What are some cultural considerations regarding interaction with a surgical patient?

1) Use the patients language to help relieve anxiety 2) Some Asian, Native American and Middle Eastern cultures consider eye contact disrespectful 3)Chinese Americans may not ask for pain medication and may need further teaching on keeping ahead of pain and its importance in promoting healing 4)Native Americans often appear stoic when ill. Avoid undertreatment of pain 5) Some Arab Americans believe verbal consent is more meaningful than written consent. Education on the importance of written consent may be necessary 6) Some Vietnamese patients feel more comfortable with having an interpreter. Be considerate regarding sensitivity of information conveyed through an interpreter. Men are the decision makers so speaking to the male head of the family may be necessary