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Ethnogeriatrics: Healthcare Needs of Diverse Populations

I Ethnogeriatrics Foundations Why Ethnogeriatrics Is Important Ethnogeriatrics Foundations: Defining Key Terms and Concepts Between and With-In Group Heterogeneity in Health Explaining Racial and Ethnic Health Disparities Historical Context Psychosocial and Individual Level Factors Culture Social Networks Environment Challenges to Providing Health Care in an Aging and Diverse Population Inadequately Prepared Health Care Workforce Organizational and Structural Health System Challenges Gaps in Knowledge Key Points References Historical and Conceptual Foundations of Ethnogeriatrics Historical Development of Ethnogeriatrics Ethnogeriatric Education Clinical Ethnogeriatrics and Ethnogeriatric Research Conceptual Foundations of Ethnogeriatrics Demographics: Our Ethnogeriatric Imperative Epidemiology: Risk of Diseases Among Diverse Elders Acculturation: Cultural Competence and Cultural Humility Historical Experiences: Cohort Analysis Clinical Skills in Ethnogeriatric Care Conclusion References Demographic Trends in Aging Introduction-Aging, Race, and Ethnicity National and International Projections for Racial and Ethnic Composition General US Patterns European Patterns Geographic US Patterns Impact of Immigrants Group Characteristics Heterogeneity Socioeconomic Factors Religion Language Disease and Disability Conclusion References Impact of Immigration: Disease Exposure and Health Maintenance Introduction Occupational Hazards Among Older Immigrants Disease Exposure Communicable Disease Noncommunicable Disease Health Maintenance Health Screening and Immunizations Health Education and Mental Health Counseling Nutrition and Exercise Eliciting Explanatory Models References II Research Issues in Ethnogeriatrics How to Study Ethnogeriatrics from the Global to the Local Introduction Questions Disparity at the Population Level Deconstructing Disadvantage Intermediate Studies The Place of Ethnology in Ethnogeriatrics References Trial Participation and Inclusion Significance of Minority Inclusion in Research Barriers to Participation Important Concepts That Address Barriers to Recruitment and Retention Summary Statement References III Clinical Care in Ethnogeriatrics Health Disparities: Access and Utilization Introduction Data Challenges in Clinical and Translational Research Impact on Guidelines and Systems of Care Cultural Considerations in Clinical Practice and Outcomes Systematic Approach to Recognizing, Analyzing, and Addressing Challenges Greater Understanding and Improvement in Health Care Utilization, Access, and Outcomes Education of New and Practicing Practitioners Conclusions References Epidemiology of Aging: Racial/Ethnic Specific Disease Prevalence Introduction Risk Factors Leading Causes of Death Heart Disease Cancers Prostate Cancer Breast Cancer Colon Cancer Lung Cancer Cancer Summary Chronic Lower Respiratory Disease Unintentional Injures Stroke Dementia Diabetes Influenza/Pneumonia Kidney Disease HIV Conclusion References Caregiver: Roles in Health Management Demographics The Cost of Providing Care Perception of Caregiver Depression and Caregiver Burden Caregiving Effect on Health Interventions Conclusion References Hospice/Palliative Care: Concepts of Disease and Dying Culture and Ethnicities: End-of-Life (EOL) Care Disparity Among Diverse Populations Delivery ofEOL Care Background of Ethnicities in the US Communication and Interpreter Use Caregiver Role Concepts of Disease and Dying Beliefs and Education Religion Death and Dying EOL Preferences Aggressive Therapy Place of Death Decision-Making (Family vs. Patient-Center) and Advanced Directives Hospice Use Suggestions for Future EOL Care Among Ethnically Diverse Patients References Geriatric Psychiatry: Perceptions, Presentations, and Treatments Introduction Ethnic and Cultural Influence in Mental Health Ethnic and Cultural Stigma Associated with Mental Health Acculturation Ethnic Identity and Mental Health Religious Influence in Mental Health Mental Health in Minority and Ethnic Groups Depression Anxiety Bipolar Disorder Psychosis Behavioral and Psychological Symptoms of Dementia Suicide Primary Care-Based Intervention Treatment Efficacy and Ethnicity Adherence, Compliance, and Access Cultural Assessments/Competence and Cultural Concepts Conclusion References IV Education in Ethnogeriatrics Incorporating Ethnogeriatrics into Training Competencies Cultural Competency and Cultural Humility Cultural Competency Curriculum Existing Ethnogeriatric Curriculum Novel Models For Training Practitioners Conclusion References Assessments for the Practicing Clinician: Practical Tools Cognitive/Neuropsychological Assessment (Including Dementia and Delirium Screening)Functional Assessment Pain Screening Tools Delirium Depression Spirituality and End of Life Spirituality End of Life References V Policy and Economics Policy: Impact on Delivery and Access Cultural Competence as a Focus of Public Policy Important Legislative Initiatives in Ethnogeriatrics Areas for Further Consideration for Public Policy Advocates References The Future of Ethnogeriatrics Introduction Demographics Projections of the Future Size and Percentage of Older Adults from Diverse Populations Projections of Foreign-Born Among Older Americans Projections of Language Use Among Older Americans Future of Clinical Ethnogeriatrics Health Policy Implications for the Future of Ethnogeriatrics Nation Local Government Health Organizations Including Hospitals and Ambulatory Care Clinical Providers (Particularly Geriatricians and Other Providers for Older Adults)Ethnogeriatric Patients and Their Families Conclusion References

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Describe an experience in which you worked with a culturally diverse population.
situation: When I was a court-appointed social worker, I had a varied client base, from children in single-parent households who acted out for attention, to those who committed crimes because of drug addiction. I understood that the world in which I grew up was vastly different from that of my clients....
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Treating Major Depression in Diverse Populations
This page intentionally left blank Treatment of Adolescent Depression with Interpersonal Psychotherapy LAURA MUFSON, LAURIE REIDER LEWIS, MEREDITH GUNLICKS-STOESSEL, AND JAMI F. YOUNG We adapted IPT for depressed adolescents (IPT-A) hoping to build upon the research demonstrating...
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Contact with Diverse Populations
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Challenges to Providing Health Care in an Aging and Diverse Population
Substantial challenges exist to providing high-quality, equitable health care to older adults. These challenges include a workforce that is not adequately prepared to care for diverse older adults, a health care system that does not easily accommodate the needs of diverse older adults, gaps in research...
(Ethnogeriatrics: Healthcare Needs of Diverse Populations)
Culture and Ethnicities: End-of-Life (EOL) Care Disparity Among Diverse Populations
The US population is not only aging, but it is also quickly becoming more culturally diverse, heightening the need for responsive, patient-centered EOL care. In consensus reports from the Institute of Medicine (IOM), a committee of experts found evidence for improving the quality and availability of...
(Ethnogeriatrics: Healthcare Needs of Diverse Populations)
Projections of the Future Size and Percentage of Older Adults from Diverse Populations
As the Baby Boom cohort continues to wind its way through the US population in the older ages, there will continue to be rapidly expanding proportions in the 65-and- over and 85-and-over age ranges. By 2030, all of the baby boomers will have moved into the ranks of the older population, resulting in...
(Ethnogeriatrics: Healthcare Needs of Diverse Populations)
Understanding the delivery of health and welfare to diverse populations
Introduction Healthcare provision is a core part of the welfare state, although one that has been much neglected in studies of welfare systems despite Moran’s (2002) argument that healthcare provision should be central to our understanding of welfare provision. This book focuses on the ways...
(Exploring Welfare Bricolage in Europe’s Superdiverse Neighbourhoods)
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As discussed in Chapter 1, superdiversity implies a high degree of demographic heterogeneity. The assumption in European healthcare provision that patients and providers share a culture and a language has tended to prevail even as states increasingly recognised that their populations were diversifying....
(Exploring Welfare Bricolage in Europe’s Superdiverse Neighbourhoods)
College Match Variance Among Diverse Populations
Foundational literature on college matching classifies student-college matches by comparing a student’s academic qualifications and potential with the rigor and opportunities offered by their chosen institution of higher education. Given that one of the purposes of higher education is to serve as a...
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Prevention Programs With Diverse Populations
There have been evaluations of programs with samples that focus on ethnic or cultural groups. Some of this research uses programs developed originally with a Western or White population. Other studies have developed culmrally sensitive programs. These programs incorporate aspects of the culture of the...
(The Prevention of Eating Problems and Eating Disorders: Theories, Research, and Applications)