Clinical Experience Analysis

Perhaps the most significant contributing cause of the poor quality of healthcare afforded to transgender patients is the fact that the majority of healthcare providers do not know how to treat trans patients. According to a study done by the Royal College of Nursing, it was discovered that “78% [of surveyed nursing staff] had not had training on how to care for transgender people, and only 13% of those surveyed said they had felt prepared to meet the needs of trans patients they had cared for” (Duffy, 2016). Additionally, around four out of five staff had “no training

Lesbian, Gay, Bisexual, and Transgender (LGBT) falls within societal minority groups such as low income, people of color, and disables (AHRQ, 2011). Due to their gender identity, discrimination, violence, and even denial of human rights and healthcare services is a common challenge among LGBT population. LGBT still faces many health disparities primarily related to the historic bias of healthcare professionals anti-LGBT manners even though society acceptance has been favorable. According to Ard and Makadon (n.d), “until 1973, homosexuality was listed as a disorder…, and transgender still is.” This stigma prevents healthcare professionals to openly ask questions in a non-judgmental manner related to sexual identity. On the other hand, if the patient senses that the healthcare environment is discriminating they may be reluctant to disclose important information as their sexual orientation; thus, missing important opportunities of been educated about safety and health care risks.

Sara's confidence in my abilities as a social worker sparked self-belief. With supervision, I designed a presentation on diversity with an emphasis on transgender populations. At the weekly staff meeting, I facilitated a group discussion to avoid attacking John. The presentation was successful, mitigating many staff members' confusion with transgender populations, including John's. The presentation proved helpful for discussion and improved the staff's understanding of

Individuals who identify themselves as lesbian, gay, bisexual, and transgender experience obstacles within the healthcare system. LGBT individuals who encountered negative experiences in the past such as homophobia and stigmatization from others result decrease access to care and unwillingness to disclose their sexual or gender identity. Khalili, Leung, and Diamant (2015) stated in 2007, physicians’ survey results indicated that they were often and sometimes uncomfortable in providing services to LGBT patients. The presence of discrimination behavior means that there is a lack of LGBT-competency within the healthcare system. To decrease discrimination within the healthcare system, it is important for physicians to be competent in order to provide high quality care for LGBT individuals. LGBT-competency training will increase awareness, healthcare knowledge, and will improve communication skills. In addition, LGBT- competency training will also improve physician-patient interactions and will improve patients’ outcome and

A professional who has a strong bias consisting of disgust and rejection related to gender dysphoria would be deemed incompetent to work with transgender clients (Kaplan, Francis, Hermann, Baca, Goodnough, Hodges, Spurgeon, Wade, 2017.) According to Mizock and Lundquist (2016), these types of professionals address transgender clients

I should have started my interaction with him by establishing a better relationship. Otherwise, I would not have changed anything about the conversation we had, and I got to learn more about what it is really like to be transgender and not have any support. In addition, one theory that I believe could apply to my interaction with my patient is Peplau theory of interpersonal relations. According to Peplaus theory, during the orientation phase the nurse establish relationship with the patient (Affiliation,1997) During my interaction, I started the conversation by introducing myself and starting off with basic questions to get to know my patient. The next stage is the Working phase, during this phase the nurse and patient may start to discuss more personal questions (Affiliation, 1997). After the introduction phase, I slowly moved into more personal questions, about his life and why he was on the unit. During the last stage called termination, it is a “time for summarizing and for providing closure of the work accomplished by the dyad” (Affiliation, 1997,

I have been fortunate to have had an array of clinical and training experience with diverse populations, and plan to continue to build on my experience during internship. At Alliant International University, diversity clinical training is important and embedded in my curriculum. It is essential to remain sensitive to multicultural issues especially because of the different populations we help. Being part of the minority culture that has experience a lifetime of different shortcomings and oppression, it made me more conscious and sympathetic to others problems. My life experiences and clinical training has helped me to build upon my multicultural competence in my career. One experience stands out. During my senior year in high school while applying

The next day of clinical started bright and early. Although yesterday eased the tension, today would be the first full day of clinical. I have looked forward to seeing some of the familiar faces from yesterday. But I quickly realized that the residents who we went to creative expressions with were not the same ones that were in our unit. However I did find a nice gentleman to talk to. He was very eager to communicate with me. I was quite intrigued at his ability to engage in a conversation with organized thoughts. Besides the environment, I would have never guessed he had any mental illness.

Although awareness surrounding specialized healthcare for lesbian, gay, bisexual, and transgender patients has significantly increases since the AIDs epidemic that began in the mid-to-late 70s, it is still not where it needs to be. This is apparent from the fact that LGBT youth have a higher risk of attempting suicide, lesbians are at higher risk of developing cancers, especially breast cancer; and gay men and transgender individuals are at higher risk of HIV and other STDs (Lesbian, Gay, Bisexual, and Transgender Health). As a member of the LGBT+ community who is also an aspiring physician, I have a special interest and passion for this topic. Improving the way, the medical field approaches queer patient care is a problem that is best

There are three different formats of records used in doctor’s offices out there and all for different uses. Some are for private practices, multiple physicians as in clinics and hospital, and some personally managed by the patient. I will explain how each works and how they benefit each you in their own way.

Integrating Knowledge into Clinical Settings: Knowledge is power. It is essential as clinicians to stay open minded and be willing to expand our knowledge that many times will be challenge by our clients, especially when they are very different from us such as in race, religion, gender, sex orientation, etc. Therefore, it is very important to stay humble and to be aware that we do not know it all and we cannot do it all. Then, we will be able to create a welcoming and safe environment, where we can provide an efficient therapy for anyone who seek our help. In this case, staying updated with current information about the different and most significant issues in the transgender community and being aware of the proper etiquette to interact with

A recent experience I had in my life from the initiation through the completion of the learning is when I transferred from Chamberlain College of Nursing to Northeastern Illinois University to major in Human Resource Development. From looking at Kolb’s learning cycle I have gone through concrete experience, reflective observation, abstract conceptualization, and active experimentation.

A news of the South China Morning Post reported that a transgender patient-Angle felt insulted by a nurse because the nurse called her “Mr.” when she dressed as a woman in a hospital. The honorific is important to transgender because using a suitable honorific can show respect to them. The problem of the relationship between the nurse and Angle is poor communication. Establishing the basics can improve this problem in concrete ways which is conversation and observation.

Working for the Human Rights Campaign and promoting the Equality Bill in Congress, I realized the widening disparities and inequities faced by my communities, especially by my trans brothers and sisters, in a health care setting. Despite some progressive moves in the right direction, we constantly face prejudice and ignorance regarding our unique medical needs, sexual health in particular. The amount of times I have to bluntly ask my personal physician for specific tests is surprisingly high; I can only imagine the trans experience at an Emergency Room. There are two main causes for such neglect: on one hand there is a lack of representation of the LGBT community in the workforce; on the other hand, our own preferences for LGBT professionals limits the exposure to the broader medical

There are many ways on how to interview a patient but the main goal is to build a rapport with them in order for them to be open to you. First impression is the most important because when greeting the patient for the first time they need to feel welcome. Creating an environment where they feel safe and making sure to reaffirm that everything that will be discuss will be kept confidentially unless it is harm to oneself or others. When addressing her it is necessary to be polite. For this reason, it is critical to ask what would be the name she prefer to be called and what would be the appropriate pronouns to utilize when referring to her. In the case of Lorella it’s important to underlie her strengths. For example, her attending the session and acknowledging she needs help. To ease her into a conversation an open sentence such as “What brings you here”. A following question would be “When was the last time you had a physical” this question is important because it’s crucial to rule out medical illness. Nearly ten times the rate in the US population, 1.4% are living with HIV nearly five times the rate in the US population (National Center for Transgender Equality, 2015). Lorella looks very scrawny so it’s necessary to make sure she is up to date with her physical. After the patients respond it would be necessary to apply the four principles during the clinical observation. Statistically, there is a 40% of transgenders attempt suicide in their lifetime