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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
      • Fund of Knowledge
      • Assessment
      • Delivery of Care
    • Glossary
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  • Ethno Med
    • Background
    • African American
    • Alaska Native
    • American Indian
    • Asian Indian American
    • Chinese American
    • Filipino American
    • Hawaiian and Pacific Islander
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    • Hmong American
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    • System Requirements

Communication

Culturally Appropriate Verbal and Non-verbal Communication

Questions should be adapted to age and acculturation level. It is important for the health care provider to slow down when communicating with an Indian elder, especially during initial encounters and when explanations of treatments/medications/health care decisions are being given. Questions should be carefully framed to convey a message of caring, and not indicate idle curiosity about the culture or cultural practices.

Conversational Pace

American Indian languages have some of the longest pause times, compared to other languages, and especially English. Elders frequently complain that English speakers “talk too fast”. Silence is valued, and long periods of silence between speakers is common. Interruption of the person who is speaking is considered extremely rude, especially if that person is an elder.

Non-Verbal Communication

Physical Distance: Several feet is usual comfort zone.

Eye Contact: Not direct or only briefly direct, gaze may be directed over the shoulder, and sustained gaze as this may reflect aggressiveness.

Emotional Expressiveness: May be controlled, except for humor

Body Movements: Minimal

Touch: Not usually acceptable except a handshake

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American Indian

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Demographics
      • Overview
      • Geography
      • Living Arrangements
      • Tribal Groupings
      • Age Groups
    • Historical Influence
    • Self-Determination
    • Religion
    • Spirituality and Healing
    • Definition of Terms
  • Patterns of Health Risk
    • Data Quality
      • Mortality
        • Leading Causes of Death
      • Morbidity and Functional Status
        • Heart Disease and Diabetes
      • Mental Health

Culturally Appropriate Care

  • Fund of Knowledge
    • Cohort Analysis
      • Cohort Experiences
      • Case Studies for Discussion
    • Impact of Historical Events
    • Conflicting Expectations
  • Assessment
    • Respect and Rapport
    • Communication
    • Language Assesment
    • Assesment Domains
      • Client Background
      • Clinical Domains
      • Problem-Specific Information
      • Intervention-Specific Data
      • Outcome Criteria
  • Delivery of Care
    • Health Promotion Strategies
    • Treatment and Response
    • informed Consent
    • Surgery
    • Advance Directives
    • Medications
    • Chronic Pain Management
    • Dementia and Caregiving
    • End-of-life Care
    • Biomedical Vs Traditional

Access & Utilization

  • Needs Vs. Utilization
  • Managed Care

Learning Resources

  • Learning Activities
    • 1: Historical Events
      • B.C. to 1799
      • 1800 to 1849
      • 1850 to 1899
      • 1900 to 1949
      • 1953 to 1969: Policy of Termination and Relocation
      • 1970s
        • Short Answer/Essay Questions
      • 1980s to Present
    • 2: Cultural Values
    • 3: Case Study, Dementia
      • Discussion Questions
  • Instructional Strategies
  • Student Evaluation
    • Essay Question
    • Post Test
      • Multiple Choice
  • List of References
  • Searchable Reference Database
  • Suggested Readings
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  • Glossary
  • Interview Strategies
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