From Discharge Planner to “Concierge”: Recommendations for Hospital Social Work by Clients with Intracerebral Hemorrhage

Linton, Kristen F.; Ing, Marissa M; Vento, Megan A; Nakagawa, Kazuma

doi:10.1080/19371918.2015.1058730

Cited by 10 publications

(10 citation statements)

References 23 publications

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“…getting advice on how to obtain benefits, information on driving after stroke, contact details of medical doctors and self-help groups, help with arranging housekeeping and dealing with the disability in the context of relationships and sexuality [34,[37][38][39]. Patients need social work services to begin early in acute treatment and continue after discharge [40]. Our data indicates that unfortunately there was scarce social support after discharge in the long-term.…”

Section: Discussionmentioning

confidence: 91%

Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study

Lehnerer

Hotter

Padberg

et al. 2019

Preprint

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Background: Stroke patients are often affected by long-term disabilities with needs concerning social issues. There is relatively little consideration of social recovery of patients and the support required to return to work, receive social benefits, participate in daily life activities, maintain contact with family and friends and to organize financial affairs. In our study we aimed to investigate if existing tools record social needs adequately. We analyzed the current provision of social support provided in long-term care after stroke and whether unmet social needs were associated with quality of life, caregiver burden, overall function and degree of disability. Methods: Our analysis is part of the Managing Aftercare of Stroke study (MAS-I), a cross-sectional exploratory study of patient needs 2-3 years after initial stroke. Assessment tools included the Nikolaus-score (social situation), the EuroQoL (quality of life), the German Burden Scale for Family Caregivers (caregiver burden), the modified Rankin Scale (disability / dependence), Stroke Impact Scale (function and degree of disability) and the Stroke Survivor Needs Questionnaire (unmet needs). Results: Overall 57 patients were included in MAS-I, with ten patients classified in urgent need of socio-economic support according to the Nikolaus-score. Patients with lower than normal Nikolaus-score had a higher degree of disability. Thirty percent of all patients had never received professional social support. Social worker contact happened mostly during the stay in acute hospital or rehabilitation institution. Only four patients (11%) reported long-term support after discharge. Apart from social worker contact during acute care, 43% of patients had unmet needs in the long-term aftercare. Forty percent of all patients included in MAS-I were recommended for social work intervention after an in-depth analysis of their situation. Finally, we saw that unmet social needs were associated with lower quality of life and higher caregiver burden. Conclusions: Our data suggest significant unmet needs in social care in long-term stroke patients. Screening tools for unmet social needs such as the Nikolaus-score do not holistically report patients’ needs.

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Section: Discussionmentioning

confidence: 91%

Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study

Lehnerer

Hotter

Padberg

et al. 2019

Preprint

View full text Add to dashboard Cite

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“…All abstracts were reviewed for exclusion criteria, and studies were removed for the exclusion reasons noted earlier. A total of 12 articles were included in the qualitative metasynthesis, as outlined in the PRISMA chart in Figure 1 (Bakas, Austin, Okonkwo, Lewis, & Chadwick, 2002; Blair, Volpe, & Aggarwal, 2014; Coleman & Roman, 2015; Dossa et al, 2012; Foust et al, 2012; Kangovi et al, 2014; Linton, Ing, Vento, & Nakagawa, 2015; MacLeod, 2011; Naylor, Stephens, Bowles, & Bixby, 2005; Ursan et al, 2016; Werner, Tong, Borkenhagen, & Holden, 2018; White et al, 2015).…”

Section: Resultsmentioning

confidence: 99%

Caregiver Experiences of Care Coordination for Recently Discharged Patients: A Qualitative Metasynthesis

et al. 2019

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Caregivers of patients often provide key support for patients after hospitalization. This qualitative metasynthesis describes caregiver perspectives about care coordination for patients discharged from the hospital. A literature search of Ovid Medline and CINAHL completed on May 23, 2018, identified 1,546 studies. Twelve articles were included in the final metasynthesis. Caregiver perspectives about care coordination were compiled into overall themes. A subanalysis of studies in which patients were discharged with home health services was completed. Five main themes emerged related to caregiver perspectives on care coordination after hospitalization: (a) Suboptimal access to clinicians after discharge, (b) Feeling disregarded by clinicians, (c) Need for information and training at discharge, (d) Overwhelming responsibilities to manage appointments and medications, and (e) Need for emotional support. Findings from this metasynthesis suggest the need for clinicians to engage with caregivers to provide support, training, and communication after hospital discharge.

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“…However, the knowledge of their established roles is deficient in management of burn patients. As Linton et al remarked (17), social workers mostly wear the discharge planner hat. It is therefore not unusual for us to call on them to help plan a patient's discharge, recover unpaid bills and assist with reintegrating the patient in the society.…”

Section: Discussionmentioning

confidence: 99%

The Medical Social Worker: A Neglected Ally in the Management of Patients with Burn Injuries

Ogundipe¹,

Kadiri²,

Etonyeaku³

et al. 2020

Ann Afr Surg.

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Burn injuries come with enormous challenges and devastation to the victims. The consequences get worse when multiple members of a family are involved. Social supports are necessary, especially where health financing is mainly through out-of-pocket expenditure. The use of Medical Social Workers (MSW) in burn care in our region is limited, and their roles are poorly or inadequately reported. This study appraises the role of MSW in the multidisciplinary management of burn patients. We report the management of an impoverished family of five who sustained varying degrees of burn injuries, and the role MSW played in their care. Beyond being a routine discharge planner, the MSW provided social support, psychotherapy and rallied community support, which translated to an improved outcome for the patients. Involving MSW in burn care provides great benefit to patients. Burn surgeons are therefore encouraged to use the added value of MSW on their teams. Keywords: Burn, Injury, Medical social worker, Healthcare financing

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From Discharge Planner to “Concierge”: Recommendations for Hospital Social Work by Clients with Intracerebral Hemorrhage

Cited by 10 publications

References 23 publications

Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study

Social work support and unmet social needs in life after stroke: a cross-sectional exploratory study

Caregiver Experiences of Care Coordination for Recently Discharged Patients: A Qualitative Metasynthesis

The Medical Social Worker: A Neglected Ally in the Management of Patients with Burn Injuries

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