Question

Aaron and Sarah Y, who are both 38 years old, live with their five children in...

Aaron and Sarah Y, who are both 38 years old, live with their five children in a modest two-story house on a 30-acre farm in one of the large Amish settlements in Oklahoma. After a fall from the roof of a barn during a barn raising 1 month ago, Aaron injured his hip and has been experiencing increasing pain that is hindering his ability to perform the necessary chores around the farm. At the clinic where many of the Amish go for health care, Sarah discusses Aaron’s pain with one of the nurses who seems to have a good understanding of the Amish culture. Sarah asks the nurse what she thinks about Aaron visiting a man named Tobias Miller who “gives treatments” for pain. He uses the traditional Amish “warm hands” technique, also called brauche therapy, and is supposedly good at curing chronic pain. However, Mr. Miller lives over 30 miles away in another Amish settlement, and the long horse carriage ride would be very painful for Aaron.
The clinic nurse understands that brauche is a folk healing art practiced by the Amish for many years, having its origin in Europe but also used in the early Pennsylvania German settlements in the United States. It is a type of sympathy curing that may use words, charms, and physical manipulations for treating a range of animal and human maladies. Practitioners of brauche are believed to be able to feel when a person has pain or another physical problem because of their sensitive or warm hands. The practitioner can then “take” the pain away from the client and transpose it into his own body by using the warm hands' technique.
The physician at the clinic, after reviewing Aaron’s most recent radiographs, believes that Aaron needs a total hip replacement. Sarah and Aaron have no health insurance and cannot see how they can pay for such an expensive surgery.
FYI QUESTIONS FOR THOUGHT:
1. What type of open-ended questions can the nurse use to elicit information from Sarah about what health and caring mean to the Amish?
2. Why do the Amish tend to not carry health insurance?
3. What advice should the nurse give to Sarah about the use of the folk healer?

Homework Answers

Answer #1

1. Open-ended questions

  • What do you think about Aaron's ill health?
  • How do you think you can pay the hospital bills without insurance?

2. Amish believes that taking insurance or benefits erodes their commitment to the responsibility of their group to help each other.

3. Warm hands technique can be used to relieve pain but in the case of Aaron, he needs a hip replacement surgery.

If he travels such a long distance it can create further problems for his health.

Folk healers can only take out his pain but cannot cure his hip problem.

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