A Guide for Nursing Home Social Workers

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  • Edition: 2nd
  • Format: Paperback
  • Copyright: 2012-06-01
  • Publisher: SPRINGER PUB CO INC
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"The book makes a unique contribution to the literature by thoroughly representing challenges and rewards of contemporary nursing home social work practice...Beaulieu's decades of social work practice illuminate every chapter, her years of networking with colleagues in Massachusetts and nationwide enhance every paragraph, and nuggets of insight earned through successfully establishing meaningful relationships with residents and families are reflected in every word. She knows her stuff and through this book shares it with others who are committed to enhancing the quality of life of nursing home residents through excellent social work services." From the Foreword by Mercedes Bern-Klug, PhD, MSW, MA The University of Iowa School of Social Work This completely updated guide for nursing home social workers reflects the latest political, economic, and cultural trends and requirements for nursing home facilities and how they impact social workers. It is the most comprehensive guide to nursing home social work available and includes new chapters on changing expectations and new models for nursing home facilities (including the patient-centered facility), disaster planning, pain in older adults, and families and next of kin as legal representatives. Also included are policies that have been revised or added since the previous edition was published, including information about the new Minimum Data Set (MDS 3.0) and the Health Insurance Portability and Accountability Act (HIPAA), and updated content on dementia, depression, elder abuse, and more. The guide explains clearly the role and function of nursing home social workers and provides essential information and resources that will enable them to knowledgably and compassionately assist residents and their families. Covered topics include chart and documentation; social work consultation; working in a multidisciplinary team; assessment and intervention; antipsychotic and other medications; understanding dementia, depression, and other mental health issues; the ombudsman program; abuse, neglect, and mistreatment; the intake and discharge processes; resource allocation; legal and ethical issues; facility policies; room changes; and the MDS 3.0. The ways in which ethnicity and culture affect nursing home admission and stays are also addressed. The book additionally contains a set of helpful forms, including assessments, screenings, transfer/discharge notes, team meeting records, social service evaluation forms, new HIPAA forms, and examples of state health care proxy forms. Key Features: Comprises the most comprehensive guide to nursing home social work available Includes new chapters on culture and diversity; spirituality; disaster planning; pain in older adults; new models for nursing homes; and families as legal representatives Provides new information about MDS 3.0 and HIPAA Offers numerous useful resources, such as running groups in the facility and staff training Contains helpful forms for assessments, screenings, transfer/discharge notes, new HIPAA forms, and many others

Table of Contents

Forewordp. xi
Prefacep. xiii
Acknowledgmentsp. xix
Social Work in Nursing Facilities
The Changing Face of Nursing Home Social Workp. 1
Basic Orientationp. 9
Charts and Documentationp. 25
Assessment and the Plan of Carep. 41
The Interdisciplinary Team
The Interdisciplinary Meetingp. 49
Room Changesp. 55
Facility Staff Training and In-Servicesp. 63
Social Work Consultation in the Nursing Facilityp. 71
Nursing Facilities and Governing Oversights
Screenings for Long-Term Carep. 77
Preadmission and Admission to Nursing Facilitiesp. 85
OBRA-The Omnibus Budget Reconciliation Actp. 93
Legal Auspices of Social Workp. 101
The Minimum Data Set and the Social Workerp. 109
The Long-Term Care Ombudsman Programp. 127
State Surveys and JCAHO Surveysp. 133
Policies in the Nursing Facilityp. 143
Diagnosis, Treatment, and Care Issues
Dementiap. 147
Depressionp. 155
Medication and Antipsychotic Medicationp. 163
Pain in Older Adultsp. 171
Sexualityp. 177
Mental Health Consultantsp. 185
Groups in Nursing Facilitiesp. 193
Families and Next of Kinp. 201
Diversity, Culture, Ethnicity, and Long-Term Care Facilitiesp. 207
Spirituality and Religious Observancep. 215
Social Work Ethicsp. 221
Legal Representativesp. 231
Abuse, Neglect, and Mistreatmentp. 243
Confidentialityp. 253
Community Liaisons
Resident Finances in the Nursing Homep. 261
Transfer and Dischargep. 271
Community Servicesp. 287
Funeral Arrangementsp. 297
Disaster Planningp. 303
Troubles in Paradisep. 311
Appendix: Standardized Formsp. 319
Social Service Job Description Samplep. 319
Initial Social Service History and Assessment Formp. 322
Social Service History Initial Assessmentp. 323
Quarterly Social Service Note Formp. 326
Social Service Quarterly Progress Notep. 327
Social Service Evaluation Formp. 328
Social Service Evaluationp. 329
Interdisciplinary Team Meeting Recordp. 333
Preadmission Screening Scenariop. 335
Identification Screening for Nonrecipients Waiving LTC
Screening (Massachusetts Example)p. 336
Notices for Transfer or Dischargep. 338
Example of 30-Day Notice of Intent to Transfer/Discharge Residentp. 339
Example of Notice of Nursing Facility Resident's Rights Regarding a Transfer/Dischargep. 340
Example of a Request for a Hearingp. 341
Example of Notice of Intent to Transfer or Discharge Resident With Expedited Appealp. 342
Bed-Hold Formp. 344
Bed-Hold Policy and Notice (Massachusetts Sample)p. 345
Community Discharge Plan Formp. 347
Community Discharge Planp. 348
Nursing Home Social Work Practice Standards: An Example From Massachusettsp. 349
Health Care Proxy Form (Massachusetts and New York)p. 360
Massachusetts Health Care Proxyp. 360
New York State Health Care Proxyp. 362
HIPAA Policy Examplep. 364
Online Resourcesp. 367
Glossary of Commonly Used Terms and Abbreviationsp. 379
Indexp. 383
Table of Contents provided by Ingram. All Rights Reserved.

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