom, and have stories to pass down. Well, if an individual is an elderly Hmong male, then this is accurate. It has been said “Within the family, the eldest man would traditionally hold the utmost power and control and would possess final say regarding all family decisions” (Tatman 2004). Also, the elder adults are typically seen as clan leaders. Clan leaders make many decisions and approve of any major decisions (Cobb 2010).
During the Vietnam War, another war broke out known as the Laotian Civil War. An organization and communist political movement called “Pathet Lao” from North Vietnam was trying to overthrow the Royal Lao Government. While this was happening the CIA recruited the Hmong led by general Vang Pao, (who were an ancient hill-tribe from the mountains of Laos) as a secret alliance, to help aid the Royal Lao Government. (Batson, 1991, “Birth of Pathet Lao” Para. 16) The United States and Hmongs involvement in this are now what is known as the Secret War, for it was kept a secret by the United States government.
Hmong culture was very important to older Hmong people because it was all they left of their home country. Therefore, Hmong parents viewed assimilation as a threat to their Hmong culture and heritage (207). Fadamin emphasizes that the Hmong goal when coming to America was not to assimilate, but to find a space for their clans to live peacefully. This was important to older generations, but for the younger generations who did not had not been surrounded by Hmong culture as long, they did not think assimilation was a betrayal to their native culture. Since the younger generations were able to more easily assimilate, that made them the more important members of their families.
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)
The Juili Kingdom was established 5785 years before the Three Warring States. The Hmong people lived in southern China while Chinese lived in northern eastern China. Hmong people are consisted of 18 last names also known as the “18 clans.” The listings of the 18 clans are Chang, Chue, Cheng, Fang, Her, Hang, Khang, Kong, Kue, Lee, Lor, Moua, Pha, Thao, Vang, Vue, Xiong, and Yang. Each clan is unique and follows a certain tradition or believes.
Second, Elizabeth is a first generation Mexican-American, give a birth to a first child in high school, may have inability to complete a proper education might have language barrier. The inability to speak English and unable to communicate effectively, and feeling embarrassed sometimes prevent her from communicating with her physician. HCP must give information and services in patients ' preferred language, including patient access to professional interpreters who have health-related dialect skills and familiar with patient’s cultural competence. The family unit and religion is culturally the most important to the Hispanic community.
1. Based on this week 's readings, how might teachers best support the needs of Hmong students who might have special needs? When working with Hmong American students who might have special needs, what should teachers be aware of when working with their parents? Research showed that Hmong parents cared deeply about their children. They want all of their children to succeed despite how they are born with their unique character traits. They also feel that mainstreaming their children into regular classroom is important to help their children build the social skills necessary to find and maintain a job in the workforce.
Regarding effective communication, “good interpretation and good translation go a long way toward solving cross-cultural communication problems and language barriers in health care” (Dreachslin, Gilbert & Malone, 2013, p. 289). These services, through interpreters or voice-assisted devices, provide better opportunities to blend cultures and understand the tradition and beliefs of diverse populations. These two topics were just samplings of the information discussed, but they stuck out to me on a personal level, while pushing me to promote cultural competence and understanding beyond this course in all my future workplace