Social work in health care
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Do-not-resuscitate (DNR) orders have differing meanings for persons depending on their age, training, and personal beliefs. In this paper we explore these meanings as expressed in the attitudes about do-not-resuscitate orders of three groups: university students in a health-related discipline of social work, university students in a non-health related discipline, and persons over the age of sixty. Findings from analysis of the three groups suggest a strong interest in issues surrounding resuscitation. ⋯ Next to their spouse, respondents named their physician as the person they most wanted to talk with about withholding resuscitation. Yet, studies of physicians cited earlier indicate many physicians are hesitant to discuss end of life decisions with their patients. With the added help and support of the family, concerned friends, and social workers, individuals can make the best possible DNR decision and avoid unnecessary pain and suffering.
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The health care system is a complex and demanding environment requiring an acculturation process for all those who provide services under its aegis. Social workers new to a medical setting, are faced with difficulties relating to all aspects of their role: bureaucratic, professional and clinical. ⋯ A core group of 22 social workers participated in the program, and in the final session, the participants evaluated the course verbally and in an anonymous closed questionnaire. Feedback was mixed and included the participants dissatisfaction with the reduction of the experiential component of the sessions.
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Soc Work Health Care · Jan 1998
Understanding and responding to the health and mental health needs of Asian refugees.
Asian refugees in the United States have health and mental health needs that are different from those of mainstream Americans and even of recent immigrants. This paper provides a close look at the past experiences and present lives of these refugees, highlights their major problems, and identifies their health and mental health needs. It discusses the reasons why their needs are not being adequately met, and proposes the "what" and "how" of the contributions that social workers can make to addressing those needs.