International human rights movements have improved the visibility and equality of lesbian, gay, bisexual and transgender+ (LGBT+) communities and their members. Health outcomes for LGBT+ people remain, however, worse than for their non-LGBT+ peers. Older LGBT+ people have experienced fewer positive changes, in part due to their lived experience of discrimination and their ongoing, unintentional invisibility in medical and social care. This article highlights the impacts of societal structure, health and social care on the lives of older LGBT+ people including physical and mental health, End of Life, Dementia, Housing and Care Settings, and a focus on the experiences of trans-people. We look at the existing improvements developed by LGBT+ communities (and their allies) and propose refreshing Person-Centred Care to improve inclusivity. Finally, we provide a framework for looking at the areas in which service challenges arise and suggest ways to address these to make health and social care services more ready to meet the needs of older LGBT+ people.

中文翻译：

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平等但不同！改善对老年 LGBT+ 成年人的护理

国际人权运动提高了女同性恋、男同性恋、双性恋和跨性别+ (LGBT+) 社区及其成员的知名度和平等性。然而，LGBT+ 人群的健康结果仍然比非 LGBT+ 同龄人差。年长的 LGBT+ 人群经历的积极变化较少，部分原因是他们的生活经历过歧视，以及他们在医疗和社会护理中持续的、无意的隐身。本文重点介绍社会结构、健康和社会关怀对老年 LGBT+ 人群生活的影响，包括身心健康、临终、痴呆症、住房和护理环境，并重点关注跨性别者的经历。我们着眼于由 LGBT+ 社区（及其盟友）开发的现有改进，并提出令人耳目一新的以人为本的护理，以提高包容性。最后，