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
- physical activity
- mental health
- social support
- palliative care
- newly diagnosed
- depressive symptoms
- advance care planning
- affordable care act
- end stage renal disease
- public health
- ejection fraction
- middle aged
- advanced cancer
- mesenchymal stem cells
- prognostic factors
- mass spectrometry
- young adults
- hiv infected
- bone marrow
- smoking cessation
- hepatitis c virus
- climate change
- patient reported outcomes
- medical students
- community dwelling
- patient reported