A 55-year-old Cree man with a history of poorly controlled diabetes and peripheral vascular disease presents with a plantar foot ulcer. He has struggl...

Question

A 55-year-old Cree man with a history of poorly controlled diabetes and peripheral vascular disease presents with a plantar foot ulcer. He has struggled to attend previous appointments due to residential school trauma and mistrust of health services. Which approach best aligns with culturally safe, team-based chronic disease management?

Accepted Answer

Partner with Indigenous health navigators and community nurses to coordinate foot care, diabetes management and culturally safe follow-up close to his home

Answer

Focus only on wound debridement and ignore his concerns about past trauma

Answer

Insist he attend a specialised urban clinic regardless of his preferences

Answer

Document "non-compliance" and discharge him from the clinic

Answer

Avoid discussing his cultural background to "treat everyone the same"

ca-mccqe1 MCQ (SBA): Diabetic foot ulcer in Indigenous patient - cultural safety