Lulu Ullali Bevay Summary

David Jones realizes their immune systems were weak, and he presents the question why: is it possibly because they were malnourished, exhausted, and stressed out due to Europeans? He speaks in detail about Indians being defenseless to pathogens, through homogeneity, and how their fates depended on their entire environment. Combined with their vulnerability, “it could well be [assessed] that the epidemics among American Indians, despite their unusual severity, were caused by the same forces of poverty, social stress, and environmental vulnerability that cause epidemics in all other times and

In addition, relying on a doctor who does not share the same beliefs as one does can become fearful. Trusting the doctor for full treatment is necessary but when from a different cultural background it can prevent them on trusting them. According to a research article, Cross- Cultural Medicine a Decade Later, clearly states “when the basic belief structure of biomedicine and another set of health beliefs differs radically, problems and frustrations almost inevitably arise” (Barker, 1992, p.249). The central purpose of the research was to show whether or not health beliefs between patient and doctor differs will they find it difficult to interpret the symptoms and treatment variations to accommodate their beliefs. However, the doctor having faith in one’s health beliefs can sometimes be beneficial for the patients because they’ll be fully understood and not misjudged as being crazy. As stated by the author, for the article Chinese Health Beliefs of Older Chinese in Canada, “the findings support the previous prescriptive knowledge about Chinese health beliefs and illustrate the intergroup socio-cultural diversity that health practitioners should acknowledge in their practice” (Lai, 2009, 38). Like the Chinese, Hmong’s too first go to their shaman for traditional treatment rather than going to the doctor; to them an illness and their healing is more of a spiritual thing that

The Native American’s were the first known settlers in North America, ten thousand years before Columbus came to the continent. Their origins completely unclear, anthropologists believe there were three to five million Native Americans in North America in the year 1492 (Hoxie and Iverson, 1997). As early as the Revolutionary War in 1775, European settlers started taking note of the Native Americans. Unfortunately, the Native American population plunged significantly in the first decades after their first contact with Europeans. Native Americans were now unprotected and exposed to deadly diseases like smallpox, influenza, and measles which did not previously exist in their society (North American Natives, 2016).

The continuous trauma that they endured has negatively affected the mental health and physical health of the population. Native Americans are at higher risk for depression, physical/sexual abuse, domestic violence, substance abuse, and mental health issues (McLeigh, 2010). Native American youth are three times more likely to commit suicide than the average population. Native Americans in general are twice as likely to be diagnosed with depression and five times more likely to have alcoholism. Colonization not damaged natives mentally, but also brought harm to their physical health as Europeans brought diseases (measles, chicken pox, smallpox, etc) to America (McLeigh, 2010). In order for this population to be served to treat their many medical and mental health issues brought on by years of trauma, policies must be implemented to help Native Americans specifically. However, the reality is that natives mental health needs are often ignored (Gone, 2004). There have been policies that have attempted to meet the needs, but much more is needed. In the most recent action towards improving mental health services for natives, the Affordable Care Act of 2010 permanently gave authorization to the Indian Health Care Improvement Act (Ross, Garfield, Brown, & Raghavan, 2015). This policy will be discussed and analyzed to examine further needs for services in this

A specific person (or people) in each tribe are acknowledge as healers. They are usually taught from generation to generation. “Healing does not follow written guidelines. Healers work differently with each person they help. They use their herbs, ceremony and power in the best way for each individual.” (NLM) Ceremonies are a crucial part of the Native healing process, “because physical and spiritual health are intimately connected, body and spirit must heal together. Traditional healing ceremonies promote wellness by reflecting Native conceptions of Spirit, Creator, and the Universe. They can include prayer, chants, drumming, songs, stories, and the use of a variety of sacred objects.” (National Institute of Health) These ceremonies are considered very sacred. Non-Natives are allowed to come by invite only. As one can tell they are very cherished, spiritual, pious ceremonies and not just anyone can be a part of them.

Since the arrival of Columbus in 1492, American Indians have been in a continuous struggle with diseases. It may not be small pox anymore, but illnesses are still haunting the native population. According to statistics, Native Americans have much higher rates of disease than the overall population. This includes a higher death rate from alcoholism, tuberculosis, and diabetes than any other racial or ethnic group. Recent studies by Indian health experts show that diabetes among Indian youth ages 15-19 has increased 54% since 1996 and 40% of Indian children are overweight. Even though diabetes rates vary considerably among the Native American population, deaths caused from diabetes are 230 percent greater

Carson, B., Dunbar, T., Chenhall, R. D., & Bailie, R. (2007). Social determinants of Indigenous health. Allen & Unwin.

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.

The Native American culture is the original culture of the United States. Members of Native American tribes live throughout the country. “There are an estimated 4.9 million persons, in 565 federally recognized tribes who are classified as American Indian or Alaska Native (AI/AI), alone or in combination with one or more other designated racial classifications. This demographic group compromises 1.6% of the U.S. population” (Horowitz, 2012). Wisconsin is home to the Ho-Chunk (Winnebago), Ojibwa (Chippewa), and the Potawatomi tribes (“American”, 2014). It is important for nurses within this state, as well as any other state, to understand the Native American belief system in order to provide a quality healthcare experience. Nurses are the primary point of contact in the healthcare setting. Client advocacy is one of the nurse’s major roles. Therefore, the nurse should have the highest level of diversity understanding for the cultures within the local region.

Native American traditional medicine and spiritual healing rituals go back for thousands of years, these traditions often focus on different variations of alternative medicine. This knowledge is passed on throughout generations, many of the tribes learn that by mixing natural plants such as herbs and roots they can make remedies with healing properties. It is believed that being healthy is when people reach a state of harmony not only spiritually, mentally but physically. To be able to overcome the forces that cause illness people must “operate in the context of relationship to four constructs —namely, spirituality (Creator, Mother Earth, Great Father); community (family, clan, tribe/nation); environment (daily life, nature, balance); and self (inner passions and peace, thoughts, and values)” (Portman & Garret, 2006, p.453). In this research paper I am going to show evidence of the tremendous influence that Native American medicine and spiritual healing have over modern medicine in the course of healing

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

"Native American medicine is based on widely held beliefs about healthy living, the repercussions of disease-producing behavior, and the spiritual principles that restore balance." -Ken "Bear Hawk" Cohen (Chrisman 1).

Many indigenous systems of medicine were totally neglected and lost their significance in maintaining health. Health care services which were available only in general hospitals located in big cities and commercial centers were largely curative in nature. Later on, some preventive measures were adopted for the control of epidemics, and dispensaries were opened in some remote villages. Yet, the health planning and medical education adopted was unrelated to the health needs of the people and resulted in strong bias towards Western medicine. This lead to the blind adoption of sophisticated modern medicine meant for a few sections of the society and neglect of the vital interests of the vast majority.

Historically, American has been appallingly horrid in the treatment of indigenous people of this continent. Although many of the 250 are languages are extinct, some still survive well after the Europeans invaded the continent along with customs and beliefs. There are a few general beliefs of Aboriginal Americans concerning the mind body and spirit, there is a Supreme Creator. Humans are comprised of body, mind and spirit, furthermore plants and animals, comparable humans, are spiritually connected to all God's creatures. Native Americans accept as true the mind, body and soul are affected by illness, uniquely the principle system of Indigenous tribes concerning harmony is wellness is harmony in spirit, mind, and body. The belief system of indigenous Americans has been guarded by the elders of the tribal elders, who are the primary educators of the people. “To the early Native people, education was a part of everyday life. Their books were the rocks, the rivers and lakes, the trees and roots, the sun, the moon and the stars. It was from these elements that they fashioned their material culture. Creative life was in everything. One loved nature and nature loved in return. The people believed in only one Supreme Being, The Creator, whose mighty power governs and directs the beginning and end of all things.” -Harold

In an early copy of The Scientific Monthly, Dr. Hrdlicka of the Smithsonian Institute, was quoted as saying that “before its discovery by Columbus, America was one of the most healthful of continents, if not the most so.” This health status could be attributed to the lifestyle of the indigenous people, their food varying according to the locality where they lived, was meat, fish, vegetables (often eaten raw), nuts, seeds and fruits. Few areas had all these possibilities but, since Indians ate every part of an animal and every edible plant in their locality, they came close an optimal diet. Traditional healers or medicine men as they became known to non-indigenous people were an integral part of the indigenous