This nursing case study focuses on a patient, Shakira, suffering from Rheumatic Heart Disease (RHD) and explores the impact of social determinants such as unemployment and social isolation on her healthcare access and outcomes. The study emphasizes the importance of cultural awareness and sensitivity in nursing care, particularly for Aboriginal populations, highlighting the need for understanding cultural beliefs and values. It discusses the Aboriginal and Torres Strait Islander Act 2005, the impact of colonization on Aboriginal health, and the role of community representatives in establishing effective communication. The case study also addresses language barriers and the significance of creating a culturally safe environment. It identifies indicators of culturally unsafe practices and emphasizes the importance of healthcare professionals acknowledging the indigenous culture and history. The document includes references to relevant research and legislation.