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Her work has appeared in NextAvenue. Photo: D. Baric via Flickr.

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A few years ago, Rabbi Sara Paasche-Orlow was spending time with, and comforting, a friend who was dying of cancer. Along with all of the usual difficulties and complexities of end-of-life care, there was an additional concern for the friend. A recent national survey of this population by the National Resource Center on LGBT Aging—which provides support and services to lesbian, gay, bisexual, and transgender elders—found that the respondents were frequently mistreated by care-center staff, including cases of verbal and physical harassment, as well as refusal of basic services.

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My time at work is spent in an atmosphere of advocacy for people with every kind of disability imaginable. I started working with people with disabilities when I was seventeen years old and continued along that path. However, my passion is not limited to the disability community.

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As part of its mission to ensure all sectors of the aging population have access to resources and support, ElderSource created an initiative to increase the awareness and support of the needs lesbian, gay, bisexual, transgender LGBT elders as they age. Lesbian, gay, bisexual and transgender elders are even more isolated as they fear how they may be treated by other older adults or by providers of care. Every day 10, people turn Estimates suggest that there are more than three million LGBT people age 55 and older in the United States and this number will double in the next two decades.

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In a bright room at the Birmingham LGBT centre, a group of over 60s are tucking into quiche and cake at the Rainbow Bridge coffee morning, discussing their worries about getting older. Some of them have felt they have had to hide their sexuality when receiving care, while others are sharing their concerns they will have to go back in the closet if they have to move into a care home. Helen Rickedds, 60, has Parkinsons, and lives in West Bromwich.

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The once-a-decade temperature check on aging in America -- the White House Conference on Aging -- starts Monday and the spotlight is bound to shine on some of the special concerns facing the nation's elderly LGBT community. Here are six of them:. Increasingly, the elderly are turning to their adult children for their care.

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Margueritte Wilkins was, as she likes to say, "born, bred, and buttered" in Manhattan's Sugar Hill neigborhood, a northern section of Harlem. Wilkins remembers that she came out to her family when she was in kindergarten: "My brother called me an early bloomer. Her family didn't really know how to respond to her homosexuality and so they just "played it by ear.

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Aging can be a challenge for any community. And while many rely on friends and partners, more are likely to be single and without adult children, according to research published by the National Institutes of Health. Older bisexual adults are more likely to experience greater social isolation, and are more prone to depression.

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Identity categories can be slippery things—rife with exception and contradiction, brimming with potential for fissure and debate. A turbulent politics adheres as well to the question of identity and brings with it significant social and legal implications, as well as a potentially endless slew of often polarizing theoretical considerations. In the case of lesbian, gay, bisexual, and transgender LGBT older adults, however, the issues that come along with group identity are often entirely concrete, and the concerns that face the population are immediate and frequently severe.

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In part one of this three-part series, KJZZ examines the many hurdles — including stigma, social isolation and financial challenges — facing LGBT elders. But to understand why some LGBT elders feel this way, it's important to understand where they came from. The woman who said that appeared in the video produced by the Boulder County Area Agency on Aging is gay. And its part of a project called Project Visibility, which is used to teach professionals and caregivers in the aging industry how to engage with and support LGBT elders.

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