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Affirmative Palliative Care for Transgender and Gender Nonconforming Individuals
Megan Pfitzinger Lippe1, Joshua C Eyer, Kailey E Roberts
1Megan Pfitzinger Lippe is an associate professor at the University of Texas Health Science Center at San Antonio. Joshua C. Eyer is director of the Southern Regional Drug Data Research Center in the Institute of Data and Analytics, Culverhouse College of Business, University of Alabama in Tuscaloosa. Kailey E. Roberts is an assistant professor in the Clinical Psychology PsyD Program at Yeshiva University in the Bronx, NY, where Emma R. Ritter is a doctoral student. Pierce K. DiMauro is a DNP candidate at the Columbia University School of Nursing in New York City. Robert E. McKinney Jr. is an associate professor of behavioral medicine in the College of Community Health Sciences at the University of Alabama in Tuscaloosa. Cassandra L. Williamson is executive director of the Transgender American Veterans Association and a former research assistant at the University of Alabama in Tuscaloosa. William E. Rosa is a postdoctoral research fellow at the Memorial Sloan Kettering Cancer Center in New York City. Contact author: Megan Pfitzinger Lippe, lippe@uthscsa.edu . The authors have disclosed no potential conflicts of interest, financial or otherwise.
Nurses must provide inclusive palliative care for transgender and gender nonconforming (TGNC) individuals. This article outlines key elements and eight recommendations for affirmative, person-centered care for TGNC patients with serious illness.
Area of Science:
- Nursing
- Palliative Care
- Health Equity
Background:
- Nurses have ethical obligations to provide inclusive palliative care.
- Transgender and gender nonconforming (TGNC) individuals require affirming, holistic, and nonprejudicial care.
- Integrating palliative nursing, gender-affirmative care, and trans-person-centered approaches is crucial for quality care.
Purpose of the Study:
- To describe elements of TGNC-inclusive palliative nursing care.
- To present eight concrete recommendations for affirmative clinical practice.
- To support TGNC patients with life-limiting illness and their chosen families.
Main Methods:
- An interdisciplinary national team of experts collaborated.
- Identified strategies for nurses to improve care for TGNC individuals with serious illness.
- Recommendations cover professional development, communication, and patient support.
Main Results:
- Defined essential components of TGNC-inclusive palliative nursing.
- Developed eight actionable recommendations for affirmative care.
- Recommendations address diverse aspects of patient care, including mental health and bereavement.
Conclusions:
- Affirmative, inclusive palliative care is a professional and ethical nursing responsibility.
- Implementing these recommendations can enhance care for TGNC individuals.
- Focusing on person-centered, gender-affirmative practices improves outcomes for TGNC patients.
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