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The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
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Health is a condition of the body, mind, and spirit where an individual remains free from illness. Similarly, wellness is an active state, including living a lifestyle that promotes physical, mental, and emotional health. Physical health is critical for the overall well-being and can be affected by lifestyle, activity level, diet, and behavior. The highest attainable standard of health is a fundamental and universal human right. Consider Lisa, a fifteen-year-old born with congenital...
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Chronic illness and Hmong shamans.

Deborah Helsel1, Marilyn Mochel, Robert Bauer

  • 1California State University, Fresno, USA.

Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society
|March 15, 2005
PubMed
Summary

Hmong American shamans often lack understanding of chronic illness, viewing it as curable rather than manageable. This impacts patient care, highlighting the need for culturally sensitive education involving families and communities.

Area of Science:

  • Public Health
  • Medical Anthropology
  • Health Disparities

Background:

  • Healthcare providers in California's Central Valley face challenges assisting Hmong Americans with chronic illness management.
  • Hmong shamans are influential community figures and primary health information sources for Hmong Americans.

Purpose of the Study:

  • To explore Hmong shamans' understanding and management of chronic illnesses like diabetes and hypertension.
  • To gain insights into the broader Hmong American community's perception of chronic conditions through shamanic perspectives.

Main Methods:

  • Qualitative analysis of interviews with 11 Hmong shamans diagnosed with diabetes or hypertension.
  • Focus on understanding the shamans' perspectives on chronic illness concepts and management strategies.

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Main Results:

  • A significant lack of understanding regarding the concept of chronic illness was identified.
  • Illness management was characterized by sporadic medication and dietary adherence, limited awareness of complications, and a belief in curability over management.
  • Shamans' views reflect broader community perceptions, indicating a need for targeted health education.

Conclusions:

  • Culturally sensitive patient education is crucial for improving chronic illness management among Hmong Americans.
  • Involving families and communities in care regimens and using clear, descriptive terminology can enhance understanding and adherence.
  • Addressing misconceptions about chronic illness is essential for effective long-term health outcomes.