Question

A 60-year-old First Nations man with long-standing poorly controlled diabetes, obesity and hypertension lives in a remote northern community with limited local resources. He has recurrent ED presentations for hyperglycaemia. Which intervention best reflects an effective, culturally safe chronic disease management strategy?

Accepted Answer

Arrange collaborative case management with community nurses, telehealth endocrinology support and local Indigenous health workers to develop an ongoing diabetes care plan

Answer

Provide brief advice at each ED visit and discharge without follow-up

Answer

Insist he relocate to an urban centre to receive adequate care

Answer

Focus solely on adjusting insulin doses without addressing social supports

Answer

Blame lack of adherence and document he is 'difficult'

Practice question