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Lesbian, gay, bisexual and trans health inequalitiesInternational perspectives in social work$
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Julie Fish and Kate Karban

Print publication date: 2015

Print ISBN-13: 9781447309673

Published to Policy Press Scholarship Online: September 2015

DOI: 10.1332/policypress/9781447309673.001.0001

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Research and policy about end of life care for LGBT people in the UK

Research and policy about end of life care for LGBT people in the UK

Chapter:
(p.173) Ten Research and policy about end of life care for LGBT people in the UK
Source:
Lesbian, gay, bisexual and trans health inequalities
Author(s):

Kathryn Almack

Tes Smith

Bridget Moss

Publisher:
Policy Press
DOI:10.1332/policypress/9781447309673.003.0010

This chapter explores issues relating to end of life care for LGBT people. Existing research is presented with the recognition that there are gaps and that there is only limited evidence to support social work practice in this area. Wider issues of stigma, discrimination and marginalisation are noted for their impact on the social determinants of health and experiences of minority stress. It is also acknowledged that LGBT people may be unwilling to disclose their sexual orientation or reluctant to seek services. The experiences of LGBT people in accessing end-of-life care in the UK are explored using material from research undertaken by the authors, with reference to some of the challenges that may be encountered when seeking support and accessing services, the use of supportive networks and issues of bereavement and loss. The importance of supporting LGBT workers, friends and family is highlighted. The chapter emphasises the need to look at the whole person without heterosexist assumptions and to respect each individual’s life story. The opening vignette is used to raise a number of questions regarding social work practice.

Keywords:   end of life care, individual life stories, bereavement and loss, carers’ support, service provision

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