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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
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Self-Determination and Self-Governance

In the late 1970’s and 1980’s, American Indian lawyers shifted their fight to the courtrooms, claiming treaty violations and the undervaluing of tribal lands. The Nixon administration pushed through the Indian Self-Determination and Education Act of 1975, and the next twenty years saw tribal development through many growing pains, but with the ultimate goal of self-sufficiency.

This Act authorized Indian tribes/nations to administer their own programs and the Indian Health Service to grant moneys for operation of health services. This Act is a major force for Indian decision-making and self-governance today. Some Indians, however, believed that “self- determination” was another disguise for “termination”, in that the federal government was attempting to terminate it’s responsibility for providing health care and other services promised by treaty, legislation, and judicial review (Nabokov, 1991, pg.385).

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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
  • Instructional Strategies
  • Student Evaluation
    • Essay Question
    • Post Test
      • Multiple Choice
  • List of References
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  • Glossary
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