\u00a0
\n\u00a0Cultural competency is a process that is learned and requires self-awareness, reflective practices, and knowledge of cultural issues (Ball et al., 2019).\u00a0 Healthcare providers need to learn to be sensitive to a patient\u2019s heritage, sexual preferences, socioeconomic situation, and ethnicity (Ball et al., 2019).\u00a0 The purpose of this discussion is to explain the specific socioeconomic, spiritual, lifestyle, and cultural factors of a 32-year-old lesbian pregnant female, and to describe the issues that I would need to be sensitive too when interacting with this patient.
\nLifestyle and Cultural Factors
\n\u00a0The specific socioeconomic factors for the 32-year-old lesbian pregnant female is unknown; however, there is a chance that the patient is at least in the middle class standing as she was able to provide a sperm donor for her pregnancy.\u00a0 On the other hand, female couples are also usually on their own financially and medically regarding labs, ultrasounds, sperm, and professional expertise (Singer, 2012).\u00a0 The spiritual factor is also hard to determine with this patient, but asking questions such as \u201cIs there religion or faith which you partake in?\u201d can be helpful in determining spiritual affiliation (Ball et al., 2019).\u00a0 One lifestyle factor that is associated with this patient is that she is a pregnant lesbian.\u00a0 I think that creating a comfortable environment and also learning new patterns of behavior and effectively applying them in the correct settings can help patients with trust (CDC, 2015).\u00a0 According to Singer (2012), for lesbian women, trust is received when a healthcare professional has the philosophy to maintain inclusion and cultural sensitivity.
\nSensitive Issues
\n\u00a0The two main sensitive issues to keep in mind with this 32-year-old lesbian pregnant women is her sexual orientation and pregnancy.\u00a0 Both categories are considered to be sensitive because oftentimes, health care providers are usually considered heterosexisms, which means that they tend to see the world in the view of heterosexual terms and ignore homosexuality (Singer, 2012).\u00a0 Therefore, as a medical provider, I need to remember to do the opposite of heterosexism and ask questions such as \u201cTell me the story of how you became pregnant, this question takes the providers assumptions out of the equation and allows for a deeper understanding\u201d (Singer, 2012, p. 38).\u00a0 The provider also needs to avoid hetero-assumptive dialogue and utilize open-ended questions, which allows the patient to open up about their sexual identity and family construct (Singer 2012).\u00a0
\nFive Targeted Questions
\nTell me the story of how you became pregnant?
\nIs this your first pregnancy?
\nAny specific illnesses or problems regarding your current pregnancy?
\nTell me family history regarding pregnancies?
\nWhen was your most recent pap smear and HPV test, and have you had any gynecologic abnormalities?
\nReferences
\nBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to
\n\u00a0physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier
\nMosby.
\nCenters for Disease and Control and Prevention (CDC). (2015). Cultural competence. Retrieved
\n\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 from https:\/\/npin.cdc.gov\/pages\/cultural-competence
\nSinger, B. R. (2012). Improving prenatal care for pregnant lesbians.\u00a0International
\nJournal of Childbirth Education,\u00a027(4), 37\u201340. Retrieved from https:\/\/search-ebscohost-
\ncom.ezp.waldenulibrary.org\/login.aspx?direct=true&db=rzh&AN=104424834&site=eds-live&scope=site.<\/p>\n
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