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Geriatrics

Geriatrics

Ethnogeriatrics

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    • Ethnogeriatrics Overview
      • Introduction
      • Patterns of Health Risk
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    • Background
    • African American
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Compliance/Healthcare Utilization

Establishing a relationship based on mutual understanding and trust will help to increase compliance with treatment. Take the time to answer questions, educate and explain. Involvement of the ‘ohana is important to ensuring success.

Compliance may be adversely affected by health care access and limitations of insurance coverage. Many patients live in rural communities and/or rural neighbor islands and may not have access to primary care clinicians, specialists and hospitals (Taira, Gronley, & Chung, 2004). Native Hawaiians have one of the poorest socioeconomic conditions in the State. Barriers to care such as

  • insurance status,
  • ability to pay,
  • homelessness,
  • transportation,
  • childcare, and
  • school and work responsibilities,

must be considered when planning medical tests and treatment interventions. This is particularly important if the patient is dependent upon family members for transportation, medication, housing and food. Costs for medications are sometimes weighed against other family expenses such as food, rent and utility bills.

Non-compliance may also be a consequence of abandoning medical treatment in favor of traditional remedies, especially if the patient’s condition does not improve immediately with conventional medical treatments (Palafox & Warren A., 1980).

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Native Hawaiian and Pacific Islander

  • Description
  • Learning Objectives
  • Introduction and Overview
    • Demographics
    • Background
  • Patterns of Health Risk
    • Life Expectancy and Mortality
    • Morbidity
      • General Health Status
      • Cardiovascular and cerebrovascular disease
      • Dyslipidemia
      • Hypertension
      • Diabetes Mellitus
      • Chronic Kidney Disease and End Stage Renal Disease
      • Arthritis, Gout & Hyperuricemia
      • Cancer
      • Mental Health
      • Substance Abuse
      • Infectious Diseases
      • Asthma

Culturally Appropriate Care

  • Fund of Knowledge
    • Historical Background
      • Westernization of Hawaiian Islands
      • Colonization of Pacific Islands
    • Traditional Health Beliefs
      • Native Hawaiian Values
      • Values of Other Pacific Islanders
      • Theories of Illness
    • Traditional Health Practicies
  • Assessment
    • Population Diversity
    • Important Cultural Issues
    • Eliciting the Patient’s Perspective
  • Delivery of Care
    • Preventive Care
    • Compliance/Healthcare Utilization
    • Use of Traditional Healers
    • Community Based Health Initiatives
    • End of Life Preferences
    • Caregiver Stress
  • Cancer Care

Learning Resources

  • Instructional Strategies
    • Case Study 1
    • Case Study 2
    • Case Study 3
    • Case Study 4
  • Student Evaluation
  • List of References
  • Searchable Reference Database
  • Glossary
  • Interview Strategies
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