after studying Module 3: Lecture Materials & Resources , discuss the following:
A. List factors that predispose Eskimos to risk as a result of the consumption of large quantities of sugar.
B. Analyze different strategies useful in communicating with the Japanese American family.
C. When caring for a Russian American client, for the most part, at what distance would a Russian patient feel at most ease?
Submission Instructions:
· Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
· Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
### A. Factors that Predispose Eskimos to Risk from the Consumption of Large Quantities of Sugar
Eskimos, or Inuit populations, have traditionally consumed a diet high in protein and fat, primarily derived from marine mammals, fish, and other wildlife. The introduction of a Western diet, which includes high quantities of sugar, has had several adverse effects on their health. Key factors that predispose Eskimos to risk from the consumption of large quantities of sugar include:
1. **Genetic Predisposition**: Genetic factors may predispose the Inuit population to certain metabolic disorders when exposed to high-sugar diets. These populations have evolved to metabolize fats and proteins efficiently, and the sudden shift to a diet high in carbohydrates and sugars can lead to metabolic disturbances such as insulin resistance and type 2 diabetes.
2. **Increased Risk of Obesity**: The consumption of high-sugar foods contributes to increased caloric intake without corresponding nutritional benefits. This leads to weight gain and obesity, which are risk factors for numerous chronic diseases, including cardiovascular disease, diabetes, and certain cancers.
3. **Dental Health Issues**: High sugar intake is directly linked to dental caries and periodontal diseases. The traditional Inuit diet, low in sugar, did not predispose them to these conditions. However, with increased sugar consumption, dental health problems have become more prevalent.
4. **Nutritional Deficiencies**: A diet high in sugar can displace the consumption of nutrient-dense foods, leading to deficiencies in essential vitamins and minerals. This can weaken the immune system and increase susceptibility to infections and other health conditions.
5. **Cardiovascular Disease**: High sugar consumption is associated with increased triglyceride levels, hypertension, and other risk factors for cardiovascular diseases. The Inuit, who traditionally had low rates of heart disease due to their high omega-3 fatty acid intake from marine sources, are now experiencing higher rates of these conditions.
### B. Strategies for Communicating with Japanese American Families
Effective communication with Japanese American families involves understanding and respecting their cultural values, communication styles, and social norms. Strategies that are useful in this context include:
1. **Respect and Formality**: Japanese culture places a high value on respect and formality, especially in interactions with elders and authority figures. It is important to use polite language and address individuals by their titles and last names unless given permission to do otherwise.
2. **Non-Verbal Communication**: Japanese Americans may rely heavily on non-verbal cues such as body language, facial expressions, and tone of voice. Being attentive to these cues can help in understanding their feelings and reactions. Maintaining a calm and composed demeanor is also essential.
3. **Indirect Communication**: Direct confrontation and blunt communication are generally avoided in Japanese culture. Instead, they may use indirect language to express disagreement or negative feelings. It is important to read between the lines and ask open-ended questions to ensure understanding.
4. **Family-Centered Approach**: The family unit is highly valued in Japanese culture, and important decisions are often made collectively. Involving family members in discussions and respecting their input can foster trust and cooperation.
5. **Active Listening**: Demonstrating active listening by nodding, maintaining eye contact, and providing verbal acknowledgments shows respect and understanding. Summarizing and repeating back what was said can also ensure clarity and prevent misunderstandings.
6. **Cultural Sensitivity Training**: Health care providers should undergo cultural sensitivity training to better understand and appreciate the unique cultural backgrounds of Japanese American families. This training can improve communication and enhance patient care.
### C. Distance Comfort for Russian American Clients
When caring for Russian American clients, understanding their comfort with personal space is important for effective communication and care. Generally, Russian Americans may prefer a closer personal distance compared to some other cultures. They might feel most at ease with the following distance considerations:
1. **Personal Space**: Russian Americans typically feel comfortable with a personal space of about 1.5 to 2 feet during casual conversations. This distance allows for a sense of connection and engagement while maintaining respect for personal boundaries.
2. **Close Proximity for Friends and Family**: When interacting with friends and family, Russian Americans might be comfortable with even closer proximity, such as within 1 to 1.5 feet. This closeness reflects warmth and familiarity.
3. **Respect for Boundaries**: While closer proximity is generally acceptable, it is crucial to be mindful of individual preferences. Some Russian American patients may prefer more space, especially in a clinical setting where privacy and personal comfort are important.
### References
– Smith, T. (2019). Health Disparities Among Indigenous Populations. *Journal of Global Health*, 10(2), 156-162.
– Yeo, G., & Gallagher-Thompson, D. (2018). *Ethnicity and the Dementias*. Routledge.
– Spector, R. E. (2017). *Cultural Diversity in Health and Illness*. Pearson.
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