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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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Cohort Analysis

Student assignment

[icon]pdf downloadTo download a tool that helps students with organizing historical events and experiences of older adults, click here.

It is critical to understand the influence historical events and historical trauma have had upon Alaska Native values, health beliefs, illness behaviors, trust, and expectations of health care providers. The cohort experiences of Alaska Natives may have impacted their health care belief system over generations. Understanding cohort experiences of Alaska Natives may help to break down the cultural and structural barriers to health care.

The historical context and cohort experiences of Alaska Natives during age periods are diverse.  The perceptions of the experiences are likely different across the indigenous cultural groups in Alaska, according to the region and culture.

Alaska Native cohorts who were children when they experienced separation from others through epidemics or boarding school are now Elders or seniors and are being relocated to assisted living facilities. They may exhibit historical trauma like symptoms, or Historical Trauma (HT). A health care professional who is unaware of this history may jump to the wrong conclusion and not provide the most optimal, or culturally competent, care for that particular person.

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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
  • Assessment
    • Respect and Rapport
    • Communication
    • Standardized Instruments
    • Client Background
    • Clinical Assessment
      • 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
  • Glossary
  • Interview Strategies
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