College Students Summer Internship
Program now accepting applications
Students attending college can apply for the Tribe’s 2015 College Students Sum-
mer Internship Program. To be eligible, you must be enrolled at least half-time and
in good academic standing.
Applications will be mailed to known students, but if you do not receive an appli-
cation, please contact Assistant General Manager Bonnie Petersen or the education
specialist at any Tribal area office to request one.
This program helps Tribal students locate internship placements to gain work
experience in their field of study. Ten slots are available for 2015.
Students can work up to 360 hours at $9.25 an hour and can be placed within or
outside of the Tribe. Placements will run from June 1 through Sept. 15, 2015.
Students should send a completed application and an unofficial copy of transcripts to:
By Mail
CTSI
Attn: College Internship Program
P.O. Box 549
Siletz, OR 97380-0549
By Fax
541-444-2307
By Email
collegeinterns@ctsi.nsn.us
Deadline for applications to be received at the Siletz central administration build-
ing is 4:30 p.m. on April 30, 2015.
Canoe Family
Meeting
Pow-Wow & Feather
Dance Practice
April 19
April 7 and April 21
May 5 and May 19
Fisher named to all-state football team, also
featured in national magazine
Contact Tiffany Stuart at 541-444-1100 or tiffany.wisdom@yahoo.com
Rylan Fisher continues to be honored for his high school football accom-
plishments as he recently was named to the all-state first team as a wide receiver.
Fisher also will be featured in an upcoming edition of Sports Sprout maga-
zine, a national high school sports magazine that features the four most highly
accomplished high school athletes in their sports for their region. Fisher was
selected from the West region that includes 13 states.
He currently is a junior at Taft High 7-12 in Lincoln City, Ore.
Congratulations, Rhino!
The Siletz Community Health Clinic property is 100 percent tobacco-free.
The policy prohibits all tobacco use by everyone – no smoking in your car, in the
parking lot or on clinic property. We appreciate your understanding and willing-
ness to help keep our clinic tobacco-free and clean.
Contact the Siletz Community Dental Clinic if you experience dental pain or a
dental emergency. Staff will do everything they can to see you as soon as possible.
Morning check-in time is Monday-Thursday from 8:30-9 a.m. and Friday
from 10-10:30 a.m. Afternoon check-in time is Monday-Friday from 1-1:30 p.m.
3 p.m.
5:30-6:30 p.m.
Newport Public Library
Newport, Oregon
Siletz Valley Schools
Fact Sheet
Elder Abuse
Elder Patients at Risk for
Abuse
Elder abuse is any form of m ist reat m ent
t hat result s in harm or loss t o an elder. As
awareness about elder abuse increases
nat ionwide, it s presence is also on t he rise in
I ndian Count ry.
Tradit ionally, Am erican I ndian elders have held
a place of honor for t heir wisdom , experience
and cult ural knowledge. Unfort unat ely, t his is
changing in som e com m unit ies.
On ly 2 0 % of a bu se is r e por t e d.
Source: U.S. Dept . of Healt h and Hum an
Services, Adm inist rat ion on Aging, The
Nat ional Elder Abuse I ncidence St udy, 1988.
H ow ca n H e a lt h a n d M e dica l
Pr ofe ssion a ls ge t I n volve d?
1.
2.
3.
4.
5.
Screen for abuse and be aware of t he
various t ypes:
• Financial Exploit at ion
• Neglect and Self- Neglect
• Psychological Abuse
• Physical Abuse
• Sexual Abuse
• Spousal Abuse
• I nst it ut ional Abuse
Part icipat e in I nt erdisciplinary Geriat ric
Team s;
Encourage adopt ion of abuse prot ocols
and screening;
Prom pt m edical associat ions t o get
involved; and,
Learn m ore about elder abuse.
Source: Lant z, Melinda S., M.D., Abuse and Neglect
of t he Older Adult : What Can t he Physician Do?
Clinical Geriat rics, Vol. 11, No. 3, March 2003, pp.
18- 22.
W h a t m a k e s a n olde r a du lt m or e
vu ln e r a ble t o a bu se ?
Social isolat ion and poor m ent al healt h ( such
as dem ent ia or depression) are t wo fact ors
in elder vulnerabilit y. I n som e sit uat ions,
st udies show t hat living wit h som eone else
( a caregiver or a friend) m ay increase t he
chances for abuse t o occur. A hist ory of
dom est ic violence or spousal abuse m ay also
m ake an Elder m ore suscept ible t o abuse.
June 2008
•
Ch a r a ct e r ist ics of Vict im s
Age of Vict im s. Median age: 77.9 years.
Self- neglect ing elders: 77.4 years.
Sex of Vict im s. Abuse of fem ales in 67.3%
of report s; m ales 32.4% .
Source: Nat ional Cent er on Elder Abuse,
Fact sheet No. 3, 1997.
W a r n in g Sign s a n d Sym pt om s of
Abu se :
While one sign does not necessarily indicat e
abuse, t he following are som e t ellt ale signs
t hat t here could be a problem .
•
Siletz News
•
April 2015
•
•
•
•
•
I s t he elder able t o t alk openly about
his or her care? ( Caregiver or com
panion m ay need t o leave t he room
for assessm ent t o t ake place.)
I s t he elder in need of em ergency
services t o prevent inj ury or loss?
What is t he nat ure and ext ent of t he
abuse?
I s abuse likely t o occur again?
What is t he level of risk?
I s t he elder able t o m ake decisions
about his or her care?
What m easures are needed t o pre-
vent fut ure abuse and ensure
t he well- being of t he elder?
Source: Nat ional Com m it t ee for t he Prevent ion of
Elder Abuse. ht t p: / / www.prevent elderabuse.org.
Asse ssm e n t I n st r u m e n t
1 . Bruises, pressure m arks, broken bones,
abrasions, and burns m ay be an indicat ion of
physical abuse, neglect , or m ist reat m ent .
2 . Unexplained wit hdrawal from norm al
act ivit ies, a sudden change in alert ness, and
depression m ay be indicat ors of em ot ional
abuse.
3 . Bruises around t he breast or genit al area
can occur from sexual abuse.
4 . Sudden changes in financial situations
m ay be t he result of exploit at ion.
5 . Bedsores, unat t ended m edical needs,
poor hygiene, and unusual weight loss are
indicat ors of possible neglect .
6 . Behavior such as belit t ling, t hreat s, and
ot her uses of power and cont rol by spouses
are indicat ors of verbal or em ot ional abuse.
7 . St rained or t ense relat ionships and
frequent argum ent s bet ween t he caregiver
and elder are also signs.
8.
Hoarding, failure t o t ake essent ial
m edicat ions or refuse t o seek m edical
t reat m ent , poor hygiene or housekeeping,
dehydrat ion, and not wearing suit able clot hing
for weat her can be signs of self- neglect .
Source: Lant z, Melinda S., M.D., Abuse and Ne-
glect of t he Older Adult : What Can t he Physician
Do? Clinical Geriat rics, Vol. 11, No. 3, March 2003,
pp. 18- 22.
Qu e st ion s t o Con side r
The following are quest ions t o consider in
creat ing or m odifying an exist ing screening
t ool:
•
4
•
I s t he elder in im m inent danger?
The Elder Assessm ent I nst rum ent ( EAI ) , a
41- it em Likert scale, in t he lit erat ure since
1984, and com prised of seven sect ions t hat
review sym pt om s and subj ect ive com plaint s
of abuse. I nst rum ent is available at
www.hart fordign.org and/ or
www.Consult GeriRN.org
Th e Role of Cu lt u r e
The answers t o t hese quest ions can provide
guidance t o professionals in working wit h
m em bers of diverse et hnic and cult ural com -
m unit ies.
•
What role do elders play in t he fam -
ily? I n t he com m unit y?
•
Who, wit hin t he fam ily, is expect ed
t o provide care t o frail m em bers?
What happens when t hey fail t o do
so?
•
Who m akes decisions about how
fam ily resources are expended?
About ot her aspect s of fam ily life?
•
Who, wit hin t he fam ily, do m em bers
turn to in times of conflict or strife?
•
What conduct is considered abusive?
I s it considered abusive t o use an
elder’s resources for the benefit of
ot her fam ily m em bers? To ignore a
fam ily m em ber?
•
What spirit ual beliefs, past experi-
ences, at t it udes about social service
agencies or law enforcem ent , or so-
cial st igm as m ay affect com m unit y
m em bers’ decisions t o accept
or refuse help from out siders?
•
Under what circum st ances will fam i
lies seek help from out siders?
•
•
•
To whom will t hey t urn for help ( e.g.
m em bers of t he ext ended fam ily, re-
spect ed m em bers of t he com m unit y,
religious leaders, physicians) ?
What / who are t he t rust ed sources of
inform at ion in t he com m unit y?
How do persons wit h lim it ed English
speaking or reading skills get t heir in
form at ion about resources?
Source: Nat ional Com m it t ee for t he Prevent ion of
Elder Abuse. ht t p: / / www.prevent elderabuse.org.
Re sou r ce s
N e w M e x ico
Ce n t e r
Ge r ia t r ic Edu ca t ion
The UNM New Mexico Geriat ric Educat ion Cen-
t er ( NMGEC) is dedicat ed t o im proving t he
healt h care of Am erican I ndian elders t hrough
t he educat ion and t raining of healt h care pro-
viders.
See NMGEC websit e for com plet e list of elder
abuse fact sheet s.
1001 Medical Art s Ave NE, Rm # 244
Albuquerque, NM 87102- 2708
Phone: ( 505) 272- 4934
Fax: ( 505) 272- 4962
ht t p: / / hsc.unm .edu/ som / fcm / gec/
N a t ion a l I n dia n Cou n cil on Agin g
The Nat ional I ndian Council on Aging ( NI COA)
st rives t o im prove healt h and social services
for Am erican I ndian and Alaska Nat ive Elders
nat ionwide, including providing educat ion,
awareness and advocacy about elder abuse.
See “ Publicat ions” on websit e for m ore elder
abuse resources and fact sheet s.
10501 Mont gom ery Blvd.NE St e. 210
Albuquerque, NM 87111
Phone: ( 505) 292- 2001
Fax: ( 505) 292- 1922
ht t p: / / www.nicoa.org
Usin g Tr iba l Va lu e s t o D e ve lop
Elde r Pr ot e ct ion Code : A St e p- by-
St e p Com m u n it y Appr oa ch
A workbook for com m unit ies exploring t he
process of Elder Prot ect ion Code. Available at
NMGEC or NI COA websit es.
Produced by Nat ional I ndian Council on Aging and
t he Universit y of New Mexico Geriat ric Educat ion
Cent er t hrough a grant from HRSA Bureau of Healt h
Professions # D31HP08820.