Abstract

Palliative care aims to provide comprehensive, patient-centered support for individuals facing serious illness, yet the unique needs of LGBTQ+ patients remain underserved. This article explores the importance of integrating LGBTQ+ affirming practices into palliative care to ensure equitable and inclusive care delivery. It highlights the barriers faced by LGBTQ+ individuals, including discrimination, minority stress, and lack of provider awareness, which can compromise trust and access to care. The article emphasizes the role of culturally competent communication, respect for chosen families, and acknowledgment of diverse identities in fostering a supportive care environment. Strategies such as targeted provider training, policy development and the use of inclusive language are discussed to address these disparities. Case studies and best practices demonstrate the positive impact of affirming care on patient well-being, satisfaction, and overall quality of life. By honoring the identities of LGBTQ+ patients, palliative care providers can enhance trust, reduce disparities, and deliver compassionate care that aligns with the values and preferences of every individual. This integration is not only an ethical imperative but also a step toward achieving health equity in end-of-life care.

Keywords: LGBTQ+ affirming care; Palliative care; Cultural competence; Health equity; Chosen families