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Purpose: Transsexual presentations in primary care stress mainstream health care physical resources, institutional organization, and the cultural flexibility of providers and interdisciplinary staff. This article describes the ethical landscape, examines gender identity culture, and considers gender reassignment physiology. Nurse practitioners are challenged to advocate for this population. Data sources: Sources for the discussion derive from published institutional guidelines, institutional and civic policies, web-based information in the public domain, and professional journal articles. Conclusions: Advocacy for cultural sensitivity, institutional policy change,and professional integrity will determine healthcare quality for this population.
The United States of America is a melting pot of diversity because of its people who come from different cultural and racial backgrounds. LGBT rights can vary from state to state so transsexual dating is different from California to Maine. Bigger cities with a more diverse population tend to be more progressive than others.
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