Russian Nurse Heritage

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.