What are the best practices for addressing LGBT-specific issues in advance care planning documents?

1 Know your rights

LGBT people have the right to choose who will make health care decisions for them if they become incapacitated, and to have their wishes respected by health care providers and institutions. However, some states and countries may have laws or policies that limit or deny these rights, especially for same-sex couples, unmarried partners, or transgender people. Therefore, it is important to research the legal situation in your area and consult a lawyer if needed. You should also carry copies of your ACP documents with you and share them with your loved ones, health care team, and trusted advocates.

3 Address your identity and expression

Your ACP documents should reflect your identity and expression as an LGBT person, and how you want to be treated and recognized by others. This may include your preferred name, pronouns, gender marker, clothing, and appearance. You may also want to specify any medical interventions or treatments that are related to your gender transition or affirmation, such as hormones, surgery, or therapy. You should also indicate if you have any concerns or preferences about the gender or sexual orientation of your health care providers or caregivers.

4 Consider your relationships and support network

Your ACP documents should also consider your relationships and support network as an LGBT person, and how they may affect your health care and well-being. You may want to include or exclude certain people from visiting you, receiving information about your condition, or inheriting your property. You may also want to designate someone to care for your pets, belongings, or affairs. You should also think about the emotional, social, and spiritual support that you may need or want, and how to access it.

6 Seek help and resources

ACP can be a complex and sensitive process, especially for LGBT people who may face discrimination, stigma, or ignorance. You do not have to do it alone. You can seek help and resources from various sources, such as LGBT organizations, patient advocacy groups, legal services, social workers, counselors, clergy, or online tools. These sources can provide you with information, guidance, support, and referrals to help you make informed and empowered decisions about your future health care.