Case Study, Chapter 54, Assessment and Management of Patients Who Are LGBTQ 1. Ashley is an 82-year-old patient recently diagnosed with stage IV lung cancer and admitted through the ED for difficulty breathing. As you prepare the DNR and health care surrogate documents, you note that Ashley does not have children, spouse, or family members listed. (Learning Outcome 3) a. How should you proceed with the assessment? b. What are special considerations for older adults who are LGBTQ? 2. Lynn is a 28-year-old person who began hormone therapy 6 months prior for female to male transition. They came to the clinic today with complaints of pain and swelling in the left lower extremity (Learning Outcomes 4 and 5) a. What is the priority assessment and suspected diagnosis? b. What other components of the assessment would be important?.