A 32-year-old First Nations woman from a reserve community has pulmonary tuberculosis treated successfully 3 years ago. She reports previous distressi...

Question

A 32-year-old First Nations woman from a reserve community has pulmonary tuberculosis treated successfully 3 years ago. She reports previous distressing experiences of racism when accessing hospital care and is reluctant to attend clinic despite a new chronic cough and weight loss. As her family physician, which approach best reflects culturally safe, guideline-consistent care?

Accepted Answer

Arrange outreach assessment in her community, involve Indigenous health workers or Elders if she wishes, and explore her concerns collaboratively

Answer

Insist she attend hospital urgently and document non-compliance if she refuses

Answer

Discharge her from care if she misses two appointments because follow-up is her responsibility

Answer

Provide a prescription for broad-spectrum antibiotics without further evaluation to avoid confrontation

Answer

Refer her immediately to child protection services because of potential public health risk

ca-mccqe1 MCQ (SBA): Indigenous health and tuberculosis