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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
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Social and Kinship Networks

Utilization and Effects on Health Behavior

Much of the research on informal networks, church supports, and extended family in the Black community was done in the early to mid 1980s. Intergenerational family support and support from the extended family has been the hallmark of health care in the African American community. Formal and informal supports are used by both Whites and Blacks in need of help.

However, Blacks have more active social support networks, with mechanisms in Black families that serve to expand network membership through creation of “fictive” kin (Johnson, 1990). Family support behavior among Blacks is grounded in respect for each generation. Among older African Americans, much of this support is the result of socioeconomic factors (Mutran, 1985), although cultural tradition is pervasive in caregiving to parents, siblings and other relatives (Fried, 1998).

Studies have shown high levels of social interaction and strong emotional bonds between elderly Blacks and their extended families, which is facilitated by the presence of an adult child and proximity to immediate family and relatives (Taylor, 1991).

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African American

  • Description
  • Learning Objectives
  • Introduction & Overview
    • Population Growth and Distribution
    • Characteristics
  • Patterns of Health Risk
    • Mortality
    • Morbidity
    • Self-Rated Health and Functional Status

CULTURALLY APPROPRIATE CARE

  • Fund of Knowledge
    • Health History
      • Up from slavery
      • Health and Longevity Since the Mid-19th Century
      • Significant Dates and Periods
      • Cohort Experiences
    • Health Beliefs
    • Illness Causes & Interventions
  • Assessment
    • Cultural Biases and Misdiagnoses
    • Showing Respect
    • Use of Assesment Instruments
  • Delivery of Care
    • Cardiovascular Disease
    • Stroke
    • Breast Cancer
    • Mental Health
    • End-of-life Care
  • Cancer Care

Access and Utilization

  • Disparities
    • 1. Patient-Based Factors
    • 2. Physician-Based Factors
      • Maltreatment and Segregated Training
      • Discriminatory Patterns
      • Social and Kinship Networks
      • Informal Caregiving
      • Caregiver Burden
      • Long-Term Care
    • 3. End-of-Life Care Issues
      • Palliative and Hospice Care
      • Advance Directives
      • Role of Church and Religion
  • Health Promotion
    • Improving Health Care

Learning Resources

  • Instructional Strategies
    • Projects and Assignments
    • Case Study 1: Mr. S
      • Overview and History
      • Course and Outcome
      • Cultural Issues
    • Case Study 2: Mrs. P
  • Student Evaluation
  • List of References
    • General
    • Fictive Kin
    • Breast Cancer
    • Tuskegee Study
  • Searchable Reference Database
  • Links
  • Important Cultural Terminology
  • Glossary
  • Interview Strategies
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