Search results for ‘Subject term:"older people"’ Sort:
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Where there's a will
- Author:
- ASHLEY Colin
- Journal article citation:
- Community Care, 25.1.01, 2001, pp.26-27.
- Publisher:
- Reed Business Information
Wills allow people to put their affairs in order and give them peace of mind. They also remove confusion and recrimination from the mourning process. The author looks at the advice that social workers should consider offering to older clients.
Social work involvement in end of life planning
- Authors:
- HEYMAN Janna C., GUTHEIL Irene A.
- Journal article citation:
- Journal of Gerontological Social Work, 47(3/4), 2006, pp.47-61.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This cross sectional study examined the factors associated with social workers' involvement in end-of-life (EOL) planning using a random sample of NASW members in health and aging in the United States. Of the 390 social workers who worked in EOL planning, the majority were involved in health care proxy discussions and counselling with patients. Respondents tended to see barriers to proxy completion as client-related. However, some system barriers were correlated with overall involvement. Factors that predicted social workers' involvement with the health care proxy included age, attitudes, perceptions of barriers, and perceived physician support. Social workers need to attend to the systems in which they operate as well as to client concerns. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Challenges to providing end-of-life care to low-income elders with advanced chronic disease: lessons learned from a model program
- Authors:
- KRAMER Betty J., AUER Casey
- Journal article citation:
- Gerontologist, 45(5), October 2005, pp.651-660.
- Publisher:
- Oxford University Press
This American study explored the challenges in providing end-of-life care to low-income elders with multiple comorbid chronic conditions in a fully "integrated" managed care program, and it highlighted essential recommendations. A case-study design was used that involved an extensive analysis of qualitative data from five focus groups with interdisciplinary team members, two in-depth interviews with administrators, and open-ended survey responses from social workers detailing death experiences of 120 elders. Seven major themes characterized primary end-of-life care challenges: (a) the nature of advanced chronic disease; (b) the incapacity of support systems; (c) barriers to honoring care preferences; (d) challenges with characteristics and needs of participants; (e) needs of complex family systems; (f) barriers with transitions; and (g) barriers with culture and language.
Preventing unnecessary deaths among older adults:a call to action for social workers
- Authors:
- CSIKAI Ellen L., MANETTA Ameda A.
- Journal article citation:
- Journal of Gerontological Social Work, 38(2), 2002, pp.85-97.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Poor mental health and medical conditions canlead to expressions of a desire to die, depression, suicide, and requests for physician-assisted suicide. This paper examines depression and the risks for suicide, suicide prevention, physician-assisted suicide among older adults. The appropriate role for social workers in preventing unnecessary deaths is discussed.
Death and dying and the social work role
- Author:
- HOBART Katharine R.
- Journal article citation:
- Journal of Gerontological Social Work, 36(3/4), 2001, pp.181-192.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Examines social work's expanding role in death and dying discussions with clients. In a variety of settings, particularly within health care, social workers are educating clients about advanced directives as well as being involved in end-of-life medical decision making discussions. This article explores some of the issues.
The dying game
- Author:
- CARLISLE Daloni
- Journal article citation:
- Community Care, 19.2.98, 1998, pp.16-17.
- Publisher:
- Reed Business Information
Looks at how social workers can help clients faced with the hard sell tactics of funeral companies and the increased difficulty of claiming funeral benefits after bereavement.
Personal ethics in social work with older people
- Author:
- BISSELL Gavin
- Journal article citation:
- International Social Work, 39(3), July 1996, pp.257-263.
- Publisher:
- Sage
This article is an attempt towards what might be described as an existential position in social work with older people. Beginning with the typical experiences of such work, it suggests that a worker might move in the direction of a coherent ethic with positive consequences for tasks involving older people. The implications for professional ethics and post requirements are briefly considered.
Cultural vulnerability: a narrative approach to intercultural care
- Author:
- GUNARATNAM Yasmin
- Journal article citation:
- Qualitative Social Work, 12(2), 2013, pp.104-118.
- Publisher:
- Sage
This article uses analysis of focus group discussions with palliative care professionals in the United Kingdom to discuss the value of a stance of cultural vulnerability in intercultural social work. Interviews were carried out with older people and carers from racialized minorities (n=33) and health and social care professionals (n=56). The main professional groups interviewed were nurses (n=30) and social workers (n=16). Cultural vulnerability recognizes mutual vulnerabilities in caring relationships. The meanings and potential of cultural vulnerability are explicated through an in-depth case study analysis of a group interview with hospice social workers. Narrative methods are advocated as a resource in supporting practitioners to recognize cultural vulnerability and to work with indeterminacy and difficult emotions. The representation and role of cultural knowledge and racism in social work narratives is given specific attention. (Edited publisher abstract)
Terminally ill elders' anticipation of support in dying and death
- Authors:
- SCHROEPFER Tracy A., NOH Hyunjin
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 6(1-2), January 2010, pp.73-90.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
This qualitative study explored both the role that anticipated support plays in the dying process and how support received by terminally ill elders conveys the message that continued and/or additional support can be anticipated. Face-to-face interviews were conducted with 100 elders receiving hospice care in southern Wisconsin, of whom 85 discussed anticipating future support from family, friends, and professionals. Participants were at least 50 years of age and had a life expectancy of 6 months or less. Respondents talked about four characteristics of the support they had or currently were receiving, which led them to believe they could anticipate the continued receipt of such support as needed. These included: support on a regular basis; counting on others; immediate response; and offers and willingness. Anticipating support was found to be based on current experiences of received support and the definition of future extended beyond death for some who anticipated surviving loved ones receiving grief support. Not all anticipation of support evoked positive feelings. Some respondents anticipated receiving unhelpful support or felt guilty about anticipating support from overburdened caregivers. Implications are discussed regarding the role of social workers in working with caregivers to ensure that the terminally ill elders they care for can anticipate future support in their dying process and after death.
The unconscious at work: individual and organizational stress in the human services
- Editors:
- OBHOLZER Anton, ROBERTS Vega Zagier
- Publisher:
- Routledge
- Publication year:
- 1994
- Pagination:
- 242p.,bibliog.
- Place of publication:
- London
Aimed at people managing and working in the human services, including consultants, trainers and students of organisational behaviour. Offers employees new ways of looking at their own experiences of stress at work, and of increasing understanding of the processes which can undermine effectiveness and morale. Part 1 contains the conceptual framework and examines the unconscious aspects of organisational life from psychoanalytical and from open systems theory perspectives. Part 2 looks at the stress involved in working with people and includes sections on working in a special baby care unit, with damaged children, disabled children, older people, and with dying people. Parts 3 and 4 deal with organisations and their effects on the people who work in them.