Lesbian, gay, bisexual and transgender people's attitudes to end‐of‐life decision‐making and advance care planning

Hughes, Mark; Cartwright, Colleen M

doi:10.1111/ajag.12268

Cited by 25 publications

(46 citation statements)

References 17 publications

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“…The findings also indicated that while 76% of respondents were comfortable with their healthcare provider raising end-of-life issues with them, transgender and closeted respondents were less comfortable having these conversations with their healthcare provider. Another study conducted by the same authors suggests that while advance care planning options have the potential to promote the rights of LGBT people at the end of life (insofar as it allows them to choose precisely who they would like to make decisions on their behalf), their levels of uptake approximate those of the general population [21].…”

Section: Resultsmentioning

confidence: 99%

Healthcare and End-of-Life Needs of Lesbian, Gay, Bisexual, and Transgender (LGBT) Older Adults: A Scoping Review

et al. 2017

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Lesbian, gay, bisexual, and transgender (LGBT) older adults face a number of challenges with respect to access to healthcare especially towards end-of-life. Through a systematic search and scoping review of the literature, we sought to answer two related research questions. In particular, the purpose of this scoping review was to determine the healthcare needs of LGBT older adults nearing end-of-life as well as the factors that contribute to a good death experience among older adults who identify as LGBT. A systematic search of electronic databases for articles published between 2005 and 2016 as well as screening for relevance resulted in 25 results. The data were charted and grouped according to the themes of: social support and chosen family, intimacy, health status, fear of discrimination and lack of trust, lack of knowledge and preparedness, and cultural competence in the healthcare system. The results suggest a role for health and social service workers in contributing to a positive care experience for LGBT older adults by becoming knowledgeable about the unique needs of this population and being unassuming and accepting of individuals' sexuality. Many of the articles reviewed collected data outside of Canada, limiting generalizability and highlighting a need for Canadian data on LGBT aging and end-of-life.

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Section: Resultsmentioning

confidence: 99%

Healthcare and End-of-Life Needs of Lesbian, Gay, Bisexual, and Transgender (LGBT) Older Adults: A Scoping Review

et al. 2017

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“…Studies conducted in Australia have examined experiences and perceptions of residential‐care, which broadly show a range of concerns and fears, including management of identity disclosure, lack of safe spaces for intimate relationships and the need for culturally safe and inclusive services (Barrett, ; Barrett, Crameri, Lambourne, Latham, & Whyte, ; Cartwright, Hughes, & Lienert, ; Chamberlain & Robinson, ; Crameri, Barrett, Latham, & Whyte, ; Harrison, ; Hughes, , ; Lovelock, ; Waite, ). Research has also found lesbian and gay people tend to have low awareness regarding their legal options, with most avoiding or not being given the opportunity to discuss the issue with healthcare providers (Hughes & Cartwright, , ).…”

Section: Introductionmentioning

confidence: 99%

Experiences and perceptions of residential and home care services among older lesbian women and gay men in Australia

Waling

Lyons

Alba

et al. 2019

Health Soc Care Community

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The needs of older lesbian and gay people regarding access and use of aged‐care services remain underresearched. This paper reports the findings of 33 qualitative interviews with older lesbian women and gay men about their perceptions and experiences of residential aged‐care and home‐based aged‐care services in Australia. The focus of this paper is their preparedness for using aged‐care services. The results highlight that participants had a number of concerns related to accessing residential‐care services in particular, including perceptions of a lack of inclusivity and concerns of potential for discrimination and hostility, loss of access to community and partners, decreased autonomy and concerns relating to quality of care and the potential for elder abuse. Participants noted a number of strategies they employed in avoiding residential‐care services, including the use of home‐care services, renovating the home for increased mobility, moving to locations with greater access to outside home‐care services, a preference for lesbian/gay‐specific housing and residential‐care options if available, and the option of voluntary euthanasia to ensure dignity and autonomy. Participants, on the whole, were hopeful that they would never require the use of residential‐care services, with some believing that having current good health or the support of friends could prevent this from happening. The findings suggest that older lesbian and gay people have a variety of concerns with aged‐care and may need additional support and education to improve their perceptions and experiences of services, whether these are needed presently or in the future.

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“…Completion of a living will or durable power of attorney is approximately 29% for both LGBT adults and non-LGBT adults [11]. However, for older LGBT individuals who have a ‘chosen family’ or are partnered, these considerations take on additional importance [10].…”

Section: Social Concernsmentioning

confidence: 99%

Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action

Cannon

Shukla

Vanderbilt

2017

Medical Education Online

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Medical students matriculating in the coming years will be faced with treating an expansive increase in the population of older lesbian, gay, bisexual, and transgender (LGBT) patients. While these patients face healthcare concerns similar to their non-LGBT aging peers, the older LGBT community has distinct healthcare needs and faces well-documented healthcare disparities. In order to reduce these healthcare barriers, medical school curricula must prepare and educate future physicians to treat this population while providing high quality, culturally-competent care. This article addresses some of the unique healthcare needs of the aging LGBT population with an emphasis on social concerns and healthcare disparities. It provides additional curricular recommendations to aid in the progressive augmentation of medical school curricula. Abbreviations: Liaison Committee on Medical Education (LCME); LGBT: Lesbian, gay, bisexual, transgender

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Lesbian, gay, bisexual and transgender people's attitudes to end‐of‐life decision‐making and advance care planning

Cited by 25 publications

References 17 publications

Healthcare and End-of-Life Needs of Lesbian, Gay, Bisexual, and Transgender (LGBT) Older Adults: A Scoping Review

Healthcare and End-of-Life Needs of Lesbian, Gay, Bisexual, and Transgender (LGBT) Older Adults: A Scoping Review

Experiences and perceptions of residential and home care services among older lesbian women and gay men in Australia

Addressing the healthcare needs of older Lesbian, Gay, Bisexual, and Transgender patients in medical school curricula: a call to action

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