NSG 6330 Week 8 Discussion: LGBT Health Care

NSG 6330 Week 8 Discussion: LGBT Health Care

NSG 6330 Week 8 Discussion: LGBT Health Care

NSG 6330 Week 8 Discussion

LGBT Discussion

The physician-identification of LGBT group is a thematic problem for various healthcare institutions. Not all patients are comfortable being identified as either male or female because these are the common gender identity options provided by in various health institutions. Additionally, LBGT patients prefer being handled by specific health providers. Therefore, developing LGBT competency is important in the optimization of the LGBT patient care. LGBT patients have unique needs and requirements which cannot be fully addressed by the general healthcare practitioners and that is why Jann, Edmiston and Ehrenfeld (2015) emphasizes the need to introduce training programs to develop LGBT competencies among the healthcare providers.

Additionally, Jann, Edmiston and Ehrenfeld (2015) asserts that whereas certain providers may be amenable to the LGBT community, they may lack knowledge regarding the unique health requirements of the LGBT patients and this further necessitates the competency. Majority of the academic health centers in the United States have implemented LGBT competency training and this means that the healthcare system is adapting to accommodate the culturally diversified population to represent their needs fully.

The definition of healthcare needs has become more complex in the current society due to the changes in the values and norms of the people. Sexual orientation as well as gender identity are some of the major issues that present greater challenge in healthcare delivery. In as much as some of the healthcare providers have accepted the LGBT groups as part of the mainstream gender identities some have resented their identities and do not want to be associated with them totally. Therefore, the article provides greater insights on the importance of developing the LGBT competencies in ensuring universal health coverage and overcoming any forms of cultural-based discrimination in the healthcare sector.

Developing LGBT competencies is an important way of promoting quality healthcare provision for all.  Recognizing and appreciating diversity helps nursing practitioners to interact freely with their clients and handle them accordingly (Baker & Beagan, 2014). Many healthcare institutions are striving to ensure equitable care for all people who identify themselves as LGBT. As an NP, I will work to expand my knowledge about sexual orientations and gender identity; this is important in ensuring that I understand the needs of the LGBT patients and serve them accordingly. Additionally, I will use an inclusive language to open doors for open discussion with LGBT patients. For example, when asking the patients about their names, space should be included where the patients can indicate their preferred name considering that some LGBT may not prefer being called by a name reflecting their gender identities. Additionally, a section indicating preferred pronoun should be included and this means that not all people would wish to be identified the way they appear. NPs should have proper interpersonal skills and be positive to all people they interact with without judging them based on their gender identity.

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Finally, allowing the patients to state their identities or tick accordingly in the patients’ card will help in screening the LGBT patients and providing appropriate care to them (Bonvicini, 2017). The intervention will ensure that the patients are not offended and are free to share their identities for effective interaction. The ultimate purpose of introduction at the initial contact is to avoid cultural conflicts that are likely to emerge between the healthcare providers and the patients.

NSG 6330 Week 8 Discussion: LGBT Health Care References

Baker, K., & Beagan, B. (2014). Making assumptions, making space: An anthropological critique of cultural competency and its relevance to queer patients. Medical Anthropology Quarterly, 28(4), 578-598.

Bonvicini, K. A. (2017). LGBT healthcare disparities: What progress have we made?. Patient education and counseling, 100(12), 2357-2361.

Jann, J. T., Edmiston, E. K., & Ehrenfeld, J. M. (2015). Important considerations for addressing LGBT health care competency. American journal of public health, 105(11), E8.

LGBT Health Care

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned .

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week .

For this assignment, you will review and reflect on the LGBT article .This article can be applied to healthcare providers in the multiple care settings .Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice .

Discuss any “take-away” thoughts from the article .

How do you plan to make a positive impact on the care of LGBT patients when you become a NP? What attitudes/behaviors/communication/understanding is important for the NP to have?

What specific screenings / interventions will you incorporate into practice when providing care to a LGBT patient?

NSG 6330 Week 9 Discussion- Hormone Replacement Therapy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned .

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week .

For this assignment, you will review the latest evidence based guidelines as they pertain to the case below .Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice .

Ms .Martin is a 55-year-old woman who has been on HRT for 4 years .HRT was prescribed because Ms .Martin was experiencing vasomotor symptoms associated with menopause .Her last mammogram was 2 years ago and last pap was 5 years ago .Ms .Martin made an appointment with her nurse practitioner to discuss discontinuing HRT after hearing and reading news reports about the dangers associated with the medication .Except for the HRT, Ms .Martin is taking no medication other than a daily vitamin .She had a tubal ligation after the birth of her third child but has had no other surgeries or history of any medical conditions .Her father had cardiovascular disease and died of a myocardial infarction at 77 years of age .Her mother was diagnosed with breast cancer at 81 years of age .Ms .Martin does not smoke and rarely drinks alcohol .She likes to work in her garden but is not involved in a formal exercise program .She has gained about 10 pounds since menopause .

What evidence-based information will you provide to Ms .Martin regarding her concerns of HRT? Discuss the advantages and risks associated with HRT .

What are your recommendations for Ms .Martin? Will you recommend continuing or discontinuing HRT and why?

What alternative treatments for menopausal symptoms will you discuss with Ms .Martin?

Discuss the recommended screening tests, using the latest evidence based guidelines that Ms .Martin should have .

What health promotion, maintenance, and prevention education would be important to provide to Ms .Martin?

NSG 6330 Week 10 Discussion – Prophylactic Hysterectomy

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered .For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned .

To support your work, use your course textbook readings and the South University Online Library .As in all assignments, cite your sources in your work and provide references for the citations in APA format .

Start reviewing and responding to the postings of your classmates as early in the week as possible .Respond to at least two of your classmates’ initial postings .Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion .Cite resources in your responses to other classmates .Complete your participation for this assignment by the end of the week .

For this assignment, you will review and reflect on the Prophylactic Hysterectomy article .This article can be applied to healthcare providers in the primary care and specialty settings .Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum .Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice .

Discuss any “take-away” thoughts from the article .

What are the ethical dilemmas to consider with prophylactic surgeries?

Discuss the screenings/interventions/options/education that you would provide to a patient that has a strong family history of ovarian cancer .What if the patient has no health insurance? What resources could you offer to assist the patient?