Joyce Smith

H2004-17-04, Part 3
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Joyce Smith talks with Karen Brewster on March 11, 2005 at her home in Ouzinkie, Alaska about...

1) Her experience as a non-Native health aide and being accepted and cared for by the community of Ouzinkie.
mentors\ hospital\ teachers\ health aides -- equal\ learning\ nurse -- Native\ health aide -- training\ non-Native -- being only one\ tested\ Ouzinkie\ evaluation -- high\ people -- love for\ Native -- elders\ elders -- connection to\ health aide -- non-Native\ health aide -- Native\ health aide -- selection\ service -- called into\ community -- treatment from\ Smith, Norman -- death\ Ouzinkie -- home\ meals -- shared\ community -- involvement\ community -- acceptance|

2) The pros and cons of being a health aide who is originally from the village versus being an outsider.
health aide -- quit\ job -- conflict\ job -- difficulties\ retirement\ outsider -- benefits\ health aide -- relatives\ village -- being part of\ family -- problems\ family -- medical care of\ accident\ family -- death|

3) The type of personality needed to be a health aide, and her praise for Old Harbor health aide, Stella Krumrey.
health aide -- type of person\ health aide -- longevity\ Krumrey, Stella\ humor\ strength\ knowledge\ experience\ humble\ Krumrey, Stella -- first memory of\ Kaguyak\ village -- remote\ church\ Smith, Robin\ children -- play together\ beach\ Old Harbor\ work -- Headstart program\ work -- health aide\ mentor\ pride|

4) Advice to young people who want to become health aides and the need to be dedicated to the work in the long-term.
health aides -- new\ advice -- young generation\ work -- long-term\ health aide -- dedication\ job\ attitude\ people -- feeling for\ house calls -- importance of\ home life\ health aide -- changes in work\ work -- restrictions\ restrictions -- difficulty with\ independence\ knowledge\ permission -- ask for\ health aides -- self-sufficient\ work -- control over\ work -- limited\ health aide -- feel essential|

5) The self-sufficiency and independence of early health aides compared with the restrictions placed on the care provided by current health aides.
health aides -- early days\ medical care -- risks\ medical care -- needed\ lawsuits -- fear of\ KANA\ health aide -- restrictions\ work -- physician's assistant\ health aide -- Ouzinkie\ training -- physician's assistant\ training -- lack of opportunity\ title -- lack of interest in\ modern -- differences\ knowledge -- act on\ advice -- wait for\ communication -- lack of\ telephone -- lack of\ health aide -- training\ information -- memorization\ medications -- knowledge of\ medications -- use of\ medication -- illness\ medicine -- dosage\ knowledge -- self\ modern conveniences\ early days -- hardship\ health aides -- longevity\ health aides -- felt necessary\ health aides -- current\ independence -- lack of|

6) The hardship of losing patients and the joys of having people recover.
medical -- situations\ medical -- losses\ village -- away from\ patient -- death\ family\ health aide -- personal responsibility\ job -- satisfaction\ patient -- recovery\ health aide -- first emergency\ immunization -- first|

7) Knowing your limitations as a health aide and trying to get the patient out for better care, and changes in the availability of equipment from the early days to modern clinics.
work -- health aide\ fear\ medical care -- better\ patient -- evacuation\ hospital\ skills -- limited\ equipment -- limited\ x-ray equipment -- lack of\ Port Lions -- doctor\ clinic -- modern equipment\ limitations -- knowledge of\ people -- helping\ villages -- clinics\ clinics -- equipment\ equipment -- limitations\ equipment -- buy own\ doctors -- leave equipment\ Anchorage|

8) Having the clinic in her home, the history of the house, and the relationship between the Mission and the clinic.
clinic -- furniture\ home -- clinic outfitted\ house -- history of\ American Baptist Mission\ house -- insulation\ Mission -- organization\ Mission -- supervisor\ Anchorage\ Fairbanks\ Jones, Dr. Evan\ chaplain -- National Guard\ work -- health aide\ health aide -- mission work\ retirement -- survivor benefit\ Mission -- use of building\ Mission -- closure of\ mission work -- need for\ Smith, Norman\ work -- odd jobs\ house -- bought from Mission|

9) The importance of having gatherings of health aides to share their experiences, and her thoughts on the success of the health aide program in rural Alaska.
health aide -- memories\ health aides -- conferences\ health aides -- history\ photographs\ health aides -- guidelines\ Kodiak newspaper\ KANA\ material -- lost\ health aide program -- evaluation of\ health aide program -- successful\ limitations\ physician's assistant\ health aide -- training\ villages -- health care needs\ doctor -- lack of\ rural situation -- exceptions for treatment|

10) Continuation of her evaluation of the success of the health aide program and how it has become an international model for rural health care.
health aide program -- evaluation of\ health aide program -- successful\ Alaska\ Native Health Service\ pride\ health aides -- training\ health aides -- accomplished\ health aide program -- model\ Third World countries\ health aide program -- significance\ health aide program -- development\ public health nurses\ medical care -- broad\ nurses -- limited\ Natives -- treatment of\ Natives -- responsibility\ Native -- recognition\ skills\ training\ Natives -- confidence in\ health aides -- learn from each other\ health aide program -- support|

11) What she gained personally from being a health aide, and some observations about the current health aide program and schedules compared with when she was a health aide.
health aide -- personal\ health aide -- enjoyment\ people -- helping\ counseling\ personal life -- effect on\ strength -- gaining\ people -- learning from\ health aides -- multiple\ health aides -- schedule\ work -- schedule\ vacation -- lack of\ patients -- not leave\ health aide program -- changes in\ job -- wages\ work -- payment\ work -- love of\ payment -- shared\ Health Committee -- Ouzinkie\ village -- health needs\ village -- general health\ village -- health issues\ health issues -- changes\ child neglect\ health issues -- understanding of\ accidents\ disease\ alcohol\ village life -- improvement\ pride\ children -- grown up|

12) Dealing with alcohol issues, the role of health aide as an educator, and her satisfaction with having done health aide work.
village -- health issues\ health issues -- lack of change\ alcohol\ alcohol -- stopping\ alcohol -- youth\ problem -- lack of change\ health worker -- feelings\ alcohol -- responsibility\ health aide -- role of\ education\ school\ health issues -- teaching about\ health aide -- rewarding work\ job -- satisfaction\ health -- improvement\ work -- enjoyment\ retirement\ husband -- participant|

13) Her coming to Kodiak with her husband, Norman, the challenges of raising a family while also doing health aide work, and her love of learning.
Kodiak Island -- arrival\ Seattle\ airplane\ Ouzinkie\ Kodiak\ boat -- travel\ courage\ Smith, Norman\ inspiration\ adventure\ challenges\ life -- more than dreamed of\ medical work -- not expected\ medical work -- love of\ Christian camping\ kindergarten -- teacher\ children\ world view -- larger\ isolation\ health aide -- work\ health aide -- development of work\ learning -- enjoyment\ knowledge -- thirst for\ curiosity\ health aide -- not easy\ family -- raising\ children -- number of\ children -- education\ son -- Smith, Kelly|