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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
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      • Patterns of Health Risk
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Clinical Assessment: Cognitive and Affective Status

Some Alaska Natives may refer to dementia as ‘becoming forgetful’, a condition that is seen as a natural consequence of aging. Studies that focus on the prevalence of dementia, Alzheimer’s, and depression have been widely neglected and understudied for Alaska Native older adult. Cultural values and perceptions need to be studied and the findings incorporated into practice.

The Mini-Mental Status Exam (MMSE) (modified for cultural relevancy and language consistency), the Indian Depression Schedule (IDS), and the Center for Epidemiological Studies Depression Scale (CES-D) have been used with internal consistency for this population. DSM IV Diagnostic Criteria for mental disorders may not be applicable as there are vast differences in cultural (tribal) beliefs about mental illness, cultural labeling of different emotions, and conceptual language differences (Manson et al., 1985).

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Alaska Native

  • Description
  • Learning Objectives
  • Updated Summary
  • Introduction and Overview
    • Terminology
    • Geography
    • Demographics
    • Native Cultures
      • Athabascan
      • Yup’ik and Cup’ik
      • Inupiaq
      • Aleut and Alutiiq
      • Southeastern Tribes
    • Historical Background
      • Historical Trauma
      • Decade Value Development
      • Exxon-Valdez Oil Spill
      • Land Claims
  • Patterns of Health Risk
    • Causes of Death
      • Cancer
      • Diabetes
      • Trauma-Falls
      • Suicide
      • Elder Abuse

Culturally Appropriate Care

  • Fund of Knowledge
    • Cohort Analysis
      • Cohort Experiences
    • Cultural Values
      • Health Care Impact
    • Communication Patterns
      • Presentation of Self
      • Distribution of Talk
      • Contents of Talk
    • Traditional Healing
    • Important Cultural Issues
  • Assesment
    • Respect and Rapport
    • Communication
    • Standardized Instruments
    • Client Background
    • Clinical Assesment
      • Health History
      • Physical Examination
      • Cognitive and Affective Status
      • Functional Status
      • Home and Family
      • Community and Neighborhood
      • End of Life Preferences
    • Eliciting Perspectives
  • Cancer Care

Access & Utilization

  • Patterns of and Barriers to Utilization
  • Models of Service
  • Health Care Policy
  • Health Promotion Strategies
    • Alcohol and Substance Abuse
    • Issues in Treatment
    • Blending Biomedicine and Tradition
    • Long Term Care
    • Adult Day Programs

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
  • List of References
  • Searchable Reference Database
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  • Glossary
  • Interview Strategies
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