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Biophysical, Psychological, Sociocultural, Behavioral and Health System Factors
Women who identify themselves as lesbian are likely to experience depression as well as anxiety. Betty is depressed, and there are certain reasons for that as well as factors that contribute to the development of depression. Biophysical, psychological, sociocultural, behavioral, and health system factors should be taken into consideration.
The woman is depressed not only because of her orientation or difficulties in life but also she suspects breast cancer, this is a biophysical factor. Depression is a psychological factor that derives from challenges in life, orientation, and a potential problem of cancer. The socio-cultural aspect can be found in the dimension of embarrassment because society does not accept lesbians. The behavioral factor contributes to depression as Betty worries about the lack of insurance and her potential problems. The Health system factor is related to the socio-cultural one and is centered on the fact that society does not accept lesbians and gays, and the health care providers sometimes have prejudices. Betty feels confused and embarrassed.
Sensitive and Effective Care for Women Who Are Lesbian, Bisexual, or Transgender
Every person in the world faces some health-care issues. Women, who identify them with lesbians, are not the exception. Moreover, it should be stressed that they are considered to be an even more vulnerable group that experiences specific health problems (Maizes & Dog, 2010). Although sexual orientation is not the fundamental factor that influences the health status, women in a sexual minority should be aware of possible risks and potential health concerns to know how to overcome some difficulties. The care for this group should be more sensitive and effective. There are some tips on how to reach this objective:
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Culturally aware and neutral language;
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Welcoming environment;
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Promotion of the disclosure of sexual orientation;
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Be respectful, caring, and understanding (Makadon, 2010).
Major Health Concerns
The major health care concern is depression. Depression derives from her sexual relationships and difficulties in life. Moreover, Betty is afraid of having cancer. The community health nurse should address these two issues. The nurse should talk to Betty stressing that her sexual orientation is not a problem, and a human choice should be respected. Also, the nurse should make sure that Betty does not have cancer.
Mens Health
Addressing the Problem of HIV at the Population Level
The target group that is affected by HIV is considered to be gays. Thus, certain actions should be taken to address the problem. First and foremost, the socioeconomic factor should be taken into account. There are certain socio-economic explanations for the fact that gays have a higher risk of having HIV, among these factors, are the following ones, namely:
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Limited access to the health-care settings;
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Low income;
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Lack of information;
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Unemployment;
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Lack of education (Harvey & Housel, 2014).
Moreover, people who identify themselves as gay are likely to choose a partner of the same race. With the consideration of the fact that African-America, Caucasian, and Latino communities are small in population size, there are big changes to get infected with HIV. Thus, the health care providers should educate the population; spread the information regarding prevention steps and potential health concerns.
Additional Information for Interventions
Analysis and tests should be made. In case a person has HIV, he should undergo therapy, be aware of possible consequences of refusal to get treatment, and, also, psychological therapy is required. These key points will provide additional information regarding appropriate intervention for the problem.
Segments of the Community that Should be Involved
Psychologists should be involved in the process of intervention. Men who identify themselves as gay are a vulnerable group, in case they have HIV, it can contribute to depression and suicidal thoughts. Thus, psychologists are vital. Moreover, the community should be well informed regarding potential concerns of HIV and know the prevention methods.
Barriers to Cultural Competence
How to Overcome?
To overcome barriers to cultural competence, the person should realize that all people are different and unique. It is worth stating that everyone has a right to make a choice and be responsible for consequences. Modern society should be free of frameworks and certain norms that violate the right of a human being to be happy (Jeffreys, 2010). It is worth pointing out that sexual orientation, race, ethnicity, or religion should not be the reason for discrimination. To overcome barriers, health care providers should understand that the life of a person is the highest priority, and nothing should influence the performance of a nurse or physician.
Why Do I Have No barriers?
I do not have barriers because I appreciate and respect peoples choices and life. The life of a human being is of the highest value. Society has created different norms; however, what is the norm? How do we know that something is normal or not? Every person is unique and should be valued and respected no matter race, religion, or sexual orientation. It is significantly important for health-care providers to eliminate cultural barriers to provide high-quality help and support.
I realize the importance of the profession of the health care providers, and thus, think that nothing should impact the quality of work. Modern society faces transformation because of globalization and innovations, and thus, norms should be changed. People should be free of prejudices and value human life. Every person has a right for self-identification, and the fundamental objective of the society is to accept and respect a humans choice.
References
Harvey, V., & Housel, T. (2014). Health care disparities and the LGBT population. London, UK: Lexington Books.
Jeffreys, M. (2010). Teaching cultural competence in nursing and health care: Inquiry, action, and innovation (2nd ed.). New York, NY: Springer Pub.
Maizes, V., & Dog, T. (2010). Integrative womens health. Oxford, UK: Oxford University Press.
Makadon, H. (2010). The Fenway guide to lesbian, gay, bisexual, and transgender health. Philadelphia, PA: American College of Physicians.
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