Indian Health Services

IHS is a very complex organization that serves the American Indian and Alaskan Native population. Effective health services for American Indians and Alaskan Natives had to integrate the philosophies of the tribes with those of the medical community. Because not all tribes signed treaties with the United States some people with Indian heritage were not eligible to participate with the federal government programs. Eligible people with Indian heritage were provided various services throughout the IHS programs; however, some IHS locations did not have the necessary equipment or facilities to provide comprehensive services.

Kenzie Allen writes, “hooked up to machines running on bad / generators, in a bad hospital in a bad part of town.” Allen describes a hospital in a bad part of town. From this it gave me the idea of how Native american are segregated from the westerners. Living in reservations they are usually desert areas and the segregation causes them to receive bad health care. They are far away from the city where the technology is highly advanced and they only have access to what they have where they live.

(Purnell, 2009). Nurses and other health care need to work together with patients in the Navajo community. Often times they have to travel long distances to get to health care facilities. That would mean they would only come if there were a emergency. It is important to provide as much care as possible in the time they are there. Making sure the patient is up to date on immunizations during their visit is crucial because they are not likely to come back for a follow up visit (Purnell, 2009).

The Cherokee nation of Oklahoma is one of the many native Indian tribes that place a great emphasis on health care. There are noticeable efforts in improving the health system in the Cherokee nation as well as the health of its individuals. For a long time, the Cherokee nation has engaged in successful health care experiences such as building health centers, launching health programs or even individually engaging in the health field to improve the overall healthcare in the nation.

Though American Indians are enjoying an independent public health system with above $3 billion funds provided by Congress annually for delivering healthcare services to them, still figure and facts on health status of American Indians reveal that they are facing many difficulties and have to suffer from diverse type of illness and disease at a misappropriate level. Since long it was identified by medical communities that there are wide spread diseases diabetes, alcoholism, tuberculosis, suicide, unintentional injuries, and other health conditions among American Indian and they are dying of these diseases at shocking rates (American Heart Association [AHA], 2010). Through this essay I want to discuss the healthcare status of American Indians in the perspective of their culture as how it impacted and lead to develop mistrust between amongst the medical community and American Indians.

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

Rather than interpret behaviors of the Native Americans counselors understand what greatly impacts American Indians in social issues. Native Americans are greatly impacted with Major Health Issues, Employment Issues, Economic Issues, and Family Dynamics.

The entities Comprising the Public Health Infrastructure include: County and city health departments and local boards of health - State, territorial, and island nation health departments - Various U.S. Public Health Service agencies in the Department of Health and Human Services (HHS) - Tribal health agencies coordinated at HHS by the Indian Health Service - Public and private laboratories - Hospitals and other private-sector healthcare providers - Volunteer organizations, such as the American Red Cross, American Diabetes Association, American Cancer Society.

The center of the Native American Heath care system was the medicine man. The medicine men were priests, magicians and healers who handed down their knowledge and customs from one generation to the next. Medicine men were considered wealthy; receiving many gifts of money and wild life if a sick person they treated became well again. They were required to be masters at their craft, much like the doctors of today. Knowing every song, every word and ritual in perfect tune and order was essential for success. Everything had to be perfect and correct in order for it to work. The medicine man ultimately disappeared when "during a forty year period ending in 1934, the us government forbade the tribal role: anyone attempting to serve as a medicine man was to be imprisoned for no less than ten days or until such time as he could produce evidence, satisfactory to the court, that he would forever abandon all such practices." (Dharmananda, 2000, P.3)

Native American poverty is a social problem in the United States. For historic, political, sociocultural, and economic reasons, this issue affects not only those impoverished but American society as a whole. The most impoverished Native American communities are frequently within the boundaries of reservations. The rates of unemployment, low wages, and infant mortality are among the highest in the country on several reservations. Disease, mental illness, alcoholism, and fetal alcohol syndrome are also prevalent within the Native American population. To improve these conditions, strategies should be put into place to build stable economies in the otherwise isolated reservations.

The purpose of this paper is to discuss the health status of the American Indian/ Alaskan Native (AI/AN). A comparison and contrast of AI/ANs with the national average regarding the health status such as heart disease and strokes will be presented. Multifactorial barriers limiting health, and the overall factors affecting health within this population are identified. Current health status will be presented including health promotion and disparities among this US population. Primary, secondary, and tertiary health promotions will be discussed along with one approach to promoting health offered.

Healthcare is an ever changing entity with an ever changing population of clients. In current day 2016, the United Sates has become a melting pot of many different cultural backgrounds, which has led to changes within the system to accommodate the patient base. Unfortunately, not all changes have been able to effectively reach any and all persons from every background. We still see language and cultural barriers that have direct correlation to the inability to seek healthcare and or the ability to change cultural perspectives to ensure healthy lifestyles. Within this paper, the health of American Indian and Alaskan Native populations will be discussed along with the barriers to care and the

When caring for a Native American patient, it is imperative that the nurse provide culturally competent care. In this scenario, there are two main dimensions along which cultural tensions between the patient and the nurse can arise. The first pertains to the actual practices and values of Native American culture, which may be at odds with the practices and values of dominant healthcare institutions. The second is both broader and more subtle: it pertains to the historical relationship of the Native American people and the

Access to the communities is provided year round by Wasaya Airline and airstrips that are maintained by the Ontario Ministry of Transportation. Of course, each Aboriginal community is unique with its own set of traditions and ways of healing but my observation after working within the communities for over ten years is that they all suffer from improperished conditions and substandard housing. The local economies are primarily based upon government services (Indian and Northern Affairs) (INAC) and small business. Most of the reserves have six hundred people or less, and each community has a nursing station. The nursing stations are well-maintained functional buildings built in or about the early 1960’s and are maintained by Health Canada. First Nations and Inuit Health (FNIH) maintains responsibility for primary care services in the majority of the northwest Ontario reserve communities. In the north, nurses are the primary care givers working in an extended scope of practice, and client care is centrally coordinated by nurses working within interdisciplinary teams. The majority of the nursing and medical staff working for FNIH in the Sioux Lookout zone are Caucasian and do not come from local communities. This could outwardly appear as a reinforcement of power relations in the racial identities. There is only very limited cultural training given to employees when they are employed by FNIH. Medical advice and

The Indian Health Service (IHS) is a healthcare program within the Department of Health and Human Services. (Agency Overview n.d.) It provides federal health services to eligible American Indians and Alaska Natives at IHS facilities. (Agency Overview n.d.) Services that IHS provide include medical, dental and vision, ancillary services, such as laboratory and pharmacy, specialty care which include services provided by the physician or specialist. (Agency Overview n.d.) The factors that affect the type of health care depend on the community needs, level of funds and whether treatment is medically necessary (Marx n.d.) American Indians and Alaska Natives can receive direct care at hospitals, health centers and they may be federally or