Question Description

I’m working on a Psychology exercise and need support.

Respond to at least two different colleagues’ postings in one or more of the following ways:

Expand on your colleague’s post by explaining any research that contradicts the superiority of one program over another when providing hospice care.

Offer additional successful strategies to cope with emotionally intense work. Support your post with scholarly resources.

DB 1

Keliah—

An explanation of the importance of an interdisciplinary team in end-of-life care

In an interdisciplinary team, the patient and the family are encouraged to create an end-of-life plan that is conducing to life closure for the patient. Having an interdisciplinary team can improve the care of the patient in their final days of life. End-of-life decision making involves the process of considering available options for and preferences about medical care during the later stages of a terminal illness (Deborah, Et. Al., 2012). Hospice provides interdisciplinary team-based care for patients who have been diagnosed with a terminal illness or a patient who has come to the end of life with treatment of a disease. Hospice alleviates the physical and psychological distress for a patient and their family. Pain and symptom management is the most important coordination of care for patients in hospice.

Briefly describe different programs providing hospice care with regard to team structure and scope of services

           Participants described weighing the pros and cons of choosing hospice particularly by comparing eligibility criteria for different programs, considering the hoped-for outcomes and services that best meet their needs (Deborah, Et. Al., 2012). The Medicare program includes nursing services, physician services, volunteer services, counseling services, dietary counseling, spiritual care, dietary counseling, and social services (U.S. Government Printing Office, 2002). Medicare covers the cost of hospice and coverage varies by state. There are hospice aides, medical directors, nurses, counselors, and personal care aides that all provide hospice services and work as a team to care for the patient. Each hospice care program has its own policy and procedures for how they receive for payment for care and services. Services are based on need mainly rather than the ability to afford the care.

Compare the roles of a social worker on a hospice team in a hospital-based program and in a home hospice program

As a social worker in a hospital-based program, my team would consist of nurses, doctors, other case workers, and the family. We would work together as a team to come up with the best treatment plan for end-of-life care. My role would be to advocate for the patient’s end-of-life wishes and assist with addressing the emotional and mental issues that come with the end-of-life stages. We take on the role of assisting the family with identifying local services for care and support. In home hospice program, social workers work with clients to help them with a wide range of their needs for in home care. Hospice care in the home includes palliative care to give social, emotional, and spiritual support. We work with nurses and hospice services to ensure the patients home is safe for ed-of-life treatment.

Explain your feelings about the emotionally intense work of hospice care. Finally, explain the strategies you might consider coping with your emotions

           Dealing with patients entering into hospice care can be an emotional toll on you. You deal with a lot of complex and emotional exposure when encountering these patients. They are entering hospice care because they are at the end of their life and they need care that will leave them pain free and comfortable in their last days. Self-care is important when considering coping with emotions. Counseling and digesting the situation with your supervisor also helps to cope with the emotions of dealing with these patients.

Deborah P. Waldrop, MSW, PhD, Mary Ann Meeker, DNS, Hospice Decision Making:

Diagnosis Makes a Difference, The Gerontologist, Volume 52, Issue 5, October 2012, Pages 686–697, https://doi.org/10.1093/geront/gnr160

U.S. Government Printing Office. 2002b. “Code of Federal Regulations 42CFR418.80-88”.

DB 2

Kimberly—

Post an explanation of the importance of an interdisciplinary team in end-of-life care.

One of the core elements of hospice and palliative care is the collaborative practice of the interdisciplinary team (Meier & Beresford, 2008). Hospice and palliative care teams are comprised of physicians, nurses, social workers, chaplains, volunteers, and can also include home health aides, bereavement counsellors, dieticians, and pharmacists, among others. In hospice care, team meetings are required in order to provide a context for interdisciplinary collaboration among team members. The importance of interdisciplinary team is to  empower the patient and family to direct the care they receive from their team is emphasized. Interdisciplinary team interventions in end-of-life care focus on the biopsychosocial and spiritual dimensions of human experience and facilitate growth and development in the last phase of life (Connor, Egan, Kwilosz, Larson, and Reese,2002).

Briefly describe different programs providing hospice care with regard to team structure and scope of services.

Manages the patient’s pain and symptoms.

Provides emotional support

Provides needed medications, medical supplies, and equipment.

Coaches loved ones on how to care for the patient.

Delivers special services like speech and physical therapy when needed.

Makes short-term inpatient care available when pain or symptoms become too difficult to manage at home, or the caregiver needs respite time.

Individual counseling

Compare the roles of a social worker on a hospice team in a hospital-based program and in a home hospice program.

Home Hospice program social workers spend much of their time directly with clients in home visits. A great deal of driving to visit clients and some off-hours emergency coverage may be required. Social workers also make phone calls to check in with clients and locate resources. In a hospital based program social workers spend much of their time directly with clients in inpatient settings or office consultations. Hospital social workers are the ideal go-between for patients and hospital staff. Not only do they help facilitate proper care during and after hospitalization, but they also help educate medical staff about how to work effectively with different kinds of patients and how to assist families in dealing with the stressors of illness and injury. Hospital social workers are critical in the delivery of services after a patient is released from the hospital. They play the crucial role of connecting patients to needed services, coordinating payments and insurance reimbursements, and facilitating communication between stakeholders to ensure that the best care is being provided (Meier & Beresford, 2008).

Explain your feelings about the emotionally intense work of hospice care.

Working in hospice care can be very stressful. Due to the nature of their work, medical social workers interact with patients in some of their most vulnerable moments. You tend to see patients and their families when they’re unprepared, in those moments when they’re most in need of help.

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