More Than Medicine | Paula Neira

[MUSIC] I personally don’t identify
as a transgender woman, I hate the term. I’m a woman. I’ve allowed myself to be
identified as a transgender person because of
the advocacy work that I do. [MUSIC] LGBT cultural components,
historically has not been addressed in medical or
nursing education. Real people still face
real difficulties and going to seek care, and that’s
something that we can change. >> Hello, and
welcome to our Webinar. Caring for transgender patients. >> I was asked to create
a webinar for the Institute for Johns Hopkins nursing
to provide the audience with some basic information
about the transgender patient population and address that
cultural competence gap. >> One of the fundamental
issues is that most Americans think that they don’t know
anyone who is transgender. But it’s very difficult
to understand and be able to address health care
disparities if you don’t see the population you’re
trying to help. Conversely- >> Every patient needs to be treated with
dignity and respect. The average LGBT patient is
not going to be forthcoming because they’re afraid that
they’re going to be thrown out of the office or they’re going
to get substandard care. >> In ED, we’re getting started
with the angel of competency. >> I’m a little unique in
that sense because I am a practitioner myself. And because of my background
of being a Naval officer and a lawyer, I am not hesitant
to have that conversation. That hesitancy to access
healthcare creates large health risks so that when they to have
to access care, it requires much more intervention,
much more resources. Now there is progress,
here at Hopkins at the School of Medicine, it’s trying to
find ways to get the LGBT culture confidence infused
into the curriculum. Hopkins is participating in a
Pcori grant, the equality study. A study to try to find a way
to be able to actually obtain information about a
patient’s sexual orientation or gender identity to be able to
enhance the quality of care that can be provided in
emergency departments. One of the things that I think
make Hopkins unique is that. The ability to recognize where
you have a shortfall and being able to be honest about
saying hey this is someplace where we have room for
improvement, we have an opportunity to grow,
is part of our enterprise. So it’s one of the things that
we should be really proud of. I was fortunate enough
to grow up with a very strong family that
instilled the notion that, for those that whom much is given,
much is expected. So, because I was blessed
with opportunity, focused me on living
a life of service. I’m Paul I’m the nurse
educator in the Department of Emergency Medicine. I promise to make sure that
every patient that comes to Hopkins, is treated with the
dignity and respect they deserve and it welcomed and provided
with the highest quality care. [MUSIC]


  1. Thank you Paula. Sadly many in the medical community do not share your empathy or concern for the issue. Thanks for all you do.

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