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Geriatrics

Geriatrics

Healthy Aging and Ethnogeriatrics

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Cardiovascular and cerebrovascular disease

Cardiovascular and cerebrovascular diseases are the leading cause of death in Native Hawaiians with 5.8% of all age groups of Native Hawaiians having been told that they had a heart attack or myocardial infarction, compared to 3.8% of Caucasians (Salvail FR, et al, 2003). Similarly, 4.4% of Native Hawaiians reported having angina or coronary heart disease which was somewhat higher than the 3.7% reported by Caucasians (Salvail FR et al, 2003). Overall, Native Hawaiians had a lower prevalence of stroke, 1.9% compared to 3.2% for Caucasians (Salvail FR et al, 2003).

Among elderly with chronic heart failure, Wheeler et al. found that Asian Americans and Pacific Islanders had significantly more procedures and a longer length of hospital stay compared to Caucasians (Wheeler et al., 2004). Elder-specific rates of heart disease or stroke for Native Hawaiians and other Pacific Islanders are extremely limited and interpretations of this data should be cautious.


Summary

  • Overall, cardiovascular disease (heart disease and stroke) in Native Hawaiians is higher than in Caucasians living in Hawaii; and the number of procedures and length of stay in hospitals is also higher in Native Hawaiians.
  • However, stroke is more prevalent in Caucasians compared to Native Hawaiians.
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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 Practices
  • 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

Learning Resources

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