prescription drug coverage, this patient may not be able to afford prescribed antianxiety medications. When examining this patient’s lifestyle, it is important to question their definition of drug use. The patient states that he smokes “pot” and drinks, but denies drug use. It is important to evaluate the patient’s involvement in tribal affiliation and what types of ceremonies are being performed. Another critical topic to explore, which may be another sensitive subject, is the utilization of traditional medicine. Integrating traditional Native American healing practices into mainstream treatment interventions is often recommended when working with Native patients13 and could be beneficial to patients (Bassett, Tsosie, & Nanauck, 2012). Traditional medicine is defined by the World Health Organization (WHO) as “a diverse health practices, approaches, knowledge and beliefs incorporating plant, animal and/or mineral based medicines, spiritual therapies, manual techniques and exercises, applied singularly or in combination to maintain well-being, as well as to treat, diagnose or prevent illness” (2012). Traditional health practices, including taking herbal medicine, smudging (a purification practice that involves burning a bundle of dried herbs such as sage), and participating in healing or sweat-lodge ceremonies is common in traditional Indian medicine practices (2012). Integrating traditional Native American healing practices into mainstream treatment interventions is often recommended when working with Native patients and could be beneficial to patients, increase compliance, and provide better patient outcomes (2012). Targeted Questions 1.What is your understanding/definition of drug use? 2.What do you think is causing anxiety in your life? 3.How many alcoholic drinks do you have per day/week? 4.Have you sought treatment from a traditional healer? 5.Are you currently using any herbal medicines?
(1), 19-27. Retrieved from Espey, D., Jim, M., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Piescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104 )S3, S303-S311.
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- Native Americans in the United States