Clinician's guide to LGBTQIA+ care : cultural safety and social justice in primary, sexual, and reproductive healthcare

목차 (Table of Contents)

• CONTENTS
• Contributors = xv
• Foreword / Tonia Poteat ; PhD ; MPH ; PA-C ; AAHIVS ; DAAPA = xix
• Preface = xxi
• Acknowledgements = xxv
• PART I FRAMEWORKS
• 1. Cultural Safety Framework for LGBTQIA+ Communities / Ronica Mukerjee ; Linda Wesp ; Randi Singer = 3
• Introduction = 3
• Overview of Cultural Safety = 5
• Origins of Cultural Safety Framework = 5
• Cultural Safety and LGBTQIA+ Populations = 6
• The Detriment of Normalcy = 6
• Five Tends of Cultural Safety for LGBTQIA+ Populations = 7
• Enacting Cultural Safety Within Specific LGBTQIA+ Patient Populations = 10
• Legislative Barriers to LGBTQIA+ Health = 13
• Tackling Barriers = 15
• How Do We Know If We Are Providing Culturally Safe Clinical Care? = 16
• Conclusion = 17
• 2. Language and Communication With LGBTQIA+ Communities / Randi Singer ; Linda Wesp ; Dane Menkin ; Paige Ricca ; Sierra Bushe-Ribero ; Kristin Keglovitz Baker = 21
• Introduction = 21
• Implicit Bias = 22
• Terminology = 23
• LGBTQIA+ Acronym = 25
• Communication = 27
• Using Terminology Glossary = 28
• Conclusion = 28
• 3. Impact of Stigma / Danielle Boudreau ; Robin D'Aversa ; Julia Gelbort ; Ronica Mukerjee ; Randi Singer ; Liz Velek= 31
• Introduction = 31
• How Historical Stigma Has Shaped Healthcare for the LGBTQIA+ Community = 32
• Early Psychiatry : Birth of Homosexuality = 33
• Early Sexology : Natural Variation or Aberration? = 34
• History's Impact on LGBTQIA+ Black, Indigenous, People of Color = 38
• Economic Inequality-Poverty and Health Outcomes = 43
• Cultural Safety Summary Points = 46
• Conclusion = 47
• 4. Racial and LGBTQIA+ Microaggressions / Jaymie Campbell Orphanidys ; Randi Singer ; Ronica Mukerjee = 53
• Introduction = 53
• What Is a Microaggression? = 54
• Implicit Bias and Microaggressions = 56
• Why Providers Need to Understand Microaggressions = 56
• The Impact of Microaggressions on Health and Well-Being = 58
• How Stigma Leads to Health Disparities = 58
• Mental Health Disparities Experienced by LGBTQIA+ Patients = 60
• Microaggressions Targeting Trans Patients in Sexual and Reproductive Healthcare = 61
• Cultural Safety Summary Points = 63
• Conclusion = 64
• Discussion Questions = 64
• 5. Trauma-Informed Care / Danielle Boudreau ; Ronica Mukerjee ; Linda Wesp ; Lazarus Nance Latches= 69
• Introduction = 69
• What Is Trauma? = 71
• What Is Trauma-Informed Care? = 74
• The Role of Implicit Bias = 77
• Cultural Safety Summary Points = 78
• Conclusion : Moving Toward Resilience = 79
• Discussion Questions = 79
• PART II PEOPLE AND IDENTITIES
• 6. Queerness and Sexualities / Ronica Mukerjee ; D'hana Perry ; Linda Wesp = 85
• Introduction = 85
• Queerness as Sexual Identity = 87
• Queer as Sociopolitical Affiliation = 89
• Providing Culturally Safe Care for People Who Identify as Queer = 89
• Embracing Ambiguity = 90
• Approaching Sexual Health for Queer Patients = 91
• Cultural Safety Summary Points = 92
• Conclusion = 92
• 7. Asexual Patient Care / Ronica Mukerjee ; Poonam Daryani = 95
• Introduction = 95
• The Pathologization of Asexuality = 96
• Asexual (Ace) Identity and Relationships = 98
• Intersectionality, Disability and Asexuality = 100
• Best Practices for Providing Culturally Safe Care for People Who Identify as Asexual = 101
• Cultural Safety Summary Points = 103
• Conclusion = 103
• 8. Intersex Patient Care / Ronica Mukerjee = 107
• Introduction = 107
• Basic Medical Terminology = 108
• Recommended Methods of Care = 108
• Clinical Care for Adults = 110
• Some Common Intersex Differences = 111
• Cultural Safety Summary Points = 115
• Conclusion = 116
• 9. Gender Identity / Dane Menkin ; Linda Wesp ; Kristin Keglovitz Baker ; Ronica Mukerjee ; Randi Singer = 119
• Introduction = 119
• Overview of Gender-Affirming Care = 121
• Gender-Affirming Intake and Review of Systems = 122
• Physical Exam = 123
• Cancer Screening Considerations = 126
• Cultural Safety Summary Points = 131
• Conclusion = 131
• PART III SPECIFIC APPROACHES TO CARE
• 10. Sexual Healthcare for LGBTQIA+ Individuals / Linda Wesp ; Danielle Boudreau ; Ronica Mukerjee ; Lazarus Nance Letcher = 137
• Introduction = 137
• Taking a Sexual Health History = 138
• Supporting Sexual Function and Pleasure = 140
• Trauma-Informed Physical Exam = 141
• Chronic Pelvic Pain = 142
• Contraception, Menses Management, and Abortion = 144
• Safer Sex : STI and HIV Prevention and Testing = 146
• Cultural Safely Summary Points = 146
• Conclusion = 147
• 11. Perinatal Care for Trans, Gender Expansive, and LGBQIA+ Populations / Simon Adriane Ellis ; Danielle Boudreau ; Randi Singer ; Ronni Getz ; Robin D'Aversa = 153
• Introduction = 154
• Overview = 154
• Limitations to This Chapter = 154
• A Note on Intersecting Identities = 155
• Barriers to Accessing Perinatal Care for LGBTQIA+ Patients = 155
• Preconception and Conception Care = 159
• Prenatal One = 165
• Intrapartum Care = 173
• Postpartum Care = 176
• Cultural Safety Summary Points = 181
• Conclusion = 181
• Afterword : A Coll to Action / Ronica Mukerjee ; Randi Singer ; Linda Wesp ; Pia Pauline Lenon = 189
• Glossary = 193
• Index = 197