摘要:

Geriatric rehabilitation practitioners need to know how to identify cultural factors that affect therapy and how to apply cultural knowledge in practice. Identifying cultural factors requires a real understanding of culture as it varies from obvious to exquisitely subtle. The process of inquiry to ascertain cultural factors is offered as a more accurate way of judging a patient's cultural status than lists of traits. Also, practitioners must distinguish between ethnic-specific cultural factors and cross-cutting generational cohort factors.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

In light of the burgeoning population of older adults from diverse ethnic groups, it is important for providers of geriatric rehabilitation to be aware of the ethical issues in ethnogeriatric care. In contrast to the Western biomedical principles of ethics, which emphasize individual autonomy and informed consent by the patient, older person from other cultures may prefer decision making by family members or other significant persons. Barriers to care constitute a threat to justice and include lack of access to reimbursement, lack of trained interpreters, and barriers to trust. Recommended strategies to provide more culturally competent ethical care are listed.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Increasing the cultural competency of health care providers requires an understanding of the cultural group being served. For Native Hawaiians, however, little is known about their participation in and views of rehabilitation. In this study, focus groups were conducted in which Native Hawaiian and non-Hawaiian rehabilitation professionals were asked to interpret utilization data and offer their perceptions of the rehabilitation experience of Native Hawaiians. Consistently noted were cultural values and traditions reflecting the importance of `aina (environment), `ohana (family), kuleana (specific responsibilities of family members), and kokua (mutual support and interdependence). Findings demonstrate the link between cultural values and health behaviors and provide guidelines that inform practice, policy, and research.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Little is known about the prevalence of functional limitations in the Mexican-American older population. Recent data from a large epidemiologic study of Mexican-American community-dwelling older adults are compared with data from two other large-scale studies of White and African-American older persons. The rates of functional disability in Mexican-American older adults (measured by activities of daily living) were found to be somewhat higher than those of Other Whites and somewhat lower than those of African Americans. Socioeconomic status differences in functional limitations within the Mexican-American sample were not very large. Findings are discussed in terms of the effect of low rates of institutionalization on increasing rates of disability of community-dwelling Mexican-American older persons. Absence of notable socioeconomic status differences within the Mexican-American sample are attributed to restricted range in socioeconomic status and possible effects of earlier higher mortality among person of lower socioeconomic status. Findings have implications for community-based care of the Mexican-American older population.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Although many forms of rehabilitation are available, they tend to be reserved for younger patients who are perceived as most able to benefit from treatment. The difficulties faced by the European-American older population, in terms of appropriate assessment, are compounded by additional factors for older people of color. This article will examine neuropsychologic assessment and rehabilitation concerns with two geriatric populations: (1) patients with acute and chronic medical diseases, including heart attacks and strokes and (2) male substance abusers. Neuropsychologic symptoms are described with respect to both ethnicity and gender. The burden on ill-prepared caregivers is also addressed.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

This study examined knowledge about risk factors and symptoms of coronary heart disease, hypertension, and stroke in a community sample of 100 middle-aged and older African-American adults using structured interviews. The findings revealed low to moderate levels of knowledge about risks and symptoms associated with these cardiovascular diseases. Less than a third were aware that high-fat diets, smoking, physical inactivity, high alcohol use, and obesity are risk factors for cardiovascular diseases. Older respondents were less knowledgeable about risks for hear disease and hypertension and symptoms for hypertension than were their middle-aged counterparts. Rehabilitation professionals' role in providing aging African Americans with appropriate knowledge and skills needed for optimal cardiovascular health is discussed.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

摘要:

Older African Americans have high rates of disability from arthritis. The Arthritis Self-Help (ASH) course teaches coping skills for arthritis, but has not been evaluated as an intervention in African Americans. Pain is the most common reason that people with arthritis seek medical intervention, but evaluation of the ASH program must use variables in addition to pain to test the effectiveness of the program. The stress-and-coping model suggests that activity and physical limitation, locus of control, life satisfaction, and self-efficacy for exercise and cognitive symptom management are key variables for assessing the effectiveness of the ASH program. Twenty-six older African Americans, 53–84 years of age, completed the ASH program, an the Wilcoxin Matched-Pair Ranked-Sign Test showed improvement after the ASH course for all variables except the self-efficacy measures. Further study should evaluate the role of self-efficacy for coping skills in these older persons.

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID

ISSN:0882-7524    

出版商:OVID    

年代:1997

数据来源: OVID