Indigenous peoples, health, and nursing Flashcards
1
Q
Totem - Thomas King
A
- Metaphor about this displacement of Indigenous Peoples in Canada
- The totem pole; here before the building was built, the totem pole became a nuisance
- Indigenous Peoples became less useful to the settlers then they became a nuisance
- This story exemplifies how this narrative played out in Canada and the relationship
- Shows the resilience of Indigenous Peoples in Canada; they keep coming back
- Ignoring it; not appreciating the beauty and the blatant disregard for the culture
2
Q
Abuse of power in roles: Indian Residential School System (IRSS)
A
- Traumatized lots of youth
- Children were taken from their families
- Raised and abused physically, mentally, sexually, and through that they lost their connection to community, families, culture and identity
- Someone growing up without these life skills what other ways do they have to cope?
- Has led to self-harm, self-abuse, suicide
- Also raising children of their own and these styles of coping and given to the next generation
- It will take 7 generations to overcome these atrocities and overcome this intergenerational trauma
3
Q
Abuse of power in roles: Sixties scoop
A
- 1950s when government put in place the child welfare system
- Given the responsibility of taking children away from ‘bad parents’ or ‘bad communities’
- Children were taken away sometimes without the knowledge of their parents
- Children adopted out or sold to US to non-Indigenous families
4
Q
Abuse of power in roles: TB Sanitoriums
A
- Lost their language, their community, lost their skin colour (not allowed to go outside)
- Shamed from people in their communities for not fitting in after their release, looking white
5
Q
Abuse of power in roles: Indian hospitals
A
- Separating indigenous populations because they were seen as different and didn’t want them contaminating other population
- Lots of experimentation done on Indigenous Peoples
6
Q
How history has leaf to intergenerational trauma and avoidance of the healthcare system
A
- This abuse of power in these health care roles influences the present
- For indigenous people being in the hospital is not safe; will not return, lose their culture and their family, be abused
- Created an avoidance with ingenious people with regard to seeking out healthcare
7
Q
Health indicators of people living off reserve
A
- Poorer health than non-Indigenous populations
- Higher rates of smoking
- Higher obesity rates
- Higher rates of food insecurity
- There is a lack of data, comes from the inability to capture the Indigenous populations, causes a discrepancy in the data that is out there. Also, harder to find the data
8
Q
Social Determinants of Health (SDoH)
A
• Towards Holistic Wellness: The Aboriginal Peoples (1995) • Current SDoH: 1) Income and income distribution 2) Education 3) Unemployment and job security 4) Employment and working conditions 5) Early childhood development 6) Food insecurity 7) Housing 8) Aboriginal status 9) Disability 10) Early life 11) Health services 12) Gender and gender identity 13) Sexual orientation 14) Race 15) Social exclusion 16) Social safety net
9
Q
Indigenous SDoH
A
Proximal
- Direct impact on health
- Physical, emotional, mental and spiritual
- Health behaviours, physical environments, employment and income, education, food security
Intermediate
- Original of proximal determinants
- Health care systems, educational systems, community infrastructure, resource and capacity, environmental stewardship[, cultural continuity
Distal
- Represent political, economic and social context
- Colonialism, racism and social exclusion, self-determination
10
Q
Jordan’s principle
A
- Indigenous boy born with complications
- Needing equipment to be set up in his home
- Provincial/federal government debated and arguing who should pay what
- He passed away in hospital and unable to go home while they were debating
- Not uncommon
- With Jordan’s principle they changed the responsibility to be on the body that was first approached
- Hopeful in preventing such situations from happening
11
Q
Indigenous healing: acknowledgment of practice
A
- Different practices exist and allowing the individual the option to choose their traditional medicine or Western medicine
12
Q
Indigenous healing: Four sacred medicines
A
- Tobacco; not smoked, a way to connect with the creator and the earth, lit within a smudge bowl to start practice
- Cedar; protector of the home
- Sage; gets rid of negative, smudges to cleanse yourself and get rid of negative thoughts in mind, and prevent negativity from influencing you as a protector
- Sweetgrass; connect with mother earth, elicit a calming effect and bring positivity to a person
13
Q
Seven Grandfather teachings
A
• Elder services
• Sweat lodges
- Services and ideas that can becomce or are avail to Indigenous population in healthcare
- Humility
- Bravery
- Honesty
- Wisdom
- Truth
- Respect
- Love
14
Q
Medicine wheel
A
- Represents the 4 directions
- The 4 elements of life
- Different nations
- The seasons
- The mind, body, spirit, emotional health
- We need everything to be in balance
- In order to be a healthy person and whole we need all 4 quadrants to be in balance for all aspects of our life
15
Q
Cultural competence
A
- Foundational
- Self-examination
