Question

A 60-year-old First Nations woman living on-reserve presents to a rural clinic for a blood pressure check. She has long-standing hypertension and type 2 diabetes but has struggled to attend appointments due to caring responsibilities and transportation barriers. Blood pressure today is 168/96 mm Hg. Which physician action best reflects the CanMEDS Health Advocate role while also addressing known cardiovascular inequities in Indigenous populations?

Accepted Answer

Arrange a case conference with community health workers to improve access to home blood pressure monitoring and culturally safe follow-up

Answer

Increase her antihypertensive dose and schedule routine follow-up in six months

Answer

Provide written information only and ask her to organise her own transport

Answer

Discharge her from the practice if she misses another appointment

Answer

Tell her that poor control is mainly due to non-adherence and that she must attend more regularly

Practice question