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Medical Social Work and Case Management

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Home Care for Older Adults Using Interprofessional Teams

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Abstract

Medical social workers have comprehensive roles in providing home care services to patients who are older and working collaboratively with other professionals. There are many ways to use the home environment to strengthen traditional assessment procedures. While there are a multitude of factors that must be considered by medical social workers in the home care milieu, safety concerns and crisis planning are two integral features. The provision of telehealth services is valuable for older patients in need of home care services. The practice of social work is guided by the person-in-environment theoretical framework which describes how people are influenced by their environment.

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References

  1. Tahan, H., Watson, A., & Sminkey, P. (2016). Informing the content and composition of the CCM certification examination: A National Study from the Commission for Case Manager Certification: Part 2. Professional Case Management, 21(1), 3–21. https://doi.org/10.1097/NCM.0000000000000129

    Article  Google Scholar 

  2. Commission for Case Manager Certification (CCMC). (2015). Code of professional conduct for case managers. https://ccmcertification.org/about-ccmc/code-professional-conduct

  3. National Association of Social Workers (NASW). (2016). Standards for social work practice in health care settings. https://www.socialworkers.org/LinkClick.aspx?fileticket=fFnsRHX-4HE%3D&portalid=0

  4. National Association of Social Workers (NASW). (2013). Standards for social work case management. https://www.socialworkers.org/LinkClick.aspx?fileticket=acrzqmEfhlo%3D&portalid=0

  5. National Association of Case Managers. (2023). https://casemanagementstudyguide.com/ccm-knowledge-domains/case-management-concepts/roles-and-functions-of-case-managers-in-various-settings/

  6. Institute of Medicine (US). (2001). Committee on Quality of Health Care in America. Crossing the quality chasm: A new health system for the 21st century. Washington DC; National Academies Press. Retrieved from: https://pubmed.ncbi.nlm.nih.gov/25057539/

  7. Mottram, P., Pitkala, K., & Lees, C. (2002). Institutionalization versus-at-home long-term care for functionally dependent older people. Cochrane Database of Systematic Reviews, 1.

    Google Scholar 

  8. Carron, C. D., Ducharme, F., & Griffith, J. (2006). Deciding on institutionalization for a relative with dementia: The most difficult decision for caregivers. Canadian Journal on Aging, 25(2), 193–205. https://doi.org/10.1353/CJA.2006.00333

    Article  Google Scholar 

  9. Legare, F., Brier, N., Stacey, D., Bourassa, H., Desroches, S., Dumont, S., Fraser, K., Freitas, A., Rivest, L. P., & Roy, L. (2015). Improving decision making on location of care with the frail elderly and their caregivers (the DOLCE study): Study protocol for a cluster randomized controlled trial. Trials, 16(1), 567. https://doi.org/10.1186/s13063-015-0567-7

    Article  Google Scholar 

  10. United Nations. World Population Ageing. (2013). Department of Economic and Social Affairs Population Division 2013.

    Google Scholar 

  11. Bynum, J. P. W., Meara, E. R., Chang, C. H., Rhoad, J. M., & Bronner, K. K. (2016). Parents, ourselves: Health care for an aging population: A report of the Dartmouth atlas project. The Dartmouth Institute of Health Policy & Clinical Practice.

    Google Scholar 

  12. Weissert, W. G. (1985). Estimating the long-term care population: Prevalence rates and selected characteristics. Health Care Financing Review, 6(4), 83–91.

    Google Scholar 

  13. Ferlie, E., Challis, D., & Davies, B. (1989). Efficiency-improving innovations in social Care of the Elderly. Gower Publishing Ltd..

    Google Scholar 

  14. Department of Health and Social Services. (1990). People first: Community Care in Northern Ireland for the 1990s. Her Majesty’s Stationery Office for DHSS.

    Google Scholar 

  15. Perlman, H. H. (1957). Social casework; a problem-solving process. University of Chicago Press.

    Google Scholar 

  16. McInnis, K. (2002). Social work with elders: A biopsychosocial approach to assessment and intervention. Allyn & Bacon.

    Google Scholar 

  17. Hooyman, N., & Kiyak, H. A. (2004). Social gerontology: A multidisciplinary perspective. Allyn & Bacon.

    Google Scholar 

  18. Katz, S., Down, T. D., Cash, H. R., & Grotz, R. C. (1970). Progress in the development of the index of ADL. The Gerontologist, 10(1), 20–30.

    Article  Google Scholar 

  19. Katz, S., Ford, A. B., Moskowitz, R. W., Jackson, B. A., & Jaffe, M. W. (1963). Studies of illness in the aged-the index of ADL: A standardized measure of biological and psychosocial function. JAMA, 185, 914.

    Article  Google Scholar 

  20. Katz, S. (1983). Assessing self-maintenance: Activities of daily living, mobility and instrumental activities of daily living. Journal of the American Geriatrics Society (Baltimore, MD), 31(12), 721–726.

    Article  Google Scholar 

  21. Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186.

    Article  Google Scholar 

  22. American Psychological Association. (2003). Elder abuse and neglect. In search of solution. http://www.apa.or/pi/aging/resources/guides/elder-abuse.aspx?item=1

  23. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.

    Article  Google Scholar 

  24. Folstein, M. F., Folstein, S., & McHugh, P. R. (1975). “Mini-mental state”: A practical method for grading the cognitive state of patients for the clinician. Journal of Psychiatry Research, 12, 189–198.

    Article  Google Scholar 

  25. Ogrin, R., Meyer, C., Karantzoulis, A., Santana, I. J., & Hampson, R. (2022). Assessing older community members using a social work tool: Developing an organizational response. Gerontology and Geriatric Medicine., 8. https://doi.org/10.1177/23337214221119322

  26. Whittington, C. (2007). Assessment in social work: A guide for learning and teaching. Author. https://www.scie.org.uk/publications/guides/guide18/

  27. Berg, R. L., & Cassells, J. S. (1992). Institute of Medicine (US) division of health promotion and disease prevention. National Academies Press.

    Google Scholar 

  28. Centers for Disease Control and Prevention. (2006). https://www.cdc.gov/falls/index.html

  29. Scuffham, P., Chaplin, S., & Legood, R. (2003). Incidence and costs of unintentional falls in older people in the United Kingdom. Journal Epidemiology Community Health, 57(9), 740–744. https://doi.org/10.1136/jech.57.9.740

    Article  Google Scholar 

  30. American Geriatrics Society. (2021). https://www.americangeriatrics.org/where-we-stand/quality-patient-safety

  31. Center for Disease Control and Prevention. (2015). https://www.cdc.gov/steadi/pdf/check_for_safety_brochure-a.pdf

  32. Center for Disease Control and Prevention. (2012). Department of Health and Human Services. National Institute for Occupational Safety and Health. www.cdc.gov/noish.

  33. Hasselfeld, B. W. (2023). Benefits of Telemedicine. Retrieved from Johns Hopkins Medicine: https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/benefits-of-telemedicine

  34. Gajarawala, S. N., & Pelkowski, J. N. (2021). Telehealth benefits and barriers. The Journal for Nurse Practitioners, 17(2), 218–221.

    Article  Google Scholar 

  35. Norman, C. D., & Skinner, H. A. (2006). eHealth literacy: Essential skills for consumer health in a networked world. Journal of Medical Internet Research, 8(2).

    Google Scholar 

  36. Arcury, T. A., Sandberg, J. C., & Bertoni, A. G. (2020). Older adult internet use and eHealth literacy. Journal of Applied Gerontology, 39(2), 141–150.

    Article  Google Scholar 

  37. Greer, D. B., & Abel, W. M. (2022). Exploring feasibility of health to manage hypertension in rural black older adults: A convergent parallel mixed method study. Patient Preference and Adherence, 2135–2148.

    Google Scholar 

  38. Alabama Department of Human Resources. (n.d.). https://dhr.alabama.gov/adult-protective-services/

  39. Peltonen, J., Leino-Kilpi, H., Heikkilä, H., Rautava, P., Tuomela, K., Siekkinen, M., et al. (2020). Instruments measuring interprofessional collaboration review. Journal of Interprofessional Care, 34(2), 147–161.

    Article  Google Scholar 

  40. Kondrat, M. E. (2017, May 5). Person-in-environment. Retrieved from Oxford Bibliographies. https://www.oxfordbibliographies.com/display/document/obo-9780195389678/obo-9780195389678-0092.xml

  41. Ontario Hospital Association. (2010). Ontario Hospital Association: Quality & Patient Safety Plan (QPSP) 2010–2013. Ontario Hospital Association.

    Google Scholar 

  42. Adelman, K. (2012). Promoting employee voice and upward communication in healthcare: The CEO’s influence. Journal of Healthcare Management, 57(2), 133–148.

    Article  Google Scholar 

  43. Busari, J. O., Moll, F. M., & Duits, A. (2017). Understanding the impact of interprofessional collaboration on the quality of care: A case report from a small-scale resource limited health care environment. Journal of Multidisciplinary Healthcare, 227–234.

    Google Scholar 

  44. Huang, B. Y., Cornoni-Huntley, J., Hays, J. C., Huntley, R. R., Galanos, A. N., & Blazer, D. G. (2000). Impact of depressive symptoms on hospitalization risk in community-dwelling older persons. Journal of the American Geriatrics Society, 48(10), 1279–1284.

    Article  Google Scholar 

  45. Salanitro, A. H., Hovater, M., Hearld, K. R., et al. (2012). Symptom burden predicts hospitalization independent of comorbidity in community-dwelling older adults. Journal of the American Geriatrics Society, 60(9), 1632–1637.

    Article  Google Scholar 

  46. Maust, D. T., Kim, H. M., Chiang, C., Langa, K. M., & Kales, H. C. (2019). Predicting risk of potentially preventable hospitalization in older adults with dementia. Journal of the American Geriatrics Society, 67, 2077–2084.

    Article  Google Scholar 

  47. Moreno, G., Mangione, C. M., Tseng, C. H., Weir, M., Loza, R., Desai, L., Grotts, J., & Gelb, E. (2021 Jun). Connecting provider to home: A home-based social intervention program for older adults. Journal of the American Geriatrics Society, 69(6), 1627–1637. https://doi.org/10.1111/jgs.17071

    Article  Google Scholar 

  48. Segal, E. A., Gerdes, K. E., & Steiner, S. (2013). An introduction to the profession of social work: Becoming a change agent. Brooks/Cole.

    Google Scholar 

  49. Payne, M. (2000). Teamwork in multiprofessional care. Bloomsbury Publishing.

    Book  Google Scholar 

  50. Walrath, J. M., Dang, D., & Nyberg, D. (2010). Hospital RNs’ experiences with disruptive behavior: A qualitative study. Journal of Nursing Care Quality, 25(2), 105–116.

    Article  Google Scholar 

  51. Lapum, J., St-Amant, O., Hughes, M., & Garmaise-Yee, J. (2020). Introduction to communication in nursing.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Social Work, College of Liberal Arts and Social Sciences, Alabama State University, Montgomery, AL, USA

    Tracy Pressley, Shanae Shaw & Tabitha Brookins

Authors
  1. Tracy Pressley
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  2. Shanae Shaw
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  3. Tabitha Brookins
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Corresponding author

Correspondence to Tracy Pressley .

Editor information

Editors and Affiliations

  1. Department of Rehabilitation Studies, College of Health Sciences, Alabama State University, Montgomery, AL, USA

    Danita H. Stapleton

  2. Department of Rehabilitation Studies, College of Health Sciences, Alabama State University, Montgomery, AL, USA

    Sekeria Bossie

Electronic Supplementary Material

Appendices

Discussion Questions

  1. 1.

    Describe the risk and benefits of providing home care services to older clients and patients?

  2. 2.

    Why is it important that families have an emergency preparedness plan?

Assignment

Imagine Jeralean residing in your community. Search the Internet and locate at least five available home care facilities to assist Jeralean in staying in her home. Also, explain how these facilities are similar or different from each other.

Assignment: “Make a Plan” Activity

  1. 1.

    Medical social workers are critical in assisting seniors and their caregivers in the disaster preparedness and response plan. Use the provided emergency preparedness checklist to create your emergency plan.

    Completing this “make a plan” activity will help you know what to do in an emergency. It will take you about 20 min to make your plan. Your family may not be together when an emergency happens. Plan on how to meet or contact one another and discuss what you would do in different situations. Finally, keep this document on an easy-to-find emergency kit in case of an emergency.

  2. 2.

    Visit the local Council on Aging or area resources on elder abuse prevention. What are some of the resources or information you found?

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Pressley, T., Shaw, S., Brookins, T. (2024). Medical Social Work and Case Management. In: Stapleton, D.H., Bossie, S. (eds) Home Care for Older Adults Using Interprofessional Teams. Springer, Cham. https://doi.org/10.1007/978-3-031-40889-2_4

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  • DOI: https://doi.org/10.1007/978-3-031-40889-2_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-40888-5

  • Online ISBN: 978-3-031-40889-2

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