LGBTQIA+ Health in Aging Adults, An Issue of Clinics in Geriatric Medicine

1st Edition, Volume 40-2 - March 26, 2024
Editors: Manuel Eskildsen, Carl Henry Burton
Language: English
Hardback ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 5 7 - 5
eBook ISBN:
9 7 8 - 0 - 4 4 3 - 1 2 9 5 8 - 2

In this issue of Clinics in Geriatric Medicine, guest editors Drs. Manuel Eskildsen and Carl Henry Burton bring their considerable expertise to the topic of LGBTQIA+ Health in… Read more

LGBTQIA+ Health in Aging Adults, An Issue of Clinics in Geriatric Medicine

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In this issue of Clinics in Geriatric Medicine, guest editors Drs. Manuel Eskildsen and Carl Henry Burton bring their considerable expertise to the topic of LGBTQIA+ Health in Aging Adults. Top experts in the field discuss topics regarding mental and physical care for aging LGBTQIA+ adults, including end-of-life care, long-term care, and sexual health.

Cover image
Title page
Table of Contents
Copyright
Contributors
Forthcoming Issues
Foreword
Preface
Affirming Care for LGBTQ+ Patients
Key points
Introduction
Overview of health disparities
Discussion
Guiding principles and constructs in understanding and acknowledging the LGBTQ + community
Multidimensional approach for inclusive and affirming care
Summary
Clinics care points: practical recommendations for inclusive and affirming medical care
Preventive and Sexual Health in LGBTQ+ Older Adults
Key points
Introduction
Discussion
Summary
Clinics care points
Disclosure
Funding
Medical Issues Affecting Older Gay and Bisexual Men
Key points
Introduction
Discussion
Tobacco, alcohol, and substance use
Cancer risk and screening
Summary
Clinics care points
Medical Issues Affecting Older Lesbian and Bisexual Women
Key points
Introduction
History
General health and preventative care
Cardiovascular disease and risk factors
Mental health
Alcohol and smoking
Cancer screening
Disability
Memory and cognition
Social factors that impact healthy aging
Summary
Clinics care points and recommendations
Gender-Affirming Care for Older Transgender and Gender Diverse Adults
Key points
Introduction
Historical perspectives
Clinical care considerations for aging transgender individuals
General approach to care
Gender-affirming interventions for aging transgender people
Sexual health
Gender-affirming care at the end of life and palliative care
Summary
Clinics care points
Primary Care and Health Care of Transgender and Gender-Diverse Older Adults
Key points
Background
Summary
Clinics care points
Human Immunodeficiency Virus in Older Adults
Key points
Introduction
Demographics
Pathophysiology
Summary
Clinics care points
Mental Health for LGBTQIA+ Older Adults
Key points
Introduction
Minority stress and allostatic load
Identity disclosure and self-acceptance
Social isolation and loneliness
Depression and anxiety
Post-traumatic stress disorder and trauma-informed care
Substance use
Memory and cognitive impairment
Resilience and community
Clinics care points
Psychosocial and Financial Issues Affecting LGBTQ+ Older Adults
Key points
Introduction
Clinical vignette (case study/presentation)
Social connection
Systemic discrimination
Families of choice
Access to support services
Avoidance of health care
Isolation of caregivers
Dual caregiving role of LGBTQ+ caregivers
Financial security
Income
Health care eligibility
Cost of long-term care
Retirement
Social security survivorship benefits
Housing
Housing solutions
Advance care planning documentation
Health care power of attorney/health care proxy
Living will
Estate and asset distribution planning
Upholding correct names and pronouns
Funeral directive
Hospital visitation directive
Advance care planning completion rate
Long-term care
Long-Term Care Equality Index
Summary
Clinics care points
Postacute Care and Long-term Care for LGBTQ+ Older Adults
Key points
Introduction
LGBTQ + health care
Predisposing circumstances for nursing home admissions
Nursing home experiences
Best practices
Clinics care points
Disclosure
End-Of-Life and Palliative Care for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, or Another Diverse Gender Identity Older Adults
Key points
Introduction
Discussion
Summary
Home-Based Care for Lesbian, Gay, Bisexual, Transgender, Queer or Questioning, or another diverse gender identity Older Adults
Key points
Introduction
Definitions and connections
Caring for lesbian, gay, bisexual, transgender, queer or questioning, or another diverse gender identity older adults at home
Future directions and resources for organizations and health systems
Summary
Clinics care points
Federal and State Policy Issues Affecting Lesbian, Gay, Bisexual, Transgender, and Queer Older Adults
Key points
Introduction
Summary

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LGBTQIA+ Health in Aging Adults, An Issue of Clinics in Geriatric Medicine

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Manuel Eskildsen

Carl Henry Burton