Clinicians working with older transgender and gender-diverse (TGD) individuals need to acquire the necessary knowledge and skills to provide care that is high quality and culturally appropriate. This includes supporting patients in their exploration of gender and attainment of gender-affirming medical interventions. Clinicians should strive to create environments that are inclusive and safe, and that will facilitate health care access and build constructive provider-patient relationships. Clinicians should be aware of best practices, including that age-appropriate health screenings should be anatomy based, and ensure that TGD older adults on gender-affirming hormone therapy (GAHT) receive ongoing laboratory monitoring and physical assessments, including serum hormone levels and biomarkers. Older TGD adults underutilize advance care planning, and need individualized assessments that consider their unique family structures, social support, and financial situation. End-of-life care services should ensure that TGD individuals are treated with dignity and respect.
Keyphrases
- healthcare
- primary care
- mental health
- physical activity
- social support
- palliative care
- newly diagnosed
- advance care planning
- end stage renal disease
- ejection fraction
- affordable care act
- community dwelling
- patient reported outcomes
- general practice
- high resolution
- public health
- hepatitis c virus
- hiv infected
- quality improvement
- human immunodeficiency virus
- social media
- patient reported
- climate change
- childhood cancer