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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
      • Fund of Knowledge
      • Assessment
      • Delivery of Care
    • Glossary
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  • Ethno Med
    • Background
    • African American
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Health Promotion

“African-American older adults are a diverse group. They can vary from an elder living in the rural South to an urban area in the Northeast. They may have been born in the northern or southern United States or (in) Jamaica or Haiti.

“Their socioeconomic and marital statuses vary as well as their work history, educational and religious backgrounds…The (current) cohort of African American older adults … represent a group that has experienced the worst American educational and health care systems. Most have experienced segregated education and housing.

“They were more likely to receive substandard health care when they were younger, which now impacts their current health status. Many have worked for years in high-risk jobs under dangerous conditions, which contributed to the development of multiple chronic illnesses and poor overall health at relatively young ages” (Brangman, 1995).

When exploring outcomes and quality of care, it is important to note that African Americans tend to emphasize the “process” of care (Fongwa, 2001). Consistent with what is reported anecdotally, African Americans are at risk of under-utilization of preventive services.

In a large epidemiological study of cancer prevention services among men and women age 70 and over in the Piedmont area of North Carolina, the Black respondents reported significantly lower use of Pap testing, clinical breast examination, mammography, rectal examinations, and fecal occult blood testing.

When levels of education, income, and insurance coverage were controlled for, however, the racial differences in cancer prevention services were no longer significant (Hegarty et al., 2000

 

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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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