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Geriatrics

Geriatrics

Ethnogeriatrics

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Clinical Assessment: Community and Neighborhood Assessment

Overall Community and Population Characteristics

Many Alaska Native live in remote communities with the number of residents ranging from a few hundred to about two thousand. In isolated regions, a subsistence economy supports the community. Many villages continue to have smaller revenue and a higher unemployment rate than the rest of the state.

Environmental and Safety Conditions

The immense wilderness in Alaska can have a protective function for the social and cultural life of the Alaska Native; however, the influx of non-Natives into their remote territories has changed their environment. Industrial incidents such as the Exxon-Valdez oil spill rendered an area unsuitable for hunting and fishing for many years. Those who experienced chemical exposure or endured a prolonged state of under-nutrition are older adult today.

Services and Support from Neighborhood and Community

By an act of Congress, the aboriginal lands of Alaska Natives became the responsibility of 12 regional corporations. The economy and resources in these areas were shaped by these corporations. Health care from tribal doctors and other community services received support from them. A Traditional Healing Program for Alaska Native patients is available in Anchorage. The services include Healing Hands, Prayer, Cleansing, Song and Dance, Traditional Plant Medicine, and culturally sensitive and supportive counseling.

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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
  • Links
  • Glossary
  • Interview Strategies
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