LGBTQ Cultures: What Health Care Professionals Need to Know About Sexual and Gender Diversity / Edition 3 available in Paperback, eBook
LGBTQ Cultures: What Health Care Professionals Need to Know About Sexual and Gender Diversity / Edition 3
- ISBN-10:
- 1496394607
- ISBN-13:
- 9781496394606
- Pub. Date:
- 11/16/2017
- Publisher:
- LWW
LGBTQ Cultures: What Health Care Professionals Need to Know About Sexual and Gender Diversity / Edition 3
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Overview
- NEW and updated content includes references to case studies, discussion aids, links to videos, and action steps
- Explains basic concepts and terminology related to sexual orientation and gender identity—what constitutes culturally appropriate care and its importance for nurses
- Offers up-to-date statistics on healthcare refusal rates, prominent LGBTQ health issues, and social, psychological, and environmental factors affecting LGBTQ health and healthcare
- Specific information on LGBTQ populations that helps nurses improve quality of care, care decisions, and referrals
- Essential classroom and clinical guide— illuminates LGBTQ healthcare needs for all professional healthcare schools and all practice settings—hospitals, clinics, residential programs, private practices, public health policy settings, and more
- Ideal best practices guide for all nurse clinicians, nurse educators, community health workers, and policy-makers
- Delineates the needs of different LGBTQ communities, cultures, and populations Topics include:
- Diversity issues
- Developmental issues
- LGBTQ families
- Structural changes that need to occur in healthcare systems to create culturally sensitive services
- Substance abuse issues
- Mental health issues
- Risk behaviors, chronic disorders, and serious illnesses
- Studies and resources for improving inclusion in practice and curricula
- Structural barriers to quality care—making healthcare settings inclusive
- Individual, institutional, community, and societal calls to action
Product Details
| ISBN-13: | 9781496394606 |
|---|---|
| Publisher: | LWW |
| Publication date: | 11/16/2017 |
| Edition description: | Third |
| Pages: | 272 |
| Product dimensions: | 6.00(w) x 8.90(h) x 0.40(d) |
About the Author
Michele J. Eliason, PhD, is Assistant Dean of the College of Health and Social Sciences at San Francisco State University in San Francisco, California.
Peggy L. Chinn, RN, PhD, FAAN, is Professor Emerita of Nursing at the University of Connecticut and the Editor of Advances in Nursing Science.
Table of Contents
Preface v
Chapter 1 Overview and Theoretical Framework
Terminology 2
LGBTQ 2
Sexual and Gender Minorities 3
Healthcare Professional 4
Patient/Client/Consumer 4
Culturally Appropriate Care 4
Why a Book on LGBTQ Cultures? 5
Why Should I Learn So Much About Such a Small Segment of the Population? 6
Our Philosophy and Basic Assumptions 8
Underlying Assumptions Within this Book 8
Theoretical Framework for the Book 9
Conclusion 10
Chapter 2 What's in a Word? Concepts Related to Sex/Gender and Sexuality
Sex 13
Gender 13
Sexual Orientation 14
Sexual Expression 17
Gender Identity 17
Intersex/Differences in Sexual Development 19
Gender Expression 20
Sexuality, Gender, and Cultural Diversity 21
Disclosure 23
Coming Out 23
Disclosure to Healthcare Professionals 25
Conclusions 27
Chapter 3 The Deadly Effects of Stigma
Terms/Concepts Related to Stigma 33
Homophobia 33
Biphobia 34
Transphobia 36
HIV/AIDS-Related Stigma 37
Heterosexism/Heteronormativity 38
Gender Normativity 39
Microaggressions 40
Internalized Oppression 41
Lifestyle 42
Other Forms of Stigma 43
Social Effects of Stigma 45
Lack of Recognition of Relationships and Family 45
The Right to Adopt 46
Hate Crimes and Violence 47
Discrimination in Employment and Education 50
Discrimination in Housing 51
Effects of Living in the "The Closet" 52
Conclusions 52
Chapter 4 Myths and Facts about Sexual Orientation and Gender Identity
Myths Related to Sexuality 58
Myths Related to Gender Identities 71
Conclusions 75
Chapter 5 LGBTQ Families
Defining "Family" 80
Relationships with Families of Origin 83
Coming Out to Parents 83
Coming Out to Children 85
Coming Out to Spouses/Partners 86
Intimate Relationships 87
Dating 87
Significant Other Relationships 87
Parenting 89
Child Outcomes 91
Divorce 93
LGBTQ Grandparenting 93
Health-Related Family Issues 94
Conclusion 94
Chapter 6 Developmental Transitions
LGBTQ Childhood 100
LGBTQ Adolescence 101
LGBTQ Young Adulthood 104
LGBTQ Midlife 107
LGBTQ Elders 109
Conclusion 112
Chapter 7 Cultures Within Cultures: Diversity and LGBTQ Communities
Race/Ethnicity 120
Religion/Spirituality/Moral Beliefs 123
Ability/Disability Status 126
Gender Expression Within Sexual Identities 127
Resiliency 129
Conclusions 130
Chapter 8 The Effects of Stigma on Health
Sources of Stigma 135
Effects of Stigma on Health 139
The Effects of Living in Fear/Uncertainty 141
Domestic Violence/Intimate Partner Violence 141
The Role of Stress/Distress on Health 143
LGBTQ People's Experiences with Healthcare 144
Disclosure Decisions 145
Reactions/Responses from Health Care Providers 147
LGBTQ People's Treatment in Healthcare Settings 148
Treatment of Partners and Family 148
Accessing Healthcare Services 149
Conclusions 149
Chapter 9 Substance Abuse and Mental Health
Substance Abuse 154
Alcohol Use and Abuse 154
Drug Abuse 155
Treatment for Alcohol and Drug Problems 157
Smoking 158
Smoking Cessation Programs 160
Mental Health 162
Depression and Anxiety 162
Suicide 163
Body Image 164
Treatment of Mental Health Issues 166
Conclusions 166
Chapter 10 Physical Health Disorders
Risk Behavior and Health Screening Behaviors 177
Chronic Physical Health Disorders 179
Diabetes 180
Heart Disease 181
Asthma 182
Disability 183
Cancer 183
Cancer and Women 184
Cancer and Men 184
Cancer and Transgender People 185
Risk Factors for Cancer 185
HIV/AIDS 185
Conclusions 187
Chapter 11 Provider Attitudes and Knowledge
Existing Provider Attitudes and Knowledge 193
Historical Overview of Healthcare Provider Attitude Studies 194
Nursing 195
Medicine 196
Other Health Disciplines 198
Improving Health Professional Education 198
Advocacy Efforts with Mainstream Health Organizations/Institutions 199
Resources for Improving Practice and Curricular Inclusion 201
Training Requirements for Practitioners 203
Conclusions 204
Chapter 12 LGBTQ Healthcare Professionals
Physicians and Medical Schools 209
Nurses and Nursing Schools 214
Other Healthcare Professions 219
Improving the Climate for LGBTQ Healthcare Workers 220
Conclusion 223
Chapter 13 Structural Barriers to Quality Care
Making Healthcare Settings Inclusive 226
The Website and other Public Information 226
The Waiting/Reception Area 228
Electronic Medical/Health Records 228
Healthcare Intake Forms 229
Clinician Personal Interaction with the Client 231
Confidentiality 232
Dignity and Safety Issues 233
Making Referrals 234
Policies in Healthcare Setting 234
Healthcare Equality Index 235
Health Insurance 237
Legal Issues 238
Living Will/Medical Directive 238
Durable Power of Attorney for Health Care/Healthcare Prosy 239
Hospital Visitation Authorization 239
Authorization for Consent to Medical Treatment of Minor 239
Durable Power of Attorney for Finances 239
Wills 239
Trusts 240
Nomination of Conservator or Guardian for a Minor 240
Elder Guardian/Conservator 240
Autopsy and Disposition of Remains 240
Conclusions 242
Chapter 14 Conclusions and A Call to Action
A Levels Approach to Change 244
Individual Level 245
Interpersonal Level 245
Institutional Level 245
Community Level 245
Societal Level 245
The Ten Things Healthcare Professionals Can Do 246
Number 10: Understand the Far-Reaching Effects of Social Stigma on LGBTQ People, Families, and Communities 247
Action Steps 247
Number 9: Know Inclusive Language and Use it in Written and Oral Communications 247
Action Steps 248
Number 8: Develop Written Policies That Are Inclusive of LGBTQ People and Their Families 248
Action Steps 248
Number 7: Recognize the Broad Diversity and Creativity of LGBT Family Structures 248
Action Steps 249
Number 6: Develop Policies and Procedures for How to Deal with Confidentiality Issues and Recording of Information about Sexuality and Gender in Patient Records, and for Dealing with Inappropriate Comments in Verbal Communications Among Staff 249
Action Steps 249
Number 5: Recognize The Legal Issues: Have Forms or Information Available for LGBTQ Families for Release of Information, Power of Attorney for Health Care, Guardianship, etc. 249
Action Steps 250
Number 4: Know the Potential Consequences of Stress Related to Stigma: Assess for Substance Abuse, Including Tobacco Dependence, Mental Health Problems, Body Image and Weight Issues, Unsafe Sexual Practices, and Domestic Violence as well as Physical Health Problems 250
Action Steps 250
Number 3: Celebrate the Diversify of LGBTQ Communities, Based on Differences in Age, Racial/Ethnic Identities, Geography, Immigration Status, Language, Socioeconomic Class, and Education 250
Action Steps 251
Number 2: Understand the Effects of Homophobia/Biphobia/Transphobia in the Healthcare Workplace Setting for LGBTQ Employees 251
Action Steps 251
Number 1: Reflect on What It Might Be Like to Be an LGBTQ Patient in Your Healthcare Setting-Do You Have Realistic Concerns about How an LGBTQ Person Might Be Treated? If They Are Not Realistic, How Can You Convey to Patients that Your Environment Is Safe? 252
Action Steps 252
Conclusions 252
Index 254