Final Days at CIHA

Some of the most critical issues the Cherokee community faces daily is substance abuse. Today I had the privilege to sit in on the 0900 Rehabilitation group discussion. It was a huge eye opener listening to all the stories and seeing how these individuals were ready to change their lives. As I observed the emergency department, as well as inpatient, I was told admitting a detox is not uncommon on a daily basis. Upon arrival, I knew substance abuse was a huge issue, what I did not know was the extent of the problem. Another critical issue within the culture is diabetes. A predominant condition leading to diabetes is most likely poor health, genetics, societal aspects and obesity. Diabetes and substance misuse could potentially be genetics, culture, lack of knowledge and/or lack of health maintenance. Genetically, individuals can be predisposed to substance abuse or obesity. I believe, within the Native community, culture, beliefs and traditions play a huge role in their everyday lives. The nurse’s role would to be an advocate, educator and supporter for these patients. We need to support their wants and needs to life change, educate them on local resources, dietary changes, activity changes, as well as being an advocate.

In my opinion, the public is primarily the center of the health care systems in Cherokee. Not only are they great resources and supporters, but most of the facilities within in the community are privately funded.  I think there is a huge difference between Cherokee healthcare systems and healthcare systems elsewhere. Most of the hospitals I have seen are not privately funded and do not put as much thought into family needs as CIHA. At home, our hospitals have much smaller rooms, waiting rooms, and do not value family importance as much as the Native American culture.