In my experience, most gay, lesbian, bisexual, and transgender patients look for signs in your clinic and staff to show them that you are a friendly environment that will allow them to be and express who they are. Simply changing your intake forms to include “partnered” or “in a relationship” along with marriage status goes a long way.
We don’t have a specific procedure to address special needs for these patients. I believe in the human policy—that is, we are all human beings, unique in our own way.
Cultural competence is being respectful of differences between people, accepting and valuing differences, self-monitoring, and taking responsibility for thoughts, behavior, and outcomes. This month we chose to look at sexual orientation as a cultural group with unique cancer care needs. There are legal issues, screening barriers, and insurance needs unique to gay, lesbian, bisexual, and transgender (GLBT) patients. Regardless of your personal beliefs regarding sexual identity, your GLBT patients with cancer need your expertise and support while undergoing cancer treatment.
Most cancer drugs are associated with administration protocols that oncology nurses must follow. Although they are necessary, they add to nurses’ workload and contribute to the overall cost of chemotherapy administration. In their article in the December 2010 Clinical Journal of Oncology Nursing, de Raad et al. reported the results of a study of nursing time and associated administration costs at six chemotherapy centers in Australia.
A new study of women with HER2-positive breast cancer has found that patients with elevated blood levels of troponin I had significantly higher rates of heart damage during treatment with trastuzumab.