Search results for ‘Subject term:"older people"’ Sort:
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Social work with old people. 2nd ed
- Author:
- MARSHALL Mary
- Publisher:
- Macmillan
- Publication year:
- 1990
- Pagination:
- 146p., bibliog.
- Place of publication:
- London
Provides a practical guide to social workers just beginning to work with old people, introducing a repetoire of necessary skills and indicating the potential of groupwork with old people.
Involvement of Japanese care managers and social workers in advance care planning
- Authors:
- HIRAKAWA Yoshihisa, et al
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 14(4), 2018, pp.315-321.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Successful advance care planning relies heavily on effective communication between the elderly and their families, care managers, and social workers. However, care managers and social workers are often not adequately prepared to conduct such discussion. The aim of the present study was to identify the specific challenges facing Japanese care managers and social workers when involvement in advance care planning. Two focus group discussions were held between August and November 2017, involving eleven care managers and three social workers employed at two long-term care facilities actively pursuing advance care planning initiatives. Four main themes were identified, through content analysis, as barriers and facilitators: client readiness, communication, variation-rich client individuality, and difficult-to-explain end-of-life options. This study revealed the importance of building rapport with the residents and their families in order to assess their readiness to discuss care options and preferences. Obstacles included lack of medical knowledge of care managers and social workers. Study findings suggested that a multi-disciplinary team, facilitated by care managers and social workers, was fundamental to achieving the goals of advance care planning. (Publisher abstract)
A social work perspective on how ageist language, discourses and understandings negatively frame older people and why taking a critical social work stance is essential
- Author:
- DUFFY Francis
- Journal article citation:
- British Journal of Social Work, 47(7), 2017, pp.2068-2085.
- Publisher:
- Oxford University Press
As populations age around the globe, social workers will have more and more contact with older people, particularly in the practice fields of health care and social care services. Language and dominant discourses associated with older people and ageing in politics, in the media and other institutions are often underpinned by ageism and fail to convey accurate accounts and understandings of ageing issues. In response to how this pervasive ageism plays out in health care and social care services practice settings, this paper argues that all social workers urgently ought to move beyond conventional social work, which is most dominant in practice, and embrace more aspects of critical social work in relation to ageing societies and working with older people. This is necessary to identify, critique and challenge ill-informed and oppressive language, labels and discourses used to describe older people and explain ageing issues. Embedding gerontological social work as core learning in social work education is essential to social work achieving what is required to achieve these goals. (Publisher abstract)
Care managers' experiences of cross-cultural needs assessment meetings: the case of late-in-life immigrants
- Authors:
- FORSSELL Emilia, TORRES Sandra, OLAISON Anna
- Journal article citation:
- Ageing and Society, 35(3), 2015, pp.576-601.
- Publisher:
- Cambridge University Press
Research on care managers' experiences of the needs assessment process is scarce even though the literature on needs assessment practice is relatively extensive. This study examines the ways in which care managers experience the challenges that are presumably posed by increased ethnic, cultural, linguistic and religious diversity among prospective elder care recipients. It is based on a project that aims to shed light on care managers' experiences of the needs assessment process in general and cross-cultural needs assessment meetings in particular. The data are constituted of focus group interviews with care managers in Sweden (N=60). This article focuses on care managers' experiences of needs assessment with older people who have immigrated late-in-life, who come from cultures considered different from the Swedish one and who have not mastered the Swedish language. This was the group of older people that the care managers mostly thought of when asked to describe their experiences of cross-cultural needs assessment meetings. The interviewed care managers discussed the challenges that these meetings present, which were related to communication due to language barriers, different demands and expectations, insecurity regarding what is customary in such meetings, as well as perceived passivity among late-in-life immigrants. The article discusses the contributions of the findings to research on care management practices in general, as well as to needs assessment practice in particular. (Edited publisher abstract)
Promoting advance care planning through the National Healthcare Decisions Day initiative
- Author:
- BLACK Kathy
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 6(1-2), January 2010, pp.11-26.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
National Healthcare Decision Day (NHDD) is a nationwide campaign aimed at increasing advance care planning among adults throughout the US. The goals of the initiative are to encourage Americans to express their wishes regarding future healthcare decision making; to rally a national media campaign to promote the importance of planning in advance for care; and to mobilise national, state, and community organisations to develop a wide range of educational activities. The movement culminates in an annual day of multiple events throughout the country designed to inundate the public about advance care planning. Since its inaugural event on April 16th 2008, NHDD has been a growing success. In this article the author describes the initiative and discusses the importance of advance care planning. The role of social workers in advance care planning and the promotion on NHDD is discussed. A detailed description of a successful event conducted in a suburban Southeastern community is provided to illustrate the activities and roles performed by social work. The author comments that social workers have much to offer people and their families, their respective organisations, and their state and the nation in advancing the goals of advance care planning through the NHDD.
Life-sustaining treatment decisions: a social work response to meet needs of health care surrogates
- Authors:
- BUCKEY Julia W., ABELL Neil
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 6(1-2), January 2010, pp.27-50.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
It is estimated that surrogates potentially influence nearly 1.5 million end-of-life treatment decision per year in the US. Surrogates must possess essential patient information prior to legitimately exercising legal and moral obligations to act on patient’s medical care preferences. The authors discuss the development of surrogate roles and responsibilities and describe a cross-sectional study which examined factors influencing surrogate and proxy decisions following life-sustaining treatment decisions. Surrogacy was considered to refer to a responsible adult who had not been expressly designated to make health care decisions for a particular incapacitated individual, but who was authorised to do so by law. One hundred and thirty two adults currently acting as surrogate and proxy for critically ill patients completed surveys immediately after their decision about a life-sustaining treatment and, where possible, before those decisions had been acted upon or their outcomes known. The average surrogate age was 58 years, 78.8% were female, and 82.5% were white. Spouses were the largest relationship group (37.1%). Of the respondents, 48.5% withheld or did not begin treatment. Patient communication and self-efficacy variables accounted for approximately 38% of the variance in surrogates’ perceptions of benefits/barriers associated with decision making. Guided by patient’s advance communication respondents (97.8%) expressed high self-reliance and significant appreciation of benefits associated with their decisions. Implications for social work practice are discussed. The authors comment that clarifying surrogates and providers understanding of patient care preferences during ICU/CCU admission may facilitate better adherence to patient wishes.
What counts as evidence? The communication of information about older people between health and social care professionals
- Authors:
- POWELL Jackie, et al
- Journal article citation:
- Research Policy and Planning, 21(3), 2003, pp.1-11.
- Publisher:
- Social Services Research Group
Draws on a study to provide an evidence base for strategies and effectiveness of the transfer of information about older people between health and social care practitioners at the health and social care interface. Reports on the development of a systematic approach to the review of the related research literature and presents some key findings. Goes on to discuss some methodological issues arising from a review covering both health and social care research. By locating this systematic review within the wider debate on evidence-based practice, considers the nature and scope of this form of evidence alongside other forms of evidence and their use in professional practice. Concludes with some observations regarding the relevance of the findings from this study for both practice and further research.
The sorrows of siblings
- Author:
- GEORGE Mike
- Journal article citation:
- Community Care, 24.6.99, 1999, pp.34-35.
- Publisher:
- Reed Business Information
The author talks to a social worker who had to balance the needs of an elderly patient diagnosed as having Alzheimer's Disease with the conflicting wishes of non-communicating siblings.
Values in health care professional socialisation: implications for geriatric education in interdisciplinary teamwork
- Author:
- CLARK Phillip G.
- Journal article citation:
- Gerontologist, 37(4), August 1997, pp.441-451.
- Publisher:
- Oxford University Press
The development of an identity and pattern of practice in the health care professions is based on a process of socialisation into the norms of a particular discipline and has important implications for clinical practice with older people. This article presents a model for understanding the socialization process of physicians, nurses, and social workers as the development of professional meaning ("voice") based on the acquisition of value orientations or themes intrinsic to their education and training. The implications of these patterns for the abilities of different professions to work together collaboratively in the care of older people are highlighted as a framework for developing new interdisciplinary curricular models in gerontological and geriatric education.