healthcare and hospice unit 8 seminar. human services in hospitals psychosocial assessments post...
TRANSCRIPT
Healthcare and HospiceUnit 8 Seminar
Human Services in Hospitals Psychosocial assessments Post discharge follow up Providing information and referrals Consultation Pre-admission Planning Outpatient care Discharge Planning Patient and family
conferences Psychosocial Counseling Case
management Financial Counseling Referrals to
support groups Health Education Trauma response
Crisis and Trauma CounselingMaslow’s Hierarchy of needsEach family handles crises differentlyCoping stylesAdjustment, advocacy and resources
Working with Patients with HIV/AIDS
Originally was crisis intervention and dealing with death
Now more focused on the psycho-social issues of dealing with chronic and sometimes terminal disease.
Also fear of discrimination, not receiving proper medical care, jobs and housing.
The Hospice MovementProvided to the terminally ill
Focuses on physical, emotional, social and spiritual needs.
Addresses the psych-social and spiritual needs of the dying patient.
The History of Hospice: The Neglect of the Dying
Dame Cicely Saunders is the founder of the modern hospice movement.
The medical community’s failure to address the comprehensive needs of terminally ill patients.
Wanted to develop a system of care committed to the dying process that was without pain and one that maintains the patient’s sense of dignity.
The Hospice Philosophy
Dying is not failure, but a nature part of life.Every human being has the right to die with
dignity.Palliative care rather than curative care.Highly supports patients remaining in their
homes whenever possible.
The Hospice TeamThe Hospice PhysicianRegistered NurseChaplainHome health aidTrained volunteersBereavement Counselors
The Role of the Hospice Human Service Worker: The Psychosocial Assessment
Basic Demographic InformationAssessment of the current crisisAssessment of physical surroundingsAssessment and development of a safety planAssessment of patient’s current mental stateAssessment of family relationshipsAssessment of patient’s social support system
Intervention Strategies
Placement in residential facilityContracting a home health agencyEstablishing Day respite careGovernment assistance and Medicare
Case Management and Counseling
Dealing with the terminal illnessThe loss of control because of increased
debilitationImpending deathHelping and assisting family membersIncreasing the comfort levels
Resisting the Reality of DeathEmbracing death does not have to let go of
life.Not losing hopeConfronting denialResponding affectionately and
compassionately
Planning for the DeathThe practical plans and detailsAdvanced directivesDNRFuneral arrangementsWho will take care of what?
The Spiritual Component of Dying
Praying with the familyAre you comfortable in this role?The spiritual tone of counseling
The Journey Through GriefAcknowledging the reality of the deathEmbracing the pain of the lossRemembering the person who diedDeveloping a new self-identitySearching for meaning in the lossReceiving ongoing support from othersReconciling the grief
Multicultural Issues
Hospice workers must remain flexible enough to meet the needs of all cultural groups
Policies that discriminate against ethnic minority groups, such as admittance requirements, be challenged and changed if needed.
Ethical Dilemmas
Family denial of illnessDenial of services to those unable to payCounseling patients regarding euthanasiaPoor Pain ManagementDischarge of terminal patients