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Geriatrics

Geriatrics

Ethnogeriatrics

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Medications

Issues in Treatment and Response to Treatment

Sharing of medicines (Indian and biomedical) is common within clan groups and extended families. Pharmaceuticals may be stopped by the American Indian when s/he feels better, and “saved” to self-medicate if the problem recurs.

There is also some anecdotal indication that benzodiazepines and anti-depressants (SSRI’s) may have a stronger effect at lower doses in the American Indian population in general.

 Cost of medications can be a major factor in utilization by American Indian elderly, especially in urban or rural areas where Indian Health Service benefits are not available.

Many American Indians will take Indian “medicine” concurrently with Western pharmaceutical medicines, as Western health care tends to focus on body parts and disease systems rather than on the person in need of healing.

Indian medicine considers the individual’s: spiritual, emotional, mental, physical, and relationship state, and may consist of ritual, ceremony, special songs, fasting, sweating, herbal and /or animal medicines, avoidance or inclusion of specific foods, natural elements, or situations, usually prescribed by a medicine person, spiritual advisor, or diagnostician, depending on Tribal tradition and availability.

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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

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    • 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
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      • 1980s to Present
    • 2: Cultural Values
    • 3: Case Study, Dementia
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