shamans of the tribe (Kinsey & Reed, 2015) . The NA population is still negatively impacted by the historical trauma that they were subjected to across many generations as a result of US policies that were enacted. The goal of these policies was assimilation of the NA group into American culture as a means to civilize them; thus stripping them of their cultural identity and tribal heritage (Payne, Steele, Bingham, & Sloan, 2017). The implementation of these policies resulted in significant trauma and suffering among the population. For example, by the early 1870’s, a vast majority of NA’s were forced to leave their native lands and were placed on Indian reservations. Moreover, the federal policy mandated that the children be removed from their homes and sent to boarding schools or placed in foster care and orphanages (Kinsey & Reed, 2015). The government went so far as to ban them from practicing many of their spiritual ceremonies and rituals (Lillie et al., 2019). The harsh control that the federal government asserted over this group was the beginning of the unraveling of traditional NA culture and values. Consequently, NA experience the highest rates of mental illness in the United State, along with poverty, crime, and suicide rates that are significantly higher than average. Depression, PTSD, and substance abuse are highly prevalent among NA, and they also experience an extremely high prevalence of unemployment and lack of education (Kinsey & Reed, 2015). Five targeted questions that I would ask my case study patient as I gathered his health history include: “What role does spirituality play in your life?” “How many drinks do you need to drink before you become drunk.”
“Have you ever tried to stop drinking but been unsuccessful?” “Have you ever had high blood pressure or been treated for it?” “When was the last time that you had a routine physical? Understanding the history of NA and everything that they have been through can help HCP’s to be sensitive to these issues as they interact. A recent study was conducted among the NA group that yielded valuable information regarding common perspectives and healthcare preferences among the group (Kinsey & Reed, 2015) . Results strongly indicated a need for HCP’s to make sure they are communicating clearly, avoiding long words and jargon, and allowing the patient plenty of time to contemplate and ask questions.
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- Summer '15
- Native Americans in the United States, Health care provider