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  1. 1. Homophobia<br />How It Impacts Nursing Care<br />
  2. 2. Homophobia<br />Many lesbians and gay patients fear being open about their sexual preference with health care providers.<br />Fear actual physical harm from health care providers<br />Fear breaches may occur in confidentiality<br />Hostile reactions and treatment from health care providers<br /> These negative attitudes may affect services and care given by nurses and have negative implications for nursing practice <br />
  3. 3. Homophobia<br />Gays and lesbians have particular health needs that nurses need to be aware of to provide care.<br />There is a much higher incidence of alcohol abuse in the gay and lesbian community which may be related to stress<br />Increased suicide rate<br />Nurses need to ensure that they never intentionally behave in way which marginalizes the patient<br />
  4. 4. Homophobia<br />Nurses have a code of conduct that they must not be discriminatory in any way to patients<br />Research has shown that nurses’ education and knowledge and previous experiences with homosexuals impacts their willingness to provide care to these patients.<br />Research has also shown that nurses fear contracting HIV/AIDS from the homosexual patient<br />Education is the key:<br />More knowledge translates into lower anxiety levels in nurses providing care for homosexual patients<br />
  5. 5. Homophobia<br />Nurses must be sensitive to cultural differences, embrace diversity, and provide and environment that is open and respectful to the needs of all patients<br />Challenge for nursing educators is to recognize and acknowledge their own prejudices and biases and to not communicate these to their students.<br />Must encourage nursing students to challenge prejudice and intolerance and to question <br /> conformity.<br />
  6. 6. Homophobia<br />Case Study:<br />Ricky was 30 year old male admitted to hospital with shortness of breath, fever, and recent weight loss<br />Chest xray showed pneumocystis cariniipenumonia<br />Blood was drawn to test Ricky for the HIV virus<br />Ricky admitted to being homosexual and his significant other was involved in his care<br />Ricky loved lattes and riding horses<br />Some of nurses were reluctant to care for Ricky due to the pending lab work; felt as if they had a right to know if he was HIV + or not before they would provide care<br />
  7. 7. Homophobia<br />Case Study<br />Ricky’s condition deteriorated to the point that he required intubation and ultimately experienced a respiratory / cardiac arrest<br />Two RN’s work the code ; other nurses were unwilling to assist<br />Was made a DNR by his significant other<br />Was eventually weaned from ventilator and extubated<br />Slowly progressed and recovered<br />Significant other came every day and assisted with care<br />After 2 month hospital stay Ricky was discharged home with his significant other<br />Lived for several years after this initial episode and diagnosis<br />
  8. 8. Homophobia<br />Issues with case study:<br />Attitudes of some nurses about provided care to Ricky<br />Treatment of Ricky’s significant other <br />Lack of caring and concern for Ricky as person <br />Prejudice and fear of supposedly educated professionals concerning homosexuals and HIV<br />
  9. 9. Fun Quotes<br />