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Geriatrics

Geriatrics

Ethnogeriatrics

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Mortality

Tables

  • » Table 1: Leading Causes of Death
  • » Table 2-1, Culture Med, Patterns of Health Risk Module: Comparison of American Indian mortality with other races.

There appears to be a “mortality cross-over” by age 85, according to IHS data. American Indians have a higher mortality than Whites up to age 75, from 75 to 84 the rates are much the same, and after age 85 American Indians have lower age specific mortality rates than Whites (John, 1999).

Death Rates Compared to Whites

American Indian older adultshave lower rates of death than Whites for the top four leading causes of death (heart diseases, malignant neoplasms, cerebrovascular diseases, and chronic obstructive lung disease), but higher death rates for all other causes of death (John, 1999,p.73). These causes of death have implications for health care providers and educators, as most are preventable to some degree and could be addressed by culturally-congruent intervention programs.

Excess deaths are reported among older American Indians for tuberculosis, diabetes, pneumonia, and cirrhosis (John, 1997; McCabe & Cuellar, 1994).

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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
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