Social work, social values, and health.
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Delivery of Health Care↗
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Results for “Social Work”
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Self-care and home dialysis-role of social work.
Social work intervention in Self-Care involves evaluation, preparation, crisis-intervention and ongoing assessment and support. Early introduction of this modality is considered vital and factors of age, education, socio-economic level, sensory and environmental conditions are considered in the evaluation process. The social work relationship with patients is described within the context of family and community supports. Experience has demonstrated that patients with pre-existing adaptation problems may require more concentrated social work counseling. The goals of independence and rehabilitation are shown to be effected by patient motivation and economic restrictions. The social worker participating in the team approach is described as contributing to the patients opportunity for self-determination through patient advocacy, supportive services and social action. Self-Care patients are considered as having high potential for achievement and satisfaction.
Activities of Daily Living↗
Sight on social work: the social worker's involvement with the patient undergoing cataract surgery.
A commintment to the concept of total patient care requires consideration of the social and emotional, as well as the physical, problems of the patient. Assessing the quality of the social work service--including adequate attention to problem evaluation, social treatment, and outcome--can help to assure that patients will return to as high a level of social functioning as possible.
Aged↗
Measuring attitudes toward the physically disabled: testing the 'Attitude Towards Disabled Persons' scale (A.T.D.P. Form O) on social work and non-social work students.
The aim of the study was to test the U.S.A. Validated 'Attitude Towards Disabled Persons' Inventory (A.T.D.P. Form O) on a British student population to establish norms. The objectives were to test specific hypotheses related to the sex of the respondent, contact with physically disabled people and whether social work students had different attitude scores than non social work students. In addition, a comparison was made between the British and U.S.A. 'norms'. The student population of four specific British Universities comprised the sampling frame. The sample was a non probability accidental sample of social work and non social work students. Standardised A.T.D.P. Form Os were administered in group situations. Each form was accompanied by a letter explaining the study, together with a short questionnaire eliciting the sex of respondent and type and extent of any contact with disabled people. The findings demonstrated that there are probably differences between U.S.A. and British norms but that there are general similarities between the two countries. In both countries females, scored higher than males, which by interpretation indicates possibly a more favourable attitude. Contact with the disabled is also a contributing factor in higher scores. Social work students also tended to score more highly than non social work students. The implications of these findings are discussed with regard to the possible development of professional attitudes for those who work with the disabled. It is postulated that 'idealisation' may be reflected in attitudes of students who intend to work with the disabled which, after general and professional life experience gives way to less favourable attitudes. Closeness of contact of respondents to disabled people is a factor which needs further exploration in connection with changing attitude scores.
Adult↗
Terminal cancer: a challenge for social work.
The social worker interested in providing service to terminally ill cancer patients and their families must begin with careful self-assessment and with clarity about her goals. The tasks to which she can then address herself are: helping her clients (1) explore their feelings and behavioral options, (2) communicate as openly as possible with their significant others, and (3) become aware of resources outside themselves. A fourth task is helping her co-professionals from other disciplines increase their effectiveness.
Attitude to Death↗
[CORA: work rules for social work].
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Argentina↗
Social work education for health care practice.
The probable future developments in social work education for health care practice are viewed from a systems perspective. The developing needs of social work in health care are examined within the context of the developing needs of the broader field of social work practice, since changes in this larger system cannot but impact upon the health care social work subsystem. Similarly, education for health care social work practice is seen within the perspective of the broader system of social work education for practice in general, because developments in this larger system determine the directions that will be taken by the smaller system of educational training. The interfacing of the two systems, social work practice and social work education, is examined.
Curriculum↗
Development of an information system: a means for improving social work practice in health care.
The Johns Hopkins Hospital has developed a social work information system involving seven referral problem categories based on problems as identified by the referral source, ten problem categories for social work service, identified by the social work person after interview, and ten social work service categories similarly identified. The latter two categories include contracts with patients and expected outcomes together with categorization of actual outcome. Analyses of the coded data allow for more effective management of social work services and permit social work departments to compete for scarce resources, to comply with external regulations and accountability demands, and to assure quality service. In addition they provide a firm data base for research. The problem and service categories were tested for reliability by comparing the independent categorizations of 159 and 154 cases respectively by six social work persons, two each at three different levels of experience. Reliability levels were found to be satisfactory. The development of this system and the method of reliability testing are described and believed to be applicable to other systems.
Hospitals↗
Social work with genetic problems.
The generic utility of social work practice skills and knowledge applies to this field of practice as to any other. What is required is a delineation of the role that social workers are to take, a clear articulation of what they can do and do well, and their acquisition of the specific knowledge related to genetic problems that would provide the framework in which to practice social work in this area. From their practice experience, social workers in genetics are in a unique position to contribute important knowledge about their clients that would help to provide essential and needed services as well as guide social work intervention. The key role for social workers in genetics is the provision of supportive counseling to help clients deal with the social dimensions of their genetic problems. In other words, genetic social work focuses mainly on assisting clients with problems in living that are generated by a genetic diagnosis and that may be more problematic or distressing than the genetic defect itself.
Attitude↗
Application of knowledge about prevention in social work education and practice.
The status of preventive social work in the United States is reviewed, as are the three knowledge sources used in the teaching and practice of prevention: public health, mental health, and social work. The integration of concepts of prevention in social work curricula and practice are discussed, and new directions for its use are projected.
Curriculum↗
Studies of hospital social stays in the frail elderly and their relationship to the intensity of social work intervention.
The elderly frequently suffer long lengths of hospital stay (LOS). These long stays are often associated with long social care stays which occur when patients no longer require acute care and are awaiting post-discharge services. In this study, actual acute care LOS and social care LOS were studied specifically in hospitalized frail elderly. Our data demonstrate that frail elderly receiving only acute care do not suffer markedly prolonged total LOS (TLOS). However, in hospitalized frail elderly patients who experience acute care and social care stays, social care LOS accounts for over half of all hospital days. When patients were grouped and studied according to the type of post-discharge services being sought by the health care team, significant differences in acute LOS and social care LOS were noted. Subgroups of patients were also identified among the various groups which differed significantly in their LOS parameters. Patients who required more than one discharge plan during the course of hospitalization experienced the longest hospital stays of all groups, and spent almost 70% of these days receiving non-acute social care. In a study of the relationship between the intensity of social work intervention and social care LOS in the frail elderly, a statistically significant relationship was noted between the timing and frequency of social work intervention and the actual length of social care stays. Early and frequent social work interventions were associated with significantly shorter social care LOS. We conclude that the study of TLOS should include acute LOS and social care LOS to obtain a reliable measure of the course and cost of hospital care for the frail elderly. The study of social care subgroups may facilitate future investigations to define the social care problems which contribute most to TLOS, and the patient populations which should be most heavily targeted for early and intensive social work intervention.
Aged↗
Interdisciplinary education for community health: the case for nursing and social work collaboration.
A nurse educator and a social work educator developed an interdisciplinary team-taught course in community health for both social work and nursing students. This account of their experience elaborates the implications of interdisciplinary education for the student learning experience including theory and practice content, socialization, and transition; faculty development; and the larger university community. Although this particular instance is limited to baccalaureate education, the authors underscore the potential of interdisciplinary course work for the enrichment of all levels of nursing and social work education.
Attitude↗
[Modified rules for working time in the social work office. Flexibility of working time as an instrument for the attraction of qualified nursing personnel].
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Humans↗
Public accountability, quality assurance and social work.
The growing demand for public accountability and quality assurance mechanisms affords the social work profession an opportunity to take a more forceful hand in the shaping of the health care delivery system. This paper surveys the impact of public accountability developments on the practice of social work in the health care fields, analyzes what has been done in social work qualtiy assurance, and suggests some strategies for enlarging the scope of social work to include productive new endeavors. Emphasis is placed upon resolution of the conflict between medical and human service treatment models.
Delivery of Health Care↗
Delivery of clinical social work services in the emergency room: a description of an existing program.
This article describes a program of social work delivery in an emergency room. The application of crisis intervention theory as practiced by the emergency room social worker and the utilization of a system of clinical evaluation, community referral, and advocacy are delineated. Problem categories and protocols in social work treatment of patients and families in cases of death, rape, child abuse, and suicide attempt are discussed. Fees for specific social work services in the emergency room are described. Social work interventions in reducing stress and pressures of the setting that affect staff are noted.
Adolescent↗
Social work and the stroke patient.
Social work treatment is a significant part of the stroke rehabilitation program. The social worker helps the patient, his family, and the rehabilitation team to work together to reach realistic goals, individually determined. The knowledge and skills of the social worker are directed toward helping the patient and family in the adjustment process and to facilitate the stroke patient's return to the community at the highest possible level of emotional, social and economic functioning.
Cerebrovascular Disorders↗
Evaluating a social work department in psychiatric hospital.
It has become increasingly important, as an administrative aid in assessing the functioning of hospital social work departments and improving their services, to determine and evaluate their activities. This article reports on a study conducted by the social work department in a Canadian university psychiatric hospital to determine the work load of social workers, aspects of the process of referring persons for social work services, and differences between hospitalized persons who do or do not receive social work services.
Hospital Departments↗
Evolving social work roles in health care:The case of discharge planning.
This paper examines changing definitions of social work's role in health care and the continuing struggle for professional autonomy, in the context of the profession's responsibility for discharge planning. Planning for posthospital care is seen to be a major function of social work today and of traditional importance since social work's inception in the hospital setting. Major role and value conflicts are highlighted in a review of social work's traditional ambivalence toward the role of discharge planner and current recognition of the initial contribution of the profession to the continuing care of hospitalized patients.
Hospital Administration↗