Page 125 - Saunders Comprehensive Review For NCLEX-RN

Members of the LGBTQ population are less likely to have

family members who can assist them with elder or disability care.
Additionally, certain benefits may not be available to them, such as
spousal death benefits, which could impact their ability to manage
finances and expenses associated with health.
17. Health promotion measures should focus on
depression screening, assessing for suicide, educating
on safe sex practices, and counseling for alcohol and
drug use.

F. Health care considerations for the LGBTQ population

1. Health care professionals need to create a welcoming,
nonjudgmental environment when caring for this
population.
2. Measures such as altering signage on paperwork, such
as documents asking for gender identification, will
better serve the health needs of this population;
additionally, the health care facility should develop
institutional polices inclusive of all gender identities
and preferences. Such measures will allow the health
care provider to treat the client according to their
preferences while also maintaining an understanding
of their risk factors based on biological drivers of
health.
3. Training to work respectfully with the LGBTQ
population should be provided for all health care
personnel.
4. Use of open-ended questions and refraining from
making judgments during client encounters are
important.
5. Health promotion measures should focus on screening
for depression, assessing for suicide, and educating
on safe sex practices.
6. Additional screening within this population should
include HIV blood testing, syphilis blood testing,
urine Neisseria gonorrhoeae and anal Chlamydia
trachomatis for those with insertive intercourse in the
last year, rectal N. gonorrhoeae and C. trachomatis for
those with receptive anal intercourse in the last year,
and pharyngeal N. gonorrhoeae for those with
receptive oral intercourse in the last year.
7. Hepatitis A vaccination is recommended for MSM.
8. Anoscopy should be used to examine the anus and
rectum as indicated, with particular attention paid to
those infected with HIV.
9. Mammography and cervical cancer screening should
be initiated for lesbian and bisexual women.

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