Advance Care Planning in the USA and UK: A Comparative Analysis of Policy, Implementation and the Social Work Role

2013 ◽  
Vol 43 (2) ◽  
pp. 233-248 ◽  
Author(s):  
G. L. Stein ◽  
I. C. Fineberg
Keyword(s):  
Social Work ◽  
Comparative Analysis ◽  
Policy Implementation ◽  
Advance Care Planning ◽  
Work Role ◽  
Care Planning ◽  
The Social ◽  
The Usa ◽  
Advance Care

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

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.

scholarly journals IMPACT OF GERIATRIC INTERPROFESSIONAL TRAINING ON ADVANCE CARE PLANNING IN GERIATRIC PRIMARY CARE

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S151-S152
Author(s):  
Maureen E Barrientos ◽  
Anna Chodos ◽  
Alicia Neumann ◽  
Yvonne Troya ◽  
Pei Chen
Keyword(s):  
Primary Care ◽  
Social Work ◽  
Advance Care Planning ◽  
Health Resources ◽  
The United States ◽  
Care Practice ◽  
Care Planning ◽  
Office Visits ◽  
Advance Care ◽  
Telephone Calls

Abstract Currently, an important measure of Advance Care Planning (ACP), Advance Health Care Directives (AHCD) documentation rate, is at 33% for older adults in the United States. To address this disparity, geriatric faculty in an academic geriatric primary care practice aimed to train geriatrics fellows and other interprofessional (IP) learners to engage patients in ACP. As part of a Geriatric Workforce Enhancement Program funded by the Health Resources and Services Administration, geriatrics faculty and the Medical Legal Partnership for Seniors based at University of California Hastings College of Law provided ACP training to fellows and IP learners, including social work interns. In practice, the fellows and social work interns collaborated to incorporate ACP into patient visits and follow-up telephone calls. To monitor ACP progress, research staff reviewed patients’ electronic health records and performed descriptive analysis of the data. In 21 months, 4 geriatrics fellows built a panel of 59 patients who on average had 3 office visits and 7 telephone calls per person. Prior to clinic enrollment, 12 (20.3%) patients had preexisting AHCD, and 47 lacked AHCD documentation. After ACP intervention, 42 of 47 patients without AHCD documentation engaged in ACP discussion. Of those who engaged in ACP discussion, 24 completed AHCD, raising AHCD completion rate to 61%, or 36 patients in the panel of 59. ACP is a complex process that benefits from skilled communication among interprofessional providers and patients. Findings underscore the potential advantages of IP training and engaging patients in ACP discussion in an academic primary care setting.

scholarly journals An interprofessional training to improve advance care planning skills among medicine, nursing, and social work students

2020 ◽  
Vol 21 ◽  
pp. 100382
Author(s):  
Leah S. Millstein ◽  
John Allen ◽  
Melissa H. Bellin ◽  
Steven R. Eveland ◽  
Danielle Baek ◽  
...  
Keyword(s):  
Social Work ◽  
Advance Care Planning ◽  
Social Work Students ◽  
Care Planning ◽  
Interprofessional Training ◽  
Advance Care

Advance Care Planning: Opportunities for Clinical Social Work Leadership

2019 ◽  
Vol 47 (3) ◽  
pp. 309-320 ◽  
Author(s):  
Shirley Otis-Green ◽  
Judy Thomas ◽  
Lael Duncan ◽  
Anne Walling ◽  
Codie Lieto ◽  
...  
Keyword(s):  
Social Work ◽  
Advance Care Planning ◽  
Clinical Social Work ◽  
Care Planning ◽  
Advance Care ◽  
Social Work Leadership

Comparing Advance Care Planning in Young-Onset Dementia in the USA vs Belgium: Challenges Partly Related to Societal Context

2020 ◽  
Vol 21 (6) ◽  
pp. 851-857 ◽  
Author(s):  
Romy Van Rickstal ◽  
Aline De Vleminck ◽  
Sean R. Morrison ◽  
Raymond T. Koopmans ◽  
Jenny T. van der Steen ◽  
...  
Keyword(s):  
Advance Care Planning ◽  
Care Planning ◽  
Young Onset ◽  
Societal Context ◽  
The Usa ◽  
Advance Care ◽  
Young Onset Dementia
Sign in / Sign up

Export Citation Format

Share Document