quizlet assessment and management of patients who are lgbtqquizlet assessment and management of patients who are lgbtq

Designed for nurses interested in child and adolescent health and development, the course is free to NASN members and $20 for nonmembers. Study with Quizlet and memorize flashcards containing terms like 1. Are you seeing a healthcare provider for your pregnancy care? Version 7. The American Psychiatric Association (APA, 2000) Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) identifies two categories of sexual disorders: paraphilias and sexual dysfunctions. General Impression. Collecting SO/GI data is essential to providing high-quality, patient-centered care. Please rethink your profession! Or they might experience social or academic problems. In your work environment? D. Ability to communicate effectively. No clinically significant pharmacokinetic differences between males and females have been documented in this age range. NR368 Ch 54: Assessment + Management / Pt who are LGBTQ. A queer Asian gender-binary nonconforming parent, Angelique Geehan founded Interchange, a consulting group that offers anti-oppression support through materials and process assessments, staff training, and community building. Both the webinars and modules are eligible for higher education credit, with most counting for CNE or continuing medical education (CME) credits. A good comprehensive resource for learning about sexual health assessment and interviewing methods can be found in Sexual Medicine and Primary Care by William L. Maurice, M.D. A behavioral health evaluation may not be required before receiving hormonal and surgical treatment of gender dysphoria, but it can play an important role when making decisions about treatment options. Drawing on their firsthand industry expertise, our Integrity Network members serve as an additional step in our editing process, helping us confirm our content is accurate and up to date. (1019 according to WHO http://www.who.int/topics/adolescent_health/en/, 1121 according to American Academy of Pediatrics Bright Futures). Most programs are accredited and provide continuing nursing education (CNE) credits and contact hours that apply toward license renewal requirements. The Centers for Disease Control and Prevention (CDC) cannot attest to the accuracy of a non-federal website. Sex ratios of adults with GID (largely based on referrals to clinics) have fluctuated with more males than females in earlier studies to a more equal ratio in many recent reports. If you hear your coworkers misgendering patients or making transphobic comments, do not be afraid to speak up. 1. Self-awareness involves not only examining ones culture but also examining perceptions and assumptions about the clients culture. Developing this self-awareness can bring into view the caregivers biases or culturally-imposed beliefs. D) Air bubbles visible in the middle ear. It is important to include this in the clinical workflow. D. I only need access to your arm. Patient-Centered Care for Transgender Patients, Collecting Sexual Orientation and Gender Identity Information, HIV Testing, Prevention, and Care for Transgender People, Additional Resources for Health Care Providers, U.S. Department of Health & Human Services. In fact, nursing has consistently ranked as the most honest and ethical profession for the past two decades, according to Gallup polls. Oophorectomy - The surgical removal of the ovaries. The nurse knows that which of the following procedures will be involved? Sample Process for Collecting Data From Patients in Clinical Settings. What Does VEAL CHOP Stand For in Nursing? 2. Note that the gender identity questions have two parts: one on current gender identity and one on sex listed at birth. C. Orgasm Disorder. avoiding direct eye contact), or curious to a nutritionist (e.g. Sexual attraction to, or activity with, a prepubescent child. Navigating the unique cultural and religious needs of your patients can be unnerving. [2] Women are more likely to identify as LGBT than men (5.1 percent compared to 3.9 percent). The World Professional Association for Transgender Health provides the following criteria for hormonal and surgical treatment of gender dysphoria: Additional criteria apply to some surgical procedures. The term paraphilia is used to identify repetitive or preferred sexual fantasies or behaviors; types of paraphilias include the following: Sexual dysfunctions may occur in any phase of the sexual response cycle; types of sexual dysfunctions include the following: Gender identity and sexuality disorders are relatively rare compared to other psychiatric disorders. McGraw Hill; 2022. https://accessmedicine.mhmedical.com. Asking two questions offers a clearer, more clinically relevant representation of transgender patients. } Capacity to make a fully informed decision and consent to treatment. Core Patient Assessment Data/Information (Core Database) Sexual Health Assessment and Interviewing Methods When interviewing women patients, there are often topics that are considered "sensitive" and that are sometimes difficult for both patients and providers to have comfortable conversations. Other module options address more specific topics. List some examples of sexual reassignment surgery for trans men. Study sets, textbooks, questions. What might help one person might not help another. Mental health issues, especially depression, may present differently in adolescents as compared to adults and screening should be age specific. Once completed, nurses can request a certificate for a small fee. -life threatening and immediate. }); CDC twenty four seven. "I believe that there are many nurses and providers who want to do the right thing and provide affirming care, but don't have the support of their organization for training," says Kristie Overstreet, Ph.D., who works as a clinical sexologist, psychotherapist, and LGBTQIA+ healthcare expert. Accessed Nov. 8, 2021. Together, these questions replace Sex: male or female? on patient information forms and in EHRs. Overweight? A) Gender identity. Elsevier; 2020. https://www.clinicalkey.com. The client replies If you want I can go naked for you. The most therapeutic response by the nurse is: A. Available from: Deutsch M, Green J, Keatley J, et al. Still, transgender individuals people whose gender is different than the one assigned at birth and gender nonconforming (GNC) patients continue to face challenges and prejudice in healthcare settings. Ch 54: Assessment and Management of Patients Who Are LGBTQ Flashcards | Quizlet Ch 54: Assessment and Management of Patients Who Are LGBTQ 1. Nurses' HEALE, a program that equips nurses to care for the elder LGBTQ+ population, points out there is currently no mandate to address inequity in LGBTQ+ care within a nursing curriculum. Your health care provider might make a diagnosis of gender dysphoria based on: Gender dysphoria is different from simply not conforming to stereotypical gender role behavior. Do you feel that you are underweight? Accessed Nov. 3, 2021. }()); Everyday routines that the predominant culture takes for granted such as time orientation, eye contact, touch, decision-making, compliments, health-beliefs, health-care practices, personal space, modesty, and non-verbal communication can vary dramatically between cultures, sub-cultures, and religions. 4. Third-level priority. Use the terms your patient uses when referring to themselves and their partner(s). It is a pleasure derived from being humiliated and made to suffer. Absence of sexual fantasies and desire for sexual activity. Sign up. That means that you can trust us to have reliable, up-to-date information Create. Cultural and religious beliefs, and expectations. Accessed Nov. 8, 2021. Providers should also be aware of the cultural norms regarding youth/adult interactions. Are there other medicines/OTCs/natural products, etc. It is a sexual pleasure derived from inanimate objects. The nurse may encounter clients with concerns on sexuality. What sex was originally listed on your birth certificate? These courses cover a range of topics, including why sexuality education is a must for adolescents, using more inclusive language, and understanding how to manage specific conditions. Test. Its my opinion as a conservative, a nurse, and a Jew. The patient is hypotensive. Putting up your sleeve is fine.. Accessed Nov. 8, 2021. C. I will report you to the guard if you dont control yourself. However, this can feel challenging for nurses without a great deal of experience caring for this community, especially because they have not had adequate or appropriate educational resources. A patient is suspected of having rheumatoid arthritis and her diagnostic regimen includes aspiration of synovial fluid from the knee for a definitive diagnosis. The Highest Paying Jobs For Nurses With a BSN, Types of Masters in Nursing Degrees & Specialties, Pros & Cons of Getting a Master's Degree in Nursing, Nurse Practitioner vs Physician Assistant, Highest Paid Nurse Practitioner Specialties, How to Conduct a Nursing Head-to-Toe Assessment, How to Read an Electrocardiogram (EKG/ECG), Understanding and Interpreting the Glasgow Coma Scale, Complete List of Common Nursing Certifications. Keep some key terms and concepts in mind when working with members of the LGBTQ+ community. Treatment can help people who have gender dysphoria explore their gender identity and find the gender role that feels comfortable for them, easing distress. Health Assessment. Suggest changes to inaccurate or misleading information. It covers the history of the LGBTQ community and their interactions and experiences with healthcare. Sign up to receive the latest nursing news and exclusive offers. Click the card to flip Ans: D components of a health assessment. You know all nursing jobs arent created (or paid!) Please visit our nursing test bank page for more NCLEX practice questions. Some recommend integrating SO/GI questions with data that are checked regularly such as address and insurance changes, while others recommend updating these data every 6 months or once a year. The $18 course is accredited by the ANCC and approved by the California Board of Registered Nursing. Sexual Arousal Disorder. Medical treatment of gender dysphoria might include: Some people use hormone therapy to seek maximum feminization or masculinization. You wouldnt be the first that I will see naked. Kristie Overstreet, Ph.D., is a clinical sexologist, psychotherapist, LGBTQIA+ healthcare expert, host of the "Fix Yourself First" podcast, and author of "Fix Yourself First: 25 Tips to Stop Ruining Your Relationships." B. Are you up to date on your current vaccinations? Putting up your sleeve is fine., 5. How Do I Link My Patients to HIV Treatment and Care? All rights reserved. Another, much briefer, resource is the CDCs Guide to Taking a Sexual History(PDF). professionals to write our content whenever possible. It also offers general practice guidelines for all providers in caring for LGBTQ patients. Check out our list of the top non-bedside nursing careers. Study with Quizlet and memorize flashcards containing terms like A patient assessment reveals distended neck veins, pulsus paradoxus, and decreased systolic pressure. Accredited by the California Board of Registered Nursing, these educational programs are offered through the conference typically held in September. She mentions to the nurse that she has noticed dimpling of the right breast that has occurred in a few months. All Integrity Network members are paid members of the Red Ventures Education Integrity Network. allowing a family member to speak for and dictate all medical care and decisions for an aging parent), or disrespectful/suspicious to a Caucasian (e.g. Client will demonstrate behaviors that are appropriate and culturally acceptable for assigned gender. Only 13% of cisgender adults encountered these barriers. A higher risk of cancer exists. LGBT identification is lower as age increases; 8.2 percent of Millennials (born between 1980 and 1999) identify as LGBT, compared to 3.5 percent of Generation X individuals (born between 1965 and 1979). Study with Quizlet and memorize flashcards containing terms like State the purpose and philosophy of quality management in health care., Apply the quality improvement process, Describe commonly used terms and methods for assessing and improving the quality of patient care and more. Collecting SO/GI data is essential to providing high-quality, patient-centered care for transgender people. The health of lesbian, gay, bisexual, and transgender (LGBT) people: building a foundation for better understanding. Answer: C. Comfort with ones sexuality. A queer, Asian, gender binary-nonconforming parent, Geehan works to support and repair the connections people have with themselves and their families, communit Credit: dusanpetkovic / iStock / Getty Images Plus, significant stigmatization and discrimination, National LGBTQIA+ Health Education Center, Do Not Sell or Share My Personal Information. Failing to treat these concerns can make it more difficult to explore your gender identity and ease gender dysphoria. 3 A nurse is providing health teaching to a middle-aged male-to-female (MtF) client who has undergone gender reassignment surgery. 2021; doi:10.2471/BLT.19.249086. Age, Sex, Race. She organizes as a part of National Perinatal Association's Health Equity Workgroup, the Health and Healing Justice Committee of the National Queer and Trans Asian and Pacific Islander Alliance, the Houston Community Accountability and Transformative Justice Collective, the Taking Care Study Group, QTPOC+ Family Circle, and Batal Houston. Top Cheap and Fast Online RN to BSN Programs, Affordable Online Nurse Practitioner Programs, Top Direct-Entry Nurse Practitioner Programs, Top Psychiatric Nurse Practitioner Programs, Top Pediatric Nurse Practitioner Programs, Top Acute Care Nurse Practitioner Programs, Top Online Family Nurse Practitioner Programs, Top RN to Psychiatric Nurse Practitioner Programs, Top Womens Health Nurse Practitioner Programs, How to Get an Associate Degree in Nursing. B) Introduce herself in a firm, loud voice at the doorway of the room. Social support from family, friends and peers can be a protective factor against developing depression, suicidal thoughts, suicide attempts, anxiety or high-risk behaviors. Leading experts in LGBT health, such as the organizations whose recommendations are discussed above, recommend the following questions. Deutsch M, Buchholz D. Electronic health records and transgender patientspractical recommendations for the collection of gender identity data. Transgender people are more likely to be uninsured than cisgender patients, those who are gendered correctly at birth or those who are not transgender. Nurses receive two contact hours when they complete this training focused on providing respectful and quality healthcare to patients who identify as LGBTQ+, including intersex and asexual individuals. To learn about more terms, visit this resource from the Human Rights Campaign. Offered by the National Association of Student Nurses (NASN), this program was originally a presentation at the NASN 2019 Conference. If these details are directly relevant to a patient's care, ask in a careful and sensitive manner. Geehan works to support and repair the connections people have to themselves and their families, communities, and cultural practices. The trend in health care is to allow for more liberty in patient choices and involvement, as well as the ability to carry out their normal practices as much as possible. She is the creator of The Transgender Dignity Model, which provides LGBTQIA+ training for healthcare professionals. Log in. You can also make transgender and GNC patients feel more comfortable by introducing yourself with your own pronouns. These are the best nursing shoes as rated by nurses. Geehan is a paid member of our Healthcare Review Partner Network. Credit is awarded for an assessment score of 80% or higher. Sexual Desire Disorder. Drawing on their firsthand industry expertise, our Integrity Network members serve as an additional step in our editing process, helping us confirm our content is accurate and up to date. Which word is used to describe how people experience and express themselves sexually? Client and partner will express satisfaction with sexual relationship. GLMA's free, four-part online webinar series, Quality Healthcare for Lesbian, Gay, Bisexual & Transgender People, is not offered for CNE/CME credit. The course also discusses how the current approaches to sexual education exclude LGBTQ+ and other marginalized groups, putting them at risk for poor health outcomes. A wide range of healthcare providers, including nurses, physical and occupational therapists, social workers, and pharmacists, would find the course beneficial. Study with Quizlet and memorize flashcards containing terms like The LGBTQ community faces _____ and _____ based off discrimination, which is an emerging national concern., Institute of Medicine (IOM) and The Joint Commission have published reports underscoring the need to address _____ for the LGBTQ population., Tendency to prefer one gender over another = and more. -ex: BP is 40, someone is not responding or breathing. The list is not exhaustive, and terms may vary across communities and cultures. We had nurses wear top-rated shoes to work and give their honest reviews. To address the lack of SO/GI data in health systems, the Department of Health and Human Services (HHSs) Healthy People 2020external icon included an objective to increase the number of states, territories, and the District of Columbia that include questions that identify sexual orientation and gender identity on state level surveys or data systems to improve the health, safety, and well-being of lesbian, gay, bisexual, and transgender (LGBT) individuals. Increasing the number of population-based data systems that collect standardized data on (or for) lesbian, gay and bisexual populations and on (or for) transgender populations and expanding the availability of sexual orientation/gender identity (SO/GI) statistics have also been priorities for other federal agencies. A . "Many transgender and GNC individuals also experience emotional barriers to accessing healthcare," says Ash Dasuqi, a midwife and critical care nurse, "because they are accustomed to healthcare providers disrespecting or not acknowledging their gender identity, misgendering [them and misusing] their pronouns, [or] misnaming them if they are referred by a name different than their legal name.". This guide aims to help nurses better understand the transgender and GNC community, the hurdles they might face in healthcare, and helpful steps on working with transgender and GNC patients. The most basic factor in the intervention with clients in the area of sexuality is: A. This can restrict their access to healthcare with high costs. For more information, see our guide to LGBTQIA2S+ Key Terms and Definitions for Nurses and Healthcare Providers. When describing the role of hormones in sexual development, which hormone does the nurse teach the class is the most important one for developing and maintaining the female reproductive organs? Find the right nursing program for you. You only need to pay a nominal fee if you choose to print your credit certificate. Match. Gender dysphoria. Being aware of the treatment options for transgender patients and the required follow-up care. Feature Image: FG Trade / E+ / Getty Images. Another is acknowledging biases, then taking action to eliminate or lessen the potential harm those biases can cause. To that end, we have built a network of industry professionals across higher education to review our content and ensure we are providing the most helpful information to our readers. Become a Part of the Nurse.org Community! Additionally, broad-based hostility and discrimination can limit the number of transgender and GNC people who pursue a nursing career which would bring lived experience to the field. Nurses in Washington, D.C., for example, must complete LGBTQ+-specific continuing education. NurseJournal.org is committed to delivering content that is objective and actionable. Our caring team of Mayo Clinic experts can help you with your gender dysphoria-related health concerns Comprehensive Care of the Transgender Patient. Providers who are informed of their patients SO/GI are better able to provide care that is relevant, specific, and compassionate. Learn more about our review partners. Resources and articles written by professionals and other nurses like you. Remember: Each person and their individual situation is unique, so consider these considerations as general guidelines. window.ClickTable.mount(options); [2] Or you may be referred to a behavioral health professional. Perimenopause generally lasts from age 45 years to age 55 years and is a time of gradual change in hormone levels and menstrual cycles. Review this study guide and learn more about gender and sexuality disorders, its nursing care management, interventions, and assessment. If so, please explain. The North American Menopause Society has some good CME content including short, free, casestudy based CME modules on assessment and management of menopausal symptoms. Should you need to cross-check a patient's identification information, never ask what their "real" or given name is. Providers and their care team can ask questions during the patient visit, for instance, as part of a social or sexual-history discussion. A nurse is providing care . Assessment and Management of Patients Who Are LGBTQ Sex Click the card to flip physical or biologic characteristics that distinguish women and men Click the card to flip 1 / 44 Flashcards Learn Test Match Created by taylor_stinson2 new info for the final Terms in this set (44) Sex Get the latest on all things nursing by joining our email newsletter. Are you ready to earn your online nursing degree? SO/GI data can be collected in several ways: 1. (function() { Constriction of the outer third of the vagina prevents penile penetration. immediately before or after she breastfeeds her infant? A person is biologically born as a male or a female. Which of the following statements is true for gender identity disorder? This guide aims to help nurses better understand the transgender and GNC community, the hurdles they might face in healthcare, and helpful steps on working with transgender and GNC patients. Client will express personal satisfaction and feelings of being comfortable in assigned gender. 3. This compensation does not influence our school rankings, resource guides, or other editorially-independent information published on this site. Do you feel safe at home? Learn. If the nursing women needs to take the above mentioned medicines/OTCs/natural products, etc., should any of their schedules be changed from the way the nursing woman is currently taking them? For instance, without the sensitivity and consideration needed to communicate concerns relating to transgender patients, some healthcare providers may accidentally out transgender patients to their families and friends, risking the patient's health and safety. Featured or trusted partner programs and all school search, finder, or match results are for schools that compensate us. a. First-level priority. A queer Asian gender-binary nonconforming parent, Angelique Geehan founded Interchange, a consulting group that offers anti-oppression support through materials and process assessments, staff training, and community building. Sexual arousal in the presence of nonliving objects. . This can help rule out or address medical conditions that might affect these treatments This evaluation may include: This treatment aims to improve your psychological well-being, quality of life and self-fulfillment. Others might find relief from gender dysphoria by using hormones to minimize secondary sex characteristics, such as breasts and facial hair. Geehan is a paid member of our Healthcare Review Partner Network. (examples, appears more sleepy, has diarrhea, spitting up more, decreased feeding time, etc.)? Masturbation often accompanies the activities described when they are performed solitarily. These contributors: Integrity Network members typically work full time in their industry profession and review content for NurseJournal.org as a side project. How Can Partner Notification Services Help Me and My Patients? She organizes as a part of National Perinatal Association's Health Equity Workgroup, the Health and Healing Justice Committee of the National Queer and Trans Asian and Pacific Islander Alliance, the Houston Community Accountability and Transformative Justice Collective, the Taking Care Study Group, QTPOC+ Family Circle, and Batal Houston. You can complete the online educational module for free and then sign up to take the assessment. She has been writing articles and books for many years on a variety of topics including health, fitness, relationships, and spirituality. Discrepancy between partners levels of desire for sexual activity. Nurses have an especially important role in providing an affirming space for transgender people. D. Sexual Pain Disorder. Once nurses understand their own biases and learn more about transgender and GNC individuals, they can take steps to provide affirming healthcare spaces for people in these communities. The course is accredited by ANCC. D) Sexual orientation. Here's some information to help you get ready for your appointment. "Because most forms still require healthcare workers to fill out the sex of an individual, they should know that this question can be painful or triggering for transgender and gender nonconforming individuals to answer," says Dasuqi, adding that nurses and healthcare workers should be ready to offer support and understanding in these situations. Meanwhile, the following Sunday that nurse may head to a church service donning a crucifix around her necka violent death symbol to the casual observerwhere she recites strange, nonsensical liturgy back to a man dressed in a robe and consumes a little cracker and grape juice or wine and calls it the body and blood of her savior.. Answer: C. He learns to verbalize his feelings and concerns. Physical growth and development screening, Adequate intake of vitamin D, calcium folate, and iron, Reference materials: Sample questions and anticipatory guidance can be found in AAP Bright Futures; Womens Health Across the Lifespan; Immunizations: http://www.cdc.gov/vaccines/, STII guidelines: http://www.cdc.gov/std/treatment/, Use of illicit drugs, alcohol, tobacco (usually comorbid with mental health problems), Reference materials: Sample questions and anticipatory guidance can be found in AAP Bright Futures, Depression and anxietymay not present with classis adult signs and symptoms, Reference materials: Sample questions and anticipatory guidance can be found in AAP Bright Futures; Pharmacotherapy guidelines available in Womens Health Across the Lifespan. Study with Quizlet and memorize flashcards containing terms like LGBTQ, Sex, Intersex and more. National Academy of Medicine. Client was able to express satisfaction with own sexuality pattern. A pre-treatment medical evaluation is done by a doctor with experience and expertise in transgender care before hormonal and surgical treatment of gender dysphoria. One of the world's first 22 certified advanced healthcare simulation educators, Daz focuses her research on using the cutting-edge technology of simulation to improve the care for underserved patient populations in an effort to reduce healthcare disparities. Youre attractive, but Im not interested. How Does Routine HIV Screening Benefit My Patients? He participates in diversionary activities. Transgender people face challenges in many aspects of life, including healthcare. Health History. In the course, learners explore issues related to LGBTQ health, develop culturally competent skills and language, and adopt gender-affirming medical interventions. Gender and sexual identity. You may start by seeing your primary care provider. Find the right nursing program for you. that's continuously reviewed to ensure its as relevant and accurate as If you are unsure about something regarding a person's gender, seek clarification instead of making assumptions. C) Pain on manipulation of the auricle. Are There Specific Considerations for Different Patient Populations? NurseJournal.org is an advertising-supported site. 2) Assess level of consciousness. In addition to collecting SO/GI data, asking patients to include the name they want their providers to use as well as the correct pronouns to use is also recommended by leading experts in LGBT health (see below). Washington, DC: National Academies Press; 2011. 1) Form a General Impression. However, it is more oriented toward STIs and offers little guidance about how to implement the suggested assessment questions. How Can I Help My Patients with HIV Start Treatment? Acceptance becomes a powerful tool, but one that demands solidarity between nurse and patient. It can also shed light on oppression, racism, discrimination, and stereotyping and how these affect nurses personally and their work. Others might instead show symptoms of a mood disorder, anxiety or depression. Chest Surgery - The removal of breasts (mastectomy) in transgender men or the augmentation of breasts for transgender women. Is a call to the infants pediatrician needed? Information can be obtained through patient portals and transmitted to an individuals EHR. LGBTQIA2S+ Key Terms and Definitions for Nurses and Healthcare Providers, Do Not Sell or Share My Personal Information. SO/GI data collection has been recommended by both the National Academy of Medicine1,2 and the Joint Commission3as a way to learn about which populations are being served and to measure the quality of care provided to LGBT people. Whether youre looking to get your pre-licensure degree or taking the next step in your career, the education you need could be more affordable than you think. Suggest changes to inaccurate or misleading information.