The best way to be sure that you are aware of possible cultural barriers is to

talk to the patient
observe the patient
avoid eye contact
be educated on cultural diversity

Well, l think that some effective communication is, emotional barriers and lack of attention, interest distraction or irrelevance. also some physical disabilities such as hearing problems or speech difficulties.      l hope i am correct  and you good luck.

Its simple its a because they are more fat

What do you mean exactly

Starvation is bad because it makes your body unhealthy. if you don’t have a healthy diet you can age faster or even die before you’re 30.