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NUR639LGBTQ_PWPOINT.pptx

Culturally Sensitive Care in Women’s Health Diane Stonemetz, DNP, WHNP-BC, ANP

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Age, Race, Appearance, Weight, Religion, sexual orientation, LGBTQ+…

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Implicit Bias

We have a bias when, rather than being neutral, we have a preference for (or aversion to) a person or group of people. Thus, we use the term “implicit bias” to describe when we have attitudes towards people or associate stereotypes with them without our conscious knowledge.

Much of this is “learned or inherited” by our own experiences or our parents expressions of these biases. If you grew up hearing that a certain group of individuals were whatever…(insert bias) you may subconsciously carry this bias into adulthood.

In order to provide culturally sensitive care, we must examine our own feelings toward certain individuals or groups of individuals and work to eliminate these biases. Many such biases result in healthcare disparities.

Culturally sensitive health care begins……with you!

Every healthcare provider needs to make an effort to understand the population he or she is caring for. Learn about different cultures and lifestyles. You need to identify your implicit biases to provide equitable, comfortable and compassionate care.

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Things to consider in your healthcare setting specific to the LGBTQ+ Community

Is the setting welcoming and inclusive?

Offer gender neutral restrooms?

Are patients being asked their preferred pronouns or names?

Have you considered what your biases are toward this community?

Are posters, pamphlets, and other reading materials inclusive?

Have staff received any specific or general inclusivity training?

LGBTQ+ population Terms and definitions

Cisgender – A person whose gender identity matches their gender assigned at birth (does not equal heterosexual)

Sexual Orientation – A person’s sexual identity in relation to the gender to which they are attracted ie: heterosexual (opposite sex), homosexual (same sex) or bisexual (both).

Gender Identity – A person’s internal sense of self and how they fit into the world (may or may not match gender assigned at birth)

Lesbian – A woman whose primary sexual and affectional orientation is toward people of the same gender

Pansexual – Can be attracted to any sex or gender or can be referred to as omnisexuals or as being gender blind

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Terms and definitions (cont.)

Gay – A sexual and affectional orientation toward people of same gender (includes both male and females)

Transgender – A person whose gender identity differs from the sex that was assigned at birth

Transgender female/woman – Someone with female gender identity and a male sex assigned at birth

Transgender male/man – Someone with male gender identity and a female sex assigned at birth

Queer – Not a universally accepted term even within the LGBTQ+ community (may be interchangeable with gay)

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Some numbers to think about

9 million LGBTQ+

650,000 same sex couples

Adults who identify as LGBTQ+ =4.5%

Suicide is leading cause of death

30% of gay youth attempt suicide

20% of homeless youth are LGBTQ

61% of bisexual women report rape

Mitchell, A. (2021)

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Caring for the Individual

Women who only have sex with women do not need to discuss contraception, but do need STD screening.

Transgender men who still have female anatomy need the same screening as cisgender females i.e.: pap smears, STD testing, pelvic exams, breast exams but may be reluctant to do so.

Transgender females who are transitioning may be taking estrogen which increases risks associated with this including DVT, MI, CVA and need a breast exam.

Asking about the types of sexual activity the individual may be engaging in will direct your screening.

Why is this important????

As you enter the workforce as an Advanced Practice Provider, you want to be part of the solution rather than perpetuating the problem of the health care disparities among various populations.

Regardless of the differences between you and your patient whether it be race, religion, languages spoken, sexual identity and or preferences, you need to educate yourself regarding the patient’s needs to be able to provide the best health care.

Work to identify and eliminate your own biases.

Strive to make your healthcare setting a JUDGEMENT FREE ZONE!

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Your Assignment:

Find a recent nursing or medical journal article that discusses health care specific to the LGBTQ community. Focus specifically in regard to Women’s Health which may include any number of the previously defined individuals. Write a 1-2 page summary of this article and include your own observations or opinions about what we as APPs can do to be more inclusive and culturally sensitive. Include your reference(s) with your paper.

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