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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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Health Promotion Strategies: Treatment Issues and Response to Treatment

Informed Consent

It is important that enough time is allotted for discussing the contents of the document. Ideally, a health care provider who has rapport with the patient may be able to facilitate the decision-making process. The Alaska Native elder may prefer to consult with family members or a trusted member in the community before signing. To reduce anxiety over the process, verify whether a spokesperson for the elder is preferred. Towards the end of the interaction, ask the elder or spokesperson to summarize in his/her own words what was understood from the document. This approach may increase the elder’s trust on the health care provider. When possible, having a provider who is also an Alaska Native may help expedite the decision-making process.

Advance Directives

For discussion on this topic, see End-of-Life Preferences. Death is accepted as a natural process of living. The Alaska Native elder recognizes there are preparatory tasks to be done such as passing on their knowledge and skills to the young. However, in this contemporary time, the younger generation’s acculturation process to mainstream culture and the pressure to mainstream themselves are perceived by many Alaska Native elders as a barrier to their ability to act on these tasks.

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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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