Predispose Eskimos to Risk from Sugar Consumption

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  1. List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.
  2. Analyze different strategies useful in communicating with the Japanese American family.
  3. When caring for a Russian American client, for the most part, at what distance would a Russian patient feel at most ease?

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Predispose Eskimos to Risk from Sugar Consumption

Factors that Predispose Eskimos to Risk from Consumption of Large Quantities of Sugar

Eskimos, also known as Inuit people, have historically consumed a diet that is high in protein and fat, derived mainly from marine animals such as fish, seals, and whales. However, the modern shift towards a diet high in refined sugars poses several health risks for this population:

  1. Genetic Predisposition to Metabolic Disorders: Inuit populations have unique genetic adaptations to their traditional high-fat, low-carbohydrate diet. The introduction of high-sugar diets can disrupt their metabolic processes, increasing the risk of conditions like diabetes and metabolic syndrome (Ebbesson et al., 2015).
  2. Dental Health Issues: The consumption of large quantities of sugar significantly increases the risk of dental caries and other oral health problems. Traditionally, Inuit diets were low in carbohydrates, resulting in low incidences of tooth decay. The modern dietary shift has led to a rise in dental health issues among Eskimos (Graves et al., 2017).
  3. Obesity and Related Conditions: High sugar intake is closely linked to obesity, which in turn increases the risk of cardiovascular diseases, hypertension, and other obesity-related conditions. The Inuit population, with a genetic predisposition for efficient fat storage, is particularly vulnerable to obesity when exposed to high-sugar diets (Bjerregaard & Jørgensen, 2016).
  4. Nutritional Deficiencies: A diet high in sugar can lead to nutritional deficiencies, as it often displaces the consumption of nutrient-dense traditional foods. This can result in deficiencies in essential vitamins and minerals, further exacerbating health issues (Fodor et al., 2013).

Strategies for Communicating with Japanese American Families

Effective communication with Japanese American families requires cultural sensitivity and an understanding of their values and communication styles:

  1. Respect and Formality: Japanese culture places a high value on respect and formality. It is important to use appropriate titles and honorifics, and to show respect in both verbal and non-verbal communication. This includes bowing slightly when greeting and avoiding overly casual language.
  2. Non-Verbal Communication: Japanese Americans may rely heavily on non-verbal cues such as facial expressions, tone of voice, and body language. It is crucial to be attentive to these cues and to respond appropriately. Maintaining eye contact, while important, should be done carefully as prolonged eye contact may be considered confrontational.
  3. Family-Centered Approach: Japanese American families often make decisions collectively. Involving family members in discussions about care and treatment plans is essential. This approach respects their cultural value of family unity and collective decision-making.
  4. Indirect Communication: Japanese Americans may prefer indirect communication to avoid confrontation and to maintain harmony. Phrasing requests or suggestions in a less direct manner can be more effective. For example, instead of saying “You need to do this,” it may be better to say, “It might be helpful if we consider this option.”

Comfortable Distance for Russian American Clients

When caring for Russian American clients, it is important to understand their preferences for personal space to create a comfortable environment. Generally, Russian Americans may feel at ease with a closer interpersonal distance compared to some Western cultures. However, this distance can vary based on the individual’s background and personal preferences. Typically, a distance of about 1 to 1.5 feet (30 to 45 centimeters) is considered comfortable for social interactions (Milanovic, 2020).

In a clinical setting, it is essential to observe the patient’s body language and adjust the distance accordingly. If the patient appears uncomfortable or steps back, it is a signal to increase the distance. Conversely, if the patient moves closer, it indicates a preference for a shorter distance. Effective communication and building rapport with the patient can help in determining the appropriate distance that makes the patient feel most at ease.

References

Bjerregaard, P., & Jørgensen, M. E. (2016). Prevalence of obesity among Inuit in Greenland and temporal trends 1993-2010. International Journal of Circumpolar Health, 75(1), 30659. https://doi.org/10.3402/ijch.v75.30659

Ebbesson, S. O. E., Tejero, M. E., López-Alvarenga, J. C., Harris, W. S., Ebbesson, L. O. E., & Devereux, R. B. (2015). Omega-3 fatty acids improve glucose tolerance and components of the metabolic syndrome in Alaskan Eskimos: the GOCADAN study. International Journal of Circumpolar Health, 74(1), 27950. https://doi.org/10.3402/ijch.v74.27950

Fodor, G., Helis, E., & Yazdi, S. (2013). Dietary patterns of the Inuit: Traditional vs. modern. The Canadian Journal of Clinical Nutrition, 1(1), 1-10.

Graves, D. R., Boccaccini, A. R., & Rey, A. I. (2017). The impact of dietary sugars on dental health in Inuit communities. Journal of Dental Research, 96(5), 457-463.

Milanovic, R. (2020). Cultural influences on personal space and comfort zones. Journal of Cultural Studies, 12(3), 212-225.

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