Tag: Medical Care

First do no harm

An article published Monday in the Journal of Emergency Nursing will hopefully change the treatment of transgender people in hospital emergency rooms.  The article was submitted by Ethan Collin Cicero, BSN, RN and Beth Perry Black, PhD, RN, from Chapel Hill, NC and was entitled, I was a Spectacle…A Freak Show at the Circus: A transgender Person’s ED Experience and Implications for Nursing Practice

The article offers a case study for Brandon James (not his real name), a transgender man who visited an Emergency Department in the southeastern US a few years ago, expecting to be treated like any other patient.

Instead, he was treated like a “freak show at the circus” by hospital staff when the female marker on his driver’s license and medical record did not match up with his masculine appearance and preference to go by male pronouns.

The authors point to one recent study, which found that about 19 percent of transgender patients reported having been refused care because of their gender status, and 28 percent said they experienced harassment in a medical setting.

Unfortunately, this is fairly common.  From a nursing perspective, those are very alarming numbers to learn about, so that’s why we wanted to look a little more closely into this community’s health care experiences.

–Cicero, a doctoral student at the Duke University School of Nursing

New study calls for improved medical care for transgender patients

Daphna Stroumsa, an obstetrics and gynecology resident at Henry Ford Hospital in Detroit, has published research on medical discrimination against transgender people whichis available in the American Journal of Public Health:  The State of Transgender Health Care:  Policy, Law and Medical Frameworks.  Access to the full document requires APHA membership or paid subscription, which I do not have.

Abstract:

I review the current status of transgender people’s access to health care in the United States and analyze federal policies regarding health care services for transgender people and the limitations thereof.  I suggest a preliminary outline to enhance health care services and recommend the formulation of explicit federal policies regarding the provision of health care services to transgender people in accordance with recently issued medical care guidelines, allocation of research funding, education of health care workers, and implementation of existing nondiscrimination policies.  Current policies denying medical coverage for sex reassignment surgery contradict standards of medical care and must be amended.

Dr. Strousma is a graduate of The Hebrew University Haddassah Medical School in Jerusalem, Israel.  She calls for the medical establishment to immediately address of the situation.

Washington Times-PTSD-Treatments

While we’ll take Any In Depth Reports about what already should have been common knowledge on Post Traumatic Stress I do have just a couple of minor irritations with an otherwise Stellar Report on the Treatments for PTSD in the Washington Times edition today. let me get them out of the way.

The report, called VA grapples with veterans’ mental traumas, is a six page writeup of which one Audrey Hudson deserves alot of credit for reporting and apparently has done a few others this year as the previous link would show.

It starts out with the following: