Question

A 60‑year‑old Aboriginal woman with long‑standing poorly controlled type 2 diabetes and hypertension presents to a regional clinic with oedema and eGFR 28 mL/min/1.73 m². Urinary ACR is 120 mg/mmol. According to CARI guidelines for culturally safe kidney care, which of the following principles is most important in managing her chronic kidney disease?

Accepted Answer

Develop an individualised, culturally safe care plan in partnership with her, her family and Aboriginal health workers, including timely access to kidney replacement therapy options close to Country where possible

Answer

Focus solely on tight glycaemic control to slow progression

Answer

Centralise her care to a metropolitan tertiary centre as early as possible

Answer

Avoid discussions about dialysis to prevent distress

Answer

Cease ACE inhibitor because of reduced eGFR

Practice question