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Indian Reservation health care/Nursi

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Posted about 5 years ago

 

Hello, has anyone had any experience with working on or near an Indian reservation, (specifically the Navajo Reservation), and would be willing to discuss some of the areas regarding cultural issues that affect this group of people?

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Rate This | Posted about 5 years ago

 

Hope this helps- rather generic but very applicable and does have specific Navajo information: But if unsure, always remember- Respect and humbly "ask" if there are any cultural practices you need to be aware of to provide care for the patient.
American Indian
Religion, magic, folklore, disease treatment and herbal medicine differ among tribes.
Very family oriented.
Among approx. 500 different tribes, each has own culture.
Traditional Indian medicine focuses on holistic, behaviors to achieve harmony in “physical, mental, spiritual and personal aspects of one’s role in family, community, and environment”.
Considered rude to address stranger in loud tone or to interrupt frequently.
The healing process moves individual from illness (negative) to harmony and health.
Thinking positive is important to the process.
Ceremonies related to birth, death, and illness.
Navajos - mother massages infant to promote mother/newborn bonding.
Care of elders part of life responsibility.
Extended family as well as immediate family are very important.
Family provides support. Expect extended family to be present.
Influenced by specific tribe to which patient belongs, availability and costs of foods. May have lactose intolerance. Ceremonies related to illness: Indian priest often synonymous with medicine man/woman, the person who determines cause and treatment for illness.
Navajo:
Blessingway - has many ceremonial variations and includes healing rites to remove illness through various “stories, songs, rituals, prayers, symbols and sad paintings.” Physical space is very important and has no limits.
Body language and silence used in communication. Excessive eye contact considered an affront to patient’s dignity.
HCW: Wait for client to finish speaking; moderate voice; establish interest in patient’s wellbeing. Be non-judgmental while pursuing information about illness or complaint; focus on positive outcomes (versus negative possibilities) when educating patient.
Include family in patient care. Determine which cultural practices are not harmful to patient care and leave undisturbed (for example, corn meal used during ceremony and left

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Rate This | Posted about 5 years ago

 

I did a 13 week assignment in Fort Defiance, Az at IHS. During orientation, we were given a very intense day of Navajo culture. It was wonderful! The non-native healthcare workers are extremely respectful of Navajo culture, encompassing all of their holistic beliefs and ways of life.

1. you never speak to an elder first, they must acknowledge your presence and speak to you first.

2. these are very modest people, particularly the older women. They wear layers and layers of clothing and must be covered at all times. PRIVACY is paramount.

3. nothing is to be removed from their rooms, bodies without their permission, regardless of if you think it is detrimental to their health or not. The shaman, dreamcatcher or another healer first must be consulted and give permission before something is removed.

4. never touch unless given permission

5. never speak loudly

6. most do not shake hands or invite touch

Family is all important. In spite of the abject poverty, lack of employment, many stay because of this. The younger Navajos are leaving more often now then before and don't return to live unless they are needed and then they come back to stay, at least for awhile.

Gangs are becoming more and more prevalent in the young. Meth is rampant, so you'll see FBI, ATF and other government agencies on the rez all the time. Be careful if you go out at night, even more so than in a large city.

No alcohol is sold on the rez. It can be purchased and brought to the rez. Yet, go right outside the boundaries of the rez, there are bars lining the roads.

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Rate This | Posted about 5 years ago

 

The Indian Reservation folks are really, really wanting to help you become a nurse and serve in this rural areas. You can get a free education to become an RN....that's a very exciting prospect.