A 62-year-old First Nations woman living on-reserve has long-standing type 2 diabetes and obesity. She reports limited access to traditional foods and...

Question

A 62-year-old First Nations woman living on-reserve has long-standing type 2 diabetes and obesity. She reports limited access to traditional foods and safe spaces for physical activity. You note suboptimal glycaemic and blood pressure control. From a CanMEDS and Indigenous health perspective, which of the following actions best reflects the Health Advocate and Communicator roles in this context?

Accepted Answer

Explore barriers related to colonialism and local food insecurity, collaborate with community resources to support culturally safe diabetes care, and involve her in shared goal-setting

Answer

Increase her insulin dose without further discussion and review in six months

Answer

Advise her to follow standard diet and exercise leaflets and discourage discussion of traditional practices

Answer

Refer her to an urban specialist clinic without involving local health workers

Answer

Focus solely on prescribing additional medications and avoid discussing social factors to save time

ca-mccqe1 MCQ (SBA): Type 2 diabetes in Indigenous patient - cultural safety and advocacy