Ian is a 62 year old male living in a residential care facility. He had an accident many years ago, and as a result he can’t walk and mobilises with a motorised scooter. His cognitive capabilities are normal. He requires two people to assist with his care such as showering, dressing, toileting and transferring.
Ian recently decided he wants to identify as female, and has started some procedures such as hormone injections and laser therapy to remove facial hair. He wishes to be known as Izza (short for Isabelle) and enjoys being able to wear women’s clothing, jewellery, makeup and accessories, and attending his salon appointments for manicures and facials.
The management of the residential facility has been very supportive with Izza’s wishes.
How would you as a personal carer / assistant in nursing deal with this when you are providing and assisting with Izza’s support needs?
In the context of personal care and assistance, it is crucial to approach each individual’s needs with empathy, respect, and a person-centered approach. This essay explores the scenario of Ian, now known as Izza, a 62-year-old resident of a care facility who has expressed a desire to identify as female. We will discuss how personal caregivers or assistant nurses can effectively provide support while respecting and affirming Izza’s gender identity and individuality. By adopting a person-centered approach and fostering an inclusive and supportive environment, caregivers can enhance the well-being and dignity of individuals like Izza.
As a personal carer or assistant nurse, it is essential to acknowledge and respect Izza’s self-identified gender identity and affirm her autonomy in expressing it. This involves using her preferred name, Izza, and appropriate pronouns when communicating with her. Respect for Izza’s identity should extend to all aspects of care provision, including personal hygiene, dressing, grooming, and attending to her physical and emotional needs.
To support Izza, caregivers can work collaboratively with the management of the residential facility to ensure an inclusive and supportive environment. This may involve staff education and training on gender diversity, promoting a culture of respect and acceptance, and implementing policies that protect the rights and dignity of residents with diverse gender identities. Encouraging open communication and actively listening to Izza’s experiences, concerns, and preferences can foster a sense of belonging and psychological well-being.
Person-centered care is fundamental in meeting the unique needs of individuals like Izza. It involves tailoring care approaches and routines to align with her preferences and priorities. Caregivers should engage in open and non-judgmental conversations with Izza, allowing her to express her needs and desires regarding her support. Collaboratively developing a care plan that incorporates Izza’s preferences for clothing, grooming, and beauty routines can contribute to her overall sense of identity and self-esteem.
Creating a trusting and supportive relationship is vital when providing care to Izza. Caregivers should strive to develop rapport, demonstrate empathy, and actively listen to her concerns. This includes offering emotional support, validation, and reassurance during moments of vulnerability or any potential challenges she may face due to her gender identity expression. Promoting a safe space where Izza feels comfortable expressing her emotions and discussing any difficulties she encounters is essential for her well-being.
In addition to providing individualized support, personal carers or assistant nurses can contribute to promoting inclusivity within the residential care facility. This can involve raising awareness among other staff members about gender diversity and fostering an environment free from discrimination or prejudice. Encouraging acceptance, educating colleagues on appropriate language and behavior, and promoting a sense of community that embraces diversity can positively impact the overall care experience for Izza and others.
When providing care and assistance to individuals like Izza who express their gender identity differently from their assigned sex, it is essential to adopt a person-centered approach, respect their identity, and provide support in a manner that promotes dignity, autonomy, and well-being. By embracing inclusivity, fostering a supportive environment, and delivering personalized care, caregivers can contribute to a positive and affirming experience for individuals like Izza, enhancing their overall quality of life within the residential care facility.
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