Cultural Awareness in Dementia Care
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1 Cultural Awareness in Dementia Care 1
2 CULTURAL AWARENESS IN DEMENTIA CARE Supported by the Minnesota Board on Aging Presentation Minnesota Gerontological Association Friday, April 27, 2018 <> 3:15pm Nancy E. Lee, MRP - Staff to the Minnesota Board on Aging Chinwendu Terrell, BSW, CNA Cultural Consultant West Africa Pakou Xiong, BSA Cultural Consultant Hmong 2 2
3 Overview Cultural Awareness In Dementia Care Nancy E. Lee, MRP 3 3
4 Objectives 1. Cite 2 or more norms and values of West African and Hmong cultural groups regarding dementia. 2. Identify ways in which service providers can promote person-centered planning that incorporates cultural norms. 3. Describe how to use a cultural consultant to enhance service delivery. 4 4
5 Minnesota Demographics 5 5
6 Cultural Consultant Graduates (Cohort 3) 6 6
7 Visit Website: CulturalConsultant.Org 7 7
8 West African - Nigerian Cultural Awareness In Dementia Care Chinwendu Terrell 8 8
9 -africabrief.org/conten t/en/six-regionsafrican-union 9 9
10 West Africa population In Western Africa - 379,688,338 (based on the latest 2018 United Nations estimates) Population equivalent to 5% of the total world population. Ranks No. 2 in Africa among sub regions ranked by Population. Median age is 18 years. Nigeria Population - 195,875,
11 West Africa- Universal Cultural Aspects Norms and Ethics- this has to do with gender role and respect for elders Religion Family values Community perception Responsibility of care 11 11
12 Responsibility of care: My Family 12 12
13 Specific Aspects Igbo tribe, Nigeria Inaccurate Belief: Decrease in memory comes with old age Gender role and decision making Frequent visit to avoid isolation Responsibility of care (Ada & okpara - 1ST daughter and 1st son) Storytelling 13 13
14 Issues Impacting Alzheimer/Dementia Services Unfamiliar /Unappealing words Alzheimer s, Dementia Stigma Traditional medication/ cure Herbs -Natural / Homeopathic Medicine Practice Bitter Kola nut Religion support 14 14
15 Herbal Examples Natural / Homeopathic Medicine Practice 15 15
16 Social Issues Affecting Dementia Care/ Services Access to services Trust Food Traditional foods are a big part of identity and family union 16 16
17 Medical Issues Affecting Dementia care for West African Community Preventive Intervention Quality health care Health Insurance Time Acceptance 17 17
18 Dementia Friends Nigeria
19 Political Issues Affecting Dementia care and the West African Community Immigration status policy 19 19
20 Dementia Risk & Statistic 20 20
21 Contractual services I am able to provide. Outreach to and education for West African communities Bridge the gap between providers and patient Marketing and Advertising Review Community Engagement Education/ Trainings for Provider Staff 21 21
22 Cultural TIPS Stigma of Certain Words Hello in Several African Languages
23 Cultural TIPs (continued) -Right hand shake 23 23
24 Hmong Cultural Awareness In Dementia Care Pakou Xiong 24 24
25 Agenda Who are the Hmong? Hmong & The Vietnam War Hmong cultural norms Hmong health perceptions & practices Hmong & dementia Next steps & questions Qeej (kwh-ehng) 6 25
26 Who are the Hmong? Ethnic minority No country Originated from China Known as Miao 18 prominent clans 2 dialects Green and White Written language Romanized Popular Alphabet (RPA ( 7 26
27 The Hmong & The Vietnam War Hmong & the Vietnam War ( ) General Vang Pao ( ) Hmong in the US Approx. 300K in US (2015) (Pew Research Center) Hmong in MN Top metro area, pop. 76,727 Approx. 6.6% over age 55 (2016 American Community Survey) Hmong around the world GVP/tabid/981/language/en- US/Default.aspx Australia, Canada and France 27 27
28 Paj Ntaub (pah-taw) Hmong story cloth 28 28
29 Hmong cultural norms (ages 55 +) Gender roles Decision making Collectivism vs Individualism Religion Traditional: Shamanism & hand tie New tradition: Western faiths Education & titles Health food & exercise Identifier of a Hmong who still practices Shamanism is a white, red or red and white cloth or string bracelet around the wrist, ankle, neck or waist. /story.html Celebration Hmong New Year 29 29
30 Hmong Health Perceptions & Practices (Traditional Hmong) Physical: Able to see, able to feel the pain and identify location Take meds (herbal: fresh or dried) Seek alternative healing (cupping,egg remedies) Expect immediate cure Non-physical: Not able to see, not able to locate the pain or cause (dementia, mental illness) Call for shaman to do ceremony - Two types: 1. Hu plig = spirit calling 2. Ua neeb (saib & kho) = diagnostic & healing ceremony Prevention & Rehab New concepts 30 30
31 The Hmong & Dementia Issues No Hmong word for dementia Viewed as a normal aspect of aging Lack of culture appropriate assessment tools Elders Family oriented care Care facility stigma Pointers Understanding religious belief and healing Know the care structure of the family Story telling as a tool to relate and build trust Resource Stanford University Stanford Geriatric Education Center: The Treatment of Dementia in Hmong American Culture Pakou s late grandma at her healthcare facility in Arvada, CO 31 31
32 Provider: Next steps & Communications Continue the dialogue Express your interest in learning more about Hmong elders Make it ok For you and for the Hmong elders to ask questions that you would not normally ask Connect with Hmong consultant Provide cultural education Help develop appropriate tools Help navigate and build trust Key: build trust 32 32
33 RESOURCES CulturalConsultants.org MinnesotaHelp.info MNLiveWellatHome.org Senior LinkAge Line <> Alzheimer s Association <> iving-older-adults-part-our-culture 33 33
34 Contacts Nancy E. Lee Cultural Consultant Program Administrator Minnesota Board on Aging (651) Chinwendu Terrell Cultural Consultant West Africa Pakou Xiong Cultural Consultant - Hmong Pakxyooj@gmail.com This project was supported in part by grant number 90AL from the U.S. Administration for Community Living, U.S. Department of Health and Human Service and by the Minnesota Board on Aging. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Minnesota Board on Aging or Administration for Community Living policy
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