Transsexual primary care
Article first published online: 29 JUL 2010
© 2010 The Author Journal compilation © 2010 American Academy of Nurse Practitioners
Journal of the American Academy of Nurse Practitioners
Volume 22, Issue 8, pages 403–408, August 2010
How to Cite
Jenner, C. O. (2010), Transsexual primary care. Journal of the American Academy of Nurse Practitioners, 22: 403–408. doi: 10.1111/j.1745-7599.2010.00532.x
- Issue published online: 29 JUL 2010
- Article first published online: 29 JUL 2010
- Received: January 2009; accepted: March 2009
- Gender reassignment;
- cultural competence;
- gay health;
- gender identity;
Purpose: Transsexual presentations in primary care stress mainstream health care physical resources, institutional organization, and the cultural flexibility of providers and interdisciplinary staff. This article describes the ethical landscape, examines gender identity culture, and considers gender reassignment physiology. Nurse practitioners are challenged to advocate for this population.
Data sources: Sources for the discussion derive from published institutional guidelines, institutional and civic policies, web-based information in the public domain, and professional journal articles.
Conclusions: Advocacy for cultural sensitivity, institutional policy change,and professional integrity will determine healthcare quality for this population. Advocacy for cultural awareness and institutional change has begun in larger institutions and metropolitan areas, but is necessary across primary care settings.
Implications for practice: Caring for transsexuals requires knowledge of anatomical reassignments, hormonal therapy effects, and cultural sensitivities particular to the gender identity community. Healthcare screening and physical exam modifications for these presentations require forethought and appropriate adjustments.