Question

A 35-year-old Inuit woman from a remote community presents with chronic cough, weight loss and night sweats. CXR shows apical cavitary lesions. You suspect pulmonary tuberculosis. She expresses fear due to family experiences with TB sanatoria. Which approach best reflects culturally safe TB care?

Accepted Answer

Engage in respectful dialogue acknowledging historical harms, involve local Indigenous health workers or Elders if she wishes, and arrange prompt TB workup and treatment

Answer

Focus solely on biomedical treatment and avoid discussing historical trauma

Answer

Tell her TB is no longer an issue in Indigenous communities

Answer

Refuse to treat her unless she relocates to an urban centre

Answer

Document non-adherence risk and discharge her

Practice question

A 35-year-old Inuit woman from a remote community presents with chronic cough, weight loss and night sweats. CXR shows apical cavitary lesions. You suspect pulmonary tuberculosis. She expresses fear due to family experiences with TB sanatoria. Which approach best reflects culturally safe TB care?