Native American Health Care:

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Native American Health Care

• In the U.S. Public Health Service/Indian Health
  Service
• PHARM 4170-04
• Fall 2003

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Northern Navajo Medical Center
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Course Coordinators

• Larron S. Dolence, Pharm.D.
• Northern Navajo Medical Center
• (505)-368-7266
• larron.dolence_at_shiprock.ihs.gov
•  
• Beverly Sullivan, Pharm.D.
• barnone_at_uwyo.edu

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Course Lecturers

• LT Larron S. Dolence Pharm.D.
• LT Latona Olic Pharm.D.
• LT Melisa Stahlecker Pharm.D.
• LT Kristi Ballinger Pharm.D.
• Thad Koppenhafer Pharm.D.
• LCDR Kimberly Knutson Pharm.D.
• CAPT Glen Revere, MS, RD, CDE

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Course Overview

• Basic Overview
• 1. Federal Governing Systems
• 2. Health Care Issues
• 3. Major Health Care Conditions

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Goal

• To increase the students awareness of unique and
  special considerations among Native Americans and
  Alaskan Natives when it comes to Health Care

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How to Accomplish this?

• Review
• History and structure of the US PHS/IHS
• Major health concerns among Native Americans
• -Diabetes, cardiovascular disease, mental health
  and age-related issues
• 3. Cultural values and traditional
  way-of-life/medicine

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Course Objectives

• Describe the history and organization of the U.S.
  PHS/IHS and its association with Native American
  Health Care
• Describe the Native American population Origins,
  Distribution, and Diversity
• Describe general health trends among Native
  Americans along with major health concerns

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Course Objectives

• Describe important considerations among Native
  Americans such as cultural diversity and
  traditional way-of-life/medicines and how they
  affect the provision of health care

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Course Objectives

• Develop an individual philosophy that will enable
  the student to grow personally and professionally
  into a practitioner that is better equipped to
  provide medical care to culturally diverse
  individuals
• 1 Credit hour

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Text

• Text None required. Assigned article readings
  and class notes are available. Class note
  contents are based on 
• Mullan, F, M.D., Plagues and Politics The Story
  of the United States Public Health Service. 1st
  edition. 1989.
• Rhoades, ER ed., American Indian Health
  Innovations in Health Care, Promotion, and
  Policy. 1st edition. 2002.
• Galloway, JM ed., Primary Care of Native American
  Patients Diagnosis, Therapy and Epidemiology.
  1st edition. 1998.

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Grading Methods

• A total of 250 points are possible in this course
  
• Attendance- 50 points
• Essay 1 - 50 points
• Essay 2 - 50 points
• Final Exam- 100 points

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Essay 1

• A health-related issue among Native Americans
• Grammar and spelling-10 points
• Organization and thought process-10 points
• Description of health-related issue or problem-10
  points

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Essay 1

• Description of attempted solution(s) and
  students solution(s) to the issue or problem-10
  points
• Knowledge of subject matter-10 points
• (Include references at the end--a minimum of one
  required)

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Essay 2

• Topic Something the student has learned during
  the course
• Grammar and Spelling-10 points
• Organization and thought process-10 points
• Description of preconceived assumptions the
  student had about PHS/IHS or Native Americans
  Health Care before taking this class-10 points

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Essay 2

• Description of how these preconceived assumptions
  the student had about PHS/IHS or Native American
  Health Care changed after taking the class-10
  points
• Description of how this class will affect you in
  your profession after you graduate-10 points

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Final Exam

• A 100-point, 50-question multiple-choice exam
  will be given at the end of the final lecture.
• The exam is cumulative and will cover any
  information presented during lecture, on class
  notes or in assigned readings.

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Academic Dishonesty

• This course abides by the University of Wyoming
  regulations governing academic dishonesty.
  Disciplinary action in such cases will be in
  accordance with those regulations

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Disabilities Act

• Students who are under the Americans With
  Disabilities Act will be required to contact Dr.
  Sullivan and the Course Lecturer as soon as
  possible in order for special accommodations to
  be arranged.

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October 2

• Course Introduction
• Lecture 1 Historical Overview of U.S. Public
  Health Service
• Lecture 2 History and Organization of Indian
  Health Service
• Lecture 3 Major Health Concerns Among Native
  Americans 

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October 9

• Lecture 4 Diabetes Mellitus 
• Lecture 5 Cardiovascular Diseases
• Lecture 6 Nutritional Health and Related Issues

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October 16

• Lecture 7 Epilepsy, Neurological Diseases and
  Mental Health
• Lecture 8 Alcoholism and Substance Abuse 
• Lecture 9 Unintentional Injuries, Trauma and
  Emergency Care
• Lecture 10 Asthma and other Respiratory
  Conditions

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October 23

• Lecture 11 Infectious Disease
• Lecture 12 Mental Health and Related Disorders
• Lecture 13 Women, Children and Pregnancy
  Aspects in Native American Health Care

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October 30

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• Lecture 14 Health Care in the Native American
  Elderly/Traditional Native American Medicine 
• Lecture 15 Special Cultural and Ethical
  Considerations
• Conclusion Questions and course evaluation,
  Final Exam/Hand in Essays