Evaluation For Medical Treatment For Transgender People

When working with individuals with physical disabilities the TTM model can vary according to how the individual’s culture recognized their disability (Boston, 2015). Gender roles can also affect the process of change (Boston, 2015). The helper needs to empathize with the disabled person to understand how they feel about their disability and the cultural belief system of the client, in an effort to assist the client (Boston, 2015). When a counselor is working with a transgendered person, the helper needs to adjust the model to include the client’s level of social acceptance (Carroll, 2002). The social situation with a transgendered client may not be one of tolerance, therefore the helper needs to be aware of this and balance between the clients needs and the social environment the client occupies (Carroll, 2002). Finally, when working with clients from various populations, the experience should be unique and the therapist should work to help the client feel accepted and understood, the various models can be modified or adjusted to better fit the

Scholars have been critical of the medical establishment’s and state’s involvement in constructing and policing of transgender identity. These kinds of pressing issues have occupied the small existing literature. There is not much information and studying what is being done on transgender in traditional areas, family studies research, such as their dating behavior and formation of intimate relationships in adulthood. There is little research on the issues around being parents, their children’s experiences with having transgendered parents, as well as relationships in the family as a whole, and relationships in work and school.

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

Topics concerning transgender can be very overwhelming for some. When one thinks of the term transgender, one may think of the process of an individual identifying as the opposite sex. The opposite sex of what he or she was born as. For some, this may involve undergoing surgical procedures or taken hormonal medications to fulfill their desire. However, when thinking of this process, one automatically thinks of transgender adults. This is rarely a topic that one would assume would be racing through the minds of young children, but in fact it is. More children today than ever, are either speaking out about their identity concerns, or displaying it in their lives. In fact, according to Date Line NBC, “The handful of American doctors who specialize

The transgender population often have complicated medical needs and encounter numerous health disparities including discrimination, lack of access to quality health care and social stigma. Some health disparities include various chronic diseases, cancers, as well as mental health issues (Vanderbilt University, 2017). Transgender individuals are at increased risk of HIV infection with their rates being reported “over four times the national average of HIV infection, with higher rates among transgender people of color (Grant, Mottet, Tanis, 2011).” In addition, they usually do not have health insurance (Makadon, 2017) and have a lower probability of preventative cancer screenings in transgender men (AMSA, 2017).

With the establishment of these gender identity clinics, and the financial backing of philanthropist Reed Erickson, a transsexual man, the health care needs of transsexual people gained increased attention and support. Despite this new attention, the clinics used Benjamin’s model of “true” transsexuals. This differentiation between “true” transsexuals and other gender variants became a serious and highly important diagnostic decision as gender affirming surgeries were irreversible. This resulted in many transsexual individuals to be denied access to hormones and surgery. Specifically, transsexual men encountered difficulties, as transsexuality was primarily seen as a male-to-female only transition. In fact, during the late 1960s the United States leading UCLA Gender Identity Research Clinic debated whether trans men should be considered transsexuals. Many trans men themselves did not label themselves as transsexuals as they only knew about other transsexual women (Meyerowitz, 2002; Beemyn, 2014).

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.

Evidence-informed practice is a critical part of nursing care. To be able to have evidence-informed practice, nurses need to be able to conduct research to find the most up-to-date and relevant information related to patient- and family centered care. When caring for patients, it is paramount to recognize the importance of family and the role they play in care. When one comes out as transgender, it is something that is not only going to affect the said person, but also their friends and family. Family members are key support systems so when you are caring for one person, you are in turn caring for the family as well. This is known as patient- and family-centered care. As there has been an increase in literature pertaining to family-centered care, the question of interest is “What is the impact on a spouse when a partner is transgendered?” To find the answer to this clinical question, the database Medline was utilized. The keywords LGBTQ, transgender, family-centered, spouse, nurse, sexuality and health care were used and combined with Boolean operators. Through this research, knowledge can be gained on how to properly care for the spouse of a transgendered person. This paper will discuss the key impacts of having a transgender spouse, nursing approaches that we can integrate into our care, and resources available for the non-transgender spouse.

Of the study’s 25 participants, 20 were female-to-male. The authors determined the main problem for the participants was the struggle to find transgender-sensitive health care. The subjects described discrimination by healthcare systems, lack of knowledge and hostility by providers, and lack of health insurance to cover transgender-specific healthcare needs. Some of the FtM participants who had problems with pelvic pain, abnormal uterine bleeding, and a history of abnormal Pap tests kept their gender as female on their insurance so they could still get the care they needed. Using a national cross-sectional survey data set, Shires and Jaffee (2015) reported similar findings. Of the 1,711 FtM participants included in this study, 41.8 percent reported verbal harassment, physical assault, or denial of equal treatment in a doctor’s office or

When people want to be theirself, doesn 't everyone deserve that chance at that much freedom? According to the national LGBTQ Task Force transgender people are not that lucky when it comes to the demographics of social media. On CNN website there 's an article that discusses how transgender people are twice as likely to be unemployed and four times more likely to live in poverty compared with the general population and these disparities are much greater for transgender black and latina woman said Emanuela Grinberg writer for CNN.

There are three themes in this statement given, which include health management, patient safety and discharge planning. The main focus of the article involves care for HIV diagnosed transgender within the correction system (Phillips & Patsdaughter, 2010). Transgender experiences involve maintaining their health following their HIV diagnosis and continuing their physical transition process. Health management “policies that attempt to freeze gender transition at the stage reached before incarceration are inappropriate and out of step with medical standards, and therefore should be avoided” (Phillips & Patsdaughter, 2010, p. 184). This above statement supports maintaining the transitional process as a standard of care for transgender individuals.

Sexuality and gender identity issues have had a long history in the fields of mental health and public policy. There has been much debate surrounding the inclusion of issues related to gender and sexual identity in the Diagnostic and Statistical Manual since its initial stages of development (Drescher, 2010). Debates in this field of interest have been fragmented between several stakeholders (Ehrbar, 2010). This fragmentation has created complications in the process of developing United States policies that are inclusive of individuals with gender identities that do not match the gender to which they were assigned at birth. Specifically, policies surrounding gender reassignment surgeries have been difficult to develop and

Not all transgendered individuals desire a sex change. However, if a client wanted a sex change, a psychologist must verify if the change will have a positive effect on the patient’s psychological well-being. In an interview I had with a trans-gendered companion, she stated that she would not go for a sex change until the time was right. Her reason was that if she was to have the sex change now, she would endanger her friendships with many people. While this reasoning didn’t come from a psychologist, the resultant sex change must be beneficial to the client or else the operation is useless and will cause more detriment to the individual’s psyche. After medical treatment, hormone therapy is used to get rid of secondary sexual characteristics. In addition to hormone replacement therapy, clients may get surgery for breasts, genitals or other sexual characteristics; clients can also just use hormone therapy alone so that they can alter their bodies to appear more like their self-identified gender.

For many individuals in the LGBTQ+ community, finding healthcare professionals who understand their identities and are receptive to their needs can be difficult. Many in the community feel that they have difficulties finding a practice that will respect their identity and provide them with effective and reliable care. For those specifically in the transgender community, these difficulties can increase exponentially, as many doctors are not properly trained to address the specific health needs that transgender individuals can often require. By his senior year, recent Keene State College graduate Kennedy Redden had noticed that both the staff of his school’s health center and the nearby Planned Parenthood had a distinct lack of knowledge about the needs of transgender students. Because of this, Kennedy decided to write a Transgender Health Manual for the school to use in the general education of its healthcare professionals as his senior capstone piece in Community Health.

In addition, the individual may not have access to affordable health care coverage for a variety of reasons, including joblessness and poverty (Xavier, 2000; Xavier, Hitchcock, Hollinshead, Keisling, Lewis, Lombardi, & Williams, 2004). Furthermore, transgender clients may be concerned about outing themselves to a health care provider because of the stigma associated with being transidentified (Munson, 2008). The combination of prohibitive costs with high rates of unemployment results in a major institutional barrier to care for transgender populations.