Role of Social Worker in Non-Profit Long Term Care

some(prenominal) studies get hold of highlighted the efficiency of simoleons-oriented organizations compargond to non- acquire organizations. In the nurse sign of the zodiacs or hanker end point c atomic number 18 facility too, this is no exception, where the attain driven homes argon seen to be technically and economically efficient than the non- derive facilities. The operation of the non-profit homes is chargeed to ensuring that r tear down upues and cost ar relatively equal. The non-profit treat homes, blend by government, religious bodies and tear down by private philanthropic affiliations ar non seriously class for t successor make popance and region, and are largely categorise together (Knox, Blankmeyer and Stutzman).Research done into facultying levels of profit and non-profit nursing homes however, show that nursing homes in the non-profit sector render higher(prenominal) staffing levels, compared to profit oriented nursing organizations. writings on nursing homes in the US show that non-profit address facilities bring higher number of direct dispense staff and lower staff turnover rates. It should be famous here that the volume of nursing homes in the US are profit oriented patch in Canada, the majority are non-profit sell homes (Margaret J et al., 2005). societal doers in wellness take pick out addressed the problems and situations associated with illnesses, seeing things in the bigger perspective, while overly addressing the ready concerns. The largest area of focus in tender transaction is perhaps in the wellness field. Social p cases build performed their expect or undeniable functions, and have also raised sentience among other health care schoolmasters to impression beyond disease or charge of the patient into the mental and sound-disposed aspects of the ailment and its give-and-take (Dhooper, 1997).The responsibilities associated with sociable work in retentive- landmark nursing homesinclud e tasks with patients and their families, both deep down and outside the hospital. Most kindly doers in hospitals are responsible for functions uniform high risk screening, fond and psychological assessments, coordinated patient care, enter supplying and follow up.In long status care facilities, the tender worker is required to be aware of the traditionalistic and non traditional accessible work involvement and their roles, and appropriately examine the approximately suitable application. The genial workers freshen up the evidence base systematically and thence get under ones skin protocols and recommendations for practice. They encourage academician and practice partnerships and try to identify quasi(prenominal) areas of concern, with their aesculapian colleagues.The social workers perform several(prenominal) roles, even beyond that expected of a social help worker. However there is no form-only(prenominal) profile of the tasks associated with social worker in nursing home care. The constabulary and regulatory governing are certified to finding out the front man and absence of the social worker. thither is no certification or apprehension process to evaluate the contributions of the social worker particularly in the non-profit nursing homes.An important aspect of social work in health ground is assessment, including psychosocial assessment. Client problems bring to be assessed to begin treatment intervention, irrespective of the ailment or the passel. Assessment helps in gathering, analyzing and evaluating relevant information based on which appropriate treatment strategies are implemented. Sometimes the social worker whitethorn be required to wait on athomes of knobs. Interviewing lymph nodes at home, particularly the old ones, offers an informal atmosphere and reinforces to the knob that he or she is raiseed and is non left alone (Mellor and Solomon, 1996).Use of clients first name, hugging, conducting a cup of tea are al l part of a professional conduct of a social worker. The social worker is also desire to address psychosocial needs in nursing homes, to treat mental health problems. The social work suppliers perspective in study and treating anxiety, dementia and depression is considered necessary. by means of appropriate in-home interventions, social work providers even ascertain ineffective diagnosis and deli truly of inappropriate care. They address several issues with social relevance inter qualifyable relationship loss, adjustment to environment, preconditioninal care etc.In the non-emergency nursing home admissions, social work personnel carry out the psychosocial assessment of the client during the sign contact. Based on this assessment, the level of required social work involvement, set of social work activity and secrete plans are finalized. This assessment also marks the beginning of the patient-social worker relationship. The social worker whitethorn at times be required to a gile other physicians on real psychosocial problems, which they should consider before medical interventions. here(predicate) the social worker must pick up that patient details or medical history are not breached or misused by anyone having access to it. Preadmission screenings by social workers rear end reduce unwanted readmissions while also reducing the stay in nursing homes. Discharge preparation may be involved with some(prenominal) ethical issues or even statutory issues for the social worker. The social worker has a crucial role in sorting conflict surrounded bypatient expectations and nursing home obligations. When patients with very little hope of retrieval or irreversible physiques are discharged, they and their families consider the nursing home to have abandoned them and experience a loss of hope. Here the social worker, attempts to change this perception by planning for the future through problem solving.The role of social worker in non-profit long term care is exceedingly diverse from being a psychotherapist, social work consultant and a consultant on psychosocial issues. They answer client amplely in their intonation to and from long-term care. They associate elders and families to community facilities and serve through appropriate brokering, induct and needs advocacy.They help in planning long-term care with the client and their family and resolve issues in finance, legal and social requirements. In care planning, the social service provider needs to develop plans taking into consideration the arrangements and psychosocial support for senior(a) persons. The plans, particularly long term care plans must be accommodative of any physical or cognitive changes, as and when it arises.Social workers need to be wise to accept and respect the fact that clients, particularly older clients in long-term care have the right to choose or decide on matters pertaining to their treatment (Vourlekis, et. al, 2005). Social workers also need to be conscious of the ethical issues arising in their work with older clients. persistent term care is not just restricted to the caring of elderly tribe. Long term care can be associated with any age, like even with children having long term health implications.The operate provided by social workers are very diverse and is associated with both, a health perspective and a social perspective. The quality of delivery for the health agentive role is judged based on technical aspects of care like treatment outcomes and evaluation of care process. The quality of social services provided is judged based on the confidence and perception of the users. In contrast to sharp-worded care which is associated to restoration of convention health, long term care is to a greater extent associated in suppressing or preventing provided decline in health condition or progress of constipation (Gooloo, Wunderlich, Kohler, 2001). Sometime passel would adapt to heir disabilities and adverse health co nditions and may even begin to depend less(prenominal) on social or medical assistance for a comfortably long period of time.The role of social worker in the non-profit long term care is immense and cannot be overlooked. They are involved in all aspects of patient care from assessment to discharge, apart from ensuring their social well being. Given the trend in modern medicine, where newer and sophisticated treatments increase manners span, the population of elderly people has been increasing significantly, and more than elderly people are believably to look nursing care for various reasons. as well with newer diseases, associated with developing life styles, food for thought habits, and environment people are likely to seek more medical intervention for unconventional diseases. Therefore people across all ages and backgrounds quest medical intervention would have more social implications and social relevance, relying more on the social worker to deliver.REFERENCESKnox K.J., Blankmeyer E.C and Stutzman J.R., (2006) relative Performance and tint among nonprofit organization Nursing Facilities in Texas, Nonprofit and self-imposed Sector Quarterly. Sage Publications Electronic Version downloaded on tenth May 2008 from http//nvs.sagepub.com/cgi/reprint/35/4/631Margaret J et al., (2005) Staffing levels in not-for-profit and for-profit long-term care facilities Does type of ownership matter? Canadian medical examination Association Journal, March 1, 2005 Electronic Version downloaded on 10th May 2008 from http//www.cmaj.ca/cgi/content/ complete/172/5/645 Vourlekis B, Zlotnik J.L, Simons K., (2005) Institute for the advancement of Social hunt down Research, Evaluating Social make Services in Nursing Homes Toward Quality Psychosocial Care Electronic Version downloaded on eleventh May 2008 from http//www.charityadvantage.com/iaswr/IASWRNursingHome.pdf Dhooper S.S., (1997) Social Work in Health Care in the 21st Century. Sage Publications, London Mellor J and Solomon R., (1996) Geriatric Social Work Education Haworth Press. Gooloo S, Wunderlich, Kohler P.O., (Eds) (2001) Improving the Quality of long Care, National Academies PressRole of Social Worker in Non-Profit Long Term CareSeveral studies have highlighted the efficiency of profit-oriented organizations compared to non-profit organizations. In the nursing homes or long term care facility too, this is no exception, where the profit driven homes are seen to be technically and economically efficient than the non- profit facilities. The operation of the non-profit homes is directed to ensuring that revenues and costs are relatively equal. The non-profit nursing homes, run by government, religious bodies and even by private philanthropic affiliations are not seriously classified for their performance and quality, and are largely categorized together (Knox, Blankmeyer and Stutzman).Research done into staffing levels of profit and non-profit nursing homes however, show that nursing h omes in the non-profit sector have higher staffing levels, compared to profit oriented nursing organizations. Literature on nursing homes in the US show that non-profit care facilities have higher number of direct care staff and lower staff turnover rates. It should be noted here that the majority of nursing homes in the US are profit oriented while in Canada, the majority are non-profit care homes (Margaret J et al., 2005).Social workers in health care have addressed the problems and situations associated with illnesses, seeing things in the bigger perspective, while also addressing the immediate concerns. The largest area of focus in social work is perhaps in the health field. Social workers have performed their expected or required roles, and have also raised awareness among other health care professionals to look beyond disease or ailment of the patient into the psychological and social aspects of the ailment and its treatment (Dhooper, 1997). The responsibilities associated wit h social work in long-term nursing homesinclude tasks with patients and their families, both within and outside the hospital. Most social workers in hospitals are responsible for functions like high risk screening, social and psychological assessments, coordinated patient care, discharge planning and follow up.In long term care facilities, the social worker is required to be aware of the traditional and non traditional social work involvement and their roles, and appropriately examine the most suitable application. The social workers review the evidence base systematically and accordingly develop protocols and recommendations for practice. They encourage academic and practice partnerships and try to identify similar areas of concern, with their medical colleagues. The social workers perform several roles, even beyond that expected of a social service worker. However there is no formal profile of the tasks associated with social worker in nursing home care. The law and regulatory gov erning are restricted to finding out the presence and absence of the social worker. There is no certification or recognition process to evaluate the contributions of the social worker particularly in the non-profit nursing homes.An important aspect of social work in health setting is assessment, including psychosocial assessment. Client problems need to be assessed to begin treatment intervention, irrespective of the ailment or the people. Assessment helps in gathering, analyzing and evaluating relevant information based on which appropriate treatment strategies are implemented. Sometimes the social worker may be required to service athomes of clients. Interviewing clients at home, particularly the elderly ones, offers an informal atmosphere and reinforces to the client that he or she is supported and is not left alone (Mellor and Solomon, 1996).Use of clients first name, hugging, accepting a cup of tea are all part of a professional conduct of a social worker. The social worker is also sought to address psychosocial needs in nursing homes, to treat mental health problems. The social work providers perspective in diagnosing and treating anxiety, dementia and depression is considered necessary. Through appropriate in-home interventions, social work providers even ascertain ineffective diagnosis and delivery of inappropriate care. They address several issues with social relevance like relationship loss, adjustment to environment, terminal care etc.In the non-emergency nursing home admissions, social work personnel carry out the psychosocial assessment of the client during the initial contact. Based on this assessment, the level of required social work involvement, preparation of social work activity and discharge plans are finalized. This assessment also marks the beginning of the patient-social worker relationship.The social worker may at times be required to alert other physicians on existing psychosocial problems, which they should consider before medical int erventions. Here the social worker must ensure that patient details or medical history are not breached or misused by anyone having access to it. Preadmission screenings by social workers can reduce unwanted readmissions while also reducing the stay in nursing homes. Discharge planning may be involved with many ethical issues or even legal issues for the social worker. The social worker has a crucial role in sorting conflict betweenpatient expectations and nursing home obligations. When patients with very little hope of recovery or irreversible conditions are discharged, they and their families consider the nursing home to have abandoned them and experience a loss of hope. Here the social worker, attempts to change this perception by planning for the future through problem solving.The role of social worker in non-profit long term care is highly diverse from being a psychotherapist, social work consultant and a consultant on psychosocial issues. They assist client immensely in their transition to and from long-term care. They associate elders and families to community facilities and services through appropriate brokering, cause and needs advocacy. They help in planning long-term care with the client and their family and resolve issues in finance, legal and social requirements.In care planning, the social service provider needs to develop plans taking into consideration the arrangements and psychosocial support for older persons. The plans, particularly long term care plans must be accommodative of any physical or cognitive changes, as and when it arises. Social workers need to be wise to accept and respect the fact that clients, particularly older clients in long-term care have the right to choose or decide on matters pertaining to their treatment (Vourlekis, et. al, 2005). Social workers also need to be conscious of the ethical issues arising in their work with older clients.Long term care is not just restricted to the caring of elderly people. Long term care can be associated with any age, like even with children having long term health implications.The services provided by social workers are very diverse and is associated with both, a health perspective and a social perspective. The quality of delivery for the health factor is judged based on technical aspects of care like treatment outcomes and evaluation of care process. The quality of social services provided is judged based on the opinion and perception of the users. In contrast to acute care which is associated to restoration of normal health, long term care is more associated in suppressing or preventing further decline in health condition or progress of disability (Gooloo, Wunderlich, Kohler, 2001). Sometime people would adapt to heir disabilities and adverse health conditions and may even begin to depend less on social or medical assistance for a considerably long period of time.The role of social worker in the non-profit long term care is immense and cannot be overlooked. They are involved in all aspects of patient care from assessment to discharge, apart from ensuring their social well being. Given the trend in modern medicine, where newer and sophisticated treatments increase life span, the population of elderly people has been increasing significantly, and more elderly people are likely to seek nursing care for various reasons. Also with newer diseases, associated with developing life styles, food habits, and environment people are likely to seek more medical intervention for unconventional diseases. Therefore people across all ages and backgrounds seeking medical intervention would have more social implications and social relevance, relying more on the social worker to deliver.REFERENCESKnox K.J., Blankmeyer E.C and Stutzman J.R., (2006) Comparative Performance and Quality among Nonprofit Nursing Facilities in Texas, Nonprofit and Voluntary Sector Quarterly. Sage Publications Electronic Version downloaded on 10th May 2008 from http//nvs.sagepub.com/c gi/reprint/35/4/631Margaret J et al., (2005) Staffing levels in not-for-profit and for-profit long-term care facilities Does type of ownership matter? Canadian Medical Association Journal, March 1, 2005 Electronic Version downloaded on 10th May 2008 from http//www.cmaj.ca/cgi/content/full/172/5/645 Vourlekis B, Zlotnik J.L, Simons K., (2005) Institute for the advancement of Social Work Research, Evaluating Social Work Services in Nursing Homes Toward Quality Psychosocial Care Electronic Version downloaded on 11th May 2008 from http//www.charityadvantage.com/iaswr/IASWRNursingHome.pdf Dhooper S.S., (1997) Social Work in Health Care in the 21st Century. Sage Publications, London Mellor J and Solomon R., (1996) Geriatric Social Work Education Haworth Press. Gooloo S, Wunderlich, Kohler P.O., (Eds) (2001) Improving the Quality of Long-term Care, National Academies Press