Communication:
Primary
language is Russian. Greetings should be formal. Direct eye contact and
touching are acceptable, independent of age and gender. Until trust is
established, Pts may be standoffish toward health-care workers.
Health-care Practices:
News of a
critical or terminal illness is believed to make the condition worse. Cupping
is a form of suction cup–like therapy used to treat a multitude of respiratory
illnesses.
It produces bruising on the back, which may be misinterpreted as a sign of
abuse. Many have an elevated fear of contracting HIV/AIDS from blood donation
and transfusion.
Diet and Nutrition:
Bread is
a staple in every meal. Diets are high in fat and sodium. Pts generally do not
prefer cold drinks.
Pain Management:
More
stoic by Western standards and are not likely to ask for pain medication.
Health-care workers may need to encourage pain medication and explain that it
will enhance healing.
Death and Dying:
Expression
of grief is variable. Families prefer to be told of impending death before
telling the patient. It is appropriate to discuss do-not-resuscitate (DNR)
orders with the family and Pt. Most prefer hospice care.
Taboos and Disrespect:
No
significant cultural taboos noted.
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