Posted: December 13th, 2022
Cultural Competence In The Care Of LGBTQ Patients Essay Paper
Response 2
Great post! It is true, as you point out, that there are several factors to take into account during the assessment of this 32-year-old lesbian who is pregnant. The fact that this is her first pregnancy is well acknowledged, and in this particular scenario, my primary concern will be to ensure the health and safety of both her and her unborn child. A large number of healthcare professionals are uneasy having discussions with clients about their sexual orientation or sexuality, resulting in health-related inequities in LGBTQI community members. In addition to your points, I feel that some people avoid seeking medical attention out of fear of being criticized, alienated, or mistreated by others (Bass & Nagy, 2021). The absence of knowledge, terminology, and fundamental comprehension of the LGBTQI community among healthcare workers is often noted by patients, who are particularly sensitive to this issue (Ricca et al., 2018)Cultural Competence In The Care Of LGBTQ Patients Essay Paper.
Your questions are relevant, and I believe the patient will appreciate you asking them. Questions should be phrased in such a way that they will prompt a conversation between TJ and her lover regarding their intimate connection or sexual practices that could be detrimental to their wellbeing.
I need to respond to two colleagues. Responses has to be 7 sentences each with 2 references. Both response can fit on one page. Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why. Response 1 Culturally competent care meets patients’ cultural, social, and religious needs leading to enhanced patient quality care (Swihart et al., 2021). Addressing cultural competence is commonplace to heighten high-grade health services for culturally and ethnically diverse groups (Jongen et al., 2018). It means possessing knowledge, skills, tools to practice, dedication, and commitment to culturally competent care (Young & Guo, 2020)Cultural Competence In The Care Of LGBTQ Patients Essay Paper.
Healthcare providers must understand the culture of their patients in history taking and assessment. In the case of a 23-year-old Native American male suffering anxiety, it is imperative to identify varying cultures, values, and biases to create compelling patient-centered communication (Ball et al., 2019). Plus, the patient’s ancestry, socioeconomic status, ethnicity, and cultural setting. Alaska Native and American Indian (ANAI) people undergo dramatic alcohol-related health disparities related to the general US population (Lillie et al., 2021). The interview should skirt sensitivity to this stereotype, even as marijuana and alcohol affect the patient’s capacity to cope with life demands (Dains et al., 2016). Among ANAI, a pattern of psychiatric dysfunction’s raised pervasiveness was observed compared to non-Hispanic whites (Brave Heart et al., 2016). There is also this stigma attached to mental illness or substance abuse where ANAI are culturally sensitive to seek treatment. As per Leff et al.’s (2016) study, groups differed in preferred cultural elements, but all desired inclusion of religion since many turn to their faith when facing healthcare challenges to reduce anxiety. Hence, it is vital to see and support patients’ religious and spiritual needs by discussing their religious and spiritual beliefs to tailor their assessment and treatment. Listening to a patient’s beliefs tied to the patient’s health helps build a positive link between the provider and patient (in this case, the fear of missing heaven). Evidence-based practice (EBP) and cultural competence (CC) enhance mental health care effectiveness for diverse populations. Targeted questions focus on anxiety (How has anxiety impacted your everyday life, and are you taking natural remedies for treatment?), lifestyle (What is your livelihood?), support (What are your family or community support system and religious organization?), substance use (How often and how much is your alcohol intake and marijuana consumption?), and symptoms (Have you experienced an excessive surge of fear, felt faint, heart started beating abruptly, or hard to catch a breath?)Cultural Competence In The Care Of LGBTQ Patients Essay Paper.
Regard for the quality of clinical evidence and the value of cultural context in illness and healing helps EBP and CC move ahead of their current constraints to respond effectively to cultural diversity (Coleman, 2019). Response 2 Managing diversity is a crucial factor in the assessment, creation of care plans, and delivery of patient care in this scenario. To provide quality care, physicians must integrate and alter their expertise to fit patients from various cultural backgrounds. TJ’s healthcare decisions should be influenced by her cultural background, sexual orientation, beliefs, and individual behaviors, according to the practitioner assessing her. Advanced practice nurses must be kind, considerate, and nondiscriminatory when assessing patients. Understanding the patient’s culture should not be utilized to make clinical decisions; rather, it should be used in a way that does not stereotype the patient(Boyce et al., 2018). When it is discovered that TJ is a lesbian, she should be treated with care so that she does not feel stereotyped or discriminated against. During the health assessment, the nurse should ask detailed, non-judgmental questions. Despite the fact that lesbians engage in high-risk behaviors that affect their healthcare choices and lifestyles, being a lesbian does not intrinsically impair one’s health. TJ, as a lesbian, should be assessed for her health in the same way as any other female patient would, as well as for any risk behaviors that could harm her pregnancy. Establishing an effective, customized, and supportive care plan for the patient will require a thorough history and physical examination. Nurse practitioners should always use respectful communication approaches and do objective assessments in the patient’s best interests. As a nurse practitioner, it’s important to be adaptable and establish a positive rapport with TJ, which will lead to a positive practitioner relationship. In this scenario, building a positive relationship requires delivering care in a nondiscriminatory setting. Historically, women who identify as LGBTQ have encountered numerous healthcare issues, many of which have harmed their privacy and confidentiality due to discriminatory attitudes among health care providers. This is on top of having restricted access to health care and insurance, which is exacerbated by a lack of knowledge about their health risks. The LGBTQ women have had to live with the stigmas of a society that discriminates against them in some way. Nevertheless, the affordable act has enabled many LGBTQ individuals to access healthcare benefits as well as recognition from both federal and state government. Foe this patient, I will further address the patient ability to access healthcare insurance, follow up care, as well as socioeconomic needs while pregnant. The lesbian individuals receive poor healthcare experience and often report considerable degree of discrimination from the physicians making them to avoid seeking medical care due to their sexual orientation (Everett et al., 2019)Cultural Competence In The Care Of LGBTQ Patients Essay Paper.
The sexual and gender minorities have in the past had health concerns. Like any other pregnant woman, TJ should have referrals to prenatal care and have assessment of her understanding of pregnancy and care. Her diabetes history should be a concern as well as how is she receiving her pregnancy news. The family disease history as well as past health history ought to be assessed so as to determine any prevailing risks that can affect her or her pregnancy. The targeted questions for TJ’s medical needs will include: 1. What mediations are you taking? 2. Are you sexually active? 3. When was your last prenatal checkup? 4. Do you drink, smoke, or use any recreational drugs? 5. How are you and your partner feeling about the pregnancy? Cultural Competence In The Care Of LGBTQ Patients Essay Paper
References
Bass, B., & Nagy, H. (2021). Cultural Competence in the Care of LGBTQ Patients. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK56317
Ricca, P., Wahlskog, C., & Bergren, M. D. (2018). Enhancing cultural sensitivity in a community health care setting for LGBTQ patients. Journal of Community Health Nursing, 35(4), 165-178. https://doi.org/10.1080/07370016.2018.1516420
Cultural Competence In The Care Of LGBTQ Patients Essay Paper
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