South East Regional Palliative Care Service

In this paper, the role of a social worker will be addressed. A Human Service professional has, in its hands, the responsibilities in the life of the clients and families they meet. The tremendous and arduous responsibilities they take on include, but are not limited to, the well-being and care of people and their communities. Such roles can be helping others manage the care of a family member, assisting individuals experiencing problems with family relations and conflicts, dealing with changes that come with growing old, aiding those suffering mental illness and or those individuals struggling with addictions. Briefly

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

This essay will focus on how contemporary social workers work to balance the competing demand of care and control. It will start by outlining the nature of the contemporary social work and what it is like and how it works within society. The discussion will then move on to look at and discuss the key professional values of social work practitioners and analyse its relationship to their own personal values, this will also bring into account how these values and views influenced the relationship a social worker can have with both service users and other agencies. Lastly it will explore the range of challenges and dilemmas that are faced by social work practitioners in everyday practice when it comes to trying to balance the demand of care and control and how they work to overcome these problems in order to ensure an effective and fair service to all who avail of it.

The first half of this clinical placement, I was on a palliative ward. While others might find it difficult caring for patients at the end stage of life or in great deal of pain, I find that it gives me a great deal of satisfaction that I was able to provide care for these client in my own unexperienced way of palliative care. Being a patient myself of a very serious illness in the past, the goal of a palliative care team which is to provide quality of life during these difficult stages of the client, hits close to my heart. I might consider working in the palliative care unit in the future.

The World Health Organisation (2010) defines palliative care as: An approach that improves the quality of life of patients and their families facing problems associated with life threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual. It is also our duty to support John and his wife`s in their decision for John to die at home, Department of health (2008) patients should have a choice over the care they receive and where.

Before I started this class I thought palliative care was only used as end of life care, or for when a curative treatment was unavailable or had failed. As we learned about the different models of care, and how they have changed over the years, it became evident that the use of palliative care has changed drastically over the past several decades. In the 1800s to 1900s, palliative care was only used once the patient had reached the dying stage, and only included the patient in this care, not their families1. Before taking this course, this is what I thought of palliative care as well. Since the late 1900s though, palliative care has been used in a more proactive approach. From the moment an individual receives a life threatening illness, palliative care begins. This includes caring for the family of the patient as well. This care increases as the patient’s illness progresses, and even continues for the family after the death of the patient. Learning this has really made an impact on how I would like to work as a

According to Allen et al. (2012), “millions of people with chronic illnesses endure unrelieved pain, uncontrolled physical symptoms and unresolved psychosocial or spiritual problems.” This issue occurs because palliative care is often considered a form of end-of-life care. Palliative care is a treatment that can be used for patients who suffer from chronic illnesses and diseases while receiving curative treatment. (Horowitz, Grambling & Quill, 2014) purposely states the misconceptions of palliative care and advocated for seriously ill patients that education must bring under control the misconceptions. Some patients do not receive appropriate symptom management because the palliative care treatment needed is often confused with end-of-life care. However, end-of-life care attempts to relieve pain and suffering when a disease is no longer responsive to curative treatment. Pain and suffering could ultimately be controlled or even eliminated through the proper utilization of palliative care. Patients who are not referred to palliative care in a timely manner is more likely to have poor quality of life, uncontrolled symptom management and increased amounts of visits to the emergency room during the disease process. Patients with life limiting illnesses bear the burden of increased discomfort and increased suffering. Nurses experience clinical practice issues and difficulties in the clinical setting during the delivery of comfort and symptom management. These issues

In Australia social workers are predominant members of Aged Care Assessment Teams (Weiner & Ronch 2012). In this role they assess the needs of a client to determine the types and levels of supports required to ensure their wellbeing (DSS 2015). This assessment involves a range of questions about day-to-day living, current social supports and health concerns (Vecchio 2013). Following this assessment, the social worker will determine a client’s eligibility for a range of government-subsidised aged care services including

The purpose of this assignment is to demonstrate understanding of long term conditions and palliative care. Nursing care in general entails holistic care and collaborative care of individuals of all ages, families, groups and communities, whether sick or well (Royal College of Nursing, (RCN) 2007). Better management of lifelong conditions has been the priority of the National Health Service since the 1990s. When long term conditions are managed well in the community, patients’ can live a quality life without visiting hospital frequently (RCN, 2011). In Britain, six in ten people are reported to be suffering from long term conditions that currently cannot be cured; and these people are often suffering from more than one condition that makes their care challenging. It is estimated that by 2030 the UK will have double the number of people aged 85 years or over, who are living with one or more long term condition (Department of Health, 2014).

The present-day misconception of palliative care possibly comes from the circumstance that palliative care was used interchangeably with hospice care until the 1980s. (Clark & Seymour, 1999). Clark and Seymour (1999) extensively write on the beginnings and evolution of palliative care. They describe the progression of palliative care as a whole and explain the movement from palliative starting out as supplemental care to terminal patients to the concept division of palliative and hospice care. They describe the differences in each and explain why palliative is its own concept that differentiates from hospice care. In 2002, the World Health Organization defined palliative care as “an approach” that increases the quality of life of

Social Work practitioners every day interact with individuals who are challenged by personal, societal, environmental barriers to life, and in amidst this face inequities and injustice as part of life (Aotearoa New Zealand Association of Social Workers, 2011). It is the role of the social worker to use their therapeutic and facilitation skills to assess the clients risk and then work with the appropriate interventions in order to help promote social change for the individual and their family.

The social work profession’s Standards of Practice outlines the boundaries in the relationship between social workers and their clients and sets a mandate of their responsibilities as a social worker (Alberta College of Social Workers, 2013, p. 30). In the Code of Ethics, boundaries are also set at a high standard as we must draw metaphysical lines between personal roles or interests and professional (Canadian Association of Social Workers, 2005, p. 7) to prevent forming a dual relationship with clients. Another boundary is to halt the possibility of the social worker from using the time they have to help themselves rather than helping their clients (CASW, 2005, p. 6). In addition to these boundaries, it is crucial for social workers to not share too much of their personal life with clients by placing mental boundaries of how much they feel they can share of their personal life with their clients.

I have been a registered nurse at UCLA for 18 months. One particular issue that has captured my attention is the utilization of palliative care in health care. Because nurses are generally at the bedside all the time, they have an important role to play in voicing the importance of its utilization and implementation in the patient’s care.

Social Work is a discipline that can be a very rewarding experience for both the worker and the client. The practice involves working with individuals, families, or groups who are struggling to cope with life`s challenges. The social worker must combine his or her personal qualities, creative abilities, and social concerns with the professional knowledge in order to help client’s social functioning or prevent social problems from developing (Bradford W. Sheafor, 2008, p. 34). Social work practice seeks to promote human well-being, while addressing the processes by which individuals and groups are marginalized or diminished in their capacity to participate as citizens (Ian O'Connor, 2006, p. 1).

3. Palliative Care Council of South Australia. (1996). Good palliative care project: final report. Retrieved September 4, 2002, from Palliative Care Council of So