MediumIndigenous HealthCulturally safe chronic disease management in Indigenous patientca-mccqe1ca-ccfp
A 55-year-old First Nations man from a rural community presents to his family physician for blood pressure follow-up. He has type 2 diabetes, obesity, and hypertension. Current medications include Metformin and Ramipril. Office blood pressure today is 142/86 mm Hg, and home readings average 138/84 mm Hg. HbA1c is 8.2%. He expresses frustration about previous encounters where he felt judged about his lifestyle and says he mistrusts the health system due to his residential school experience. What is the most appropriate next step using a culturally safe, guideline-aligned approach?