A 54-year-old First Nations man with poorly controlled type 2 diabetes and diabetic foot ulcers describes repeated experiences of racism when accessin...

Question

A 54-year-old First Nations man with poorly controlled type 2 diabetes and diabetic foot ulcers describes repeated experiences of racism when accessing care, including being assumed to be intoxicated when attending the emergency department. He is reluctant to seek help despite worsening infection. What is the most appropriate initial response that aligns with CanMEDS Health Advocate and Communicator roles?

Accepted Answer

Acknowledge his experience, apologise for the harm, explore barriers, and collaborate on a culturally safe care plan

Answer

Explain that he may be misinterpreting staff behaviour

Answer

Tell him racism is not acceptable but change of system is beyond your role

Answer

Focus only on his glycaemic control and avoid discussing racism

Answer

Advise him to seek care in another province where racism is less common

ca-mccqe1 MCQ (SBA): Cultural safety and systemic racism in care