Caring for an Unconscious Transgender Patient at the End of Life Ethical Considerations and Implications

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dc.contributor.authorLippe, Megan
dc.contributor.authorEyer, Joshua C.
dc.contributor.authorRosa, William E.
dc.contributor.authorMcKinney, Robert
dc.contributor.authorPatterson, Brianna
dc.contributor.authorMatteo, Rebecca A.
dc.contributor.authorTownsend, Haley
dc.contributor.authorHalli-Tierney, Anne
dc.contributor.otherUniversity of Alabama Tuscaloosa
dc.contributor.otherMemorial Sloan Kettering Cancer Center
dc.date.accessioned2023-09-28T21:10:21Z
dc.date.available2023-09-28T21:10:21Z
dc.date.issued2021
dc.description.abstractIndividuals who identify as transgender (trans) or other gender-diverse identities are highly marginalized populations within the United States health care system. Transgender individuals experience a broad range of health disparities leading to devastating health outcomes. Experiences with discrimination and biased care often result in a lack of trust in providers and reduced care seeking, yet providers frequently rely on communication with trans patients to build competence. Consequently, when a trans patient has restricted communication, whether due to biological or psychological reasons, their care can be further disrupted. The nursing code of ethics compels the provision of competent care to all patients, regardless of demographics or gender identity, including individuals with serious illness and injury. This article describes an approach to the provision of affirmative, trans-inclusive care in a palliative nursing context that integrates cultural humility and self-reflection into an established patient care framework. The approach is then applied to identify ethical dilemmas present in the case of a trans patient who arrived at a hospital in an unconscious state following serious injury. Nurses' use of the ethical approach when caring for seriously ill trans patients would represent important progress toward fostering a health care system that provides affirmative, trans-inclusive care.en_US
dc.format.mediumelectronic
dc.format.mimetypeapplication/pdf
dc.identifier.citationLippe, M., Eyer, J. C., Rosa, W. E., McKinney, R., Patterson, B., Matteo, R. A., Townsend, H., & Halli-Tierney, A. (2021). Caring for an Unconscious Transgender Patient at the End of Life. In Journal of Hospice & Palliative Nursing (Vol. 23, Issue 4, pp. 300–308). Ovid Technologies (Wolters Kluwer Health). https://doi.org/10.1097/njh.0000000000000765
dc.identifier.doi10.1097/NJH.0000000000000765
dc.identifier.urihttps://ir.ua.edu/handle/123456789/12034
dc.languageEnglish
dc.language.isoen_US
dc.publisherLippincott Williams & Wilkins
dc.subjectethics
dc.subjecthealth services for transgender persons
dc.subjectnursing ethics
dc.subjectpalliative care
dc.subjecttransgender persons
dc.subjectunconsciousness
dc.subjectCULTURAL HUMILITY
dc.subjectCARE
dc.subjectGAY
dc.subjectNursing
dc.titleCaring for an Unconscious Transgender Patient at the End of Life Ethical Considerations and Implicationsen_US
dc.typeArticle
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