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

Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers
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Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers, , Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers
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  • Healing by Heart: Clinical and Ethical Case Stories of Hmong Families and Western Providers
  • Written by author Kathleen A. Culhane-Pera
  • Published by Vanderbilt University Press, October 2003
  • 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 spe
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List of Illustrations
Preface and Acknowledgments
Introduction
1Hmong Culture: Tradition and Change11
2Controlling Fertility: A Case Story71
Hmong Preferences for Natural Family Planning73
Social, Cultural, and Ethical Aspects of Controlling Fertility in the Hmong Community80
3Woman with Pregnancy Complications: A Case Story88
The Cultural Complexity of Obstetrical Care92
Conflicting Cultural Practices in Deciding about a Cesarean-Section98
4Woman with Vaginal Bleeding: A Case Story104
Culturally Responsive Care for a Hmong Woman with Vaginal Bleeding106
Influence of Conversion to Christianity on a Hmong Woman's Decision about Hysterectomy: A Pastor's Perspective111
5Children with High Fevers: Case Stories117
Hmong Health Beliefs and Practices Concerning Childhood Fevers120
State-Ordered Medical Care for Our Son: Parents' Perspective129
Family-Centered Cultural Collaboration in Pediatric Care133
6Bottle-Fed Toddler with Anemia: A Case Story141
Iron-Deficiency Anemia in Bottle-fed Toddlers144
A Culturally Informed Public Health Response to Pediatric Anemia in the Hmong Community149
7Infant with Down Syndrome and a Heart Defect: A Case Story156
Defining Best Interest for a Hmong Infant: A Physician's Challenge159
"Why Do They Want to Hurt My Child?": The Mother's Perspective165
8Man with Diabetes and Hypertension: A Case Story173
Type 2 Diabetes Mellitus in the Hmong Community176
"I Tell Your This Story of Healing": A Shaman's Perspective183
9Young Woman with Kidney Failure and Transplant: A Case Story 186
Endstage190
Painful Cultural Differences in a Hmong Family: The Mother's Perspective198
10War Veteran with Depression and Posttraumatic Stress Disorder: A Case Story207
Social and Spiritual Explanations of Depression and Nightmares209
Depression and Posttraumatic Stress Disorder: Prevailing Causes and Therapeutic Strategies with Hmong Clients216
11Domestic Violence: A Case Story222
Traditional Hmong Concepts of Wife Beating224
Changing Gender Roles and Domestic Violence in the Hmong Community: A Feminist Perspective234
12Woman with Psychosis: A Case Story239
Cultural Interpretations of Psychosis241
Integrating Hmong and Western Approaches to Spiritual Illnesses251
13Hospice Patient with Gallbladder Cancer: A Case Story255
Cultural Complications in End-of-Life Care for a Hmong Woman with Gallbladder Cancer258
The Husband's Plea for Provider Honesty265
14Pregnant Woman with a Brain Hemorrhage: A Case Story269
Strategies for Health Care Providers and Institutions to Deliver Culturally Competent Care273
Accommodation of Cultural Differences in End-of-Life Care280
15A Widowed Mother's Search for a Good Place to Die: A Case Story284
Providing a Spiritually Appropirate Place for My Mother's Care and Death287
"Please Help Me": A Physician Responds to a Hmong Woman's End-of-Life Struggles289
16A Model for Culturally Responsive Health Care297
Editors and Contributors357
Index363


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