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List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.
Analyze different strategies useful in communicating with the Japanese American family.
When caring for a Russian American client, for the most part, at what distance would a Russian patient feel at most ease?
Consuming large quantities of sugar can predispose Eskimos (Inuit) to certain health risks due to a combination of genetic and dietary factors.
Historically, the traditional Inuit diet was very high in protein and fat from marine animals, with very little sugar. This has led to genetic adaptations, including a lower tolerance for carbohydrates. When large quantities of sugar are introduced into their diet, they can be predisposed to several health issues:
Insulin Resistance: Their bodies are not as efficient at processing and metabolizing sugar. This can lead to insulin resistance, a precursor to type 2 diabetes.
Obesity: Diets high in sugar and processed foods, combined with a sedentary lifestyle, can lead to weight gain and obesity, increasing the risk of heart disease and other chronic conditions.
Dental Issues: High sugar intake can cause a rapid increase in cavities and other dental problems, which were rare in traditional Inuit communities.
Effective communication with Japanese American families requires a strategy that respects cultural values, particularly those emphasizing harmony and group consensus.
Establish Trust: Building a relationship based on trust and respect is crucial. This can be done by being polite, using formal language, and showing a genuine interest in their well-being.
Use Indirect Communication: Direct, confrontational communication is often avoided. It may be more effective to ask open-ended questions and listen carefully to unspoken cues.
Respect Hierarchy: The oldest male family member often acts as the primary decision-maker. It is important to acknowledge and respect this hierarchy.
Involve the Family: Decisions about a patient's care are often made by the family as a whole, not just the individual. Hold family meetings to discuss care options and provide information to the entire group.
Cultural Sensitivity: Avoid assumptions. Acknowledge the diversity within the Japanese American community and ask about their individual preferences.
When caring for a Russian American client, they would most likely feel at ease with a formal distance during initial interactions. Personal space is valued, and close physical proximity is typically reserved for close friends and family. As trust develops, the personal space may decrease, but it is best to start with a more formal distance to show respect and professionalism.