California Requires Gender Pronouns - page 5

Please re-assign if more suited in another thread. Thank you. This Law, link below, was ratified in California. This law, as it appears to me, is an opening for many issues in a LTAC scenario. To... Read More

  1. by   Kooky Korky
    Quote from kbrn2002
    This is a topic near and dear to me. Anybody who knows me in my personal life would easily figure out who I am when I tell you that my daughter in law used to be my son in law. Now that she is living as who she is and not as who she was born as she is a happier, healthier person. I have to admit as much as I love her I slipped and called her "him" or by her birth name a few times, especially in the beginning when the transition was new. I chalk that up to years of knowing her by her birth name, once I got thoroughly used to using her chosen name I never made that mistake again.

    Keeping in mind this law only seems to affect LTC facilities there really shouldn't be the confusion staff could encounter in an acute care setting. I get the point of making sure you are giving the correct meds to the correct patient, and I get that could be a challenge in an ER if the patient says their name is Jane and they look like a Jane but all their legal documentation says they are John. One of the big issues my daughter in law faced was getting everything changed to her preferred name and in such a connected world this wasn't as easy as you would think. The driver's license and social security number were the easiest things to change. She had to go to court for the legal name change and changing her birth certificate from male to female and then provide a copy of the documentation proving who she now was to everybody from her cable provider to her medical provider. Oddly enough a big downfall has been with the name change her chosen, legal name and sex no longer matched her SSN for the purposes of credit reporting and her credit score pretty much disappeared. She's still fighting to restore that.

    It's especially difficult for the transgender person to navigate this legal minefield before the name and gender change become part of the legal record. But we have people now in LTC who for whatever reason don't go by their legal name and there are ways to get around this in our documentation. My point is that the legal transition can be a long, drawn out and time consuming affair. It's a step that not every transgender has the resources to take and until or if they do make the change legal it's still important to honor their wishes to referred to by their chosen name and sex. When that legal step of changing your entire life is finally done I can see why after taking so long to have the right to legally be who you are a transgender person would be highly insulted when ignorant people insist on referring to them as who they were.
    insulted by ignorance? Just educate people. Respectfully, just as you wish to be treated. Flies, honey, vinegar, all that.
  2. by   Kooky Korky
    Quote from LibraSunCNM
    Would you consider a black patient irrational for not wanting to be referred to by the staff at their LTAC facility as the N word? A female patient by the C word?

    That is what it would be like for a transgender patient to be deliberately ignored in their requests to be called the pronoun they identify with, or to be transferred without warning because staff finds them disgusting. That is the point of anti-discrimination laws---to protect the vulnerable. No one is out to entrap you in your "shortcomings." No one would take your license away if you mess up on the pronoun a few times. It's talking about deliberate cruelty, and yes, it's out there. Nurses are human beings and as such, cruel nurses do exist. Wrap your head around it and move on.
    How about the vulnerable roommates of these folks? Do they have any rights? like to be housed with a bio female if she is female or bio male if he is male?
  3. by   HyzenthlayLPN
    Quote from Kooky Korky
    That is not necessarily so. A 65 year old could live another 30+ years.
    If you look at the context of the quote, DaveRN was questioning whether he should help folks with gender dysphoria realize that they really are just confused about their gender. My point was that the vast majority of seniors have a pretty good idea what gender they are
  4. by   HyzenthlayLPN
    Quote from Kooky Korky
    How about the vulnerable roommates of these folks? Do they have any rights? like to be housed with a bio female if she is female or bio male if he is male?
    The last LTC/SNF I was employed by had a transgender resident. She was given a private room. The policy (invented on the fly I think because it was a first for the facility) was she would be in a private room unless we had another resident admit who was also a transgender female.
  5. by   LibraSunCNM
    Quote from Kooky Korky
    How about the vulnerable roommates of these folks? Do they have any rights? like to be housed with a bio female if she is female or bio male if he is male?
    What about them? That's a totally separate issue that this law (unless I missed a part) does not address, and it's this law we're talking about. As the previous poster said, arrangements could certainly be made for uncomfortable roommates, it's not as if every other resident in LTC is transgender and the whole system as it stands would implode.
  6. by   NunNurseCat
    Quote from Kooky Korky
    How about the vulnerable roommates of these folks? Do they have any rights? like to be housed with a bio female if she is female or bio male if he is male?
    So let's say you can't even tell someone is trans because they look "bio", so then what do a chromosone test? Is the line drawn by how someone looks or by how they identify?

    What about refusing to share a room with someone of a particular sexual orientation?

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