Weaving pathways: Talking with our elders

While there exists a relative paucity of completed healthcare directives nationally in the USA, even fewer exist within minority populations. This report describes one model for bringing advance care planning and discussions to American Indian and Alaska Native (AIAN) communities. In 2018, Honoring...

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Bibliographic Details
Published in:Rural and remote health 2022-01, Vol.22 (1), p.1-4
Main Authors: Owen, Mary J, Nalin, Peter M, Bouverette, Charlie A, Carbone, Ginearosa, Neher, Charles, Pederson, Elisabeth, Golden, Mangan
Format: Article
Language:English
Subjects:
advance care planning
Advance directives
Advance directives (Medical care)
Aged
Alaska Natives
American Indian Alaska Native
Attitudes
Community involvement
Empowerment
end of life
Health care
Health Personnel
Health services administration
healthcare directive
Humans
Indians, North American
Medical personnel
Medical students
Native American
Native North Americans
Palliative care
Planning
Rural areas
Rural health care
Sovereignty
Training of
USA
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Summary:While there exists a relative paucity of completed healthcare directives nationally in the USA, even fewer exist within minority populations. This report describes one model for bringing advance care planning and discussions to American Indian and Alaska Native (AIAN) communities. In 2018, Honoring Choices of Minnesota approached the Center of American Indian and Minority Health (CAIMH), housed in the University of Minnesota Medical School, to collaborate on a project to increase healthcare directives in AIAN communities. CAIMH assembled AIAN students, faculty and community members to identify and address barriers to healthcare directive completion and discussions about end-oflife choices. The project team decided upon a two-pronged approach: culturally informed provider training paralleling culturally relevant community engagement. We aimed to empower AIAN to engage with healthcare providers on decisions impacting their care. To further support AIAN patients and their providers, a toolkit was created and will soon be available for dissemination.
ISSN:1445-6354
1445-6354
DOI:10.22605/RRH6845