2SLGBTQI+ Quick Reference

This acronym is confusing — and that’s okay. You don’t have to memorize it. You just need to use each resident’s name and pronouns, respect their relationships, and ask kindly when you’re unsure. This cheat sheet is a quick reference, not a test. Keep it at the nursing station.

Why it exists

The acronym grew because one word never covered everyone. Each letter was added because real people were being missed. In Canada, the “2S” at the front honours Two-Spirit as a distinct Indigenous identity. The “+” means “and anyone else” — language will keep evolving, and the plus makes room.

What each letter means

2S — Two-Spirit: A specific identity held by some Indigenous people, rooted in culture and spirit. Not a synonym for LGBTQ. Use only for people who identify as Two-Spirit.

L — Lesbian: A woman attracted to other women. Use when a woman uses this word for herself; otherwise “partner” or “spouse” is a warm default.

G — Gay: A person attracted to the same gender, often used by men. Use when someone uses it for themselves; otherwise default to “partner.”

B — Bisexual: A person attracted to more than one gender. A complete identity, not confusion. Rarely need to name it in care — respect whoever the resident says matters to them.

T — Transgender: A person whose gender identity differs from the sex assumed at birth. About identity, not bodies. Use their chosen name and pronouns always — in conversation, charts, signage, and handover.

Q — Queer / Questioning: “Queer” is a proud umbrella term many use; “questioning” means exploring identity. Use “queer” only if someone claims it for themselves; for questioning, be patient and open.

I — Intersex: A person born with sex characteristics that don’t fit typical male/female definitions. About biology, not identity. Protect privacy — chart only what’s needed for care.

+ — Plus: Everyone else whose identity isn’t captured above — including asexual, pansexual, and non-binary people. You don’t say “plus” out loud; in person, use each resident’s own words.

If you get it wrong

Correct yourself briefly and move on: “Sorry — she. As I was saying…” Don’t over-apologize. What matters is that you keep trying. Residents notice the effort far more than the occasional slip.

The one thing to remember

Every letter is a person who wants to be seen and respected for who they are. You don’t need the vocabulary perfect. You need the posture right — curious, kind, and willing to use someone’s own words.

Want to learn more? Read the full plain-language guide at prideincare.org/resources/understanding-2slgbtqi-plus, or book a free 20-minute call at prideincare.org/contact.