Question

A 34-year-old First Nations woman with poorly controlled type 2 diabetes (HbA1c 9.2%) lives on-reserve in a rural community with limited transport. She has missed multiple specialist appointments due to distance and childcare responsibilities. Which action best reflects the Health Advocate and Communicator CanMEDS roles in providing culturally safe care?

Accepted Answer

Explore barriers with her, arrange virtual diabetes education and liaise with community health representatives to co-design a feasible care plan

Answer

Document non-adherence and discharge her from the practice

Answer

Insist that she attend urban specialist appointments without modification

Answer

Advise her that cultural factors are irrelevant to diabetes outcomes

Answer

Transfer her care entirely to the local nursing station and close your file

Practice question