Technology

Family Centered Social Work in Clinical Social Work

Description
Family Centered Social Work in Clinical Social Work
Categories
Published
of 4
All materials on our website are shared by users. If you have any questions about copyright issues, please report us to resolve them. We are always happy to assist you.
Related Documents
Share
Transcript
  Family Centered Social Work in Clinical Social Work    Dr Sojan Antony   1 , Dr A Thirumoorthy   2 , Dr D Muralidhar 3  1 Assistant Professor, Department of Psychiatric Social Work, NIMHANS, Bengaluru 2 Professor, Department of Psychiatric Social Work, NIMHANS, Bengaluru 3 Professor and Head, Department of Psychiatric Social Work, NIMHANS, Bengaluru & The President, Indian Society of Professional Social Work Introduction  Professionalsocialworkersworkinclinicalsettingstomitigatethesufferingsofpersonsandto  promotethewelfareoffamilieswithillness.Socialworkersusesocialcaseworkandgroupwork  toaddresstheneedsofpatientsandtheirfamilies.Familyistheprimaryunitofsocietyacross variouscultures.InIndia,peoplegivemoreimportancetothefamilyinkeydecisionmaking. Familymembersarethemainsocialsupportforpersonwithillnessordisabilities.Theyprovide emotional,physicalandfinancialsupporttopersontosurvivetheillness.Inthiscontextsocial workersneedtoreflecthowtoworkwiththefamiliesinhospitals.Intheabsenceofuniversal healthinsurancecoverage,familyhastobepreparedtomeetthesocio-economicdifficulties associatedwithcaretaking.Familiesexpectemotionalsupport,informationandskillsfrom treatingteamtoempowerthemselvestobeacaretaker.Socialworkersbytrainingareeligibleto helpfamiliesinthisregard.Socialworkershavealreadyrecognizedthefamilyasthe‘best natural’rehabilitationcentre(   Hughes,Cummings,Weaver,Manheim,Braun,&Conrad,1992)   . Infollowingsections,thisarticlewillpresentsomekeyareas,inwhichsocialwork  interventions would enhance the confidence of family members in care taking. Support in crisis  Thoughfamilymembershavetheirownmechanismtocopewithemotionsandproblems,most ofthefamiliesaredisruptedwiththeonsetofchronicphysicalillness.Asobservedinhospitals, cardiacarrests,stroke,chronickidneydisease,emergenciesduringpregnancies,accidentsand suicideattemptsleadfamiliestocrisis.Crisisbydefinitionisastateofsuddenhelplessnessand hopelessness.Theyneedahandtoholdandguidancetopassthesituation.Sometimesfamily membershaveadequateresourcestodealthesituations;stilltheyneedsupportfromanexpert whocanguidethemtocrosstheriver.Socialworkersusetheirscientificknowledgeandskillsto   supportfamiliestofacethecrises.Manytimesfamiliesreachastate,inwhichtheywonder  themselves‘whattodofurther’.Itisworthtonotethatduringthiscrisis,somefamiliesmay  becomevictimsofexploitations.Especiallyduringtheendstageofcancer,manyfamilieskeep changingthehospitalsforsome‘miraclehealing’.Anactivesocialworkteamwithproper  counseling skills may prevent this phenomenon in oncology settings. Information for Informed Decision Making  Informeddecisionmakingisarightofpersonswithillnessandtheirfamilymembers.Theyneed adequateinformationtoproceedwithdecisionmaking.Doctorsandnursesdogiveinformation duringthecourseoftreatment.Sometimessuchinformationmaynotberegisteredintheirmind duetotheirdistress.Hencereviewingtheirunderstandingaboutthecauses,nature,course, treatmentandoutcomesofillnesswouldenablesocialworkerstoidentifytheneedforfurther  information. Skills Training for Care Taking  Socialworkerscantrainfamilymemberstofollowinstructionsfromtreatingteamduringthe stayinhospitalandafterthedischargefromhospitalthroughhomevisits.Manyfamilieskeep ask the following questions in Hospitals: “What to do while patient complain pain?” “Which kind of diet is appropriate for patient?” “How can we convince a patient who denies the dialysis care?” “How can we help him to control his anger?” “How can family members recognize the need for urgent medical care?” Thesequestionsindicatethatpatients’familieslookforwardtoskillstrainingtohelporcarethe  person   (Cooper,Eslinger,&Stolley,2006)   .Socialworkerscandevelopappropriateprogramme toequipfamilieswithcaretakingskills.Alongwithdoctorsandnurses,socialworkerscan educateandpreparepatientandfamilymembersduringthestayinhospitaltoaddresstheabove mentioned issues. Windows to Welfare Measures    Popularlypeopleandtreatingteambelievesocialworkersarewindowstoknowandavail welfaremeasures.Therearemanyschemessuchasfarmers’healthinsurance,disabilitybenefits andrelieffundsfromstateandcentralgovernmentswhichwouldeasecaretakersburden. Professionalsocialworkersmaymaintainarepertoireofwelfaremeasuresinthedepartment. Such list would help even a new social worker to provide this information to deserving patients. Build Partnership for Prevention, Treatment and Rehabilitation Thoughmanyupcomingcorporatehospitalstreatpatientsandfamilymembersascustomers,  buildingpartnershipwithfamiliesareessentialtoestablishtrustamongthem.Suchtrustis catalystinprevention,treatmentandrehabilitation.Thepartnershipmodeofcarewillenhance thecredibilityoftheinstituteinsociety.Trainedsocialworkersmayactasanexperttoestablish this partnership between families and treating team (Cowles, & Lefcowitz, 1992). Promote Resilience to Address the Burden Social,emotional,physicalandeconomicburdenarecommonamongcaretakersofpersonswith chronicorterminalillness.Inthiscontextcaringthecaretakersprogrammemayalleviatethe caretakingburden.Regularsupportgroups,facilitatingsocialsupportsandwelfaremeasures, informeddecisionmakingandempathyoftreatmentteamwouldpromotetheresilienceamong familymembers.ClinicalSocialWorkershavetoexamineandmanagethecaretakers’burden using professional strategies with the support of the medical team. Conclusion HenceClinicalSocialWorkershavetounderstandthatfamilymembersarenotpassivecare takers,theydoinvolveindecidingtheoutcomeoftreatment.Empoweringfamilymembersusing socialworkmethodswouldeasethestrugglesintreatmentprocessincludinghandlingthe financial difficulties arising out of treatment cost. References  Cooper,C.,Eslinger,D.M.,&Stolley,P.D.(2006).Hospital-basedviolenceintervention  programs work.  Journal of Trauma and Acute Care Surgery ,   61 (3), 534-540.   Hughes,S.L.,Cummings,J.,Weaver,F.,Manheim,L.,Braun,B.,&Conrad,K.(1992).A randomizedtrialofthecosteffectivenessofVAhospital-basedhomecareforthe terminally ill.  Health services research , 26  (6), 801 Cowles,L.A.,&Lefcowitz,M.J.(1992).Interdisciplinaryexpectationsofthemedicalsocial worker in the hospital setting.  Health & Social Work  , 17  (1), 57-65..
Search
Similar documents
View more...
Tags
Related Search
We Need Your Support
Thank you for visiting our website and your interest in our free products and services. We are nonprofit website to share and download documents. To the running of this website, we need your help to support us.

Thanks to everyone for your continued support.

No, Thanks
SAVE OUR EARTH

We need your sign to support Project to invent "SMART AND CONTROLLABLE REFLECTIVE BALLOONS" to cover the Sun and Save Our Earth.

More details...

Sign Now!

We are very appreciated for your Prompt Action!

x