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Relationship between pain and chronic illness among seriously ill older adults: expanding role for palliative social work
- Authors:
- MORRISSEY Mary Beth, VIOLA Deborah, SHI Qiuhu
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 10(1), 2014, pp.8-33.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Confronting the issue of pain among chronically ill older adults merits serious attention in light of mounting evidence that pain in this population is often undertreated or not treated at all (Institute of Medicine, 201126. Institute of Medicine . ( 2011 ). Relieving pain in America: A blueprint for transforming prevention, care, education and research . Washington, DC : National Academies Press . The relationship between pain and chronic illness among adults age 50 and over was examined in this study through the use of longitudinal data from the University of Michigan Health and Retirement Study, sponsored by the National Institute on Aging and the Social Security Administration. Findings suggested positive associations between pain and chronic disease, pain and multimorbidity, as well as an inverse association between pain and education. Policy implications for workforce development and public health are many, and amplification of palliative social work roles to relieve pain and suffering among seriously ill older adults at all stages of the chronic illness trajectory is needed. (Edited publisher abstract)
Key role of social work in effective communication and conflict resolution process: medical orders for life-sustaining treatment (MOLST) program in New York and shared medical decision making at the end of life
- Authors:
- BOMBA Patricia A., MORRISSEY Mary Beth, LEVEN David C.
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 7(1), January 2011, pp.56-82.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
This paper reviews the development of the Medical Orders for Life-Sustaining Treatment programme. It particularly focuses on recent legislation in New York State in the context of advance care planning and decision making during end of life care, and suggests that social workers are central in working with patients, families and practitioners in the communication and conflict resolution process that is integral to health care decision making. The paper addresses the importance of ethics and end-of-life training and education for social workers. The paper also reviews data from a pilot study evaluating interdisciplinary ethics training on legal and ethical content in communication and conflict resolution skills in health care decision making. In ending, recommendations are made for research on education and training of social workers involved in end-of-life and palliative care.