Lesson 1, Topic 1
In Progress

Respecting Sex and Gender Identity

Sexual orientation and gender identity are key parts of a person’s sense of self. The freedom to be ourselves is essential to our quality of life. People who are part of the lesbian, gay, bisexual, transgender, and queer (LGBTQ) communities may not feel safe to live openly. They may hide their identities to protect themselves from mistreatment.

As a caregiver, you can help each client feel safe and welcomed in full recognition of who they are. Exactly like you want to be welcomed and recognized regardless of differences.


LGBTQ Population and Demographics

in 2020, about 5.6% of U.S. adults identified as LGBTQ, or something other than straight or heterosexual. People who are LGBTQ live in communities of all sizes across the country. They come from all backgrounds, cultures, and life histories.

Chances are that some of the clients you work with are LGBTQ even if they have not told you. It is important for you to be intentionally welcoming to people of all sexual orientations and gender identities.

Disparities in Long-Term Care

LGBTQ individuals and their communities are amazingly strong and resilient. They have overcome generations of discrimination, criminalization, and marginalization by mainstream society. Nowadays, more LGBTQ people can safely live “out of the closet” or openly about their sexual orientation and gender identity.

However, this community still faces discrimination and disparities in many areas of life. One reason that LGBTQ older adults may not be open about their sexual orientation or gender identity is that they face high rates of discrimination and abuse in long-term care.


According to LGBT Older Adults in Long-Term Care Facilities Stores from the Field (2015):

  • 23% of respondents had experienced verbal or physical harassment from other residents.
  • 14% had experienced verbal or physical harassment from staff.
  • 9% Had experienced staff refusing to refer to a transgender resident by the correct name or pronoun
  • 6% had experienced staff refusing to provide basic services or care.

As a caregiver, you should be committed to treating everyone equally. This means understanding LGBTQ concepts and issues and acting in a way that supports all people, whether they identify as LGBTQ or not.

For best practices regarding LGBTQ and creating a safe environment, reference page 25 in your textbook.