The family may object to autopsy and organ donation. Many Vietnamese had severe health problems on arrival in the U.S. from poor living conditions, starvation, and abuse during the Vietnam War and in refugee camps. Soy sauce, fish sauce, mint, and basil are popular ingredients. Unlike American culture, Vietnamese culture values interdependence of an individual within the Privacy policy | © 2021 Caregiver Homes and Seniorlink. Confucianism and Taoism have strongly influenced Vietnamese cultural traditions. There is no tipping culture. The patient may also respond better to people and treatment steps when he/she feels understood. contents on the Vela Learn site are for informational purposes only. Prior to the Vietnam War, Buddhism was practiced by 90 percent of the population in Vietnam. Many Vietnamese people believe that suffering and illness are an unavoidable part of life. Stoicism is a highly respected trait. The prevalence of heart disease and hypertension within the Vietnamese com… Rice and traditional desserts high in sugar and saturated fats from coconut milk and oil can cause weight gain and high blood sugar. Nurses’ experiences with Vietnamese clients can contribute to the knowledge of how to provide cultural care. Red meat is avoided. Younger generations are conforming to American individualistic models and not upholding the traditional collectivistic model, which causes generational conflict. Higher education has lauded cultural competence as a way of learning and developing a skill set of facts about individual race/ethnic groups in order to provide culturally competent care. Mental illness is traditionally considered shameful, often feared and denied. More than 125,000 Vietnamese who had ties with the government or with Americans escaped from invading communists. Vietnamese patients may smile easily and often, regardless of underlying emotions. Culture and traditional health beliefs have strong impact on health care for VNese seniors. “Promoting Cultural Sensitivity. Social determinants of health are economic and social conditions that influence the health of people and communities. The information provided is not intended to replace advice, diagnosis, or treatment by a medical professional. Rates of smoking among men are very high with smoking-related cancer endemic in this population. Traditional Health Beliefs Core cultural values based on Confucian ideals are important to note in order to effectively provide care to Vietnamese older adults. Accessed July 22, 2018. The fl… However, living in the US has changed or blurred some of these roles due to work and lifestyle in the US. Lack of accessibility to mental health care facilities that are affirming to Asian American populations. Depending on the customs and religion of the family, other rituals and practices may be performed. 1. In Vietnam, elders had authority and were respected, but they have lost much of this status in the U.S., leaving many depressed and lonely. 1-3 Vietnamese … Arranging a proper funeral for a loved one is one of the most important things a Vietnamese person can do. In Vietnam, people with mental illness were hidden. Vietnamese people may be susceptible to weight gain, high cholesterol, and diabetes. Death rituals provide the bereaved a chance to fulfill obligations and complete unfinished business with the deceased. 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. Due to the impact of the Vietnam War, children who were born to American soldiers often struggle with identity, as they may have been rejected by the Vietnamese community. Older Vietnamese Americans are less likely to seek medical attention and treatment, than later generations, unless extreme circumstances arise. Generalizations in this material may not apply to your patients. As immigrants acculturate, they replace traditional meals with fast food, contributing to an increase in obesity, diabetes, and hypertension. “http://www.molinahealthcare.com/providers/nm/medicaid/resource/PDF/health_nm_vietnameseculture-influencesandimplicationsforhealthcare_materialandtest.pdf. (To view a map of Vietnam, see: “CIA: The World Factbook – Vietnam.” https://www.cia.gov/library/publications/resources/the-world-factbook/geos/vm.html) The history of Vietnam dates back over 5,000 years. health care, they strongly prefer the use of a professional interpreter. “Vietnamese in the US Fact Sheet.” Available at:  http://www.pewsocialtrends.org/fact-sheet/asian-americans-vietnamese-in-the-u-s-fact-sheet/. Health is viewed as the result of a harmonious balance between the poles of hot and cold that govern bodily functions. Cultural reliance on traditional Eastern-based practices to treat mental illness such as herbal medicine and spiritual healing. Cancer: Is the leading cause of death in both Vietnamese men and women living in the US. Copyright © 2020 Stratis Health | Privacy Policy | Site Map, tel: 952-854-3306 | toll-free: 1-877-STRATIS, Interpreter Roster: Spoken Language, Health Care, Vietnamese Population Minnesota, 2013-2017, Wilder Southeast Asian Social Adjustment Program, Healing the Hurt: A Guide for Developing Services for Torture Survivors. Divorce is uncommon and is considered shameful, especially for women. 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. When caring for a Vietnamese patient, caregivers and providers may want to consider these suggestions about communication: Also, Vietnamese use different terms to address relatives and strangers. [2] Pew Research Center. Using family members to interpret is seen to disturb family dynamics, especially respect of elders.xv Vietnam-born women often prefer to be treated by female health care providers.xvi Health in Australia In 2012, average life expectancy in Vietnam was 52 percent of Vietnamese Americans has at least some college education. Because they value politeness and respect for authority, patients may not voice concerns or ask providers questions. 3. Because of exposure to Agent Orange, older immigrants are at risk for cancers, immune deficiency, endocrine disruption, and neurological damage. During thousand years the Chinese invaded and maintained control Vietnam, Vietnamese culture was permeated by their Confucian philosophical beliefs. This was the sixth largest immigrant group in the country, after those born in Mexico, India, China, the Philippines, and El Salvador. of Health and Human Services “Think Cultural Health” https://www.thinkculturalhealth.hhs.gov/clas. Buddhists may ask a monk or elder to pray at the bedside. Cultural practices of involved decision-making by family and community regarding health care decisions. An Introduction to Vietnamese Culture for Rehabilitation Service Providers in the U.S. Buffalo, NY: Center for Interna- Dairy and soy products are not part of a typical Vietnamese diet, although most children drink milk. Although the health care system is one of the socialist state’s greatest … Medical problems included tuberculosis, hepatitis B, malaria, malnutrition, trichinosis, anemia, leprosy, and intestinal parasites. The most common cancers seen are prostate, breast, lung, and colorectal cancer. Some believe a physician should be able to diagnose a problem by looking at them and feeling their pulse. They may resist immunizations and invasive procedures, and view a clinician who does not intrude on the body as the best healer. [1] Zong, Jie and Batalova, Jeanne. Western medicines are thought of as “hot” and too potent for their physiology. Sensitivity to patients' cultural differences should facilitate the communication needed for effective provider/patient relationships. 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. Although research on health conditions of Vietnamese older adults is limited, the following illnesses are commonly found in Vietnamese living in the US: Additionally, rates of cigarette smoking are high in Vietnamese communities, particularly in men. If a patient is diagnosed with a terminal illness, family members may want to shield the patient from the news. The Vietnamese diet consists of high glucose starches, such as white rich and noodles, and high sodium ingredients such as fish sauce (nước mắm, pronounced nook mahm), which tends to worsen conditions such as diabetes and hypertension (Tran et al, 2006). Culture Clues™is designed to increase awareness about concepts and preferences of patients from the diverse cultures served by University of Washington Medical Center. Depending on their educational level, traditional spiritual practices, and how long they have lived in the US, immigrants from Vietnam may have different beliefs about medicine and healthcare that include: Mental health issues are stigmatized in Vietnamese culture. Also related to the risk of cardiac and hypertensive problems may be the high rates (35%-42%) of smoking among Vietnamese men. Many types of noodles and noodle soups are popular here. 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