Healing by heart : clinical and ethical case stories of Hmong families and Western providers / edited by Kathleen A. Culhane-Pera ... [and others].

Format:

Book

Contributor:

Culhane-Pera, Kathie.

Language:

English

Subjects (All):

Hmong Americans--Medical care--Case studies.

Hmong Americans.

Asian--psychology.

Hmong Americans--Medical care.

Asia, Southeastern.

United States.

Delivery of Health Care--methods.

Cultural Characteristics.

Professional-Patient Relations.

Medical Subjects:

Asian--psychology.

Asia, Southeastern.

United States.

Delivery of Health Care--methods.

Cultural Characteristics.

Professional-Patient Relations.

Genre:

Case studies.

Physical Description:

xiii, 368 pages, 24 unnumbered pages of plates : illustrations, map ; 24 cm

Edition:

First edition.

Place of Publication:

Nashville : Vanderbilt University Press, 2003.

Summary:

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

Contents:

Part I Health-Related Cultural Beliefs, Practices, and Values

1 Hmong Culture: Tradition and Change / Kathleen A. Culhane-Pera, M.D., M.A., Phua Xiong, M.D. 11

Part II Women's Health: Case Stories and Commentaries

2 Controlling Fertility: A Case Story 71

Hmong Preferences for Natural Family Planning / Marline A. Spring, Ph.D., Mayly Lyfoung Lochungvu 73

Social, Cultural, and Ethical Aspects of Controlling Fertility in the Hmong Community / Peter Kunstadter, Ph.D. 80

3 Woman with Pregnancy Complications: A Case Story 88

The Cultural Complexity of Obstetrical Care / Helen B. Bruce, R.G.N., S.C.M., M.T.D., C.N.M., Chue Xiong, R.N. 92

Conflicting Cultural Practices in Deciding about a Cesarean-Section / Carol A. Tauer, Ph.D. 98

4 Woman with Vaginal Bleeding: A Case Story 104

Culturally Responsive Care for a Hmong Woman with Vaginal Bleeding / Deu Yang, L.P.N., Deborah Mielke, M.D. 106

Influence of Conversion to Christianity on a Hmong Woman's Decision about Hysterectomy: A Pastor's Perspective / Lu Vang with Phua Xiong, M.D. 111

Part III Children's Health: Case Stories and Commentaries

5 Children with High Fevers: Case Stories 117

Hmong Health Beliefs and Practices Concerning Childhood Fevers / Kathleen A. Culhane-Pera, M.D., M.A., Va Thao, L.P.N. 120

State-Ordered Medical Care for Our Son: Parents' Perspective / Parents (Anonymous) 129

Family-Centered Cultural Collaboration in Pediatric Care / Donald Brunnquell, Ph.D., Stephen Kurachek, M.D. 133

6 Bottle-Fed Toddler with Anemia: A Case Story 141

Iron-Deficiency Anemia in Bottle-fed Toddlers / Cher Vang, M.P.A., Christopher L. Moertel, M.D. 144

A Culturally Informed Public Health Response to Pediatric Anemia in the Hmong Community / Elanah Dalyah Naftali, Dr.P.H., R.D., Mao Heu Thao, L.P.N., B.A. 149

7 Infant with Down Syndrome and a Heart Defect: A Case Story 156

Defining Best Interest for a Hmong Infant: A Physician's Challenge / Gregory A. Plotnikoff, M.D., M.T.S. 159

"Why Do They Want to Hurt My Child?": The Mother's Perspective / Phua Xiong, M.D 165

Part IV Chronic Disease: Case Stories and Commentaries

8 Man with Diabetes and Hypertension: A Case Story 173

Type 2 Diabetes Mellitus in the Hmong Community / Kevin A. Peterson, M.D., M.P.H., May Lee Vang, A.A., Yer Moua Xiong, M.P.H. 176

"I Tell You This Story of Healing": A Shaman's Perspective / Yer Moua Xiong, M.P.H., Nkaj Zeb Yaj 183

9 Young Woman with Kidney Failure and Transplant: A Case Story 186

Endstage / Mai Neng Moua 190

Painful Cultural Differences in a Hmong Family: The Mother's Perspective / Phua Xiong, M.D. 198

Part V Mental Illness: Case Stories and Commentaries

10 War Veteran with Depression and Posttraumatic Stress Disorder: A Case Story 207

Social and Spiritual Explanations of Depression and Nightmares / Bruce T. Bliatout, Ph.D., M.P.H. M.S.Hyg., Dr.Ac. 209

Depression and Posttraumatic Stress Disorder: Prevailing Causes and Therapeutic Strategies with Hmong Clients / Vang Leng Mouanoutoua, Ph.D. 216

11 Domestic Violence: A Case Story 222

Traditional Hmong Concepts of Wife Beating / Mymee Her, Ph.D., Chue Pao Heu 224

Changing Gender Roles and Domestic Violence in the Hmong Community: A Feminist Perspective / Pacyinz Lyfoung, J.D. 234

12 Woman with Psychosis: A Case Story 239

Cultural Interpretations of Psychosis / Joseph Westermeyer, M.D., Ph.D. 241

Integrating Hmong and Western Approaches to Spiritual Illnesses / Thomas Vang, M.S. 251

Part VI End-of-Life Care: Case Stories and Commentaries

13 Hospice Patient with Gallbladder Cancer: A Case Story 255

Cultural Complications in End-of-Life Care for a Hmong Woman with Gallbladder Cancer / Kathleen A. Culhane-Pera, M.D., M.A. 258

The Husband's Plea for Provider Honesty / Phua Xiong, M.D. 265

14 Pregnant Woman with a Brain Hemorrhage: A Case Story 269

Strategies for Health Care Providers and Institutions to Deliver Culturally Competent Care / Elizabeth C. Walker Anderson, B.A., Patricia F. Walker, M.D., D.T.M.&H. 273

Accommodation of Cultural Differences in End-of-Life Care / Karen G. Gervais, Ph.D. 280

15 A Widowed Mother's Search for a Good Place to Die: A Case Story 284

Providing a Spiritually Appropriate Place for My Mother's Care and Death / Mrs. Chang's Daughter (Anonymous) 287

"Please Help Me": A Physician Responds to a Hmong Woman's End-of-Life Struggles / Kathleen A. Culhane-Pera, M.D., M.A. 289

Part VII Culturally Responsive Health Care

16 A Model for Culturally Responsive Health Care 297

Recommendations for Health Care Practitioners 305

Recommendations for Health Care Administrators and Educators 343

Recommendations for Public 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., Mary M. Solberg, Ph.D. 347.

Notes:

Includes bibliographical references and index.

ISBN:

0826514308

0826514316

OCLC:

51647434