Native American's With Alcoholism Term Paper

Pages: 7 (2321 words)  ·  Bibliography Sources: ≈ 18  ·  File: .docx  ·  Level: College Senior  ·  Topic: Native Americans

SAMPLE EXCERPT . . .
For instance, the rate of diabetic end stage renal disease is as much as six times higher in the Native American population. The number of Native Americans who have had limb amputations due to diabetes is as much as four times higher than in the general population. Among the many possible causes of this situation are poverty, the lack of access to medical resources and comparatively low membership of medical plans among Native Americans.

4. Strategies and Rehabilitation

Both alcohol abuse and diabetes are symptomatic of underlying and extensive problems affecting Native Americans. Therefore, as many health care workers suggest, the strategy and readies to alleviate and deal with these problems requires a deeper understanding of the fundamental roots of the problems. " ... any honest examination of the health care crisis in Indian Country must begin not with economics but with something deeper -- with how the effects of conquest and colonization have touched the very souls of Native people." (Rolo, 1999, p. 44) This refers to aspects such as the loss of identify in the face of conquest and colonization, relating to the above-mentioned issue of self -- esteem. As many critics point out this situation has resulted in drug and alcohol dependency. (Rolo, 1999, p. 44)

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Account must also be taken of the different views that traditional Native American cultures have of health and medicine. An understanding of their more holistic perception of realty will have an effect on many remedies or solutions to the many problems that they experience. "Understanding cultural values and behaviors related to illness in Native Americans can help professionals facilitate compliance and more effective treatment." (Kelley, 1992 p 234)

Term Paper on Native American's With Alcoholism and Assignment

The above implies that from the point-of-view of social work and welfare, a different and more culturally appropriate approach should be taken. One of the most suitable methods of dealing with these issues is though a shared or cooperative model of health welfare; which is far more adaptive and suitable than methods which would impose authoritarian norms which might conflict with various cultural values and norms. This view leads to the more appropriate model for social work and welfare found in the Orem Model of self-care

Orem's model focuses on the centrality of self -- help and self- care. "Orem's model focuses on each individual's ability to perform self-care, defined as 'the practice of activities that individuals initiate and perform on their own behalf in maintaining life, health, and well-being.'" (Model and Theories of Nursing)

This model would not intrude on the cultural identity and the sensitivity of the communities and would have the best chance of remedying the underlying cause of the poor health situation - as it would be more cooperative and identity building. This aspect is borne out by the fact that "... Orem's theory views the individual as a self-care agent with unique needs." (Model and Theories of Nursing) Using this model the nurse or health care worker can use transactional analytic techniques to assist the patients or client towards rehabilitation. There is a general agreement among many health professionals that the self-care model is the most effective method in terms to the historical, cultural and social causes of both diabetes and alcohol abuse among Native Americans.

5. Bibliography

Abused Native Americans Twice as Likely to Drink. Retrieved August 31, 2005. Web site: http://alcoholism.about.com/cs/abuse/a/blcah030917.htm

Bren, L. (2004, July/August). Diabetes Prevention, Treatment. FDA Consumer, 38, 18+. Retrieved August 31, 2005, from Questia database, http://www.questia.com.

Diabetes Statistics for Native Americans. Retrieved August 31, 2005 from American Diabetes Association. Web site:

http://www.diabetes.org/diabetes-statistics/native-americans.jsp

Dixon, C.G., Richard, M., & Rollins, C.W. (2003). Contemporary Issues Facing Aging Americans: Implications for Rehabilitation and Mental Health Counseling. The Journal of Rehabilitation, 69(2), 5+. Retrieved August 31, 2005, from Questia database, http://www.questia.com.

ELIMINATING HEALTH DISPARITIES IN THE AMERICAN INDIAN AND ALASKA NATIVE COMMUNITY. ( 2003) Retrieved August 30, 2005 from United States Department of Health and Human Services. Web site;

http://www.hhs.gov/news/press/2003pres/fsindian90803.html

Guiden, M., & Johnson, S. (2000, June). New Challenge for States: Indian Health Care. State Legislatures, 26, 36. Retrieved August 31, 2005, from Questia database, http://www.questia.com.

Kelley, S.D. (1992). Traditional Native American Values: Conflict or Concordance in Rehabilitation?. The Journal of Rehabilitation, 58(2), 23+. Retrieved August 31, 2005, from Questia database, http://www.questia.com.

Mckenna, H. (1997). Nursing Theories and Models. London: Routledge.

Mills, H. (1998, November/December). A Deadly Mix. The American Enterprise, 9, 57+. Retrieved August 31, 2005, from Questia database, http://www.questia.com.

Model and Theories of Nursing. Retrieved August 31, 2005. Web site: http://library.stritch.edu/nursingtheroies/orem.htm

Gale, Nancy ( 1991) Fighting Alcohol and Substance Abuse among American Indian and Alaskan Native Youth. ERIC Digest. Retrieved August 31, 2005. Web site:

http://www.ericdigests.org/pre-9221/indian.htm

Olson, M.J. (2003). Counselor Understanding of Native American Spiritual Loss. Counseling and Values, 47(2), 109+. Retrieved August 31, 2005, from Questia database, http://www.questia.com.

Richardson, B. (1994, November). The Need to Empower Indian Tribes. USA Today (Society for the Advancement… [END OF PREVIEW] . . . READ MORE

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