module 5 health belief, healing trad
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8/7/2019 Module 5 Health Belief, Healing Trad.
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Traditional Healing
Traditional healing speaks to psychological andphysiological processes but adds an element ofmetaphysics and spirituality as well.
The term traditional implies static or past
oriented. While the knowledge from past experts is vital
healing the term unfortunately doesn't highlight thenew emerging forms of Aboriginal healing.
Thus, some prefer the term Aboriginal Healing Aboriginal healing and traditional healing will be
used interchangeably
Waldram et al., 2006
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Traditional Healing
Re-emergence in healing traditions-1980sonward
Significant losses of traditional healingknowledge and fewer healers than in the past
Part of the legacy of colonialism, epidemicdiseases, and government policies on
assimilation. Not all was lost-many traditions hidden from
non-Aboriginal society and law enforcement.
Waldram et al., 2006
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Traditional Healing
It has become common to see Healers in
health centers undertaking a ceremony for a
patient.
It is important to remember that just like
physicians Healers have specialties.
Waldram et al., 2006
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Waldram et al., 2006
Healing Circles havebecome common in
Western Canada. Therapeutic sessions that
deal with problems suchas the effects ofresidential schools,abuse, alcoholism.
Sweat lodges have alsobeen revitalized.
Used to treat a variety ofmental and physicalproblems.
Traditional
Healing
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Traditional
Healing
Under the current non-insured health benefitsprogram of health Canada,
the federal government willcover the cost of travelassociated with bringing apatient to a healer or ahealer to the patient.
Conditions: The healer is recognized by
the local Band, tribalcouncil, or healthprofessional.
The healer is located in theClients region
A licensed physician hasconfirmed the client has amedical problem.
Waldram et al., 2006
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Herbal MedicineFrom sore throat to Chronic disease
Is used for a wide array ofreasons
Efficacy Employing validation measuresof biomedicine is often notencouraged.
Often requires the removal ofthe treatment from its propercultural context and evaluationusing standards other thanthose for which the treatmentwas derived.
Waldram et al., 2006
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Herbal MedicineFrom sore throat to Chronic disease
Research partnership is becoming more common.
New territory
Intellectual property rights
Cree healers working with researchers to examineherbal remedies for use in hypertension.
CIHR has funded a research team to look at anti-diabetic plants in northern Quebec.
Waldram et al., 2006
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Traditional Healing
Some Aboriginal people feel that their
medicine is a gift from the Creator and as a
result there is no need to prove its efficacy
according to scientific principals.
Some also belief this knowledge is sacred and
secret and therefore not to be subjected to
inquiry or broadcast outside of a select group.
Waldram et al., 2006
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Medical Pluralism
The practice of utilizing the medical services of more than one medicalsystem.
Many Aboriginal patients have access to biomedical services andalternative or complementary modalities (chiropractics, acupuncture), in
addition to their own healing system.
In some cases the patient does not share that they are seeking otherforms of care for various reasons.
Many Physicians do not inquire wither the patient is using alternative
treatments; many do not even inquire if home management has beenattempted.
Miscommunication can lead to a negative interaction of treatments.
Waldram et al., 2006
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Discussion
Would you feel comfortable asking a patient
about traditional healing practices?
How would you go about asking this question? Are their risks to asking these types of
questions?
Who would you ask these questions to?
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Aboriginal Healing in the City
Those who utilize Aboriginalhealing in the city are oftenthose who have higher levels ofcultural continuity such as
language One study (Waldram, 1990)
looked at access to Aboriginalhealing in Saskatoon. Only a small fraction of
respondents knew a healer inthe city.
60% said they would like to see ahealer in a clinic.
Waldram et al., 2006
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Health Beliefs
Not all illness is bad. It is often sent to helppeople revaluate their lives (Aboriginal Nurses Association of Canada).
Treatment may be successful even when thepatient dies.
Aboriginal healing seems less concerned withprolonging life than with improving the quality oflife, both in this world and the next.
Waldram et al., 2006
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The role of family
The western / European concept of nuclear family is in sharpcontrast with Aboriginal perspectives of family. Often includes strong relationships with a large network of
relatives who would be considered extended family in westernEuropean terms.
Their is often a community and family role in parenting. Mom, Dad, Auntie, Uncle, Kokum, Mushum...
Example- Health care staff surprised when a mom let her toddler wonderaround the health center unattended. She assumed that staff would assist
in the supervision of the child as they do in her home community.
Often family and community needs are placed above personalneeds. An example of this in health care?
Smylie et al., 2001
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Holistic health
Aboriginal concepts of health and healing startfrom the position that all the elements of life andliving are interdependent (RCAP).
Wellbeing flows from balance and harmonyamong all elements of personal and collective life(RCAP).
The concept of the circle is a fundamental theme
common to many Aboriginal cultures.
Rather than viewing an object independently it isperceived as part of an interrelated sequence.
Smylie, 2001
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Worldview is inspired by nature,
the cycle represents the life cycleof humans, animals, plants,seasons, qualities of being.
All can be overlaid forming a richconceptual framework throughwhich you can interpret theworld.
As in nature they cycle needsbalance, or problems arise suchas illness or famine.
Holistic
Health
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Medicine Wheel
Children
Youth
Adults
Elders
Wisdom and Logic
Trust and Innocence
Illumination
& Enlightening
Introspection,
& Insight
Spring
Summer
Fall
Winter
Mental
Physical
Emotional
Spiritual
Activity:
Write or draw a reflection
based on the medicine
wheel of howMedical
School has affected
(positively or negatively)
the balance of these
elements or the knowledge
you have about them.
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Differences
Between
Aboriginal and
WesternMainstream
Culture
Aboriginal Human Resource
Council, 2007
Food For
Thought
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