After traveling to Rosebud Reservation, I found it eye opening of the cases that presented in the outpatient clinic at Indian Health Services. One patient that was out of the ordinary to me was a man that came in with a fractured tibia or fibula, as he had a cast that was put on within 72 hours of being seen at Indian Health Services Outpatient Clinic. I was unable to gather the required information due to fingerprinting not being approved.
The patient presented with common signs of compartmental syndrome. The interventions suggested to the staff at the hospital were not fully completed. The interventions given during the case presentation consisted of assessing the six Ps, swelling, and vital signs. I took the vital signs of the patient and the nurse recorded them in their system. The patient’s blood pressure was not within normal limits, so the blood pressure completed manually. The manual blood pressure was still elevated. An increase in blood pressure can indicate pain, swelling, and impaired blood flow to the extremities. When I was with the nurse, she sent the patient for an x-ray. Furthermore, the nurse should have then assessed what the patient has been doing and done education with the patient to elevate the leg above his heart. Many people do not know the scientific rationale and positioning of elevating the extremity above the heart. The nurse should have also assessed the patients expectation of pain relief, since his current medication (Ibuprofen) was not working to his expectations. This is when we left the floor; therefore, I was not able to discuss the patient care with the nurse. The nurse simply asked the patient about some of the six Ps of compartmental syndrome and did not complete the assess...
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Marshall III, J. M. (2001). The lakota way:stories and lessons for the living native american wisdom on ethics and character. . New York, NY: Penguin Group.
Nebraska Department of Health and Human Services, Licensing and Regulation. (2011). Registered nurse/licensed practical nurse: continuing education. Retrieved from http://www. hhs. state. ne. us/crl/nursing/rn-lpn/ce. htm.
Pearse, M. F. , & Nanchahal, J. (2008). e compartment syndrome: reducing the risk. Clinical Risks, 14(3), 114-118. doi: 10. 1258/cr. 2008. 080019.
Soeng, N. , & Chinitz, J. (2010). Northwest Federation of Community Organizations. Native health underfunded & promises unfulfilled: The importance of investing in the indian health service . Retrieved from http://www. nnaapc. org/publications/20100814NativeHealthUnderfunded.pdf.
Lakota Woman Essay In Lakota Woman, Mary Crow Dog argues that in the 1970’s, the American Indian Movement used protests and militancy to improve their visibility in mainstream Anglo American society in an effort to secure sovereignty for all "full blood" American Indians in spite of generational gender, power, and financial conflicts on the reservations. When reading this book, one can see that this is indeed the case. The struggles these people underwent in their daily lives on the reservation eventually became too much, and the American Indian Movement was born. AIM, as we will see through several examples, made their case known to the people of the United States, and militancy ultimately became necessary in order to do so.
The Lakota Sioux Indians of the Great Plains possess rich religious traditions which are tied closely to the Earth. Though the relegation of these people to reservations amid the environmental disasters of American development has resulted in the near destruction of an ancient culture, some Lakota Sioux continue to fight for the preservation of their sacred lands animals, civil rights, and way of life.
American Indians have had health disparities as result of unmet needs and historical traumatic experiences that have lasted over 500 hundred years.1(p99) Since first contact American Indians have been exposed to infectious disease and death2(p19), more importantly, a legacy of genocide, legislated forcible removal, reservation, termination, allotment, and assimilation3. This catastrophic history had led to generational historical traumas and contributes to the worst health in the United States.2 American Indians and Alaska Natives (AI/AN) represent 0.9 percent of the United States population4(p3) or 1.9 million AI/AN of 566 federally recognized tribes/nations.5 American Indians/Alaska Natives have significantly higher mortality rates of intentional and unintentional injuries, chronic liver disease and cirrhosis, diabetes mellitus, cardiovascular disease and coronary heart disease and chronic lower respiratory disease than other American.6
In each place, there was bad living conditions, unmet health care, capability among medical professional with the indigenous people, and the need to reform to the Indian Health Care. Yellowtail felt the need to become a voice for Native Americans and began documenting these instances. The list was long with events like children dying on their mother's backs who had to walk 20 to 30 miles to a hospital that would treat the 160,000 Native Americans (Susie Walking Bear Yellowtail, n.d.). From this Yellowtail started to push for the improvement of Indian Health Services along with creating an outreach program called Community Health Representatives at each of the reservations for the American Indian people. This program was to have medically guided tribal or Native community-based health care providers who might include traditional Native concepts in the
Historically, Attawapiskat has largely been left alone regarding mental health services, as health resources are underfunded and difficult to implement due to the isolated location (Attawapiskat: Four Things, 2016). As of July 24, 2017 a major political breakthrough in healthcare occurred, affecting the forty-nine communities governed by the Nishnawbe Aski Nation (One Step Closer, 2017). First Nation leaders signed the Charter of Relationship Principles Governing Health System Transformation, which is meant to bring reform to the healthcare system in rural communities in Northern Ontario. The Charter permits First Nation communities within the Nishnawbe Aski Nation to “design and control their own healthcare system”, while maintaining “culturally appropriate mental health
Marbella, A. M., Harris, M. C., Diehr, S., Ignace, G., & Ignace, G. (1998). Use of Native American Healers Among Native American Patients in an Urban Native American Health Center. Archives of Family Medicine,7, 182-185.
As the quantity of patients expanded, it ought to have been obvious that one registered Nurse and one Licensed Practical Nurse were insufficient to look after the patients. The emergency department ought to be viewed as a high priority location, and should have staffed with more Registered Nurses; Licensed Practical Nurse essentially do not have the training and abilities to assess patients or delegate the workload. Dangerous actions such as moderate sedation on a patient with no supplemental oxygen or EKG observing. The patient seems to have been overmedicated, with insufficient time between medications to decide his actual level of
...lth care to American Indians and Alaska natives. What language does your patient hurt in? (2nd ed.). (pp. 21-28). St. Paul, MN: EMCParadigm.
On December 29, 1890, after years of government led cultural genocide, troops came to camp to disarm the Lakota tribe at the Lakota Pine Ridge Indian Reservation. This event quickly escalated to a massacre of Indian peoples. The spread of the Ghost Dance religion led to tensions between the Plains Indians and the United States Army and was the main reason for the Battle of Wounded Knee. This was just one example of American Indians having to choose between submission and death in the face of adversity from the U.S. Government. American pressure on the Plains land and their culture led to a struggle for freedom from most tribes. The policies of assimilation were meant to eradicate the cultures and values of the Plains Indians, but in many ways it ended up bringing Indian people closer as a new generation of Indians were schooled in the “white man’s ways”. The Battle of Wounded Knee marked the end of the “Indian Wars” that ushered in a new way of life for the Plains Indians and the loss of the American West. In this essay, I will draw on the experiences of individuals mentioned in chapters twelve through fourteen of Our Hearts Fell to the Ground to explain the difficult and challenging paths the choice of life led the Plains
Waller, M., (2006). Strengths of Indigenous Peoples. In D. Saleebey (Eds.), The Strengths Perspective in Social Work Practice Forth Edition (pp 148-170). Boston. Pearson Publishing.
The Native American Indians are a vital piece of the society of the United States. While their kin have existed on this land for many years, today their numbers are reducing. Once, the Native Americans lived on this continent with little discourse and disturbance. They were overall nourished, content, and established. Truth be told, the men and women generally were set in regular parts. The men were seekers, warriors, and defenders, while the women watched out for the youngsters, their homes, and cultivated. It relied on upon the tribe when it came to craftsmanship. In a few tribes, the men would really weave baskets and blankets. Common nourishments were expended and chased. Deer, wild ox, fish, and different feathered birds were the wildlife of decision. Corn, beans, squash, berries, nuts, and melons were the leafy foods that were expended. Berries were additionally frequently utilized as a characteristic color for fabrics. While the late 1800’s into the 1900’s and past started to bring battle to the Native American Indians, they battled an intense...
Despite government subsidies, the special status of Native Americans and the efforts of civil society organizations and the leaders of a number of tribes to impr...
When I was working as a bedside nurse in the Emergency Department, in one of my duties I was not satisfied with the treatment plan made by a resident doctor for XYZ patient. He entered intravenous KCL (potassium chloride) for the patient. The purpose of that medication and its dose for that patient was not clear to me. I assessed patient history and came to know that a middle aged patient came with the complaint of loose bowel movements, vomiting, and generalized weakness. His GCS (Glasgow comma scale) was 15/15, looked pale but was vitally stable. I exactly do not remember about his previous disease, social or family history but I do remember that he was there with his son. According to the care plan, I inserted intravenous cannula, took blood
The purpose of this briefing note is to present recommendations to FNHA senior management on actions that could be taken, in its capacity as a health authority, to improve the health outcomes of BC First Nations based on the review of the Truth and Reconciliation Commission’s Calls to Action report.
The Indian Health Service (IHS), had its beginning in 1784 with the first treaty between the government of the US and Indian tribes, but it was not until 1994 with the appointment of Dr. Michael Trujillo as Director of the IHS that initiated major organizational changes that improve the American Indians and Alaska Natives healthcare service of 500 tribes. He is remarkable in the IHS history because he was the first IHS Director pointed by the President of the US, first pure-blood American Indian, and his family had an active participation in the political Indian community that inculcated to him the culture of being the advocate for Indian people (Ginter, Duncan, & Swayne, 2014). He served and represented more than 1.4 million American Indian