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Essay / Research Paper Abstract
A 5 page research paper/essay that discusses the many lessons that can be learned from Anne Fadiman’s 1997 book The Spirit Catches You and You Fall Down, which is a detailed case study of a Hmong child and the way that a lack of cultural competence affected her care. Bibliography lists 4 sources.
Page Count:
5 pages (~225 words per page)
File: D0_khfadhmg.rtf
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Unformatted sample text from the term paper:
The Hmong were part of this wave; and, while they fled their country, they carried their culture and beliefs with them and this led to cultural collision within their adopted
country, particularly in regards to health care. Using a detailed case study, Anne Fadiman (1997) offers valuable insight into the failings of the American healthcare system; the need for advocacy
and also the need for healthcare practitioners to be cultural competent when serving minority populations. System Failings Fadimans text focuses on the case of Lia Lee, a Hmong
child suffering from epilepsy. The author explains how there were numerous culturally based tensions between the new immigrants and the differing expectations of their adopted communities. In terms of the
medical community, Fadiman characterizes the clash between American and Hmong culture as involving two "opposing belief systems (that were) righteously dismissive of each other" (Simon, 2003, p. 2253). As time
progressed and Lias epilepsy did not improve, U.S. care providers attributed the worsening of her condition to the noncompliance of her parents with the medication regimen (Malina, 2005). Neil Ernst
and Peggy Philps were two emergency department physicians who came to care deeply about Lia and her plight, which they interpreted as being due to her parents unwillingness to comply
with their prescribed regimen for controlling the childs epilepsy (Simon, 2003). They became so frustrated that they brought charges against Lias parents with Child Protective Services and had her removed
from the family for 10 months, which was an absence that did not improve the Lias condition (Simon, 2003). Lias parents interpreted this as a betrayal of their trust. As
this suggests, the ways in which the system failed Lia was not intentional, but rather resulted from gross misunderstandings between the various adults entrusted with her care. Advocacy
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