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Marge Adams talks with Karen Brewster on May 28, 2006 at her home in Yakutat, Alaska about...
1) Her personal history, moving from Yakutat, and attending school in Juneau and at the Catholic Mission in Skagway.
birthplace\ Yakutat\ orphan\ mother -- death\ Juneau -- moved to\ sister -- raised by\ Skagway\ school -- Catholic Mission\ school -- years attended\ graduation -- age at\ birthdate\ school -- Juneau\ farm\ brother-in-law\ farm -- location\ location -- remote\ access -- winter\ roads -- plowing\ snow plows -- lack of\ town -- lived in\ farm -- return to\ spring\ school -- attendance days\ days -- number required\ school -- grade level\ grade level -- repeating\ grade -- completion\ high school -- completion\ Gallantry, Father\ college -- offer\ homesick\ Texas\ home -- returning\ playing\ school -- break from\ high school -- graduation\ graduation -- date of |
2) Her return to Yakutat after high school graduation and getting married.
marriage\ husband -- Adams, George\ mother-in-law -- childcare\ mother-in-law -- raised by\ husband -- knowledge of\ husband -- childhood\ Juneau -- living in\ child -- first\ Yakutat -- return to\ village -- lifestyle\ village -- changes\ electricity\ sister -- younger\ sister -- schooling\ school -- finishing\ Roberts, Ann -- mother\ Benson, D. S. -- father\ brothers -- number of\ sisters -- number of\ siblings -- death\ stepbrothers -- number of\ father -- previous marriage\ children -- younger\ children -- care of|
3) How she became a health aide.
health aide -- becoming\ family -- raising own\ children\ baby -- lose of\ fear\ Yakutat -- want to move from\ health care -- quality\ trust -- lack of\ health aide -- calling\ Valle, Agnes (Sugar)\ sister\ Health Council\ time -- lack of\ sister -- recommendation\ health aide -- work\ health aide -- help from\ children -- care of\ job -- thought about\ health aide -- lack of\ health aide -- turnover rate\ people -- encouragement from\ education -- level of\ elders -- view of\ education -- use of\ community -- helping\ children -- leaving behind\ community -- responsibility to\ job -- date of\ job -- selected for\ village -- council\ work -- volunteer\ job -- Head Start\ job -- salary\ friends\ work -- collaboration\ personalities -- differences\ differences -- benefit of\ teamwork|
4) The early clinics in Yakutat, and how she became a member of the Southeast Alaska Native Health Board representing Yakutat.
clinic -- Yakutat\ clinic -- old\ Justice, ? Dr.\ clinic -- building\ building -- quality of\ improvements -- need for\ health aide\ Alaskan Native Brotherhood (ANB)\ Alaska Native Sisterhood (ANS)\ Southeast Alaska Native Health Board -- role of\ role -- liaison\ government -- federal\ Native community\ Indian Health Service\ health aide program --management of\ Southeast Alaska Native Health Board -- member of\ Mt. Edgecumbe\ meeting -- heard about\ representatives -- regional\ representative -- Yakutat\ Williams, Frank O.\ Board -- president\ Haines -- represented by\ needs -- knowledge of\ anger\ board member -- becoming|
5) Getting the Yakutat health council started because of concerns about garbage in the community and working on solutions to clean it up.
health council -- Yakutat\ health council -- membership\ health council -- purpose\ Yakutat -- cleanliness\ garbage -- amount of\ embarrassment\ talking\ action\ fundraising\ dental program -- lack of\ dentists -- visits\ airplane -- charter\ charter -- paying for\ community -- clean-up\ households -- garbage cans\ garbage cans -- providing\ success\ garbage -- disposal of\ planning -- lack of\ Federal Aviation Administration (FAA) -- garbage dump\ dump -- use of\ garbage -- pick-up\ garbage cans -- shipping\ Anchorage\ money -- lack of\ Air National Guard\ flight -- practice\ Yakutat -- airport\ help -- request for\ favor -- asking for\ help -- rejection\ competition\ persuasion\ request -- successful|
6) Getting a Yakutat representative on the Southeast Alaska Native Health Board, how this benefited the community, and when they got a new clinic built in Yakutat.
Howard, Cornelia (Cornie)\ Mt. Edgecumbe\ Southeast Alaska Native Health Board -- representative\Yakutat -- representation\ health council -- discussion\ representative -- selection\ letter -- submission\ representative -- desire for\ Yakutat\ pilot projects\ Mt. Edgecumbe\ clinic -- new\ Tlingit-Haida Housing Authority\ health council\ clinic -- old\ old clinic -- current use of\ clinic -- location\ Losier(?), Bob\ clinic -- construction\ clinic -- layout\ clinic -- rooms\ clinic -- size\ expansion -- need for\ health aides -- needs of\ building -- other uses of\ apartments -- elderly\ elders -- caring for\ patients -- closeness|
7) The minimal medical equipment and supplies they had before there was a clinic building, and the city of Yakutat trying to manage local health care and the health aides.
equipment -- medical\ equipment -- early\ equipment -- black bag\ supplies -- medical\ supplies -- common\ equipment -- limited\ help -- lack of\ emergency\ clinic -- supplies\ visits -- home\ clinic -- return to\ Powell, Larry\ Yakutat -- mayor\ clinic -- new\ clinic -- management of\ city -- administration\ city -- control\ projects -- loss of\ city -- recognition\ recognition -- lack of\ Mt. Edgecumbe -- relationship with\ health aides -- worked with\ ideas -- lack of\ health council -- duplication\ health council -- elimination of|
8) Her multiple community commitments and feeling overwhelmed by the competing obligations.
community -- activities\ basketball games\ fundraising\ community -- enjoyment\ event -- participants\ event -- fun\ work -- amount of\ community -- commitments\ commitments -- number of\ city council\ liquor board\ commitments -- pressure of\ time -- lack of\ work -- quality of\ elders -- disappointment\ family -- raising\ children -- number of\ obligations\ stress\ restaurant -- ownership\ responsibilities -- giving up|
9) Members of the Yakutat health council, and working with the Southeast Alaska Native Health Board to determine community needs and implement healthcare projects.
health council -- members\ Howard, Cornelia (Cornie)\ Watson, Bella\ Gallagher, Terry\ Gallagher, Terry -- wife\ Valle, Agnes (Sugar)\ membership -- core\ Southeast Alaska Native Health Board -- projects\ clinic -- construction\ community -- needs\ needs -- assessments\ needs -- prioritized\ project -- planning\ Mt. Edgecumbe\ Yakutat -- pilot projects\ project -- competition for\ communities -- competition with\ Juneau\ Sitka\ Angoon\ Hoonah\ Kake\ Hydaberg\ Craig\ Klawock\ Yakutat -- needs\ politics -- experience\ experience -- lack of\ needs -- discussion of\ health board -- decision-making\ Mt. Edgecumbe -- hospital\ hospital -- director\ Willman (?), Art\ director -- support from\ health board -- membership\ membership -- dates\ clinic -- new\ new clinic -- construction\ construction -- date|
10) The beginning of the Community Health Aide Program in Alaska, training she received in Anchorage, and working to improve the dental care for people in Yakutat.
health aide program -- initiation\ Johnson, Walter Dr.\ Justice, ? Dr.\ health aide program -- early days\ Anchorage\ training -- Anchorage\ training -- method\ teaching -- method\ training -- length of\ learning -- styles\ training -- quality of\ training -- lack of\ impatient\ answers -- timing of\ health aides -- northern\ culture -- differences\ health aides -- relationships with\ dentists -- problems\ dentists -- cost of\ dentists -- visits\ visits -- schedule\ Thanksgiving\ work -- schedule\ home -- returning\ airplane -- charter\ children -- examination of\ problems -- solution to\ health aide -- support from\ dental treatment -- lack of\ health aides -- dental training\ training -- inadequate\ children -- care of\ movie -- dental health\ disappointment\ anger\ government -- cost to\ training -- dental\ Mt. Edgecumbe\ teeth -- cleaning\ fluoride -- treatments\ Valle, Agnes (Sugar)|
11) Health aide training she received, and learning on the job about medicines and patient care.
health aide -- training\ Anchorage\ training -- components\ training -- basic\ health aide -- volunteer\ Mt. Edgecumbe\ training -- initial\ training -- length of\ community -- return to\ training -- adequacy of\ patients -- care of\ fear\ medicines -- learning about\ medicines -- names\ names -- spelling out\ bottle -- comparison with\ clinic -- orientation\ orientation -- lack of\ learning -- self-taught\ initiative -- importance of\ learning -- by doing|
12) Changes in the Community Health Aide program, and criticism of the training program she went through.
health aide program -- changes in\ supervision -- lack of\ independence\ Mt. Edgecumbe\ training -- criticism of\ Anchorage\ training -- pace of\ training -- medicine\ health aides -- relationships with\ learning -- styles of\ training -- duration|
13) Getting paid as a health aide, and the increase in the amount of paperwork that was required.
Tirador(?), Dean -- doctor\ Mt. Edgecumbe\ training -- Sitka\ training -- arrival\ training -- materials\ job -- payment for\ health aides -- not paid\ Yakutat -- forgotten about\ salary -- back-pay\ payment -- lack of\ salary -- monthly\ salary -- amount\ paperwork -- required\ paperwork -- dislike of|
14) The paperwork required when treating patients, and how in the early days she just remembered everything about a patient.
paperwork -- amount of\ paperwork -- purpose of\ patient -- records\ logbook\ records -- charting\ recordkeeping -- lack of\ patients -- memory of\ boy -- treatment\ bones -- fish\ bones -- swallowed\ patient -- encounter\ encounter -- street|
15) When the City of Yakutat managed the health aide program and problems that resulted.
health aide program -- management of\ health council -- administration\ health aide program -- control of\ control -- transfer of\ transfer -- rejection of\ licensing -- State of Alaska\ licensing -- benefit of\ Yakutat -- City of \ paperwork -- increase in\ time -- demands\ work -- doing it\ projects -- completion of\ health aide program -- contract\ contract -- City of Yakutat|
16) Difficulties experienced when the City of Yakutat ran the health aide program, and what led to her quitting the job.
health aide program -- management\ Yakutat -- City of\ health aides -- treatment of\ treatment -- poor\ problems -- looking for\ physician's assistant (PA) -- introduction of\ job -- quitting\ health aide -- salary\ work -- schedule\ schedule -- change\ work -- half-time\ money -- use of\ PA -- salary\ PA -- turnover\ health aides -- stability\ PA -- training\ training -- emergency\ training -- travel to\ emergency -- fear of\ emergency -- car accident\ victim -- death of\ PA -- supervisor\ urine -- sample\ sample -- taking of|
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