- 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?
1. Factors That Predispose Eskimos (Inuit) to Risk from Consuming Large Quantities of Sugar
The Inuit population (commonly referred to as Eskimos, though “Inuit” is preferred) are at increased risk for certain health conditions related to high sugar consumption due to several biological, genetic, and cultural factors:
Predisposing Factors:
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Genetic Predisposition to Diabetes: Inuit populations have shown higher susceptibility to insulin resistance and Type 2 diabetes, especially with Western dietary influences.
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Traditionally Low-Carbohydrate Diet: Historically, the Inuit diet was high in protein and fat and low in sugars and refined carbohydrates. The shift to processed foods has caused metabolic stress.
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Rapid Dietary Transition: The switch from a traditional diet to Western foods, including high sugar intake, leads to poor adaptation and increased risk for obesity, metabolic syndrome, and cardiovascular disease.
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Limited Access to Healthcare & Nutrition Education: In some remote communities, there is limited health education about the dangers of excessive sugar intake.
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Cultural and Economic Factors: Processed, sugary foods are often cheaper and more accessible than traditional or healthier options in isolated communities.
2. Strategies for Communicating with a Japanese American Family
Japanese American families may value harmony, respect, and indirect communication. When providing care, effective communication strategies include:
Effective Strategies:
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Use Formality and Respect: Address elders and parents with respect; hierarchy is important.
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Indirect Communication: Be mindful that direct confrontation or bluntness can be seen as disrespectful; use gentle language.
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Nonverbal Cues Matter: Pay attention to body language and subtle facial expressions, as these may carry more meaning than verbal responses.
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Family-Centered Approach: Decisions may be made collectively, especially involving elders—include family members in discussions.
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Avoid Causing Embarrassment (“Loss of Face”): Frame suggestions in a way that maintains the patient’s dignity.
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Understand Silence: Silence may indicate thoughtfulness or disagreement, not necessarily approval.
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Use of Interpreters if Needed: For older generations, English proficiency may be limited.
3. Preferred Distance When Caring for a Russian American Client
Russian Americans generally prefer closer personal space than is typical in mainstream American culture, especially in emotionally significant or trust-based interactions.
Comfortable Distance:
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Approximately 1.5 to 2 feet (intimate to personal distance) is often acceptable during one-on-one interactions with trusted individuals.
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Touch (e.g., handshake or brief pat on the arm) may be appreciated as a sign of warmth and trust, particularly among older adults.
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However, professionalism and formality should still be maintained, especially in initial interactions.
Note: Always gauge individual comfort and adjust based on nonverbal cues.
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