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Transcript of Native Americans
- Express urgent matters
- Avoid eye contact.
- Include family when
discussing a patient’s condition
- Avoid stereotyping and be aware of different
variations among Native Americans
- Unresponsive to pain
-Use examples that are relevant to their lifestyle. DMC Clinical Group Communication & Family Relationships
- Minimal eye contact
- Soft handshake
- Minimal displays of emotion
- Speak with a soft tone
- Communicating using “positive and “negative”
- Expressing pain
- Family relations and health care decisions Death Rituals - Health viewed as state of harmony between the person, family & environment.
- Healing comes from mental, spiritual and physical considerations by natural and religious medicine tradition.
- Native American healer visits for ritual healing and spiritual ceremonies. Proper Care for Native Americans -Animism
-Spirit exists in animals
-Shamans or Medicine men of the society
-Gaia Spiritual, Religious & Alternative Beliefs - The medicine man or spiritual leader leads the ritual
- Deceased ancestors are asked to join in the rituals
- The belief that the spirit of the person never dies
- Gifts are buried with the deceased
- Pipes are smoked
- The circle is symbolic in the ritual, as in the circle of life
- Nature is revered; death is part of nature
- The burial done at a special site either close/away from home
- Death believed to be a journey to another world
- Not burying the body
- Elevating the body in a tree or on a platform
- Opening in the burial place or coffin
- Burying a horse with the body
- Not saying the deceased's name out loud Autopsies Most Native Americans believe that death is a NATURAL part of the life cycle.
Organ donation and autopsies are viewed as desecration of the body and generally not desired. Cultural Factors - Living in harmony with the Earth
- Spirits within animals
- Folk healing
- Spiritual Guidance - Everyone and everything on earth is interconnected
- Medicine is more about healing the person than curing a disease.
- Healers aim to “make whole”
- Illness stems from spiritual
problems. Symptom Management - Some of the most common aspects of Native American healing include:
1. The use of herbal remedies
2. Purifying rituals
4. Symbolic healing rituals to treat illnesses of both the body and spirit.
5. herbal remedies, which can include teas, tinctures, and salves
6. Purifying and cleansing the body.
7. Sweat lodges or special teas that induce vomiting may be used Symptom Management - Smudging
- Symbolic healing rituals which involve whole communities:
*limited use of mind-altering substances
- Native American treatment is usually a slow process, spread over a period of days or weeks. - 3x higher for cardiovascular disease, diabetes, and overall injury-
- The infant mortality rate 2x as
larger as general populations
- 70% greater chance of death for pneumonia and influenza
- 32% of Native American women
fail to seek medical attention
- Ghost sickness -Heart Disease
-Type II Diabetes
-Chronic Liver Disease & Cirrhosis
-Alcohol Nursing Behaviors/Strategies