ACE+ triptych

Jayla Wright


Jayla is a 24-year-old trans woman of color living in a metropolitan area. She grew-up with two sisters, a brother, and was raised by both of her parents. At a young age Jayla would play dress-up with her sisters rather than playing different sports with her brother. She was often disciplined for wearing dresses and playing in her mother’s makeup.


As she aged, her relationship with her family became increasingly more difficult. Her parents confronted her at the age of 17 because she was caught wearing women’s clothing. They gave Jayla an option to stop dressing in feminine-identifying clothing or “get out” of their home. Jayla left that evening and has not spoken to her parents or siblings since then.

Scenario 1 Scenario 2 Scenario 3

Simulation Scenario 1 takes place in an Emergency Department. Jayla fell off public transport five days ago. She has a wound on her left upper thigh that will not heal. She tried to clean and bandage it herself, but when it started draining her friends urged her to come to the hospital. Jayla is experiencing identification documentation issues as she is unable to change government issued documents.

Jayla is still in the Emergency Department. Five hours have passed since the first scenario. The wound on her left upper thigh needs to be assessed and cared for per provider’s orders.

This scenario takes place in a community clinic. Six months have passed since Jayla was seen in the Emergency Department for a wound she sustained falling off public transportation. A nurse gave her a few community resources for a clinic that specializes in LGBTQ+ health. Jayla is visiting the community clinic for the first time.


Finish the Story Assignment

Learners have now seen Jayla at three snapshots in time. What do they think her life will be like three months from now?

Author Information

Brandi Fruin, DNP, MSN Ed, RN
Regis College