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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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  • Culture Med
    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
      • Fund of Knowledge
      • Assessment
      • Delivery of Care
    • Glossary
    • Interview Strategies
  • Ethno Med
    • Background
    • African American
    • Alaska Native
    • American Indian
    • Asian Indian American
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Language Assessment

Use of Interpreters

To evaluate type of interpreters, see Benefits and Limitations of Interpreters by J. Enslein in the Assessment Module of the Culture Med Ethnogeriatrics Overview.

For American Indians, adult same gender interpreters are preferred.

Language Assessment

Although many American Indian older adults speak English, some are monolingual. Literacy level should be assessed, especially if written forms or educational materials are used.

Probability Statements

“Probability” statements do not translate grammatically in some Indian languages, and may be misinterpreted as fact. Negative information may be culturally inappropriate, as “thought and word” may give reality to negative conditions, in some Indian traditions.

Discussion and Translation Issues

Indirect discussion (e.g. someone other than patient in similar situation) is preferred to direct questioning. Older American Indians often need time to translate concepts into Indian language or thought, and then back to English/western thought to answer. Language Line Services may not be proficient in American Indian languages, of which some 150 are still spoken.

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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
  • Assessment
    • Respect and Rapport
    • Communication
    • Language Assessment
    • Assessment 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
  • Multimedia and Community Resources
    • Web
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  • Glossary
  • Interview Strategies
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