Question

A 63-year-old woman with long-standing poorly controlled type 2 diabetes presents to clinic. She is of First Nations ancestry and lives in a remote community. She reports intermittent blurred vision and tingling in her feet but has not had retinal or foot examinations in several years because of limited access to services. Which action best addresses her increased risk while reflecting culturally safe care and the CanMEDS Communicator role?

Accepted Answer

Arrange tele-ophthalmology retinal screening and coordinate with local Indigenous health workers for foot care and diabetes education

Answer

Document the lack of screening and wait for ophthalmology to start an outreach clinic

Answer

Advise her to arrange her own travel to an urban eye clinic for assessment

Answer

Prescribe additional hypoglycaemic agents and defer screening until glycaemic control improves

Answer

Explain that complications are inevitable with diabetes and focus only on symptom control

Practice question