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Questioning the evidence for service assumptions: audit of transfers from a hospice to nursing home care
- Authors:
- REITH Margaret, LUCAS Caroline
- Journal article citation:
- Journal of Social Work, 8(3), July 2008, pp.233-245.
- Publisher:
- Sage
This article reports an audit of people considered for transfer from a hospice to a nursing home for end-of-life care and discusses implications for patients, families and staff. Moving patients to nursing homes at the end of their lives is often distressing for both patients and families and in many cases patients die within a short time of transfer. Few patients are actually transferred although many more are asked to face this possibility often creating unnecessary anxiety. This may have adverse consequences for family members' bereavement. There is a weak evidence base for transferring patients from hospices to nursing homes. Palliative care services assume a short in-patient stay to ration an expensive scarce resource. Assessment with social work contributions identifying complex emotional, family and bereavement consequences may allow multidisciplinary teams to justify longer hospice stays by identifying more complex needs to justify better substantive equality between patients.
Social work in end-of-life and palliative care
- Authors:
- REITH Margaret, PAYNE Malcolm
- Publisher:
- Policy Press
- Publication year:
- 2009
- Pagination:
- 239p., bibliog.
- Place of publication:
- Bristol
This book focuses on practice interventions to help dying and bereaved people, their families and carers. The authors review sociological and psychological ideas about dying and bereavement, incorporating spiritual care, multi-professional practice and ethical issues likely to face social workers in end-of-life and palliative care. It also contains several extended case examples to help develop practice skills fully. Chapters include: social work, end-of-life and palliative care; death and dying - awareness and uncertainty; truth and hope - communication at the end of life; engaging and assessing in end-of-life care; intervention in end-of-life social work; grief and bereavement - ideas and interventions; multiprofessional end-of-life care; ethical and value issues of end-of-life social work; and group and macro interventions.