Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers

Contents

Contents List of Illustrations ix Preface and Acknowledgments xi Introduction 1 PART I Health-Related Cultural Beliefs, Practices, and Values 1 Hmong Culture: Tradition and Change Kathleen A. Culhane-Pera, M.D., M.A., and 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., and 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., and Chue Xiong, R.N. 92 Conflicting Cultural Practices in Deciding about a Cesarean-Section Carol A. Tauer, Ph.D. 98 vi Healing by Heart 4 Woman with Vaginal Bleeding: A Case Story 104 Culturally Responsive Care for a Hmong Woman with Vaginal Bleeding Deu Yang, L.P.N., and 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., and 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., and 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., and 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., and 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., and Yer Moua Xiong, M.P.H. 176 Contents vii “I Tell You This Story of Healing”: A Shaman’s Perspective Yer Moua Xiong, M.P.H., as told by 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., and 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 viii Healing by Heart 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., and 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...