ETHNOGERIATRIC CURRICULUM MODULE Health and Health Care of HISPANIC/LATINO AMERICAN ELDERS Melissa Talamantes, MS* Department of Family and Community Medicine University of Texas Health Science Center, San Antonio Robert Lindeman, MD New Mexico Geriatric Education Center and Division of Gerontology University of New Mexico, Albuquerque Charles Mouton, MD, MS Division of Geriatrics and Gerontology Department of Family and Community Medicine, University of Texas Health Science Center, San Antonio Table of Contents Description Learning Objectives Content I. Culturally Appropriate Geriatric Care: Assessment V. Culturally Appropriate Geriatric Care: Interventions VI. Access and Utilization Instructional Strategies Student Evaluation References and Resources * Special thanks to : Lily Tarrilion, Linda Levy, and Ron Mesa for assistance with the literature review; Enriqueta Sarfaty and Brenda Zamorano for assistance with the references; and Dr. Culturally Appropriate Geriatric Care: Fund of Knowledge IV. Rafael Martinez for his contribution to the case studies.

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LEARNING OBJECTIVES After completion of this module, learners will be able to perform the following in relation Hispanic/Latino elders: 1) Define the terms Hispanic/Latino as used in its broad form to describe Mexican American, Puerto Rican, and Cuban elderly; discuss the use of the terms and describe the populations; 2) Identify demographics and the major sources of information on the growth patterns available for the above ethnic elder groups; 3) Identify the major risks of diseases that face older Hispanic/Latino elders and their implications; 4) Recognize the important role that history plays in the lives of Hispanic/Latino elders; 5) Describe culturally based traditions, health beliefs, values, attitudes and behaviors; 6) Describe end-of-life health care decision-making; 7) Conduct a culturally appropriate ethnogeriatric health assessment for Hispanic/Latino elders and their families using methods and strategies recommended in the Ethnogeriatric Core Curriculum; 8) Describe strategies for development of culturally appropriate verbal and nonverbal communication skills; 9) Identify validated assessment instruments; 10) Recognize cultural issues that affect treatment plans; 11) Describe influences on health care access and patterns of utilization; 12) Describe health promotion and disease prevention strategies for Hispanic/Latino elderly; 13) Identify types of medication use including traditional folk remedies for various illnesses; 14) Discuss treatment issues, working with families, caregiving and social support issues characteristic of this population; 15) Present information on access and utilization of services, including long term care. Terminology The diverse use of the terms “ Hispanic and Latino” in the literature can be attributed to the diversity of the subgroups of Mexican American, Cuban American and Puerto Rican populations within a broader context.

State and or Regional differences in the use of terms are frequently noted in the Southwest.

For example, in Texas where there is a large Mexican American population, the identifiers Hispanic or Mexican American are primarily used.

New Mexicans usually self-identify as Hispanic or Hispanos. Soldo, (Eds.), Racial and Ethnic Differences in the Health of Older Americans (pp.

HEALTH AND HEALTH CARE OF HISPANIC/LATINO AMERICAN ELDERS DESCRIPTION This module in the Ethnogeriatric Curriculum for Hispanic/Latino elders is designed to introduce health care trainees to important issues in the care of older Americans from Hispanic/Latino backgrounds. Daughters' caregiving for Hispanic and non-Hispanic alzheimer's patient: Does ethnicity make a difference?

Included are: explanations of the terms used to describe the populations; demographic data and sources of data available; a review of mortality and morbidity data; background information on (1) historical background on the specific ethnic groups; and (2) cultural traditions, health beliefs and values, including complementary and alternative medicine and end-of-life care; background and skills needed to provide a culturally competent geriatric assessment; treatment issues with Hispanic/Latino elders; and review of access and utilization of health care. P., Loewenstein, D., Gamez, E., Millor, A., Quinterons, R., Flores, L., Miller, M., Rainerman, A. The module is designed for use in conjunction with the Core Curriculum in Ethnogeriatrics. Information in the content section is based on evidence from research, and citations to the published studies are included. Differential item functioning in the mini-mental state examination in English and Spanish-speaking older adults. In California, Latino or Latina is typically the favored term. Bureau of the Census uses the term “ Hispanic”as an ethnicity category referring to persons who trace their origin or descent to Mexico, Puerto Rico, Cuba, Central or South America, or Spain. The term “ Latino” emphasizes Latin American origin. Since 1980, according to the Census Bureau, Hispanics can be of any race. In an order mandated by the Executive Office of the President, revisions were made to the Statistical Policy Directive No.