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The transgender patient poses some unique healthcare issues. Here are some tips (Jellin, 2020) when seeing a transgender individual in your future NP role:
Keep the actual birth gender in mind for the diagnoses. Assigned sex at birth is protected by HIPAA, but remember contraception may be necessary by some transgender males taking medications with fetal risk (e.g., ACE Inhibitors, ARBs, statins) and prostatitis may occur in transgender females.
Document the sex, gender identity, and sexual preference in your computer system (e.g., electronic health records [EHR]).
Document all medication indications to avoid confusion (e.g., spironolactone use in a transgender female may be used to inhibit testosterone production).
Use gender identity rather than sex at birth for calculating renal function (e.g., creatinine clearance [Clcr]) for patients who have been on transgender hormone therapy for a minimum of six months. Hormones can affect lean body weight and serum creatinine.
Check for health conditions. LGBTQ patients may be more likely to have, and/or less likely to be screened for some disorders vs the non-LGBTQ patients. Conditions may include:
anxiety, depression and suicide
alcohol, tobacco, and illicit drug use
cardiovascular disease (remember that diabetes is a cardiovascular disorder)
cancers (e.g., breast cancer in transgender males)
HIV
These points have been useful to me in our free clinic, and I hope they are useful to you. What is your thoughts and suggestions?

 

Apologies for missing that! Here’s the detailed step-by-step guide for students based on your provided instructions:

Struggling with where to start this assignment? Follow this guide to tackle your assignment easily!

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Step 1: Understand the Assignment Requirements

Start by reading the prompt carefully. In this case, you are tasked with discussing the healthcare challenges transgender patients face and offering recommendations. Make sure to:

• Identify the key topics: Transgender healthcare issues, medications, screenings, and gender identity considerations.
• Focus on the main objective: You are providing insights and suggestions based on your clinical experience and research.

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Step 2: Gather Resources

To help support your answer, refer to credible sources such as:

• Jellin (2020): This article provides useful guidance on how to approach transgender patient care.
• Clinical Guidelines: Check medical websites, journals, and guidelines about transgender healthcare, such as hormone therapy effects, mental health, and preventive screenings.

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Step 3: Organize Your Thoughts

Once you have your resources, organize your thoughts into a structured response:

1. Introduction: Briefly explain why the healthcare of transgender patients is an important issue, referring to specific challenges faced in clinical practice.
2. Body Paragraphs:
   • Point 1: Discuss the importance of understanding and documenting the patient’s gender identity and preferences.
   • Point 2: Mention specific health conditions more prevalent in LGBTQ+ populations and the need for routine screening.
   • Point 3: Consider medical and mental health aspects, including how treatments and hormone therapy affect health.
3. Conclusion: Summarize your key recommendations and emphasize the need for inclusive care.

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Step 4: Write Your Paper

Start drafting your paper following the structure you’ve outlined. Remember to:

• Be clear and concise: Ensure your ideas flow logically from one point to the next.
• Support your points: Use evidence from Jellin (2020) and other reliable sources to back up your recommendations.

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Step 5: Cite Your Sources

As you write, make sure to cite all your sources properly:

• Follow APA style for in-text citations and references.
• For Jellin (2020), cite it as follows:
  • In-text: (Jellin, 2020)
  • Reference: Jellin, J. (2020). [Title of the article/book]. [Publisher/Journal Name].

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Step 6: Review and Revise

Once you’ve completed your draft:

• Proofread your work for clarity, grammar, and coherence.
• Ensure all key points are addressed.
• Check citations to ensure they are correct and properly formatted.

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Step 7: Submit Your Paper

After completing all revisions and ensuring the assignment meets the required length, submit your paper as instructed.

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By following these steps, you should be able to tackle your assignment efficiently and provide a well-rounded, evidence-based response.

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