Care Considerations for LGBTQ+ Older Adults

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18 Questions

What is the primary goal of the presentation on care considerations for LGBTQ+ older adults?

To improve knowledge and comfort when caring for queer/trans older adults

What is the significance of intersectionality in the context of LGBTQ+ older adults?

It acknowledges the intersection of multiple identities that may impact healthcare experiences

What is the purpose of discussing the intersection of age and LGBTQ+ identities?

To explore how the intersection of age and LGBTQ+ identities may impact healthcare experiences

What is the significance of addressing the experiences of LGBTQ+ individuals with physical or mental disabilities?

It is important to understand the intersection of disability and LGBTQ+ identities

What is the purpose of sharing individualized experiences of LGBTQ+ individuals?

To demonstrate the diversity of LGBTQ+ experiences and challenge assumptions

What is the relevance of addressing the intersection of race and LGBTQ+ identities in healthcare?

It is important to understand the intersection of race and LGBTQ+ identities to address health disparities

What is the primary definition of health disparities?

Preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations

What is the title of the book written by Sharman in 2016?

The Remedy: Queer and Trans Voices on Health and Healthcare

What is the name of the model that reconceptualizes LGBT health disparities?

The Health Equity Promotion Model

What is the result of lack of research, biased research, and making decisions based on poor quality research?

Health disparities are increased

What is an example of behavioral and psychological coping skills?

Self-Advocacy

What is the term for the process of treating queer and trans identities as diagnosable mental illnesses?

Pathologizing

What motivates some LGBT individuals to engage in advocacy and mentorship of younger generations?

Experiencing lifelong societal rejection

What is a concern for LGBT individuals regarding long-term care facilities?

Facilities may not be accepting or safe for LGBT individuals

How do some older transgender individuals view old age in terms of their gender identity?

As an ideal transition point, embracing a more fluid gender identity

What is a moderator for the negative effects of multiple marginalization in older transgender individuals?

Strong social support

Why do some healthcare providers feel uncomfortable prescribing hormones to older transgender adults?

Due to comorbidities

What is a unique aspect of older transgender individuals' experiences with gender identity?

A more fluid gender identity

Study Notes

Health Disparities in LGBTQ+ Communities

  • Health disparities refer to preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.

Queer and Trans Health Issues

  • Substance use, mental health, sexual health, cancer, and chronic disease are significant health concerns for LGBTQ+ individuals.
  • Stigma, discrimination, violence, and trauma are also major issues affecting the health and wellbeing of LGBTQ+ individuals.

Systemic Discrimination in Healthcare

  • HIV/AIDS, systemic discrimination, invisibility, gatekeeping, and pathologizing of queer and trans identities as diagnosable mental illnesses are significant barriers to healthcare for LGBTQ+ individuals.
  • Lack of research, biased research, and making decisions based on poor-quality research further exacerbate health disparities.

Queer and Trans Resilience

  • Community building, information and resource sharing, and history of self-advocacy can help promote resilience and improve health outcomes for LGBTQ+ individuals.
  • Behavioral and psychological coping skills, such as self-reflection, sense of self, and empathy, are also important for promoting resilience.

Care Considerations for LGBTQ+ Older Adults

  • Improve knowledge and comfort when caring for queer/trans older adults to address healthcare disparities.
  • Shed light on common pitfalls, such as entrenched heterosexism and cissexism, in the healthcare system.
  • Discuss how queer/trans identities intersect with other identities and may impact healthcare received.
  • Provide resources for further learning and how to interrogate these resources for validity, use, and accuracy.

Intersections of Age and LGBTQ+ Identities

  • The intersection of age and LGBTQ+ identities can impact healthcare, with concerns about long-term care facilities, caregivers, and dementia posing a unique threat to gender identity and self-perception.
  • Older age can provide a sense of identity affirmation, but also raises concerns about advanced age and transgender identity, including healthcare providers' discomfort with prescribing hormones or denying surgical clearance.

Importance of Social Support and Community

  • Strong social support can act as a moderator for the negative effects of multiple marginalization (e.g., race, sexual orientation, socioeconomic status).
  • A wide definition of family and advance directives can help promote healthcare and wellbeing for LGBTQ+ older adults.
  • Routine terminology, such as "next of kin" or "partner/support people," can also impact healthcare outcomes.

This quiz is designed to improve your knowledge and comfort when caring for queer and transgender older adults. It sheds light on common pitfalls and entrenched heterosexism/cissexism in the healthcare system, and discusses how queer and trans identities intersect with other identities.

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