Question

A 45-year-old First Nations man living in a remote community presents with poorly controlled type 2 diabetes (HbA1c 10.2%). He reports difficulty affording healthy food and inconsistent access to medications due to transportation barriers from his reserve to the nearest town. Which action best reflects your CanMEDS Health Advocate and Collaborator roles in this context?

Accepted Answer

Work with him to connect to local Indigenous health workers and community programs that can improve food security and medication access, while adjusting his regimen

Answer

Increase his insulin dose and emphasise that he must "take more responsibility" for his condition

Answer

Discharge him from your practice if his control does not improve over the next 3 months

Answer

Tell him to relocate closer to an urban centre where health services are better resourced

Answer

Arrange more frequent clinic visits without addressing his social and financial barriers

Practice question