Behavioral Science- LGBT- healthcare guidelines- Dr. Holt Flashcards
A new patient who is married with 3 kids presents to your office. what is the best way to illicit social history?
it is important to ask open ended questions about the gender of his spouse. ( dont assume heterosexuality)
a 55y/o divorced male presents with an illness. upon getting social history he is evasive in discussing dating and sexual history. and he proclaims that he is devoutly religious. what would be the BEST thing to say to make him feel more comfortable discussing sexual history?
Have you ever been partnered or had a significant other?
a 28 y/o latino male that is married presents for a physical exam. upon exam you find a small growth near the anus. what would be the most important thing to do next?
state the finding and recommend a screening for STDs, including HPV
a married woman presents with husband. the husband tries to tell story and answer her questions. You find rib fractures at different stages of healing. you ask to speak to the women alone. what would be the best way to inquire about domestic abuse?
Have you ever been physically or sexually assulted by someone? (ask open ended questions)
African american male. examination of the anus shows bleeding, warts and discharge. which virus is most commonly responsible for his symptoms?
HPV
A black married woman presents with problems with her girlfriend. she says her husband does not approve of her bisexuality. based on risk factors what is the likelihood she will turn to substance abuse to deal with the stress?
50% (triple minority effect)
35 y/o transgender was admitted for a PE. she attended a “pumping party” to gain instant beyonce curves. what is the most likely cause of her symptoms?
Silicone
what is the first step to provide better LGBT care?
update the physical environment in your clinic
what is step 2 to provide better LGBT care?
add or change intake and health history forms
what is step 3 to provide better LGBT care?
improve provider- patient interviews. (don’t assume, ask open ended questions)
T or F. Never assume a self chosen sexual identity is indicative of their sexual behavior.
True
T or F. it is becoming more common to not identify with a particular sexual orientation.
True
what language should you avoid?
language that may presume heterosexuality or discriminate
what is step 4 to provide better LGBT care
increase your staff’s knowledge about, and sensitivity to, LGBT patients.
Do NOT make assumptions about past, current, and future sexual behavior based on sexual identity.
True
