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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
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Cohort Analysis for American Indian Elders

A cohort analysis is an examination of historical events that may have impacted the lives of age mates of a particular group of people, in this case an ethnic group. The racial/ethnic/cultural history is reflected in the values, health beliefs, illness behaviors, self-image, degree of trust, and expectations toward health care providers.

Hands of Navajo grandmotherCohort analyses list significant events that may have been experienced by the persons of interest during the specific developmental age periods of childhood, adolescence, young adulthood, middle age, and older ages. Not only does this model provide a framework for history taking in the clinical setting, but also provides clues to intergenerational differences and perceptions, and clues to mental health issues. The following should be considered in using a cohort study as a starting point for gathering information:

  1. Effect of age of older adult at the time of event
  2. Not all American Indian older adults are impacted by all events
  3. Relevance of social histories in provision of clinical care
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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
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  • Suggested Readings
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  • Glossary
  • Interview Strategies
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