Nursing

Indian Health Service.

Indian Health Service. HEALTH and ILLNESS in the American Indian and Alaska Native Population ■ 231 The budget for FY 2011 was estimated to be $829 million (U.S. Department of Health and Human Services, Indian Health Service Fact Sheets). The IHS headquarters is located in Rockville, Maryland. Some headquarters’ functions are conducted in IHS offices

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HEALTH and ILLNESS in the American Indian and Alaska Native Population ■ 229

HEALTH and ILLNESS in the American Indian and Alaska Native Population ■ 229 recognized tribes grew out of the special government-to-government relation- ship between the federal government and Indian tribes. This relationship was established in 1787. It is based on Article I, Section 8, of the Constitution and has been given form and substance by

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Urban Problems

Urban Problems More than 50% of American Indians live in urban areas; for example, in Seattle, Washington, there are over 15,000 American Indians. Although this popula- tion is not particularly dense, its rates of diphtheria, tuberculosis, otitis me- dia with subsequent hearing defects, alcohol abuse, inadequate immunization, iron-deficiency anemia, childhood developmental lags, mental health problems

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Domestic Violence

Domestic Violence Another problem related to alcohol abuse in the American Indian people is do- mestic violence, sexual abuse, and the battering of women. A battered woman is one who is physically assaulted by her husband, boyfriend, or another signifi- cant other. The assault may consist of a push; severe, even permanent injury; sexual abuse;

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The markings of fetal alcohol syndrome include

The markings of fetal alcohol syndrome include ■ abnormal growth in height, weight, and/or head circumference, in- cluding microcephaly; ■ central nervous system problems such as behavioral and/or mental health problems, including learning disabilities and abnormal sleeping and eating patterns; and ■ appearance with a specific pattern of recognizable deformities, such as the three key

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Fetal Alcohol Syndrome

Fetal Alcohol Syndrome “My son will forever travel through a moonless night with only the roar of the wind for company” (Dorris, 1989, p. 264). This quote reflects on the tragedy of fe- tal alcohol syndrome, an affliction that affects countless American Indian children. A new study from the Substance Abuse and Mental Health Services

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