Accessed July 22, 2018. If a patient is diagnosed with a terminal illness, family members may want to shield the patient from the news. Many are Roman Catholics, a result of Vietnam’s occupation by the French, Portuguese, and Spanish. Many Vietnamese from the older generations are lactose intolerant as adults so do not consume much milk. Culture has a significant impact on both diagnoses and treatment options, primarily because of different social beliefs, but also because of biological factors. After 1975 the northern system was extended to the south, and there was a general increase in health facilities and personnel. Traditional Health Beliefs Core cultural values based on Confucian ideals are important to note in order to effectively provide care to Vietnamese older adults. This means madness or severe psychiatric disorder. If they disagree or do not understand, they may simply listen and answer “yes,” then not comply with recommendations or return for further care. When discussing end of life issues with any patient, health care providers need to understand preferences based on personal and family views. Western medicines are thought of as “hot” and too potent for their physiology . Many aspects of Vietnamese-Minnesotan culture reflect the culture of the general U.S. population and generational differences impact social practices. Vela Learn does not provide medical advice, diagnoses, or treatment. The Vietnamese community in Minnesota is diverse. According to Pew Research Center analysis in 2015, 34 percent of foreign-born and 88 percent of U.S. born Vietnamese indicated that they speak English proficiently. A traditional Vietnamese family is patriarchal, with two to four generations and extended family often living in the same home. A typical Vietnamese diet is generally healthy, with rice or noodles, fresh vegetables, and fish or meat. Elaborate details of death rituals require extensive family and community involvement over a period of two to three years. This has been attributed, in part, to individuals of Vietnamese descent having high rates of hepatitis B, a major risk factor for liver cancer. When a caregiver or healthcare professional understands cultural differences and practices, he/she is able to use this knowledge to provide more accurate care and treatment. It’s often done as a way to modestly acknowledge what another person is saying without seeming too over-enthusiastic. Vietnamese people also believe in the medicinal properties of foods such as mung beans, green beans, and bitter melon, which is believed to help control blood pressure. Vietnam - Vietnam - Health and welfare: Before reunification, health services were underdeveloped in the rural areas of the south but were well-developed in the north. The first generation is more likely to say they want to see a … Cultural reliance on traditional Eastern-based practices to treat mental illness such as herbal medicine and spiritual healing. In 1999, the average life expectancy at birth was 65.71 years for men and 70.64 years for women. In Seattle’s International District, there are several Vietnamese markets that carry more traditional foods. Health is viewed as the result of a harmonious balance between the poles of hot and cold that govern bodily functions. As immigrants acculturate, they replace traditional meals with fast food, contributing to an increase in obesity, diabetes, and hypertension. The patient may also respond better to people and treatment steps when he/she feels understood. Accessed July 22, 2018. Symptoms are often attributed to a physical weakness; for example, a weak heart is expressed by panic, palpitations, and dizziness; a weak kidney is expressed by impotence; a weak stomach or liver is expressed by indigestion; and a weak nervous system is expressed by headache or lack of concentration. Vietnamese Culture. Vietnamese American seniors do have difference in their medical profiles. Some issues to keep in mind when caring for Vietnamese patients in the US include: Ethnomed. More data on social determinants for Vietnamese. [3],4 Adapted from: CDC. The rate of liver cancer for Vietnamese-American men is 13 times higher than it is for men of non-Asian descent. Many types of noodles and noodle soups are popular here. Generational conflict occurs in some Vietnamese American families as young people conform to individual rather than traditional collective behaviors. 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