This reflective writing assignment explores the author's experience with an Aboriginal patient and the gap in health status. Using Gibbs' reflective cycle, the author analyzes a clinical placement incident where they initially failed to consider the social determinants of health contributing to the patient's smoking habit. The reflection covers the author's feelings, evaluation of the situation, and analysis of the social determinants impacting Aboriginal health, such as education, employment, and cultural factors. The assignment concludes with an action plan for future practice, emphasizing the importance of culturally competent care, health literacy, and addressing social determinants to provide equitable healthcare to Aboriginal patients. The author acknowledges mistakes and outlines steps for improved patient care in similar situations, aligning with registered nurse standards of practice and professional conduct.