Cultural Sensitivity and Challenges in Management of the Transgender Patient With ESRD in Transplantation.

Document Type

Article

Publication Date

3-1-2016

Institution/Department

Nephrology and Transplantation, Psychiatry

Journal Title

Progress in transplantation (Aliso Viejo, Calif.)

MeSH Headings

Androgens, Cultural Competency, Estrogens, Female, Humans, Kidney Failure, Chronic, Kidney Transplantation, Living Donors, Male, Postoperative Complications, Self Disclosure, Terminology as Topic, Thromboembolism, Transgender Persons

Abstract

Transgender patients with end-stage renal disease (ESRD) present with specific challenges during the transplant evaluation, perioperative management, and postoperative phase of care. Demographic information, health-care records, chosen name, and gender identity along with documentation of specific health-care needs can become a challenge when gender assigned at birth is incongruent with the patients gender identity. Medical care involves addressing the end-organ disease as well as addressing those aspects of care specific to the transgender patient. This review article provides information on defining transgender, the impact of ESRD, and transgender in the transplant process and considerations in the throughout phases of care. Current recommendations for management of this unique population are provided.

ISSN

1526-9248

First Page

13

Last Page

20

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