Project Report

Weaving Pathways: Talking with Our Elders

AUTHORS

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Mary J Owen1
MD, Director

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Peter M Nalin2
MD, MBA, Department Head

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Charlie A Bouverette3
MA, LGSW, Recent Graduate

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Ginearosa Carbone4
Medical Student

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Charles Neher5
Medical Student

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Elisabeth Pederson6
Medical Student

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Mangan Golden7
MA, Research Coordinator *

AFFILIATIONS

1, 7 Center for American Indian and Minority Health, University of Minnesota Medical School Duluth, Duluth, MN, USA

2 Family Medicine and Biobehavioral Health, University of Minnesota Medical School Duluth, Duluth, MN, USA

3 University of Minnesota, Duluth, MN, USA

4, 5, 6 University of Minnesota Medical School Duluth, Duluth, MN, USA

ACCEPTED: 27 October 2021


early abstract:

While there exists a relative paucity of completed healthcare directives nationally, even fewer exist within minority populations. This commentary describes one model for bringing advance care planning and discussions to American Indian and Alaska Native (AIAN) communities. In 2018, Honoring Choices of Minnesota approached the Center of American Indian and Minority Health (CAIMH), housed in the University of Minnesota Medical School, to collaborate on a project to increase healthcare directives in AIAN communities. CAIMH assembled AIAN students, faculty and community members to identify and address barriers to healthcare directive completion and discussions about end-of-life choices. The project team decided upon a two-pronged approach: culturally informed provider training paralleling culturally relevant community engagement. We aimed to empower AIAN to engage with healthcare providers on decisions impacting their care. To further support AIAN patients and their providers, a toolkit was created and will soon be available for dissemination