Bases conceituais para delineamento do manual de boas práticas de cuidados em saúde bucal de pessoas transgênero.

Abstract

In Brazil, State provided health care is a civil right since the 1988 Constitution. Despite this, the LGBTI (lesbians, gays, bissexuals, transexuals and intersex) population faces difficulties accessing health goods and services. Such difficulties can be exemplified by the descrimination against, and exclusion of this population for access of said services, as well as the lack of training of health care professionals (including the Oral Surgeon) for dealing with them, which emboldens this reality. Having this in mind, this undergraduate thesis' objective is to develop a handbook of good practices that will inform the Oral Surgeons about the aspects of health care that are relative to the Trans persons. The selected themes were divided in four categories: (1) Knowledge about gender indentity; (2) legal aspects and laws related with Transgender public health care; (3) Concepts about gender transition process (associated or not-associated with hormone therapy), as general and oral health consequences, that includes psicological and social vulnerabilities associated with transgender persons, especially sexually transmited infections (STI); and (4) the aspects of oral care, that includes reception and prevention, pre and postoperative care and drug interactions. The fourth category aims to support the Oral Surgeons to offer clinical care to the Trans population, supported by the best scientific knowledge around the theme. As result, these categories was written in seven charpter through the text. This handbook’s content will be based on the academic integrative literature revision about the cited subjects, having as reference articles and textbooks gathered from multiple sources of data: BIREME, PubMed, Scielo, Google Scholar, University Repositories and government portals referencing laws, programs and directives that guide the health care procedures to such population. The booklet will be divided into subjects, aiming to give the Oral Surgeon a sistematic source of knowledge, making them aware of the necessity of giving a more humane, safe and free of judgment care to the Trans population, guiding them about how to achieve this objective. We hope that this document will instigate the development and improvement of other studies and inclusion programs dedicated to the Trans population on the health care systems and the society in general, according to the University policies dedicated to the LGBT population, recently approved on the CONSUN/UFU resolution, 10/2019.