Caring for LGBTQ Older Adults

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Nanette Lavoie-Vaughan, CDCP, ANPC-C, DNP Related seminars and products

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Nanette Lavoie-Vaughan, CDCP, ANPC-C, DNP, has over 30 years of experience in the geriatric field. Previously she has worked as a nurse practitioner, director of nursing, and staff nurse across various settings as she has focused in on her specialty of geriatric/dementia care. Nanette shared her knowledge with others as a clinical assistant professor at East Carolina University College of Nursing, a clinical instructor at UNCG and an adjunct faculty member at Vanderbilt University School of Nursing. Nanette has presented nationally and internationally on dementia, pain management, caregiver issues, and topics specific to long-term care.

She is the author of Eldercare: The Comprehensive Guide to Caregiving and a new evidence-based clinical practice guideline for the non-pharmacological management of behavioral problems in dementia. Her expertise and research are recognized through published work in Clinics of North America and in book chapters and online continuing education modules. Nanette also serves as an expert witness for several law firms and was a Sigma Theta Tau Faculty Mentor.

Her educational accomplishments include an MSN from Florida State University, a DNP from Vanderbilt University and a postdoctoral fellowship in ethnogeriatrics at Stanford University.

 

Speaker Disclosures:
Financial: Nanette Lavoie-Vaughan is the owner of Dr Nurse Nan Consulting. She receives a speaking honorarium and recording royalties from PESI, Inc. He has no relevant financial relationships with ineligible organizations.
Non-financial: Nanette Lavoie-Vaughan is a member of the Geriatric Advanced Practice Nurses Association, the American Association of Nurse Practitioners, the American Nurses Association, the North Carolina Nurses Association, and the American Society on Aging.

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Objectives

• Analyze the historical events and social challenges that affect care of the LGBTQ+ older adult. 
• Differentiate the barriers of access to care for LGBTQ+ older adults. 
• Determine strategies to provide individualized care to LGBTQ+ older adults. 
• Identify practice implications to provide care to LGBTQ+ older adults. 

Outline

Historical perspectives 

• Timeline of salient milestones 
• Staying “in the closet” 
• Current trends 

Social challenges 

• Discrimination/Stigmatization 
• Systemic barriers 
• Levels of stigma 
• Connections between religion and discrimination 

Barriers to access to care 

• Lack of trust in providers 
• Lack resources 
• Lack of knowledge of healthcare providers 

Gender affirming care interventions 

• Interview techniques 
• Trauma informed approaches 
• Communication best techniques 

Strategies to provide individualized care 

• Social environmental factors; family of choice, social support 
• Physical health factors; aging changes, chronic conditions 
• Psychosocial factors: depression, loneliness, social isolation 
• Specific issues: HIV, Cardiac disease, Substance abuse, End of life care decisions, Long term care, Dementia 
• Case studies 

Practice Implications to Improve Care 

• Clinic climate 
• Leadership considerations 
• Staff education 
• LGBTQ+ friendly documents 
• 5 A’s: approachability, acceptability, availability, affordability, and appropriateness 

Resources 

• Terminology 
• Organizations 
• Websites 
• Bibliography  

Target Audience

• Nurse Practitioners
• Advance Practice Registered Nurses
• Nurses
• Physician Assistants
• Occupational Therapists
• Physical Therapists
• Speech Language Pathologists
• Nursing Home Administrators
• Social Workers