Hospice

Author(s):  
Mary Raymer ◽  
Dona J. Reese

Hospice social workers are essential members of the interdisciplinary team that provide biopsychosocial and spiritual care to terminally ill patients and their significant others during the last 6 months of life. Hospice philosophy emphasizes symptom control, quality of life, patient self-determination, and death with dignity. Hospice social workers must be skilled in providing evidence-based interventions including direct client services; collaboration with the interdisciplinary team; community outreach; developing culturally competent services; and advocating for policy change on the organizational, local, and national levels.

2005 ◽  
Vol 19 (4) ◽  
pp. 417-429 ◽  
Author(s):  
Clifford J. Mallett

The coach is central to the development of expertise in sport (Bloom, 1985) and is subsequently key to facilitating adaptive forms of motivation to enhance the quality of sport performance (Mallett & Hanrahan, 2004). In designing optimal training environments that are sensitive to the underlying motives of athletes, the coach requires an in-depth understanding of motivation. This paper reports on the application of self-determination theory (SDT; Deci & Ryan, 1985; Ryan & Deci, 2000) to coaching elite athletes. Specifically, the application of SDT to designing an autonomy-supportive motivational climate is outlined, which was used in preparing Australia’s two men’s relay teams for the 2004 Olympic Games in Athens.


2019 ◽  
Vol 1 (1) ◽  
pp. 63
Author(s):  
Novie Purnia Putri

Social work is as a help profession. It has a basic task in overcoming social problems, one of them is handling the beggars. The method used in this study was a qualitative method by describing the implementation of the value principles and ethics of social workers in handling the beggars through the Yogyakarta Society of Social Workers Association and the ethical dilemmas inside. The purpose of this study was expected to provide an overview of practices in the field as an effort to improve the quality of social work, increasingly to have adequate competence, both in terms of values and ethics in carrying out their profession. The results of this study indicated that in the implementation of the value principles and ethics of social workers with reviews of acceptance, individualization,  disclosure of feelings, non-judgmental attitudes, objectivity, self determination, confidentiality and accountability. The whole principles had been practiced. However, during practicing in the field, there were ethic dilemmas in the application of the principles. They were dilemmas in client confidentiality, policy laws, management care and scarce and limited resources.


2004 ◽  
Vol 49 (4) ◽  
pp. 327-346 ◽  
Author(s):  
Jacquelyn Monroe ◽  
Roenia Jittaun DeLoach

The purpose of this study was to investigate job satisfaction among hospice interdisciplinary team members, which included social workers, nurses, and other professionals (i.e., home health aides and spiritual care providers.) Interdisciplinary team members ( N = 76) from four hospices in the midwest participated in the study. One way analysis of variance (ANOVA) revealed that significant differences in satisfaction resulted in the areas of distributive justice, autonomy, and opportunity between social workers, nurses, and other interdisciplinary team members.


Author(s):  
Ann M. Callahan

Chapter 8 suggests that social workers can evaluate spiritually-sensitive hospice social work by drawing from models of spiritual competence. Evaluation in the practice setting is essential to ensure that patients experience hospice social work as being spiritually sensitive, rather than spiritually insensitive or, even worse, spiritually destructive. This chapter presents several models of spiritual competence with a focus on Hodge (2011) and associates (Hodge & Bushfield, 2006; Hodge et al., 2006) to evaluate spiritually-sensitive hospice social work. Such evaluation not only reflects the importance of understanding the spiritual quality of hospice social work, but the need to ensure that hospice social workers have the necessary spiritual competence. This includes assuming leadership in sensitizing interdisciplinary team members to patient spirituality.


2021 ◽  
Vol 12 ◽  
Author(s):  
Sarah Serhal ◽  
Bandana Saini ◽  
Sinthia Bosnic-Anticevich ◽  
Ines Krass ◽  
Lynne Emmerton ◽  
...  

Background: Building on lessons learnt from evidence-based community pharmacy asthma management models, a streamlined and technology supported Pharmacy Asthma Service (PAS) was developed to promote the integration of the service into routine practice.Objective: This study investigates the efficacy of the PAS in improving asthma symptom control and other health outcomes.Methods: A two-arm pragmatic cluster randomized controlled trial was implemented in 95 pharmacies across three Australian States. Participants were adults with poorly controlled asthma as per the Asthma Control Questionnaire (ACQ), with or without allergic rhinitis. Patients within the PAS arm engaged in four consultations with the pharmacist over a 12-month period. An evidence-based algorithm guided pharmacies, via a trial specific software, to deliver a series of interventions targeting three issues underpinning uncontrolled asthma (medication use and adherence, inhaler technique, and allergic rhinitis management) to patient clinical asthma status and patient need. Comparator arm patients received a minimal intervention likened to usual practice involving referral of eligible patients to the GP and two follow-up consultations with their pharmacist to collect comparative data.Results: In total, 143 of 221 PAS patients (65%) and 111 of 160 comparator patients (69%) completed the trial. Improvements in asthma control were achieved in both the PAS (mean difference (MD) in ACQ from baseline = −1.10, p <.0001) and comparator (MD in ACQ from baseline = −0.94, p <.0001) arms at the trial end; however, there were no significant differences between the two arms (MD = −0.16, 95% CI −0.41 to 0.08, p = 0.19). Patients’ quality of life in the PAS arm improved significantly when compared with the comparator arm (MD in Impact of Asthma on Quality-of-Life Questionnaire (IAQLQ) = −0.52, 95% CI −0.89 to −0.14, p = 0.0079).Conclusion: Despite the PAS achieving a greater improvement in patients’ quality of life, the pharmacist-led service and usual practice arm produced comparable improvements in asthma control. These results ask us to reflect on current standards of usual care, as it appears the standard of asthma care in usual practice has evolved beyond what is reported in the literature.


2021 ◽  
pp. 51-64
Author(s):  
Patrick Roigk ◽  
Fabian Graeb

AbstractA healthy nutritional intake is required to prevent malnutrition. Furthermore, nutrition is associated with improved quality of life in older adults. Simultaneously, many factors influence nutritional intake in later life. Onset and progression of acute or chronic diseases and a reduced dietary intake play a crucial role in developing malnutrition. Malnutrition is associated with poor outcomes such as pressure injury, increased length of hospital stays and increased mortality. The aim of the chapter is to increase the nutritional-based knowledge of the interdisciplinary team to prevent malnutrition in all its forms. Therefore, this chapter offers evidence-based information to support interdisciplinary prevention of malnutrition in older adults across diverse healthcare settings.


2006 ◽  
Vol 32 (1) ◽  
pp. 22-31
Author(s):  
Jayanti Ray ◽  

Orofacial myofunctional deficits in elderly individuals impact nutrition, swallowing, speech, quality of life, and other aesthetic functions. This paper explores briefly the common orofacial myofunctional disorders (OMD) due to various etiologies. Ideally, the available evidence suggests that an interdisciplinary team should be able to diagnose and document effectively the OMD and provide evidence-based services to the clientele.


2020 ◽  
Vol 29 (4) ◽  
pp. 685-690
Author(s):  
C. S. Vanaja ◽  
Miriam Soni Abigail

Purpose Misophonia is a sound tolerance disorder condition in certain sounds that trigger intense emotional or physiological responses. While some persons may experience misophonia, a few patients suffer from misophonia. However, there is a dearth of literature on audiological assessment and management of persons with misophonia. The purpose of this report is to discuss the assessment of misophonia and highlight the management option that helped a patient with misophonia. Method A case study of a 26-year-old woman with the complaint of decreased tolerance to specific sounds affecting quality of life is reported. Audiological assessment differentiated misophonia from hyperacusis. Management included retraining counseling as well as desensitization and habituation therapy based on the principles described by P. J. Jastreboff and Jastreboff (2014). A misophonia questionnaire was administered at regular intervals to monitor the effectiveness of therapy. Results A detailed case history and audiological evaluations including pure-tone audiogram and Johnson Hyperacusis Index revealed the presence of misophonia. The patient benefitted from intervention, and the scores of the misophonia questionnaire indicated a decrease in the severity of the problem. Conclusions It is important to differentially diagnose misophonia and hyperacusis in persons with sound tolerance disorders. Retraining counseling as well as desensitization and habituation therapy can help patients who suffer from misophonia.


2013 ◽  
Author(s):  
Kimberly D. Becker ◽  
Dana Darney ◽  
Celene Domitrovich ◽  
Catherine Bradshaw ◽  
Nicholas S. Ialongo

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