Clinical Experience Paper

Alcoholism is an issue in many peoples lives. But for Native Americans it has become a very common issues effecting many people. Native Americans also affect more than health, issues like stereotyping and control come into play. Two authors decided to include the effects of alcohol in their works. By showing the affects of alcohol in Native Americans, people will be able to see the difficulties of the disease and try to overcome some of the problems.

Most of the times, an alcoholic or a drug addict may not be fortunate enough to have caring family members to assist him or her in overcoming addiction. For the most part, many addicts who wish to cease using alcohol desire a sense of support and understanding. Many addicts may feel encouraged to speak about their personal problems with others who share the same kinds of experiences. It is very important that individuals who have faced problems with alcohol be motivated to quit with people who may likely be recovering alcoholics. Likewise, this kind of self-help treatment method may facilitate an alcoholic to build a trusting relationship with fellow group members.

My first encounter with a Certified Registered Nurse Anesthesia (CRNA) was during my undergraduate nursing OB/GYN rotation. I was impressed with the CRNA when she placed the epidural to the patient in labor. I remembered patient had difficulty staying still due to the contraction, but the CRNA took her time to explain the procedure while comforting the distressed patient. Once the epidural was in placed and the medication started working, I could tell the relief the patient experienced. I realized then that a CRNA goes beyond the delivery of anesthesia, pain management and monitoring of patients. Thus, obtaining this degree will prepare me to ease the patient’s mind through education, pain management, monitoring, experience and compassion.

With regards to this, healthcare workers also identified a number of emerging positive attitudes across Indian country. Tribes of Native American communities, for example, report that they are taking steps themselves to eliminate abuse. The feeling is growing that the best--perhaps only way--to overcome Indian alcohol and substance abuse

In order for VAWA true intentions to be carried out, the pilot project needs to be implemented into all tribes and funding also needs to be distributed to every tribe whether recognized by the Unites States government or not. Just because a tribe is not “formal” does not mean that the native women do not experience assault. In fact “Native American women represent a unique class of victims among the larger population…”(Torpy,2008). This idea is still prevalent to today's Native American women and the struggles that they endure in their everyday

A broad range of medical and psychological therapies is currently available for people who struggle with substance addictions. The scientific community is working on evaluation of various treatments to determine which strategies offer the best chances of successful outcome. People who need treatment for alcoholism and drug use are very diverse group. Addiction is a disorder that requires an individual case approach; therefore, different ways to

Usually, with treatment, there “tends to be a focus on Western medicine techniques that may be interpreted as belittling the culture’s traditional practices (Beiser 1985) or not validating American Indian spiritual ceremonies as therapy” (Larois et al., 2011). The American Indian culture is vastly different with specific customs. Naturally, “individuals entering treatment may desire treatment programs that are more culturally specific and can attend to the needs of their communities” (Larois et al., 2011). Clinicians can provide a level of comfort if therapeutic approaches are catered to the culture of American Indian clients. The barrier clinician’s run into is that “funding sources require the use of EBTs and these programs find themselves adapting their treatments to fulfill these requirements” (Larois et al., 2011). Insurances have an immense impact and say on the services offered because they are the ones paying. Clinicians can find themselves in a bind because they ultimately have to answer to these insurances companies who pay them for their services. The system is set up in a manner that is not conducive to the American Indian culture.

Throughout the years there has been a consistent need for people to reach out to help the Native American community. This is due to the fact that statistics tell us that there are many Native Americans who abuse drugs and alcohol. This sometimes leads to addiction and the consequences they have to deal with are, losing their families, becoming addicted, or hurting their families. It should be taken into consideration that although there are many things Indian country needs to work on, there are also many ways we can help create better spaces for these people to heal from such traumatic experiences. There are many programs available for those going through such circumstances and they should look for help when needed. I believe it is important

Alcoholism is defined as the addiction to consumption of alcohol to a point where individuals become unable to live a normal and healthy live. “Excessive alcohol consumption is a leading preventable cause of death in the United States and has a greater health impact on American Indians and Alaska Native than on other racial groups” (Landen, M., Roeber, J., Naimi, T., Nielsen, L., & Sewell, M., 2014). American Indians and Alaska Natives have the “highest rate of binge drinking (30.2%) and heavy alcohol use (8.5%) of all racial groups in the United States” (Rieckmann, 2016). To fight high rates of alcoholism, federal law was implemented for prohibition of alcohol on Indian Reservations in 1974. Alcohol abuse on the reservation is cause for much of the social and economic woes that plague this sovereign nation. It is so drastic, that Navajo Nation and United States Department of Health and Human Services have dispatched programs to combat the alarming rates of fetal alcohol syndrome and binge drinking.

Interviewing a Native American elder helped me to better understand her physical and emotional needs. I learned that the elders are vulnerable people who need support. After my interview, I recognized that there are many conditions that the Native American elders face such as lack of support from the government; discrimination from fellow Americans; lack of support from their families; limited respect from their community; lastly, they feel neglected because of their disabilities. Why are vulnerable groups suffering, especially elderly Native Americans? They are suffering because they have no advocates, and they don 't know the resources and programs that are available to them. We can avoid the difficulties they are facing by making sure that the communities, the U.S. government, relatives, and fellow Americans work together to support this vulnerable group of people.

A couple of years ago, my mom got a bellybutton pain in her lower-right side of the abdomen. It was an intense pain which moved all around her belly. She decided to ignore the pain, thinking it could be something temporary. Days went through and nothing could relieve the discomfort she felt. My dad decided to take her to a private doctor right away. The doctor had her do some blood tests accompanied by some others. When the results were ready the doctor asked us to take mom immediately to the hospital. He said something related to surgery and I lose control on myself. We had never been as scared of surgery as this day. We knew this kind of surgery was not as risky as others. The problem was hospitals in Honduras. Doctors back then did not care about the patient. Patients in the hospitals would get their wounds infected and they would die. I lacked trust in the abilities of the doctors. Not because they missed the knowledge required in doing this, but their interest in the patient was none. They knew the government was going to pay them either way. Therefore, they mistreated some patients. My mom received a

Duran’s book offers  clinical experience to provide guidance to counselors working with the native people. By taking theory into actual day-to-day practices Duran presents us with information on effective strategies to prevent problems like substance abuse, intergenerational trauma, and internalized oppression. The book has multiple cases from Duran’s research of those who are traumatized due to a historical event. I found this book very helpful in my research because it gives me insight on the cause of trauma due to our western views. The book is written by a psychologist with a PHD which makes this information accurate. The purpose of this book is to teach psychology students and new counselors to treat Native Americans better because they

In my limited clinical experience I have come to realize how important patient education can be. The proper education can prevent re-admission of that patient and improve how they care for themselves once they are home. Education is also important for the loved ones who spend time with the patient. By educating loved ones you can improve the home care of the patient and in case of emergencies can also help save the patient’s life. Although I have only been in the clinical setting a short time I have had some really good educational experiences along with some sub-optimal experiences.

UMelb. MD: as this is a graduate course equivalent to a masters degree there are no pre-requisites for year 12. However as transfer to this course must be from either BSc or BSc BioMed it is required that majors in these pathways are in biology, chemistry and physical sciences.

I did the Custer Hospital scenario as well. Like you I said that the budget and financing was going to be the biggest ex problem, considering that this is why the last CEO left. But, another problem that is going to slow the process down and relates to budgeting is the fact that they have no community assessment for the outpatients clinics. Since one of the recommendations was to add another outpatient clinic, it would be wise to even assess if they need one, or to assess whom is actually using the outpatients clinics. Once they have this figured out they could see how the budget will even need to be composed. The assessment would be able to show what portion of the community use the outpatient clinics and what type of revenue they