An empathetic, blameless, problem solving approach, especially in counseling situations, would work better than a direct and blunt approach, as the Japanese, in general, are indirect. Health promotion would not be a difficult topic to discuss with Japanese American elders, especially, immunizations and maintaining healthy habits of diet and exercise. Cancer screening, however, can be controversial. Some feel as though they are looking for something bad. Other health risks, for example hypertension, needs to be elaborated on and how the diet effects hypertension. Some of the high salt dietary items may not be understood as being very salty, such as soy sauce, preserved meat and fish, and pickled vegetables. In discussing dietary issues, such as calcium intake for prevention of osteoporosis, it should be noted that the prevalence of lactose intolerance is
An empathetic, blameless, problem solving approach, especially in counseling situations, would work better than a direct and blunt approach, as the Japanese, in general, are indirect. Health promotion would not be a difficult topic to discuss with Japanese American elders, especially, immunizations and maintaining healthy habits of diet and exercise. Cancer screening, however, can be controversial. Some feel as though they are looking for something bad. Other health risks, for example hypertension, needs to be elaborated on and how the diet effects hypertension. Some of the high salt dietary items may not be understood as being very salty, such as soy sauce, preserved meat and fish, and pickled vegetables. In discussing dietary issues, such as calcium intake for prevention of osteoporosis, it should be noted that the prevalence of lactose intolerance is