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Geriatrics

Geriatrics

Ethnogeriatrics

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Causes of Death: Trauma-Falls

Falls are the leading cause of injury related emergency room visits for the 65 and older population in all of the U.S. People experiencing falls in their later life show an increasing decline in functional abilities and are at greater risk for institutionalization (Lindeman, 2003).

Within Alaska, during the time period of 1996 – 2000 there were 694 falls reported in Alaska Native people 55 and older. Falls occurred in all areas of the state, with the majority in the Southeast, and Western regions and within the city of Anchorage. Most of the falls, 62%, occurred in the home. In about one-fifth of the cases, alcohol consumption was determined to be a factor. These falls resulted in 4,829 days of hospitalization, with an average of seven days per incident and a range of 0 to 113 days.

Because of the high cost of falls in both public health dollars and personal loss of independence and mobility, many studies published in public health and medical journals deal with fall prevention strategies.  However, there is little information about fall prevention specifically for or about Alaska Native or American Indian elders.

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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
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    • 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
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