Preview

Fadiman Case Study

Good Essays
Open Document
Open Document
621 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Fadiman Case Study
Fadiman Case Study
Unit 9
Kaplan University
NU304 Health/Wellness Assessment and Strategies
Professor Melissa Thomas-Eckroade, MSN, RN

The Spirit Catches You and You Fall Down is a moving story that opens our eyes to the diversity of culture. It gives a perspectivefor the noncompliant patients due to cultural communication barriers versus noncompliance due to behavior. The author Fadiman allowed us to experience the collision of the two cultures misunderstandings, and the frustrations which could have ended differently. It was disheartening for me as a professional how the lack of support was even displayedfrom an institute where there were resourcesmuch needed for that community. Instead they use to obtain consent using embarrassed teenaged sons, for their mothers having a caesarean or episiotomies who have learned English in school, as translators. (Fadiman, pg. 25)The whole situation was tragic what Lia went through, tragic what the doctors went through, and tragic what the parents went through. I wonder if the medical staff back then was made to go through a cultural diversity education. The book went to tell the flashbacks of the Lee’s journey before becoming settled. It was humbling after reading what the Hmong’s endured. The author brought insight with culture awareness, respecting different aspects of professional values, and points of views. The scientific medical part of it was frustrating because the doctors and nurses are there to save people’s lives and this little girl was not responding to any therapy. From the parent’s point of view, it was a surprise the father did not take Lia sooner. For somebody who cannot read and was given the most important task with a complicated medication schedule regimen, the medications would have been out the window from not only not being to read them but not understanding why I am giving them to my daughter. When the Lee’s considered the illness an honor and felt

You May Also Find These Documents Helpful

  • Good Essays

    The Spirit catches You

    • 1100 Words
    • 5 Pages

    The two cultures 1. Do you think the author was evenhanded in her presentation of Hmong culture and medical culture?…

    • 1100 Words
    • 5 Pages
    Good Essays
  • Good Essays

    In health and social care profession, respecting a person’s culture is important for all concerned.…

    • 394 Words
    • 2 Pages
    Good Essays
  • Better Essays

    Cultural Considerations A person cultural background is important and very crucial in any healthcare setting or anywhere else. When working in the healthcare field a person cultural background should be respected at all times. A person or employed in the healthcare field could put their licenses or job at risk if a patient or family member feel that he/she has disrespectful their cultural beliefs. It is so important to communicate effectively, even if it mean repeating any question or statements a patient or family member ask to make that they understand everything as well as you. This paper will focus on the Native Americans perceptions of health and health care, as well as identifying the principles of cross-cultural communication.…

    • 980 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    The Spirit Catches You and You Fall Down by Anne Fadiman 1st chapter reflections: This chapter which introduced me to Lia’s family was interesting. I was shocked to read that in her mother’s country of Laos, Lia would have been born by her mother squatting on the floor! They also used special created remedies to solve health issues without relying on hospitals or clinics. It was also interesting to read how important the Hmong people believed in sprits and how their life decisions where decided around the sprit actions. For example, they believed that male sprit’s held up their house roof, if the male’s placenta was buried near the central pillar of the house. Lia was even blessed by the elders because her parents believed that it was a way of protecting her from ever getting sick. If anything, reading this chapter quickly gave me a quick preview of the clash that Lia’s cultural beliefs will have with the American doctors when she gets sick in the future chapters. However, I’m hoping that this book will pick up a little faster and have less history moving forward (being honest lol)…

    • 2519 Words
    • 11 Pages
    Powerful Essays
  • Good Essays

    The collision of cultures is seen through out the story of Lia and her family. Starting in the beginning of Lia’s story the same piece of information was being interpreted by two different cultures in different ways. The Merced Hospital Staff believed Lia suffered from Epilepsy. They believed it translated into Qaug dab peg. What was misunderstood is that quag dab peg were not really perceived as the same thing in Hmong culture as Epilepsy is in western medicine,…

    • 815 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Spirit Catches You and You Fall Down Journal #2 In The Spirit Catches You and You Fall Down, by Anne Fadiman, Lia Lee is a very sickly child, and is now unfortunately a “vegetable.” Much to the hospitals chagrin, they in fact are the reason why Lia is in a comatose state. The Lee’s argued with the doctors throughout Lia’s entire 4 years of medical strife with epilepsy about the medication and the way they were treating Lia. Fadiman juxtaposes the differences of the Hmong way of healing people: spiritually, and the American way: medicinally.…

    • 708 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    There are about five main important events in the story of Lia Lee. The first Chapter goes through the traditional birthing methods and traditions of the Hmong people. One of the most noteworthy traditions is the burying the placenta. The placenta has to be purposefully buried in a specific spot under the home’s dirt floor so when the individual dies its soul has to travel back to the placenta. This chapter also introduces the characters Nao Kao and Foua Lee, Lia Lee’s parents.…

    • 1604 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    One of the main problems for medical discourse is that “it’s hard to have sites of cultural identification in the life of patients” (Pandolfo 76). Pandolfo then defines “counterpoint as an acknowledge of the subject’s struggle for its affirmation,” calling the need for understanding the various factors associated with how the subject feels. Thankfully for Roqiya, “Dr. N. is the leading psychiatrist who attends to her needs and is sensitive to her pain and is able to register the meaning of what Roqiya faces through in her life” (Pandolfo…

    • 599 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    2. While the Lees recognized that Lia had an illness, I do not believe that they recognized the severity of her problems. One the one hand, the understood that it was a dangerous illness, but on the other hand, the Hmong believed that qaug dab peg “singles him out as a person of consequence” (Fadiman, 1997, p. 21). At times, the Lees believed that Lia’s epilepsy wasn’t as much of a medical problem as a gift. Fadiman tells us, “They therefore hoped, at least most of the time, that the qaug dab peg could be healed” (p. 22). So while they recognized that Lia was sick, they also had hope that she could be cured. Their hope was that if the spirits decided to keep hold of Lia, that long-term she would become a Tvix neeb, a “person with a healing spirit” (as cited in Fadiman, 1997, p. 21). If she did not become a Tvix neeb, then their hope was that the sickness would be short-term. It seems that either way, they had no idea what the future held for Lia. They could only hope for the best.…

    • 3431 Words
    • 14 Pages
    Powerful Essays
  • Better Essays

    Cultural Diversity in the Medical Field Patient Relations Abstract The United States is a nation of immigrants; they have virtually every culture of the world within its borders. Due to this reason, there must be a certain level of cultural competency within its people. A comparison and contrast will be made to compare the Hispanic cultural views on medical care to the American cultural views toward medical care. I chose to explore Hispanic culture because of my background but most importantly due to its richness of unique characteristics. I will provide an overview on how heredity, culture, and environment can influence behavior in the medical office. Furthermore, I will express my opinion about why a medical assistant, must strive to adapt to a patient’s individualized needs, based on research and experience. To conclude my paper, I will be discussing how I can adjust my interpersonal communication techniques, to demonstrate sensitivity to other’s cultural beliefs, and also, how my knowledge, skills, and attitudes can be applied to medical assisting.…

    • 2029 Words
    • 9 Pages
    Better Essays
  • Powerful Essays

    The head nurse explained that this patient had taken a fall and was on frequent pain relief. She communicated that this patient’s Indian husband, had been arguing with his wife during visits. When the nurse expressed that the patient had confided in her, I was surprised as my original view of the patient’s culture may be that she wouldn’t feel comfortable discussing personal concerns with others. She expressed guilt for her husband providing for her family, unlike when she was healthy. She stated that her husband had been expressing displeasure at her…

    • 1880 Words
    • 8 Pages
    Powerful Essays
  • Powerful Essays

    Diversity in Healthcare

    • 1335 Words
    • 6 Pages

    As cultures within the U.S. continue to grow at a huge number, the understanding of how to deal with them must also grow. The U.S. is projected to become increasingly more ethnically and racially diverse by 2020. Anyone who has faced the challenge of visiting a hospital in a non-English-speaking country knows both how frustrating and how frightening it can be. When there is any impediment to the healthcare professional's ability to discuss your situation and options or your own ability to ask questions, the likelihood of receiving the care you need is compromised, sometimes dangerously.…

    • 1335 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    The Spirit Catches You and You Fall Down In the book, The Spirit Catches You and You Fall Down, Anne Fadiman tells us the story of a little girl named Lia Lee, caught between the differences of two cultures. The differences in Lia’s parents’ knowledge, abilities, and understanding of the culture they were surrounded by and the rationalized facts that Western medicine and its culture provide bring us to the borderland of the two. When these two cultures meet Lia’s life is put in danger, not only by epilepsy and septic shock, but also by the conflicts between her parents and doctors. Lia’s life depended on the realities of the two cultures to act together in harmony to bring her health and happiness. The mutual misunderstanding of the two failed to bring help to her wellbeing. This quote by Fadiman, “I have come to believe that her life was not ruined by septic shock or noncompliant parents but by cross-cultural misunderstanding” (262) which shows us that while Lia was harmed by a physical disease, she was also harmed by a cultural disease or that which resulted in the conflicts between the two. Some of the conflicts between the cultures were the language barriers, prejudices of culture, and religious conflicts. The language barrier was a serious conflict that led to the inability of asking simple questions such as “Where do you hurt?” This led to the misdiagnosis many times for Lia. This language barrier also proved harmful to Lia’s wellbeing when she was finally correctly diagnosed and drugs were given. Lia’s parents had no way to be able to be even minutely successful in the administering of these drugs which led to the terrible injustice of Lia being taken away from her parents.…

    • 1009 Words
    • 5 Pages
    Good Essays
  • Powerful Essays

    I had acquired my books already from a fellow student and went home to enjoy my three weeks of not studying; just working. As I was putting the books away at home, I started reading the back of Anne Fadiman’s book “The Spirit Catches You and You Fall Down” where a journalist of The Washington Post referred to the book as utterly engaging, readable, and a superb piece of writing. Instead of storing the book I carried it upstairs and put it on my night table. That evening after I snuggled up in my bed I got to know Lia Lee, her parents, her doctors, and I learned about the struggles that were involved in caring for an ill child that sat between two cultures; the Hmong culture and the culture of American health care professionals.…

    • 2915 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    While reading, “When The Spirit Catches You And You Fall Down” you easily see how well this book relates to this class. You see people of different backgrounds coming together with the same goal. You see people with good intentions making mistakes due to lack of cultural competency. There isn’t a time in this book that doesn’t involve the confliction of people with different backgrounds. These conflicts such as different languages, different beliefs, and unknown information about medicine and technology led to the realization of what cultural barriers truly are within this novel. Witnessing the real struggle that the physicians went through to help a young woman, from those barriers.…

    • 644 Words
    • 3 Pages
    Good Essays