Some of the most critical and prevalent issues in this
culture would be substance abuse, diabetes, premature infants who have been
exposed to substances.
Diabetes can be genetic but it is also due to the poor food
choices and stressful environment.
As far as substance abuse goes, that can’t be genetics but
it can be passed down through generations. If you are around or raised by
people who abuse drugs or other substances it can influence you heavily to do
the same thing. If your culture copes in that way is another way it can be
passed down to someone. I learned at the Unto These Hills drama, that when the Cherokee
people were basically held captive and forced to walk the trail of tears that
the white soldiers would come and trade them different things in exchange for
alcohol which is how the Cherokee people coped because they could not change their
circumstances.
Premature infants who have been exposed to substances is a
really big issue in this culture, which is due to many things, deficient knowledge
and health maintenance. This stems off the big substance abuse issues, which
trickles down in to newborn babies, who are fighting for their lives before
they even take their first breath. This isn’t just a Cherokee issue though,
this is a growing problem in America period. The lack of education of what
drugs can do to your unborn fetus is an issue, when people are addicted it’s
not so easy to just quit, and coming out even admitting you have a problem is
an issue. This makes getting the help you need really hard to do and in the end
this issues are passed along to the fetus.
The nurse’s role in health promotion and health maintenance
is to provide education, and resources, it’s our job to stop an issue before it
actually starts. The next portion would be screening which is secondary
prevention but it helps to catch things early and stop them before they get out
of hand. It’s our job to provide resources and to help in maintaining our patient’s
health.
In my opinion the patient is always the center of the health
care system here in Cherokee, healing the patient’s mind and body is important
here, gathering all data and treating everything accordingly. I feel like it’s
different at home, at the center of the health care system is money. They rules
and regulations don’t always allow a person to do everything they can do for
the patient, because they would be over stepping their boundaries. I feel like
we are so busy checking off a list of what should and shouldn’t be done, we lose
sight on caring for the patient entirely, holistically. I really wish we could
move to a systems such as the one that Cherokee Hospital has.
The comprehensive care and holistic care for these people is actually a rather new model for this population. I think we could learn alot from it as well.
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