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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
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    • African American
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Case Study 1: Mr. S

Case Study 1: Mr. S

Mr. S is a 72-year-old retired African American man who lives with his 70-year-old common-law wife in a small, two-bedroom apartment in a public housing development. He is the primary caregiver for Mrs. S who is exhibiting cognitive deficits and behavioral changes consistent with a progressive degenerative neurological process. The interviews on which this cultural formulation is based were held with him.

History of Present Illness

Mr. S and his family noticed for several months that Mrs. S was experiencing increasing memory deficits, coordination difficulties and personality changes. During her work as a beautician, she was finding it difficult to hold the curling iron and remember how to “put chemicals into people’s hair.” After she retired, she became uncharacteristically irritable and angry and demonstrated more memory difficulties. Initially the family attributed her difficulties to her longstanding hypertension which they called her “pressure.’ When she was finally brought to her doctor, Mr. S was told that her blood pressure was very high, that she had suffered a stroke and had Alzheimer’s disease.

Psychiatric History and Previous Treatment

Mr. S had never previously sought psychiatric treatment.

Social and Developmental History

Mr. S was originally born in Ohio but moved to Boston at an early age. He is a World War II veteran and a retired construction worker. He and Mrs. S have known each other socially for many years. Their courtship began after his divorce from his first wife and the death of Mrs. S’s previous husband. They have been together for the past forty years.

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African American

  • Description
  • Learning Objectives
  • Introduction & Overview
    • Population Growth and Distribution
    • Characteristics
  • Patterns of Health Risk
    • Life Expectancy
    • 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
  • Assesment
    • 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
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    • General
    • Fictive Kin
    • Breast Cancer
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