Gender Transition : Male And Diverse Population Of Patients

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).

Before discussing any of the above topics it is important to understand the following vocabulary, since they will be used throughout the paper and misunderstanding of such terms can originate confusion or inadequate conclusions and ideas towards the material discussed in this paper. The term definitions for this paper are obtained from Susan Stryker 's book, Transgender History (Stryker, 2008). The reason

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.

Different people have different ideas about what the term transgender means. Most describe a transgender person as someone who feels strongly that their gender is not the same as the sex they were assigned at birth. Transgender people feel and express their gender in many different

Kidd and Witten define the term transgender vaguely, stating it “describe[s] people who transcend the conventional boundaries of gender, irrespective of physical status or sexual orientation” (Kidd & Witten, 2007, p. 36). This term is a reference for the ‘other gender’ that is not particularly male or female. Currently, within the American society, there is a growing awareness of individuals who are transgender. Much of this awareness comes from LGBT movements and

Training classes will help nurses to understand the definitions and terms, being empathic to transgender individuals in prison, and provide gender-affirming healthcare services (Wahowiak, 2016). It is also important to note what led them to become incarcerated so that as a nurse you can help prevent them from being incarcerated again. Treating transgender individuals with “fairness, dignity, and respect” is extremely important because that is how you develop a nurse-patient relationship (NCCHC, 2015). Patient safety will also have an impact on the profession of nursing as our mission is to protect, heal, and advocate for our patients regardless of their gender identity. Transgender inmates are at risk for violence and sexual assault or harassment. As nurses, it is our duty to ensure that while they are incarcerated they are being treated equally, receiving the same healthcare treatment as others and that we report any incidents. Housing should also be addressed so that they can be housed based on their gender-identity instead of their genitalia. Previously mentioned, transgender individuals are denied their medication because the healthcare system is indifferent to their needs and views it as unimportant compared to the rest. In spite of this, what they fail to see is that if they keep denying them their medications and sex reassignment surgery, they become more liable because it will lead to self-castration or mutilation. As a result, they become responsible for what happens in prison and if they become ill from catching an infection due to self-castration the health professionals become questionable. Questionable in the sense of, if it could have been prevented and where did the staff fail in providing

Media coverage of transgender people and their medical transitions appeared as early as 1952. Sweeping headlines across the country, including in The New York Times, Christine Jorgensen became a household name because she was the first American to ever to have a sex change. Former Army Private Jorgensen was featured in the December 2nd, 1952 article “Bronx ‘Boy’ Is Now a Girl”. For her sex changed she had to travel to Denmark. Although people had begun to speak publically about transgender people and it was a known mental and medical condition, it wasn’t until 1966 when Doctor Henry Benjamin published The Transsexual Phenomenon, that doctors in the United States had a guide to follow in terms of treating transgender

The lack of education in medical schools regarding transgender-related care results is a shortage of provider willing to perform transition-related care. Therefore, there is simply a lack of providers able to treat transgender people, making it difficult for transgender people to receive care. Transgender people report having to drive countless hours in order to reach providers for hormone treatment or report having to leave the country in order to receive genital reconstruction surgery (Puckett 7). Unsurprisingly, 29-63% of male-to-female transgender persons in urban groups report unsupervised hormone use (Roberts 984). This is a serious point of concern considering hormone treatment has dangerous side effects including

The lesbian, gay, bisexual, and transgender (LGBT) community is a marginalized and vulnerable population. According to Cornelius and Carrick (2015) the population identifying as lesbian, gay, bisexual and transgendered ranges from three to ten percent. As one is forming a research question, the “so what” factor is considered; while ten percent can seem to be an insignificant amount to some, this population deserves quality and unbiased healthcare. Human dignity and flourishing should not be based on one’s sexual identity or gender. The question to be answered is: in registered nurses does an online educational offering on LGBT health care affect nurses’ knowledge or attitudes in caring for the LGBT population?

With that said, transgender identity would bother me and to answer the question of how could I best advocate for my patient. I would, as a charge nurse, bring the whole team/unit together and bring forth the unfortunate event that the patient and her friends have over heard silly conversations outside their room. I would as a charge nurse explain to each staff member that it doesn’t matter what gender is in our hospital and I would personally ask our staff why they are disregarding and being subjective to ones gender. From this opportunity to hear from my staff then I can advocate for my patient with my staff and patient by again reinstating that it is very inappropriate to subject ones gender to cares. I would educate my staff that is only appropriate to treat each patient

Transgender. A couple things probably come into mind when the word is spoken or read. “Abnormal”, “Confused”; even words more powerful and negative like “Deranged”. Maybe, hopefully, something more positive will come to mind when the topic is brought up; words like “Strong”, “Brave”, and “Powerful”. Unfortunately, most people will think of the first string of words when the topic of transgender is at hand. Transgender is a term used for “people whose gender identity, expression or behavior is different from those typically associated with their assigned sex at birth” (transequality.org). In 2011, only .3% of Americans identified as transgender. Recently, with the outing of Caitlyn Jenner (formally known as Bruce Jenner), it is safe to assume those rates have since been heightened; at least a little

While the transgender community has made significant progress from where they began, there is still an enormous amount of work needed to be done. Transgender people still face basic discrimination and although laws prevent against the harassment of trans individuals, it is impossible to sway the opinions of some narrow minded individuals. While former President Barack Obama began to make progress in the transgender community, the election of President Trump has threatened the rights of transgender individuals throughout the United Sates.

The term transgender includes any individual who identifies or expresses their gender identity with a different gender then the one they were assigned at birth. Two generally used terms are male to female (MTF) and female to male (FTM). These terms indicate a transition from the first gender to the second gender (Figure 1.1). The concept of social gender and psychological gender are also important factors that impact an individuals gender identity. Social gender refers the presentation of ones identity within a public setting (i.e. clothing, speech, etc.) and psychological gender refers to how one actually identifies with a specific gender (i.e. male or female) (Lombardi, 2001). For the purpose of this paper the focus will be on transgender women (MTF) unless otherwise stated.