Social Work , End-of-Life and Palliative Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 70-70
Author(s):  
Cathy Berkman

Abstract As the population ages and more people live longer with chronic and life-limiting illnesses, more healthcare professionals with palliative care skills are needed. Social workers are part of the palliative care team, but there is little, if any, content on palliative and end-of-life care in MSW programs. A 24-minute video featuring nine palliative and hospice social workers was produced with two goals: 1) increase knowledge of social work students about palliative and end-of-life care; and 2) interest social work students in a career in palliative social work. MSW students from three schools, in NY and Alabama, viewed the video. After viewing the video, 94 students participated in the mixed methods study, completing the brief, anonymous, online survey. The mean level of understanding about what palliative social workers do, rated from 1 (no understanding) to 5 (very good understanding), was 2.96 (SD=.99) before viewing the video and 4.31 (SD=.61) after, for an increase of 1.35 points (95% CI=1.14, 1.55) (p<.001). The mean level of interest in a career in palliative care social work and working with seriously ill persons and their family members, rated from 1 (Not at all interested) to 5 (Extremely interested), was 2.52 (SD=.99) before viewing the video and 3.45 SD=.80) after, for an increase of .91 points (95% CI=.79, 1.07) (p<.001). Qualitative data supporting the quantitative findings will be presented. This study suggests that a video intervention may be an effective tool to increase knowledge and interest in palliative and end-of-life care among social work students.


2009 ◽  
Vol 52 (4) ◽  
pp. 513-524 ◽  
Author(s):  
Malcolm Payne

English Palliative care social work has developed primarily as a specialist health-related form of clinical social work. However, the resource-intensive modernist medicalized practice of Western countries has been culturally inappropriate elsewhere. Broader end-of-life care and community education outside healthcare settings offers opportunities to develop palliative care social work in the direction of social development practice. French Le travail social de soin palliatif s’est au départ développé en tant que forme particulière de travail social clinique en relation avec la santé. Toutefois, la pratique médicalisée moderniste et intensément dotée en ressources des pays occidentaux, a parfois été culturellement inappropriée ailleurs. Plus largement le soin de fin de vie et l’éducation communautaire en dehors des dispositifs de soins de santé offrent des opportunités de développer le travail social de soin palliatif dans le sens des pratiques de développement social concernées. Spanish El trabajo social en el campo del cuidado paliativo se ha desarrollado primariamente como una especialidad del trabajo social clínico relacionado con la salud. Sin embargo, la práctica medicalizada y muy cara de las sociedades occidentales, no es apropiada culturalmente en otros lugares. Un cuidado al final de la vida más amplio, conectado a la educación de la comunidad, y al margen de las organizaciones médicas, ofrece oportunidades de desarrollar un trabajo social de cuidado paliativo que conduzca a una práctica de desarrollo social.


Author(s):  
Sriram Yennurajalingam

For the provision of palliative care in the hospice setting in the United States, Medicare covers any care that is reasonable and necessary to manage palliative and hospice care at end of life. To be eligible for this Medicare hospice benefit, a beneficiary must be entitled to Medicare Part A and be certified by a physician to have a life expectancy of 6 months or less if the illness runs its expected course. Medicare covers medications, nursing care, and medical services including care by a physician, physical therapy, social work. This chapter briefly reviews the various aspects of the Medicare hospice benefit.


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