No Place For Sissies

Cultural competency aids in closing the “disparities gap” in health care. ("OMH," 2012, para. 2) In doing so, health professionals and their clients are better able to discuss concerns without cultural differences getting in the way of effective communication and problem solving. Being respectful of and sensitive to the client’s health beliefs, culture, values, and diverse needs can bring positive outcomes within treatment and patient care. After all, is it not the main job of the health care provider to ensure patient trust? Open forms of communication when dealing with client issues can only be provided if the patient is comfortable with his provider and believes his

Health disparities in the Lesbian, Gay, Bi-sexual and Transgender community that lack fair treatment. This population deals with many adversities due to their sexual orientation and gender identity. LGBT’s community consists of a diverse population of people who come from all walks of life ((Howard, 2016). Many LBGT’s will delay or not seek health care due to stigma and lack of fair treatment. In other words, they believe that they are discriminated against.

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

Relocating into a senior care facilities can be a frightening experience for the aging population. Getting familiar with new surroundings, new organization structure, and new people that can cause anxiety to rise. For a Lesbian, Gay, Bisexual, Transgender and Queer individual, this experience can be traumatic. The fear of harassment, hostility, and neglect by healthcare providers and caretakers can keep LGBTQ people from seeking care until their health begins to critically decline. LGBTQ cultural competency training is highly recommended for healthcare professionals and social service organizations. The greatest barrier that prevents quality health care for LGBTQ people is the lack of competence among the healthcare professionals.

In addition to the economic vulnerability of older adults, being a part of the LGBT community makes dealing with disparities connected to aging even more difficult because many LGBT elderly experience increased isolation due to a lifetime of stigma. Karen I. Fredriksen-Goldsen a Ph.D. professor and the director of Healthy Generations cited a study called Caring and Aging with Pride. In this study 2,560 demographically diverse LGBT older adults across the nation mention similar concerns related to Isolation, finding friend support, caregiving and health. Fredriksen-Goldsen mentions how LGBT older adults are

Delay of seeing a healthcare provider on the basis of fear increases the development of severe illnesses in older LGBT populations. It exacerbates healthcare costs, can put a strain on mental health, and overall decreases wellbeing (Fredriksen-Goldsen & Kim, 2014). Although there is not a calculated cost to be found within the older LGBT community, the delaying of necessary preventative tests, medical treatment, or mental health can worsen current symptoms. This can increase emergency room visits, an already expensive system, thus increasing healthcare costs (Meyer, 2011). In addition to declining physical wellbeing, these adults lack social support systems as they are “twice as likely to live alone, and more than four times as likely to have no children, as compared to heterosexual adults (Gendron et

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.

This decision has affected people’s behavior as individuals and public institutions such as family, young, elderly, disabled, LGTB and those with pre-existing conditions. For example, Kates & Ranji (2014) report that health care access and coverage for the lesbian, gay, bisexual, and transgender (LGTB) community in the U.S. face opportunities and challenges when getting access to care. The authors report that LGBT individuals experience some discrimination because of their sexual orientation or gender identity, due to ongoing discrimination, access to health care have been limited to these people (Kaiser Family Foundation, 2014). LGBT individuals not only face discrimination when trying to receive care, but also face difficulties that limit them such as “barriers in obtaining insurance coverage, gaps in coverage, cost-related hurdles, and poor treatment by health care providers” (Kates & Ranji, 2014).

Health care providers should remain aware of the importance of personal dignity in the health care industry. This is especially true when caring for individuals with cultural differences.

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.

In my counseling the older adult class we discussed in great detail the different types of culture, ethnicity, sexual orientation, etc. and how it affects the way we as health care providers of helpers should approach a person. I’ve learned in my ongoing time here at CMC that there are all kinds of diversity within the healthcare field, amongst the doctors, case managers, nurse practitioners, registered nurses and others caregivers. There is also a lot of diversity within the patients’ in the hospital. Some patients’ come from within the community and some may just be visiting or coming from surrounding communities. Along with the difference in community and backgrounds that the patients’ come from they also vary by illness or healthcare need. At first it is hard to realize the difference among those that come

Learning about a culture can be time-consuming as there is so much information to assimilate and often, a short time to gain the knowledge needed to support a client. And the learning does not stop within a race, or ethnicity, it also extends to disabled, lesbian, gay, transgender, or bisexual individuals within society. Each sector has their own values and beliefs that deserve to be respected, and by fostering that respect, knowledge can easily be gained through communication within the groups. However, “effective care is impossible without a working knowledge and understanding of a person’s or group’s culture and background”, (2. NASW, 2015) which can lead to misplacements or act as a deterrent between the individual and

Recognizing that ethnic identity is only one facet of diversity. My clinical practices involve serving many individuals who have diverse personal and cultural identities. During case conceptualization I routinely ask clients to describe their own values and perspectives to add to my understanding while increasing their comfort. As I serve an increasingly diverse population, keen observation and feedback from clients will continue to illuminate pathways to expanding my awareness and understanding. I see no end to my professional journey to provide culturally responsive

Sexual and social stigmas largely affect the health of the lesbian, gay, bisexual and transgender (LGBT) population. While many reports from the Institute of Medicine, Healthy People 2020 and the Agency for Healthcare Research and Quality recognize a need to improve the quality of health care, barriers still remain. LGBT patients face legal discrimination, especially with insurance, a lack of social programs, and limited access to providers competent in LGBT health care. Although the Affordable Care Act increased access to care for LGBT patients, unless these patients feel understood by providers and develop trust in the system, they are not likely to utilize care. Healthcare providers need to recognize how these vulnerabilities, as well as persistent racism and stigma linked to sexual orientation and gender identity, make the healthcare needs of LGBT patients more challenging than the general population. Healthcare providers also need to promote cultural competence within this population and broaden their clinical lens to include health promotion, in addition to addressing concerns mentioned above within the population. Additionally, medical and nursing schools need to ensure that future providers are adequately educated by including information about this population in the curriculum.

There are many minorities in the United States of America making it one of the largest melting pots in the world. Unfortunately, due to the vast variety of people, there are many minorities that lack the proper access to healthcare resources that cater to their healthcare needs both mentally and physically. The Lesbian, Gay, Bisexual, and Transgender community, also known as the LGBT community, face many hurdles when it comes to receiving the proper healthcare. They also encompass many different races, religions, ethnicities and social classes. According to a recent national and state-level population-based surveys, “8 million adults in the US are lesbian, gay, or bisexual, comprising 3.5% of the adult population” (Gates, 2011). Lesbian, gay, bisexual, and transgender people face many challenges and barriers accessing the proper health services. Many of the challenges the Lesbian, Gay, Bisexual, and Transgender community faces stems from