Provider perceptions of the social work role in oncologic pain management.

2019 ◽  
Vol 37 (27_suppl) ◽  
pp. 214-214
Author(s):  
Claire Ralli ◽  
Michelle Bailiff ◽  
Crystal Fields-Burdick ◽  
Kali Gajewski ◽  
Tara Garza ◽  
...  
Keyword(s):  
Social Work ◽  
Pain Management ◽  
Social Workers ◽  
Advance Care Planning ◽  
Care Delivery ◽  
Social Work Practice ◽  
Care Planning ◽  
Interdisciplinary Approaches ◽  
The Social ◽  
Advance Care

214 Background: Best practices of cancer care delivery have shifted from medical models to interdisciplinary approaches aimed at holistic care. The social work profession has advanced itself by gaining competence in psycho-oncology, advance care planning, biopsychosocial assessment and intervention, and pain management. While Masters prepared Social Workers (MSW) are widely recognized as experts in most of these areas, it appears that they are underutilized in pain management. This study will examine provider and nursing perceptions about social work expertise and whether those perceptions may limit utilization of social work in multidisciplinary management of cancer pain. Methods: While review of psycho-oncology literature supports the role of social work in pain management, this was not clearly indicated within the medical oncology domain. A survey was created to ascertain the perception of the MSW role in pain management as a supplement to pharmacologic and medically-based care when identifying and treating multidimensional pain. The survey was completed by Physicians, Advanced Practice Providers, and Nurses in outpatient oncology practices in The US Oncology Network. Results: 139 medical professionals responded. As hypothesized, 88% reported they were comfortable with MSWs conducting Advance Care Planning, while 61% reported being comfortable with MSWs educating patients and families about pain management during palliative/end of life care. 95% believed unmet emotional, social, spiritual and existential needs can present as physiological pain, however only 55% indicated they would include Licensed Clinical Social Workers to provide therapeutic interventions as part of pain management. Conclusions: Under half of survey participants reported an understanding of the scope of social work practice, which aligns with the lack of awareness and under-utilization of social work as a vital contributor in oncologic pain management. MSWs have training in evidence-based interventions such as CBT, guided imagery, mindfulness and biofeedback techniques which may diminish the experience of pain. Further research is recommended to identify strategies to promote and integrate social work into multidisciplinary pain management.

The Impact of Personal and Professional Loss on Advance Care Planning and Effective Care Delivery for Healthcare Social Workers

2018 ◽  
Vol 99 (4) ◽  
pp. 358-368
Author(s):  
Cara L. Wallace ◽  
Yit Mui Khoo ◽  
Leslie Hinyard ◽  
Jennifer E. Ohs ◽  
Dulce M. Cruz-Oliver
Keyword(s):  
Social Workers ◽  
Advance Care Planning ◽  
Care Delivery ◽  
Death And Dying ◽  
Care Planning ◽  
Professional Experiences ◽  
Effective Care ◽  
Advance Care ◽  
Past Experiences ◽  
The Impact

Personal experiences can influence the practice of social work. However, the connection between past experiences with death and social workers’ practice has been underexplored. As such, this study surveyed social workers ( N = 74) about their personal and professional experiences of loss, personal advance care planning, and professional practices. Results demonstrated that social workers that experienced prior loss were more likely to complete an advance directive and communicate their end-of-life wishes. Additionally, those who had experienced personal and professional loss showed greater effectiveness on measures of patient- and family-centered communication and care delivery. Findings suggest positive outcomes for encouraging social workers to connect their personal and professional experiences surrounding death and dying to effectively serve in their professional capacity.

scholarly journals Culture Differences in Advance Care Planning and Implications for Social Work Practice

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 20-20
Author(s):  
Jung-Hwa Ha ◽  
Changsook Lee ◽  
Jennifer Yoo
Keyword(s):  
Social Workers ◽  
Advance Care Planning ◽  
Relevant Information ◽  
Social Work Practice ◽  
Korean American ◽  
Cognitive Capacity ◽  
Care Planning ◽  
University Hospitals ◽  
The Us ◽  
Advance Care

Abstract Advance care planning (ACP) is the process of making plans and decisions regarding end-of-life care (EOLC) in advance while one has the physical and cognitive capacity to do so. However, even if health practitioners recognize the importance of ACP, they may be constrained by social and cultural factors in engaging their clients in ACP. This study examined cultural differences in ACP and various strategies that social workers use to initiate conversations on ACP in a range of settings. Using the case study method, we conducted in-depth interviews with 7 social workers who work in South Korea, 2 Korean-American social workers working in the Korean-American communities in the US, and 3 American social workers serving diverse populations in the US. Their practice sites include: university hospitals, day care centers, a community senior center, a nursing home, and a hospice agency. Social workers in both countries emphasized the need to build rapport with their clients early on and to empower them to take the lead in their ACP while they were still healthy. In Korean and Korean-American communities, social workers recognized their clients’ reluctance to speak about EOLC and highlighted the importance of communicating with their family due to their clients’ preference for family-centered decision-making. When doing this, a step-by-step approach in giving relevant information was recommended. We identified relationship-building, empowerment, and culturally sensitive approaches as common strategies in initiating discussions on ACP in both countries.

scholarly journals DOCUMENTING THE SOCIAL WORK ROLE IN ADVANCE CARE PLANNING

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1071-1071
Author(s):  
G. Stein ◽  
G. Christ ◽  
J. Cagel
Keyword(s):  
Social Work ◽  
Advance Care Planning ◽  
Work Role ◽  
Care Planning ◽  
The Social ◽  
Advance Care

What are social work students being taught about palliative care?

2019 ◽  
Vol 17 (5) ◽  
pp. 536-541 ◽  
Author(s):  
Gary L. Stein ◽  
Cathy Berkman ◽  
Bonnie Pollak
Keyword(s):  
Palliative Care ◽  
Social Work ◽  
Social Workers ◽  
Advance Care Planning ◽  
The United States ◽  
Care Practice ◽  
Care Planning ◽  
Theory Approach ◽  
Online Questionnaire ◽  
Advance Care

AbstractObjectivePalliative social workers have taken steps to increase the numbers of social workers trained and competent to deliver effective psychosocial palliative care. Despite these developments, masters of social work (MSW) programs have only begun to develop curricula preparing students for entry-level practice. This study sought to determine the type and extent of content areas included in MSW courses dedicated to palliative care or with content related to palliative care practice.MethodA cross-sectional study using an online questionnaire was conducted. All 248 accredited MSW programs in the United States and 32 programs in Canada were invited to participate. Participants were asked to name the courses in their MSW program that were dedicated to, or included content on, palliative care, and submit the syllabi for these courses. Data comprised course content for each class session and required readings. A grounded theory approach was used to identify the topics covered.ResultOf the 105 participating programs that responded to the survey, 42 submitted 70 syllabi for courses with at least some palliative care content. There were 29 topics identified. The most common topic was grief, loss, and bereavement, followed closely by behavioral and mental health issues, and supporting family and friends; cultural perspectives and advance care planning were also common topics. For the 10 syllabi from courses dedicated to palliative care, supporting family was the most common topical area, followed closely by interprofessional practice and advance care planning.Significance of resultsAlthough there are many challenges to introducing palliative care content into MSW programs, including unqualified faculty and competing course material and electives of equally compelling content, there are model curricula for dedicated palliative care courses. With the large growth of palliative care programs, the time is ripe to add specialty palliative care courses and to add palliative care content into existing courses.

scholarly journals Advance care planning in participative social work practice

Psychologica ◽  
2009 ◽  
pp. 105-119
Author(s):  
Malcolm Payne
Keyword(s):  
Social Work ◽  
Advance Care Planning ◽  
Work Practice ◽  
Social Work Practice ◽  
Care Planning ◽  
De Se ◽  
Advance Care

O planeamento antecipado de cuidados (acp) comporta processos que permitem descobrir e registar as preferências pessoais relativas a cuidados e tratamentos em situações futuras bem como diferenciar esta planificação da planificação profissional de cuidados a dirigir a um dado indivíduo. Desenvolvido a partir da aplicação de cuidados paliativos sustentados pela gravação das decisões dos doentes referentes à recusa antecipada de tratamento, prevenindo situações de incapacidade cognitiva no final da vida, os processos de acp alargaram-se, recentemente, aos cuidados de saúde e cuidados de protecção social prolongados. Este processo tem como objectivo envolver clientes, famílias e outros cuidadores informais no sentido de se prepararem para pensar antecipadamente acerca das exigências de situações de necessidade de cuidados difíceis. A investigação demonstra que esse processo aumenta a satisfação dos clientes com os serviços e amplia a probabilidade de se verem alcançadas as escolhas de clientes e famílias. O acp é um avanço importante na teorização do serviço social relativamente às questões específicas da prestação de serviços de longa duração, quando o papel destes serviços se perspectivava apenas focalizado na gestão e coordenação dos casos. Este processo, fortalece, também, a participação dos clientes na tomada de decisão sobre os serviços sociais a adequar à sua situação.

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