Scenario
A patient presents to your office who self-identifies as lesbian and uses she/her/hers pronouns. She is experiencing symptoms of a possible vaginal infection.

You know that the population she identifies with experiences major barriers to health care, including a history of negative health experiences as well as a lack of clinician knowledge and financial barriers.

Assessment Deliverable
Consider the patient in the scenario and how would you approach your assessment of the patient.

Create an 8- to 12-slide presentation, with speaker notes, in which you address the following:

Give examples of sexual and reproductive health disparities related to caring for patients in the LGBTQ community.
Describe the barriers this population may face in accessing health care.
Explain the strategies you can use to decrease the patient’s discomfort while you are assessing them.
Give examples of how you will use appropriate wording that is inclusive and considers the patient’s identity and pronouns during your assessment.
Discuss resources available in your community to providers and patients regarding health care for individuals in the LGBTQ community.
Discuss how the patient’s age may influence the assessment. If this patient were an adolescent versus an older adult.

 

Sample solution

Dante Alighieri played a critical role in the literature world through his poem Divine Comedy that was written in the 14th century. The poem contains Inferno, Purgatorio, and Paradiso. The Inferno is a description of the nine circles of torment that are found on the earth. It depicts the realms of the people that have gone against the spiritual values and who, instead, have chosen bestial appetite, violence, or fraud and malice. The nine circles of hell are limbo, lust, gluttony, greed and wrath. Others are heresy, violence, fraud, and treachery. The purpose of this paper is to examine the Dante’s Inferno in the perspective of its portrayal of God’s image and the justification of hell. 

In this epic poem, God is portrayed as a super being guilty of multiple weaknesses including being egotistic, unjust, and hypocritical. Dante, in this poem, depicts God as being more human than divine by challenging God’s omnipotence. Additionally, the manner in which Dante describes Hell is in full contradiction to the morals of God as written in the Bible. When god arranges Hell to flatter Himself, He commits egotism, a sin that is common among human beings (Cheney, 2016). The weakness is depicted in Limbo and on the Gate of Hell where, for instance, God sends those who do not worship Him to Hell. This implies that failure to worship Him is a sin.

God is also depicted as lacking justice in His actions thus removing the godly image. The injustice is portrayed by the manner in which the sodomites and opportunists are treated. The opportunists are subjected to banner chasing in their lives after death followed by being stung by insects and maggots. They are known to having done neither good nor bad during their lifetimes and, therefore, justice could have demanded that they be granted a neutral punishment having lived a neutral life. The sodomites are also punished unfairly by God when Brunetto Lattini is condemned to hell despite being a good leader (Babor, T. F., McGovern, T., & Robaina, K. (2017). While he commited sodomy, God chooses to ignore all the other good deeds that Brunetto did.

Finally, God is also portrayed as being hypocritical in His actions, a sin that further diminishes His godliness and makes Him more human. A case in point is when God condemns the sin of egotism and goes ahead to commit it repeatedly. Proverbs 29:23 states that “arrogance will bring your downfall, but if you are humble, you will be respected.” When Slattery condemns Dante’s human state as being weak, doubtful, and limited, he is proving God’s hypocrisy because He is also human (Verdicchio, 2015). The actions of God in Hell as portrayed by Dante are inconsistent with the Biblical literature. Both Dante and God are prone to making mistakes, something common among human beings thus making God more human.

To wrap it up, Dante portrays God is more human since He commits the same sins that humans commit: egotism, hypocrisy, and injustice. Hell is justified as being a destination for victims of the mistakes committed by God. The Hell is presented as being a totally different place as compared to what is written about it in the Bible. As a result, reading through the text gives an image of God who is prone to the very mistakes common to humans thus ripping Him off His lofty status of divine and, instead, making Him a mere human. Whether or not Dante did it intentionally is subject to debate but one thing is clear in the poem: the misconstrued notion of God is revealed to future generations.

 

References

Babor, T. F., McGovern, T., & Robaina, K. (2017). Dante’s inferno: Seven deadly sins in scientific publishing and how to avoid them. Addiction Science: A Guide for the Perplexed, 267.

Cheney, L. D. G. (2016). Illustrations for Dante’s Inferno: A Comparative Study of Sandro Botticelli, Giovanni Stradano, and Federico Zuccaro. Cultural and Religious Studies4(8), 487.

Verdicchio, M. (2015). Irony and Desire in Dante’s” Inferno” 27. Italica, 285-297.

Addressing Sexual and Reproductive Health Disparities in LGBTQ+ Patients: A Guide for Healthcare Providers

Slide 1: Title Slide

  • Title: Addressing Sexual and Reproductive Health Disparities in LGBTQ+ Patients: A Guide for Healthcare Providers

  • Subtitle: Fostering Inclusive and Respectful Care

  • Presenter: [Your Name]

Slide 2: Understanding LGBTQ+ Health Disparities

  • Key Point: LGBTQ+ individuals face significant health disparities compared to the general population, including higher rates of:

    • HIV/AIDS

    • Mental health issues (depression, anxiety, suicide)

    • Substance use disorders

    • Cancer screenings

Addressing Sexual and Reproductive Health Disparities in LGBTQ+ Patients: A Guide for Healthcare Providers

Slide 1: Title Slide

  • Title: Addressing Sexual and Reproductive Health Disparities in LGBTQ+ Patients: A Guide for Healthcare Providers

  • Subtitle: Fostering Inclusive and Respectful Care

  • Presenter: [Your Name]

Slide 2: Understanding LGBTQ+ Health Disparities

  • Key Point: LGBTQ+ individuals face significant health disparities compared to the general population, including higher rates of:

    • HIV/AIDS

    • Mental health issues (depression, anxiety, suicide)

    • Substance use disorders

    • Cancer screenings

    • STI infections

    • Cardiovascular disease

Slide 3: Examples of Sexual and Reproductive Health Disparities

  • Example 1: Lesbian, bisexual, and other women who have sex with women (WSW) may experience delayed or inadequate access to cervical cancer screenings.

  • Example 2: Transgender individuals may face challenges accessing gender-affirming healthcare, including hormone therapy and surgeries.

  • Example 3: LGBTQ+ youth are at increased risk for experiencing bullying, discrimination, and mental health issues, impacting their sexual and reproductive health outcomes.

Slide 4: Barriers to Healthcare Access for LGBTQ+ Individuals

  • Discrimination: LGBTQ+ individuals may experience discrimination from healthcare providers due to lack of knowledge, bias, or prejudice.

  • Fear of Judgment: Fear of judgment or negative experiences can deter LGBTQ+ individuals from seeking healthcare.

  • Lack of Provider Competence: Many healthcare providers lack adequate training and knowledge about LGBTQ+ health issues.

  • Financial Barriers: LGBTQ+ individuals may face financial barriers to accessing healthcare, such as high costs for gender-affirming care or lack of insurance coverage for LGBTQ+-specific services.

  • Lack of Cultural Competence: Healthcare settings may lack cultural sensitivity and understanding of LGBTQ+ identities and needs.

Slide 5: Strategies for Reducing Patient Discomfort During Assessment

  • Build Rapport: Establish a welcoming and comfortable environment.

  • Active Listening: Engage actively, showing empathy and understanding.

  • Use Open-Ended Questions: Encourage the patient to share their experiences.

  • Respect Confidentiality: Ensure confidentiality and privacy throughout the assessment.

  • Address Language: Avoid using gendered terms or assumptions.

Slide 6: Using Inclusive and Respectful Language

  • Use Patient’s Preferred Pronouns: Always use the patient’s preferred pronouns (e.g., she/her/hers).

  • Avoid Assumptions: Don’t make assumptions about the patient’s sexual orientation or gender identity.

  • Use Gender-Neutral Language: Emphasize gender-neutral terms, such as “partner” instead of “boyfriend/girlfriend.”

  • Respectful Terminology: Use respectful language, avoiding terms like “homosexual” or “transgendered.”

Slide 7: Resources for LGBTQ+ Healthcare

  • National LGBTQ Task Force: Provides resources, advocacy, and training on LGBTQ+ health issues.

  • GLAAD: Offers media resources and information on LGBTQ+ representation and health.

  • The Trevor Project: A suicide prevention and crisis intervention organization for LGBTQ+ youth.

  • SAGE: Provides services and advocacy for LGBTQ+ elders.

  • Local LGBTQ+ Organizations: Many communities have local organizations that offer support and resources for LGBTQ+ individuals.

Slide 8: Age-Specific Considerations

  • Adolescents: May face additional challenges due to family dynamics, peer pressure, and lack of access to confidential services.

  • Older Adults: May experience ageism, isolation, and difficulty accessing gender-affirming care due to limited provider knowledge or acceptance.

Slide 9: Key Principles for Inclusive Care

  • Respectful and Non-Judgmental: Treat all patients with dignity and respect, regardless of sexual orientation or gender identity.

  • Cultural Competence: Develop an understanding of LGBTQ+ cultures and identities.

  • Confidentiality and Privacy: Maintain confidentiality and respect the patient’s privacy.

  • Advocacy: Advocate for the health needs of LGBTQ+ individuals.

Slide 10: Continuing Education and Training

  • Stay Informed: Stay updated on LGBTQ+ health issues and best practices.

  • Seek Professional Development: Participate in training programs to improve knowledge and skills related to LGBTQ+ healthcare.

Slide 11: Conclusion

  • Reinforce Key Messages: Emphasize the importance of inclusive, respectful, and knowledgeable care for LGBTQ+ individuals.

  • Call to Action: Encourage providers to actively seek out resources and engage in continuous learning to improve their skills and support LGBTQ+ patient needs.

Slide 12: References

  • List all references used in the presentation.

Speaker Notes:

  • Engage with the audience: Use interactive elements, questions, and prompts to encourage participation and discussion.

  • Share personal experiences: Share relevant personal stories or experiences to connect with the audience on a human level.

  • Emphasize empathy and respect: Highlight the importance of treating all patients with dignity and compassion.

  • Provide practical tips: Offer concrete strategies and examples that providers can use in their daily practice.

  • Encourage action: Call on providers to commit to improving their knowledge and skills related to LGBTQ+ health.

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