case study based on TJ, 32 years old lesbian patient expecting a child from sperm donation
This case study is based on TJ, 32 years old lesbian patient expecting a child from sperm donation acquired from sperm bank locally situated. In this scenario, the patient’s socioeconomic status, mainly discrimination and stigma. Therefore, TJ might not disclose some information about her health, limiting the physician’s comprehension of their health risks. The lesbians lead a risk lifestyle; studies have concluded that lesbians are likely to abuse alcohol and abuse street drugs such as heroin (injectable drug), predisposing them to HIV/AIDS.
TJ’s scenario requires consideration of different aspects when developing clinical history and evaluating her health risks. The strategy in the social diversity of the patient should be nondiscriminatory plus sensitive when collecting data to assess the patient’s health needs and interacting with her. Information about the culture of the patient is not helpful in this case but effective in asking other questions to avoid patient’s perceiving stereotyping. The clinician should be aware that this group is a very high rate of discrimination. Therefore its will be essential for the clinician to create a friendly environment that will enable TJ to communicate freely about their condition and needs.
Based on the case study and risk factors speculated (history of diabetes condition can affect the health status of the mother and baby), hence the question will be founded on collecting enough patient-acquired data as possible. These questions include: how are you today? What is the date of the last prenatal follow-up? Any recent changes in the pregnancy that concerns you? Are these symptoms developed new, and have they aggravated? What is your daily diet and activity? Are you sexually active? Have you had any health issues before? Is there a member of your family that has had difficulties during the pregnancy period?