CARING FOR LGBT VETERANS AND FAMILIES AT END-OF-LIFE: A CASE FROM A VA HOSPICE UNIT

The VA is likely the largest provider of health care for LGBT persons in the U.S. However, societal histories of homophobia, stigma, discrimination, and past military policies have had a lasting impact on the health of LGBT veterans. We will present the case of an older female veteran who was admitted to a VA hospice unit. She had previously been cared for by her wife, who was struggling to meet care needs at home. Over time, it became clear that the wife was emotionally and financially dependent on the veteran, and would be facing many psychosocial and financial challenges when the veteran died. However she was also reticent to accept help or services due to past negative experiences with social service agencies related to her sexual orientation. This case highlights many of the unique needs and challenges that may arise for LGBT veterans and their families at end-of-life.