Caring For American Eskimo, Japanese, & Russian Populations

Full Answer Section

• Lack of Evolutionary Adaptation: Evolutionarily, their bodies haven't adapted to process large amounts of sugar efficiently. This can contribute to weight gain and other health problems associated with excess sugar intake.

Communicating with Japanese American Families:

Here are some strategies for effective communication with Japanese American families:

• Respectful and Indirect Communication: Be mindful of the importance of indirect communication and avoiding confrontation in Japanese culture. Use respectful language and nonverbal cues.
• Family-Centered Approach: Recognize the importance of family in Japanese culture. Involve family members in decision-making processes when appropriate.
• Cultural Sensitivity: Be aware of potential cultural differences in healthcare beliefs and practices. Avoid making assumptions and use clear, concise explanations.
• Utilize Interpreters: If needed, utilize interpreters who are familiar with both medical terminology and Japanese cultural nuances.
• Patience and Active Listening: Allow time for questions and concerns. Practice active listening and demonstrate empathy.

Personal Space Preferences of Russian American Patients:

While cultural norms can vary, in general, Russians tend to prefer a closer personal space compared to Americans or Western Europeans. A distance of 12-18 inches (30-45 cm) might be considered more comfortable for a Russian American patient during a healthcare interaction.

Important Note: This is a general guideline. Always observe the patient's nonverbal cues and adjust your distance accordingly. If they seem uncomfortable with you being close, take a step back.

Sample Answer

Eskimos (Inuit) traditionally have a diet rich in protein and fat from fish and marine mammals, with very little sugar. This leads to several factors that increase their risk when consuming large quantities of sugar:

• Limited Enzyme Production: Their bodies may not produce enough sucrase, the enzyme needed to break down sucrose (table sugar) efficiently. This can lead to digestive issues like bloating and gas.
• Increased Insulin Resistance: A high-sugar diet can lead to insulin resistance, a condition where the body's cells become less responsive to insulin. This can increase the risk of type 2 diabetes, a major health concern in some Inuit communities.