Search results for ‘Subject term:"palliative care"’ Sort:
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Social objectives of palliative day care groups
- Authors:
- PAYNE Malcolm, HARTLEY Nigel, HEAL Rosanna
- Journal article citation:
- Groupwork, 18(1), 2008, pp.59-75.
- Publisher:
- Whiting and Birch
This paper reports an evaluation by patients, staff and volunteers involved in different types of groupwork in a palliative day care centre in London; policy comment and research suggests that social as opposed to healthcare objectives in palliative day care are ill-defined. Staff and volunteers completed questionnaires (n=48) and patients were interviewed (n=37) about nine social objectives formulated from the palliative day care and groupwork literature. The results demonstrate agreement between patients, staff and volunteers about objectives, with most objectives assessed being positively identified as being helpful. Formal activity groups organised around creative arts, involving creation of an artistic object were more important to staff and volunteers, while patients gave equal importance to less formal social groups. Staff valued patients supporting each other about their illness and death, while patients were divided, with some preferring not to share. The researchers suggest that the staff and volunteers' focus on creative activities and outcomes led them to give less priority to specific efforts to engage patients in social skill development to combat social isolation.
Identity politics in multiprofessional teams: palliative care social work
- Author:
- PAYNE Malcolm
- Journal article citation:
- Journal of Social Work, 6(2), August 2006, pp.137-150.
- Publisher:
- Sage
This article examines how post-modern and social construction views of identity creation offer opportunities for understanding identity creation when applied to social work multiprofessional teams in palliative care social work. They provide complex understandings that allow for ambiguities in identity creation. A personal and social self interacting create identity, emerging from social relations. Professional identity thus emerges from the interaction between personal identity and collective professional identities. Ascription of social and professional identities by powerful social groups is resisted, but identities emerge in identity politics among professional groups in social situations. In a client-worker-agency interaction cycle, multiprofessional interactions in communities of practice lead individual professionals to negotiate knowledge to form specialized roles such as palliative care social work. These then influence wider professional identities. Rather than seeking to maintain established professional identities, the author argues that workers may more effectively develop their professional identity by negotiating knowledge and demonstrating practice in multiprofessional teams.
Welfare rights advocacy in a specialist health and social care setting: a service audit
- Authors:
- LEVY Jean, PAYNE Malcolm
- Journal article citation:
- British Journal of Social Work, 36(2), February 2006, pp.323-331.
- Publisher:
- Oxford University Press
Is a specialized welfare rights service, thought important in social services departments, a valid element of social care services in multi-professional settings in which social work is increasingly incorporated, where social workers often help service users with benefits? An audit of a specialized welfare rights advocacy service, part of social work provision in a large UK hospice, demonstrated inconsistent referral by nursing staff, the main referrers, a large workload including frequent complex cases and achievement of benefits and grants for patients, carers and families substantially in excess of the cost of the service. Annual workload for a forty-eight-bed hospice with 1,600 home care patients was estimated at 976 typical cases with nearly 2,928 contacts; about sixty complex cases annually generated a similar workload in themselves. Provision of specialized welfare benefits advocacy for palliative care patients is found likely to meet a substantial need and to require specialist provision. This may be true of other multi-professional services incorporating social workers.
Adult protection cases in a hospice: an audit
- Author:
- PAYNE Malcolm
- Journal article citation:
- Journal of Adult Protection, 7(2), August 2005, pp.4-12.
- Publisher:
- Emerald
This article reports on an audit of 12 adult protection cases arising in a south London hospice during 2004, it includes case studies illustrating issues arising and information about the introduction of a new policy and procedure following No Secrets guidance (Home Office/Department of Health, 2000). Introducing reporting to local authority social services and adult protection co-ordination raised various issues.
Social work practice identities: an agency study of a hospice
- Author:
- PAYNE Malcolm
- Journal article citation:
- Practice: Social Work in Action, 16(1), March 2004, pp.5-15.
- Publisher:
- Taylor and Francis
Practice identities emerge from negotiation among people working in organisational settings in practice communities and accumulate through interprofessional and professional relations to contribute to the negotiation of professional identities. An organisational study comparing social work, clinical nurse specialist, day care as an example of social care and chaplaincy roles in a hospice uses distinctions in practice to identify the role of social work as problem-focused on family and psycho-social problems and as a broker in relations with external agencies. Social care roles were more concerned with developing personal fulfillment, well-being and support through group activities, chaplaincy with religious services and psychologically focused problems of personal meaning, and nurses as focused on health care issues. Insider studies of detailed distinctions in practice are a useful method to contribute to wide studies of professional and practice identity.
Palliative care patients' experiences of healthcare treatment
- Authors:
- KENNETT Cynthia, PAYNE Malcolm
- Journal article citation:
- International Journal of Social Welfare, 19(3), July 2010, pp.262-271.
- Publisher:
- Wiley
While palliative care patients often have long periods of illness and broad experience of healthcare services, allowing them to make a comparison of different experiences, little is known about their views of the experience. Their experiences allow them to compare different professionals and services, thus offering a more powerful and complex analysis of patient experience than that obtainable from analysis of complaints or satisfaction surveys, and permits some understanding to be obtained of the attitudes that condition evaluations of services. This article reports on a thematic analysis of the opinions of 34 palliative care patients about medical and healthcare treatment expressed in comments, narratives and discussions during a series of facilitated group discussions undertaken as part of training events for medical students. The patients, from St Christopher’s hospice, London, were able to balance negative views with positive experiences. They appreciated open, listening, equal and friendly relationships with professionals in which careful explanation fostered their confidence in the overall service. They criticised inflexible services that did not consider their broad needs, and in which relationships with professionals were characterised by busy-ness and professional distance. The article concludes that service providers need to support a flexible and thoughtful organisational system to promote good professional relations with those in palliative care.
Developments in end-of-life and palliative care social work: international issues
- Author:
- PAYNE Malcolm
- Journal article citation:
- International Social Work, 52(4), July 2009, pp.513-524.
- Publisher:
- Sage
Palliative care social work has developed primarily as a specialist health-related form of clinical social work. However, the resource-intensive modernist medicalised practice of Western countries has been culturally inappropriate elsewhere. Broader end-of-life care and community education outside healthcare settings offers opportunities to develop palliative care social work in the direction of social development practice.
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.