Question

A 52-year-old First Nations man with poorly controlled type 2 diabetes and peripheral neuropathy presents to a nursing station in a remote community with a plantar foot ulcer. He reports difficulty attending urban specialist appointments due to travel costs. Which management strategy best reflects the CanMEDS Health Advocate role and addresses Indigenous health inequities?

Accepted Answer

Work with community health workers to arrange regular local wound care, offloading, and telemedicine consultation with a multidisciplinary diabetic foot team

Answer

Advise him the ulcer is his responsibility and provide only basic dressing supplies

Answer

Refer him to the nearest urban wound clinic without addressing transport barriers

Answer

Prescribe antibiotics only and schedule review in three months

Answer

Discharge with reassurance because many people with diabetes develop ulcers

Practice question