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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
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      • Assessment
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    • Background
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Clinical Assessment: Physical Examination

  • The health care worker needs to inform the Alaska Native older adult patient that an examination will be performed and should ask him/her for permission.
  • If a male physician is going to perform the procedure on a female patient, it will help to explain that a female physician is not available.
  • The health care worker may explain that there may be awkward or embarrassing moments in the exam.
    • The patient may wish to ask a daughter or granddaughter to accompany her to make the exam less awkward.
  • A male Alaska Native older adult patient can ask a son or grandson to accompany him if he desires.
  • To allow for the patient to maintain dignity, avoid direct eye contact, if possible. Allow the patient to cover up when talking.
  • Don’t stand too close, but rather off to the side and turned slightly.
  • The Alaska Native older adult patient will want to know the results (both good and bad) in broad terms, the treatment options, and the outcome if the treatment is not followed through.
  • Some older adult may use the phrase “feeling funny” as a way to describe a symptom or illness.
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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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