Question

A 55-year-old First Nations man living in a rural community has type 2 diabetes with an HbA1c of 9.2% and peripheral neuropathy. He has never had a foot examination and often walks in socks at home. He reports transportation barriers to clinic visits. As his family physician, which action best reflects the CanMEDS Health Advocate role and aligns with Indigenous health recommendations?

Accepted Answer

Organise regular, community-based foot care clinics with outreach and involve local Indigenous health workers

Answer

Simply remind him at each visit to "take better care of his feet" without changing service delivery

Answer

Discharge him from the practice due to repeated missed appointments

Answer

Document that non-attendance is his responsibility and make no further attempts to adapt care

Answer

Tell him that serious complications are inevitable and focus solely on prescribing more medication

Practice question