Preview

The Spirit Catches You and You Fall Down

Better Essays
Open Document
Open Document
1415 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
The Spirit Catches You and You Fall Down
The Spirit Catches You and You Fall Down

The Spirit Catches You and You Fall Down Being culturally competent is essential in caring for the lives of others. As a nurse you will be caring for individuals and families who may or may not have the same beliefs and values and yourself. Despite the differences the nurse must be able to ask the appropriate questions, seek out tools that are going to help the client and family understand the importance of their care, and feel comfortable when giving care to others whose values and beliefs are different. The Lee's, a family that endured hardships, frustration, anger, confusion, and hope while living in the United State's of America. When the Lee's settled in the United States Foua gave birth to a baby girl named Lia. When Lia was three months old her older sister Yer slammed the front door. Moments later Lia’s eyes rolled into the back of her head, her arms jerked over her head, and she fainted. The only explanation her family could come up with was her soul was frightened by the noise and fled from her body and became lost. This in the Hmong community is known as qaug dab peg, “The Spirit Catches You and You fall Down” (Fadiman, 1997 p. 20). In the United States we call this behavior epilepsy, a neurological disorder that produces seizures from strong surges of electrical activity that affects certain parts of the brain. When an individual has two or more unprovoked seizures medical diagnosis of epilepsy is given (Epilepsy Foundation of America, 2012). When Lia’s seizures became worried Foua (mother) and Nao Kao (father) would carry Lia to the Merced Community Medical Center and this is where most of the story takes place; at the hospital and at Lia’s home. Merced Community Medical Center treated many Hmong individuals because it was the closest hospital to where a lot of the Hmong placed residency when accepted to the United States. Merced was a teaching hospital treating many medical

You May Also Find These Documents Helpful

  • Good Essays

    Hmong Culture Essay

    • 703 Words
    • 3 Pages

    This family is constituted in the world by the ways of their traditional beliefs and values brought with them from Laos. Foua and Nao Kao came to America for the same reasons as many other Hmong families did and that was to avoid the assimilation they were faced with living in Laos. To the Hmong people their ethnicity is everything to them. "They did not come to America to save their lives, they came to save their selves that is their Hmong ethnicity" (p. 183). When Lia gets sick we start to see how this family's values and beliefs are very different from that of the western culture. With her epilepsy we see a clash between medical science and beliefs held by the Hmong. Dan Murphy a resident at MCMC diagnosed Lia with having epilepsy, meanwhile Foua and Nao Kao diagnosed Lia with having the illness "when the spirit catches…

    • 703 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Nurses need to be culturally sensitive to provide competent care. The cumulative diversity within the healthcare workforce itself has received much less attention; yet without attending to increasing diversity in both groups, it is doubtful that efforts to improve cultural competence will be successful. One may be aware of many different cultures, but due to one’s biases, he or she will still not provide the appropriate care. In order for healthcare providers to become culturally competent they need to have the desire, skills, awareness and knowledge. Cultural competence among primary care givers is crucial to identify problems and create proper plans of care for the patient.…

    • 287 Words
    • 2 Pages
    Good 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
  • Best Essays

    1. “Ms. Fadiman tells her story with a novelist’s grace, playing the role of cultural broker comprehending those who do not comprehend each other and perceiving what might have been done or said to make the outcome different” (Bernstein).…

    • 733 Words
    • 3 Pages
    Best Essays
  • Good Essays

    She goes into great detail when explaining their history and their beliefs. In doing so she ends up essentializing Lia’s family; by using phrases such as, “the Hmong cannot be assimilated” (Fadiman, P.158), and “Hmong parents are likely to view assimilating as an insult and a threat” (Fadiman, P. 207), she was implying that the Hmong were incapable of changing. It was a fact of them being Hmong that made Lia’s parents incapable of following the instructions on her prescription medication, or not bother to learn English. They weren’t choosing to not change, it was in their nature, and their essence, their…

    • 687 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Cultural competence as the process of recognizing one own lifestyle, feeling, opinion and surrounding without making it impact others with a different background. Cultural competence is also acknowledging, understanding, embracing, respecting cultural differences and assimilate nursing care accordantly to each client’s culture. (Deborah L. Flowers).…

    • 45 Words
    • 1 Page
    Satisfactory Essays
  • Powerful Essays

    Anne Fadiman takes the reader on a cultural journey where she describes the case of Lia Lee, a Hmong infant that suffers from epilepsy. As she tells the story of Lia and her immigrant family that had to flee from their home country and eventually gained entrance into the United States, she reveals the history and cultural traditions of the Hmong people. Moreover, she describes how her parents and the medical community of Merced Medical Center in California strive to help Lia as…

    • 2915 Words
    • 12 Pages
    Powerful Essays
  • Better Essays

    1.)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. In the Hmong culture, QDP is believed to be caused by a bad spirit called a dab. It is believed that dabs are responsible for stealing souls and making its victims sick. Epilepsy is recognized by western medicine as a serious neurological condition. Although Epilepsy and Quag dab peg may have the same physical symptoms, the symptoms are interpreted differently by each culture, making the condition two different illnesses requiring two different treatments. In Hmong culture, QDP is perceived as an illness with honor. Seizures are thought of to be evidence that the one experiencing them has powers to perceive things that others cannot see. Someone suffering from the symptoms of QDP are also thought of to be able to facilitate their entry into trance, which is required for them to journey into the unseen realm.…

    • 1061 Words
    • 3 Pages
    Better Essays
  • Good Essays

    As nurses, we not only need to understand cultural competence, but we also have to be sure not to generalize groups of people. Each client is an individual, and it is important to form a therapeutic relationship so we can care for each specific client. Each client has his/her own needs; just because two people are of the same culture, it doesn’t mean that he/she believes in the same thing. In turn, nurses need to understand their own culture and beliefs before caring for a person of a different culture or beliefs. In our research, we chose four peer-reviewed, scholarly journal articles found though the Lambton College data base (CINAHL). We began with a search of cultural competency and then narrowed the search down through specific cultures which are within the Sarnia Lambton area.…

    • 812 Words
    • 4 Pages
    Good Essays
  • Better Essays

    3. The cultural barrier is the biggest problem because the Hmong people do not have the same concept as we do. They don’t have words for certain things we do. For example, a doctor can’t tell them they have diabetes because their pancreas doesn’t work for the simple fact that they don’t have a word for pancreas. When someone in their culture passes away they don’t open them up, so they have no idea that how our organs look. Although, they do know they have a heart only because they can feel it beating. It’s an “infinite difference” because it’s very hard to teach a cultural something new from scratch when they are already adapted to doing things and learning about things their way for years after years.…

    • 956 Words
    • 3 Pages
    Better Essays
  • Good Essays

    In this essay I will review the question of how the Spirit Catches You and You Fall Down exemplifies the techniques of ethnographic research that we have studied in class. Also I will consider the question if there are ways in which Fadiman could have improved her methods to be a better anthropologist. In the essay I will look at the specific methods and techniques that Fadiman utilized. I will discuss where she conducted her research and also cover how she conducted her fieldwork. I suggest Anthropological studies on cultural difference would have a practical application to Lia’s study for the following fact that the Hmong do not completely believe in western medicine.…

    • 431 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Your post is well detailed and very educating. Competency in nursing is the key to providing quality care to patients. That being said, nurses and other health care providers are expected to be educated quite often on cultural competency so as to better understand the patients in order to achieve a better patient satisfaction. Thanks for sharing.…

    • 118 Words
    • 1 Page
    Satisfactory Essays
  • Good Essays

    In order to become a culturally aware health care workers need to accept and embrace the diversity of culture. They need to increase respectful engagement with the diversity of the population and understand and appreciate the differences, which promotes patient- centered care that respect and address the values and preferences of the diversity of the population…

    • 201 Words
    • 1 Page
    Good Essays
  • Good Essays

    The presence of cultural competence in the health care system and what it means for the health of our diverse population, is something that should be part of the schooling for healthcare providers. Cultural Competence in the health care system is described as the ability to tend to the needs of patients through understanding their linguistic and cultural differences. Our vast, diverse population in the United States makes cultural competence in health care imperative. Without it, we cannot provide other cultures with the effective and comforting health care they need and deserve. In order for culturally diverse people to receive the proper health care they need, health care practitioners must be well versed in other cultures. Their ability…

    • 312 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    Professional Nurse

    • 388 Words
    • 2 Pages

    One of the barriers I have encountered to become a professional nurse was a multicultural issue. In nursing school, I learned how to respect the rights and dignity of all patients. Here in Miami, a cosmopolitan city, I had the opportunity to interact with family and patients from other cultures. In my personal case, I have learned that I do not need to understand all beliefs completely, but I do need to respect them. For example, some manifestations of this barrier were: discrimination, racism, prejudice, religion. I learned how to manage them calling the clients by their names or asking how they wish to be addressed, always demonstrating respect; no making assumptions about other individuals’ beliefs; asking questions about cultural practices…

    • 388 Words
    • 2 Pages
    Satisfactory Essays

Related Topics