An important element in American Indian cultures is a holistic view of wellness. Nurses attempting to provide holistic, culturally sensitive health services to American Indian clients must assess the cultural orientation of their clients and have culture-specific knowledge. A pilot qualitative study was conducted at the Crow Indian Reservation in south central Montana. Qualitative analysis of data identified categories of traditional contemporary health practices of Crow Indians. These categories are use of rituals/ceremonies, indigenous healers, and sacred objects. Five patterns of use of traditional health practices were also discovered. These are (a) initial use of traditional practices followed by modern health services, (b) initial use of modern health services followed by traditional practices, (c) simultaneous bicultural use, (d) traditional use only, and (e) modern use only.

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