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Ethnogeriatrics

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Biomedical Vs Traditional

Coordinating Biomedical and Traditional Therapies

Marbella, et al. (1998) surveyed 150 patients at an urban Indian Health Service clinic in Milwaukee, Wisconsin, on concurrent use of Native American healers and physicians. Authors reported that 38% were utilizing the services of a healer, and that 86% of those not seeing a healer would consider seeing one in the future. In this study, greater than 1/3 of the patients received differing advice from the healer and the physician, and they were more inclined to follow the advice of the healer. Only 14.8% of this population shared this information of concurrent treatment with their physician. Respondents indicated thirty tribal affiliations, the largest numbers being, Oneida, Chippewa/Ojibway, and Menominee. This study underscores the need for culturally sensitive dialog with patients about concurrent treatment and collaborative relationships with American Indian healers.

Urban Areas

In many urban areas there are no Native American healers, and medicine persons travel long distances when called to these areas. Often, patients must travel “home” to find medicine/spiritual healers of the same cultural heritage and tradition. Whenever possible, co-therapy with traditional healers and medicine persons or diagnosticians should be encouraged. In some situations it is possible to have the traditional healer participate as a member of the interdisciplinary team.

If an American Indian elder is hospitalized and requests it, arrangements may be made for ritual or ceremony at the bedside, which may include smudging with sage or sweet grass smoke. Other arrangements could be for Indian medicine pouches, bundles, or other specific items of sacredness and healing that should not be disturbed or touched by health care personnel or hospital staff.

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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
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    • Dementia and Caregiving
    • End-of-life Care
    • Biomedical Vs Traditional

Access & Utilization

  • Needs Vs. Utilization
  • Managed Care

Learning Resources

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      • B.C. to 1799
      • 1800 to 1849
      • 1850 to 1899
      • 1900 to 1949
      • 1953 to 1969: Policy of Termination and Relocation
      • 1970s
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    • 2: Cultural Values
    • 3: Case Study, Dementia
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