ABSTRACT

Since their arrival in 1975, Hmong Americans have become a growing portion of the U.S. population. Tem toob, a Hmong term used to describe an elder with memory impairment and chronic confusion, is considered a normal part of aging. Although Hmong Americans are heterogeneous, those who retain traditional beliefs of animism/ancestor worship may also believe this condition has a spiritual cause, requiring shamanic intervention. Under these circumstances, there would not be an identified need to consult a physician. A diagnosis may be obtained secondary to a health crisis requiring hospitalization. Proper diagnosis is compounded by lack of available tools that are linguistically and culturally appropriate for assessment. In addition, family may not understand the meaning of terms such as “dementia” or “Alzheimer’s disease.” Traditionally, family members have well-defined roles and responsibilities for the care of elders. However, conflicts are emerging due to changing circumstances associated with life in the US. There is need for the development of culturally and linguistically appropriate family-based education programs and teaching materials. In addition, recommendations are provided for making community resources more appropriate to the needs of Hmong American elders and their caregivers. The chapter concludes by discussing issues related to dying and death.