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Geriatrics

Geriatrics

Ethnogeriatrics

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Models of Service

Culturally Appropriate Models of Service

List of service programs

There is a plethora of service programs across the state of Alaska which have focused service models. For a complete list see: “Long term care needs of Alaska Native elders,” pages 52–58, Chapter 5, Facility and Service Models, which was prepared by Kay Branch from the Alaska Native Tribal Health Consortium.

The elements or principles that constitute best practices for providing care to Alaska Native older adults are:

  • Integrating Native values
  • Including traditional arts, crafts, and ceremonies
  • Providing Native foods and the opportunity to be involved with subsistence activities
  • Hiring Native staff to operate the programs and interact with the Alaska Native older adults in their own language
  • Providing case management that is culturally appropriate
  • Utilizing a Native advisory board and involving Elders
  • Providing support for the families to assist them in care giving roles

Best Practice

Models of Best Practice

The following paper provides a complete description of good models and potential best practices: “Achieving Best Practice in Long Term Care for Alaska Native and American Indian Elders,” by Kay Branch.

There are several tribally run services for Alaska Native older adults that are good models and are potential best practices available within the Alaska tribal health system.

  • Tanana Chiefs Conference Home Care Services
  • Yukon-Kuskokwim Health Corporation, Senior and Disability Services
  • Southcentral Foundation Elder Program
  • Bristol Bay Area Health Corporation, Helping Hands Program
  • Marrulut Enlit Assisted Living (MEAL) Dillingham
  • Norton Sound Health Corporation, Quyanna Care Center
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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
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