{"id":31493,"date":"2022-11-07T17:20:45","date_gmt":"2022-11-07T23:20:45","guid":{"rendered":"https:\/\/www.freestatesocialwork.com\/?p=31493"},"modified":"2024-01-19T15:26:57","modified_gmt":"2024-01-19T21:26:57","slug":"advance-care-planning-experiences-among-sexual-and-gender-minority-people","status":"publish","type":"post","link":"https:\/\/www.freestatesocialwork.com\/?p=31493","title":{"rendered":"Advance Care Planning Experiences Among Sexual and Gender Minority People (1 credit hour)"},"content":{"rendered":"<p><em>This course highlights a scientific research study.<\/em><\/p>\n<p><strong>Program Summary: \u00a0\u00a0<\/strong>This course explores the advance care planning experiences of sexual and gender minority people and highlights the results of a qualitative research study. \u00a0Three main themes are discussed: \u00a01. Fear of discrimination limits disclosure of SOGI and affects selection of clinicians 2. Concerns about whether EOL preferences and appointed MDMs would be supported and 3. Most discussions about EOL preferences occurred without clinicians. \u00a0Potential barriers to advance care planning for SGM people are identified. \u00a0Results and conclusions are given.<\/p>\n<p><em>This course is recommended for social workers, counselors, and therapists<\/em><em>.<\/em><\/p>\n<p><!--more--><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-23633 alignnone\" src=\"https:\/\/www.freestatesocialwork.com\/wp-content\/uploads\/2022\/03\/book_1404081347.png\" alt=\"\u00e2\u20ac\u0153Book\" width=\"54\" height=\"50\" \/> \u00a0<a href=\"https:\/\/www.freestatesocialwork.com\/articles\/AdvanceCarePlanningExperiencesCourseReading.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Open the Course Reading Here.<\/a><\/p>\n<p><strong>Course Reading: \u00a0<\/strong>Advance Care Planning Experiences Among Sexual and Gender Minority People<\/p>\n<p><strong>Authors:<\/strong>\u00a0 Amanda Jane Reich, PhD, MPH; Stephen Perez, BA; Julia Fleming, MD; Priscilla Gazarian, PhD, RN; Adoma Manful, MPH; Keren Ladin, PhD, MSc; Jennifer Tjia, MD, MSCE; Robert Semco, BSE; Holly Prigerson, PhD; Joel S. Weissman, PhD; Carey Candrian, PhD<\/p>\n<p><strong>Publisher:<\/strong>\u00a0 JAMA Network Open<\/p>\n<p><strong>Additional Reading:<\/strong> \u00a0NIA&#8217;s Tips for Talking With Your Doctor about Advance Care Planning\u00a0<a href=\"https:\/\/www.nia.nih.gov\/sites\/default\/files\/2023-08\/tips-talking-doctor-about-acp-worksheet.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nia.nih.gov\/sites\/default\/files\/2023-08\/tips-talking-doctor-about-acp-worksheet.pdf<\/a><\/p>\n<p><strong>Course\u00a0Objectives:<\/strong>\u00a0 To enhance professional practice, values, skills and knowledge by examining the advance care planning experiences of sexual and gender minority people.<\/p>\n<p><strong>Learning Objectives: \u00a0<\/strong>Identify barriers to advance care planning for SGM people. \u00a0Describe qualitative interview themes identified in the study. \u00a0Describe how discrimination influences how SGM people engage in health care and ACP.<\/p>\n<p>Review our\u00a0<a href=\"..\/?page_id=133\" target=\"_blank\" rel=\"noopener noreferrer\">pre-reading study guide.<\/a><\/p>\n\t\r\n\t\t<link type=\"text\/css\" rel=\"stylesheet\" href=\"https:\/\/www.freestatesocialwork.com\/wp-content\/plugins\/quizzin\/style.css\" \/>\r\n\t\t<script type=\"text\/javascript\" src=\"https:\/\/www.freestatesocialwork.com\/wp-includes\/js\/jquery\/jquery.js\"><\/script>\r\n\t\t<script type=\"text\/javascript\" src=\"https:\/\/www.freestatesocialwork.com\/wp-content\/plugins\/quizzin\/script.js\"><\/script>\r\n\r\n\r\n\t\t\r\n\t\t<div class=\"quiz-area single-page-quiz\">\r\n\t\t<form action=\"?page_id=755\" method=\"post\" class=\"quiz-form\" id=\"quiz-390\">\r\n\r\n\t\t<p><strong>Course Available Until:<\/strong>  July 31, 2027.<\/p><p><strong>In order to purchase or take this course, you will need to <a href=?action=login>log in<\/a>. If you do not have an account, you will need to <a href=??action=register>register for a free account<\/a>.<p>After you log in, a link will appear here that will allow you to purchase this course. <\/p><\/strong><div class='quizzin-question' id='question-1'><div class='question-content'> 1:  Introduction: More than half of sexual and gender minority adults experience some form of discrimination in health care; for those who are transgender or gender nonconforming, the percentage ____________.<\/div><input type='hidden' name='question_id[]' value='6922' \/><input type='radio' name='answer-6922' id='answer-id-45954' class='answer answer-1' value='45954' onclick='saveAnswer(\"answer-6922\", \"answer-id-45954\")' disabled \/>&nbsp;<label for='answer-id-45954' id='answer-label-45954' class='answer label-1'><span>increases<\/span><\/label><br \/><input type='radio' name='answer-6922' id='answer-id-45955' class='answer answer-1' value='45955' onclick='saveAnswer(\"answer-6922\", \"answer-id-45955\")' disabled \/>&nbsp;<label for='answer-id-45955' id='answer-label-45955' class='answer label-1'><span>decreases<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-2'><div class='question-content'> 2:  SGM communities face multilevel stressors, including<\/div><input type='hidden' name='question_id[]' value='6923' \/><input type='radio' name='answer-6923' id='answer-id-39808' class='answer answer-2' value='39808' onclick='saveAnswer(\"answer-6923\", \"answer-id-39808\")' disabled \/>&nbsp;<label for='answer-id-39808' id='answer-label-39808' class='answer label-2'><span>family rejection<\/span><\/label><br \/><input type='radio' name='answer-6923' id='answer-id-39809' class='answer answer-2' value='39809' onclick='saveAnswer(\"answer-6923\", \"answer-id-39809\")' disabled \/>&nbsp;<label for='answer-id-39809' id='answer-label-39809' class='answer label-2'><span>financial insecurity<\/span><\/label><br \/><input type='radio' name='answer-6923' id='answer-id-39810' class='answer answer-2' value='39810' onclick='saveAnswer(\"answer-6923\", \"answer-id-39810\")' disabled \/>&nbsp;<label for='answer-id-39810' id='answer-label-39810' class='answer label-2'><span>anxiety<\/span><\/label><br \/><input type='radio' name='answer-6923' id='answer-id-39811' class='answer answer-2' value='39811' onclick='saveAnswer(\"answer-6923\", \"answer-id-39811\")' disabled \/>&nbsp;<label for='answer-id-39811' id='answer-label-39811' class='answer label-2'><span>all of the above<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-3'><div class='question-content'> 3:  The stress of discrimination toward SGM individuals can reduce life expectancy by up to<\/div><input type='hidden' name='question_id[]' value='6924' \/><input type='radio' name='answer-6924' id='answer-id-39812' class='answer answer-3' value='39812' onclick='saveAnswer(\"answer-6924\", \"answer-id-39812\")' disabled \/>&nbsp;<label for='answer-id-39812' id='answer-label-39812' class='answer label-3'><span>5 years<\/span><\/label><br \/><input type='radio' name='answer-6924' id='answer-id-39813' class='answer answer-3' value='39813' onclick='saveAnswer(\"answer-6924\", \"answer-id-39813\")' disabled \/>&nbsp;<label for='answer-id-39813' id='answer-label-39813' class='answer label-3'><span>7 years<\/span><\/label><br \/><input type='radio' name='answer-6924' id='answer-id-39814' class='answer answer-3' value='39814' onclick='saveAnswer(\"answer-6924\", \"answer-id-39814\")' disabled \/>&nbsp;<label for='answer-id-39814' id='answer-label-39814' class='answer label-3'><span>10 years<\/span><\/label><br \/><input type='radio' name='answer-6924' id='answer-id-39815' class='answer answer-3' value='39815' onclick='saveAnswer(\"answer-6924\", \"answer-id-39815\")' disabled \/>&nbsp;<label for='answer-id-39815' id='answer-label-39815' class='answer label-3'><span>12 years<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-4'><div class='question-content'> 4:  A review of EOL preparatory behaviors found a _______________ prevalence of ACP discussions between SGM people and primary care clinicians, particularly for transgender people.<\/div><input type='hidden' name='question_id[]' value='6925' \/><input type='radio' name='answer-6925' id='answer-id-39816' class='answer answer-4' value='39816' onclick='saveAnswer(\"answer-6925\", \"answer-id-39816\")' disabled \/>&nbsp;<label for='answer-id-39816' id='answer-label-39816' class='answer label-4'><span>low<\/span><\/label><br \/><input type='radio' name='answer-6925' id='answer-id-39817' class='answer answer-4' value='39817' onclick='saveAnswer(\"answer-6925\", \"answer-id-39817\")' disabled \/>&nbsp;<label for='answer-id-39817' id='answer-label-39817' class='answer label-4'><span>high<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-5'><div class='question-content'> 5:  Survey Results: SGM and non-SGM participants differed in response to survey questions related to<\/div><input type='hidden' name='question_id[]' value='6927' \/><input type='radio' name='answer-6927' id='answer-id-45956' class='answer answer-5' value='45956' onclick='saveAnswer(\"answer-6927\", \"answer-id-45956\")' disabled \/>&nbsp;<label for='answer-id-45956' id='answer-label-45956' class='answer label-5'><span>How ready are you to sign official papers naming a medical decision-maker to make decisions for you?<\/span><\/label><br \/><input type='radio' name='answer-6927' id='answer-id-45957' class='answer answer-5' value='45957' onclick='saveAnswer(\"answer-6927\", \"answer-id-45957\")' disabled \/>&nbsp;<label for='answer-id-45957' id='answer-label-45957' class='answer label-5'><span>How ready are you to talk to your decision-maker about the kind of medical care you would want at the end of life?<\/span><\/label><br \/><input type='radio' name='answer-6927' id='answer-id-45958' class='answer answer-5' value='45958' onclick='saveAnswer(\"answer-6927\", \"answer-id-45958\")' disabled \/>&nbsp;<label for='answer-id-45958' id='answer-label-45958' class='answer label-5'><span>If you haven't spoke about your wishes, why haven't you?<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-6'><div class='question-content'> 6:  Qualitative Interview Themes: \u00a0Using Table 4, which quote best captures Theme 1: \u00a0Fear of Discrimination Limits Disclosure of SOGI and Affects Selection of Clinicians.<\/div><input type='hidden' name='question_id[]' value='6929' \/><input type='radio' name='answer-6929' id='answer-id-45959' class='answer answer-6' value='45959' onclick='saveAnswer(\"answer-6929\", \"answer-id-45959\")' disabled \/>&nbsp;<label for='answer-id-45959' id='answer-label-45959' class='answer label-6'><span>\"...I've had a male older doctor go over my form with me.  And when he gets to the part of sexual orientation, he goes like, 'Huh.'<\/span><\/label><br \/><input type='radio' name='answer-6929' id='answer-id-45960' class='answer answer-6' value='45960' onclick='saveAnswer(\"answer-6929\", \"answer-id-45960\")' disabled \/>&nbsp;<label for='answer-id-45960' id='answer-label-45960' class='answer label-6'><span>\"... I was just kind of playing out the scenario in my head that if the need arose where he needed to make a decision, who would he be enabled by?\"<\/span><\/label><br \/><input type='radio' name='answer-6929' id='answer-id-45961' class='answer answer-6' value='45961' onclick='saveAnswer(\"answer-6929\", \"answer-id-45961\")' disabled \/>&nbsp;<label for='answer-id-45961' id='answer-label-45961' class='answer label-6'><span>\"As it becomes more obvious that they don't have the capacity to do what they used to do, that they need help and we are trusted helpers.\"<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-7'><div class='question-content'> 7:  Using Table 4, which quote best captures Theme 2: \u00a0 Concerns About Whether EOL Preferences and Appointed MDMs Would Be Supported?<\/div><input type='hidden' name='question_id[]' value='6931' \/><input type='radio' name='answer-6931' id='answer-id-44163' class='answer answer-7' value='44163' onclick='saveAnswer(\"answer-6931\", \"answer-id-44163\")' disabled \/>&nbsp;<label for='answer-id-44163' id='answer-label-44163' class='answer label-7'><span>\"...I've had a male older doctor go over my form with me.  And when he gets to the part of sexual orientation, he goes like, 'Huh.'<\/span><\/label><br \/><input type='radio' name='answer-6931' id='answer-id-44164' class='answer answer-7' value='44164' onclick='saveAnswer(\"answer-6931\", \"answer-id-44164\")' disabled \/>&nbsp;<label for='answer-id-44164' id='answer-label-44164' class='answer label-7'><span>\"... I was just kind of playing out the scenario in my head that if the need arose where he needed to make a decision, who would he be enabled by?\"<\/span><\/label><br \/><input type='radio' name='answer-6931' id='answer-id-44165' class='answer answer-7' value='44165' onclick='saveAnswer(\"answer-6931\", \"answer-id-44165\")' disabled \/>&nbsp;<label for='answer-id-44165' id='answer-label-44165' class='answer label-7'><span>\"As it becomes more obvious that they don't have the capacity to do what they used to do, that they need help and we are trusted helpers.\"<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-8'><div class='question-content'> 8:  Using Table 4, which quote best captures Theme 3: \u00a0Most Discussions About EOL Preferences Occurred Without Clinicians.<\/div><input type='hidden' name='question_id[]' value='6933' \/><input type='radio' name='answer-6933' id='answer-id-44169' class='answer answer-8' value='44169' onclick='saveAnswer(\"answer-6933\", \"answer-id-44169\")' disabled \/>&nbsp;<label for='answer-id-44169' id='answer-label-44169' class='answer label-8'><span>\"... I've had a male older doctor go over my form with me.  And when he gets to the part of sexual orientation, he goes like, 'Huh.'<\/span><\/label><br \/><input type='radio' name='answer-6933' id='answer-id-44170' class='answer answer-8' value='44170' onclick='saveAnswer(\"answer-6933\", \"answer-id-44170\")' disabled \/>&nbsp;<label for='answer-id-44170' id='answer-label-44170' class='answer label-8'><span>\"... I was just kind of playing out the scenario in my head that if the need arose where he needed to make a decision, who would he be enabled by?\"<\/span><\/label><br \/><input type='radio' name='answer-6933' id='answer-id-44171' class='answer answer-8' value='44171' onclick='saveAnswer(\"answer-6933\", \"answer-id-44171\")' disabled \/>&nbsp;<label for='answer-id-44171' id='answer-label-44171' class='answer label-8'><span>\"As it becomes more obvious that they don't have the capacity to do what they used to do, that they need help and we are trusted helpers.\"<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-9'><div class='question-content'> 9:  Limitations: Which of the following is a potential limitation of this study?<\/div><input type='hidden' name='question_id[]' value='6935' \/><input type='radio' name='answer-6935' id='answer-id-45962' class='answer answer-9' value='45962' onclick='saveAnswer(\"answer-6935\", \"answer-id-45962\")' disabled \/>&nbsp;<label for='answer-id-45962' id='answer-label-45962' class='answer label-9'><span>the diversity of identities within the SGM umbrella makes it difficult to capture all experiences in depth<\/span><\/label><br \/><input type='radio' name='answer-6935' id='answer-id-45963' class='answer answer-9' value='45963' onclick='saveAnswer(\"answer-6935\", \"answer-id-45963\")' disabled \/>&nbsp;<label for='answer-id-45963' id='answer-label-45963' class='answer label-9'><span>the subsample was predominantly White with high education levels<\/span><\/label><br \/><input type='radio' name='answer-6935' id='answer-id-45964' class='answer answer-9' value='45964' onclick='saveAnswer(\"answer-6935\", \"answer-id-45964\")' disabled \/>&nbsp;<label for='answer-id-45964' id='answer-label-45964' class='answer label-9'><span>those who participated in interviews may not reflect the experiences of other SGM people<\/span><\/label><br \/><input type='radio' name='answer-6935' id='answer-id-45965' class='answer answer-9' value='45965' onclick='saveAnswer(\"answer-6935\", \"answer-id-45965\")' disabled \/>&nbsp;<label for='answer-id-45965' id='answer-label-45965' class='answer label-9'><span>all of the above<\/span><\/label><br \/><\/div><div class='quizzin-question' id='question-10'><div class='question-content'> 10:  Conclusions: \u00a0The results of this study indicate that<\/div><input type='hidden' name='question_id[]' value='6936' \/><input type='radio' name='answer-6936' id='answer-id-45966' class='answer answer-10' value='45966' onclick='saveAnswer(\"answer-6936\", \"answer-id-45966\")' disabled \/>&nbsp;<label for='answer-id-45966' id='answer-label-45966' class='answer label-10'><span>most SGM participants have either already talked to someone about their EOL wishes or are planning to<\/span><\/label><br \/><input type='radio' name='answer-6936' id='answer-id-45967' class='answer answer-10' value='45967' onclick='saveAnswer(\"answer-6936\", \"answer-id-45967\")' disabled \/>&nbsp;<label for='answer-id-45967' id='answer-label-45967' class='answer label-10'><span>many EOL discussions occurred within the clinical setting<\/span><\/label><br \/><\/div><p><strong>In order to purchase or take this course, you will need to <a href=?action=login>log in<\/a>. If you do not have an account, you will need to <a href=?action=register>register for a free account<\/a>.<p>After you log in, a link will appear here that will allow you to purchase this course. <\/p><\/strong><\/form><\/div><\/font>\n<p>G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course. \u00a0She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience. \u00a0She has lived and worked as a social worker in Chicago, Boston, and Kansas City. She has practiced for many years in the area of hospital\/medical social work. \u00a0The reading materials for this course were developed by another organization.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This course highlights a scientific research study. Program Summary: \u00a0\u00a0This course explores the advance care planning experiences of sexual and gender minority people and highlights the results of a qualitative research study. \u00a0Three main themes are discussed: \u00a01. Fear of discrimination limits disclosure of SOGI and affects selection of clinicians 2. Concerns about whether EOL [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,47],"tags":[],"class_list":["post-31493","post","type-post","status-publish","format-standard","hentry","category-cultural-competence","category-lgbtq"],"_links":{"self":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts\/31493","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=31493"}],"version-history":[{"count":0,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=\/wp\/v2\/posts\/31493\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=31493"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=31493"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.freestatesocialwork.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=31493"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}