Trans-Specific Geriatric Health Assessment (TGHA): An Inclusive Clinical Guideline for the Geriatric Transgender Patient in a Primary Care Setting
Document Type
Article
Publication Title
Maturitas
Abstract
There is a growing concern in the field of geriatric medicine that transgender health is often overlooked and under-reported. Not only does this impact the health and safety of the aging transgender community, but it also often influences the ability of physicians to provide high-quality evidence-based care. This article reviews the current knowledge base for geriatric transgender health and aims to organize evidence-based clinical recommendations for the primary care provider. Our proposed guideline, the Trans-specific Geriatric Health Assessment (TGHA), highlights areas of current clinical practice that do not address the geriatric transgender experience and modifies them to include trans-specific clinical recommendations found in the literature. The TGHA emphasizes topics such as cognitive function, vision and hearing, gait and stability, nutrition, sleep, functional/social status, urogenital health, psychiatric health, hormone replacement therapy, cancer screening, disease prevention and advanced care planning. Our review also addresses the limitations of certain clinical topics and where there is significant need for supportive research.
DOI
10.1016/j.maturitas.2019.12.005
Publication Date
2-2020
Keywords
Geriatric, Guidelines, Primary care, Transgender
ISSN
1873-4111
Recommended Citation
Gamble RM, Taylor SS, Huggins AD, Ehrenfeld JM. Trans-Specific Geriatric Health Assessment (TGHA): An Inclusive Clinical Guideline for the Geriatric Transgender Patient in a Primary Care Setting. Maturitas. 2020; 132. doi: 10.1016/j.maturitas.2019.12.005.
