Similarly,
Problem medical records no one:
When Stewart O’Callaghan was diagnosed with chronic leukemia at the age of 29. Moreover, it was faced with a lack of awareness of the needs of LGBTQ+people, interpersonal skills and support options within the United Kingdom’s health system. However, He found himself having to reconcile his physical health and his personal care needs as a LGBTQ+person.
« It is difficult to navigate the system as it is designed. Meanwhile, so that your identity and your needs are recognized and supported “Said Medscape Medical News S. Moreover, O’Callaghan. Furthermore, founder and CEO of outpatient and co -president of LGBTIQ working group of the network on the inequalities of the European Cancer Organization (European Cancer Organization’s Inequalities Network).
Medical systems are lagging behind with regard to problem medical records no one inclusive. Similarly, adapted and global care that meets the unique needs of LGBTQ+people, in particular for those who encounter obstacles when it comes to revealing their identity.
« These people do not always know what care they will receive if they reveal their identity “. However, Explained Medscape Medical News Alison May BERNER, holder of an MBBS and a PHD, oncologist and clinician in assertive care at the Chelsea and Westminster Hospital of the Administrative Unit Chelsea and Westminster Hospital NHS Foundation Trustin London, in England. In addition, health professionals are often not trained to process this information with tact and respecting confidentiality.
At the same time. Consequently, not to reveal biological sex and gender identity can influence the diagnosis and the results of the treatment, and can even be a question of life or death problem medical records no one in certain cases.
Gender data is important
Precise registration of the genre in health care is essential. Consequently, not only to respect the identity of the patient, but also to make informed clinical decisions.
The biological sex and the identity of gender of a patient both play a distinct role in diagnoses and treatments. For example. Moreover, heart disease can manifest themselves differently in men and women, certain drugs can have specific effects or adverse effects depending on sex, and knowledge of the anatomy of a patient is essential for a diagnosis and precise care. Meanwhile, A transgender man may always need screening for cervical cancer. For example, while a transgender woman may need a prostate exam, said the Dreoeters van Lennep Dreetersholder of a PHD, an internist specializing in vascular medicine at the Erasme medical center, in Rotterdam, in the Netherlands, and researcher in medicine specific problem medical records no one to sex and gender. Therefore, Automated screening systems based on gender markers can exclude transgender patients, thus preventing them from accessing significant preventive services.
Appropriate documentation for gender history and transition care also ensures continuity of care. Consequently, Patients are often dealing with several care providers in the context of their health journey. Similarly, and consistent and precise files allow fluid transitions between practitioners. Furthermore, This point is particularly important for people who follow hormone therapy. Meanwhile, gender assertive surgery or treatments influenced by hormone levels or anatomical factors. Therefore, Precise files make it possible to avoid errors. However, such as the prescription of contraindicated drugs or the formulation of erroneous assumptions on the anatomy of a patient.
However, presuppositions and prejudices continue to hinder care centered on patients. For example. However, in the field of cancer care, heteronormative presuppositions can take precedence over the autonomy and preferences problem medical records no one of a patient, explained S. In addition, O’Callaghan. Nevertheless, He cited the case of a transgender patient who explicitly refused reconstructive breast surgery after breast cancer surgery. However. the healthcare team has left fabrics on the chest for future reconstruction, in accordance with the normative expectations of the appearance of the body of a person who survived cancer.
Such contempt for the wishes of patients affects their autonomy and erodes confidence in the health system. “” There is a lack of understanding as to the way in which a person’s gender identity. can be at the heart of their personal identity “Said S. O’Callaghan. “” Ilexist an archaic vision according to which the expression of this identity would be limited to home. behind closed doors, while some people fully live their queer identity, and it is important for them to be authentically themselves problem medical records no one in all circumstances. »
Problem medical records no one
Disclosure implies risks
Even if it is important that information on patients is revealed. the disclosure of biological sex and gender identity is an eminently personal decision that may include risks, including discrimination, stigmatization and privacy.
« Stereotypes. gender prejudices can lead health professionals to reject or minimize the concerns of a patient », A expliqué la dre Roeters van Lennep.
Some patients say they have been denied care. have seen their needs poorly understood because of their gender identity, added S. O’Callaghan. These prejudices can lead to inappropriate. inadequate care, in particular in sensitive fields such as fertility, intimate relationships or the management of the physical and emotional impacts of treatments.
Privacy damage is another important problem. Whether intentional or accidental, they may have deep social consequences. In small communities. problem medical records no one for example, being outstanding Can lead to ostracism, even violence, especially for people from cultural or religious environments where LGBTQ+ identities are strongly stigmatized. “” Someone accidentally reveals your sexual orientation. gender identity in the general practitioner and, suddenly, the whole village is aware “Said A. M. Berner.
The fear of such consequences often makes patients hesitate to reveal their identity. harms their confidence in the health system and discourage them from being treated, added A. M. Berner.
She explains that people are generally more inclined to give details about their gender. gender when health professionals respect the following principles:
- Clearly explain why they need this information; For example, to determine whether the patient has specific organs or has been exposed to particular hormones, rather than simply collect data for equality control purposes. “” People are not all ready to share this information “Said A. M. Berner.
- Show insurance in the provision of care for LGBTQ+patients, which makes it possible to establish a climate of confidence and comfort.
- Guarantee compliance with patient privacy by protecting sensitive information relating to gender identity and controlling people who can access it in medical records.
Problem medical records no one
Change begins with education
A. M. Berner remembers having seen the staff give priority to logistical questions. such as the decision to place a transgender patient in a service for men or women, rather than taking care of the well-being of the patient. She explains that this lack of cultural knowledge. skills in the provision of inclusive care feeds feelings of alienation and distrust in patients.
A blatant example is the phenomenon known as ” Transgender broken arm syndrome “. Where healthcare professionals set for a transgender identity of a patient, even when that has nothing to do with the medical problem in question. A transgender patient seeking to be treated for a fracture of the arm. for example, could be asked questions about his transition, his hormone therapy or his surgical history, which would divert the attention of his immediate medical needs. This poorly placed attention can give patients the feeling of being stigmatized and not respected, said S. O’Callaghan.
Compulsory training in cultural skills concerning LGBTQ+ people intended for medical students. exercise professionals would make it possible to fill these shortcomings. This training would dissipate false ideas. to teach health professionals how to hold respectful conversations on gender identity and to emphasize the importance of using the correct names and pronouns of patients.
According to S. O’Callaghan. changes problem medical records no one in policies are also necessary, in particular the modernization of electronic medical files in order to document both the sex recorded at birth and the current gender identity of the patient (E). Storage of data relating to sex at birth in a private section of the medical file. accessible only on the basis of ” need to know “, Could guarantee respect for privacy while facilitating optimal care.
« Health professionals work in a system established several decades ago, and change has long been waiting “, Underlined S. O’Callaghan. He also noted that socio -political pressures threaten the attitudes of support for the health of transgender people. which increases distrust of the medical environment. “” If we want to achieve a viable solution. the transgender community must be directly involved in a significant manner in its development. problem medical records no one »
Understand that gender identity is a nuanced. evolving concept reinforces the need to adopt more thoughtful and inclusive health care practices. “” Gender identity is a complex system », said Dr. Roeters van Lennep. . It is not enough to check a box in a form. The genre is fluid. It depends on time and context. »
Problem medical records no one
Funding and interest links
S. O’Callaghan, A. M. Berner and J. Roeters Van Lennep have not reported any relevant financial relationship.
Manuela Callari is an independent scientific journalist specializing in human and planetary health. His work was published in The Medical Republic, Rare Disease Advisor, The Guardian, MIT Technology Reviewetc.
This article was initially published on Medscape.com. It has been translated, using several problem medical records no one editorial tools, including AI, as part of the process. The translation was reviewed and adapted by the editorial staff before publication.
Further reading: Festive evening on the historic site of La Fortress – Funding for the AIDS fighting program preserved before the US Senate vote on Trump Cups – Chemotherapy would damage DNA and accelerate the aging of healthy cells – Prohibition of flavor linked to the drop in the use of electronic cigarettes, but can slow down the decline in smoking – Covid Long: a nicotine patch as the last hope.
