The purpose of this position is to provide initial psychosocial
evaluations, ongoing psychosocial counseling, direct casework services,
bereavement services and community education, outreach and referrals.
Responsible for the delivery of varied social work services to hospice
patients and families and actively participate as a member of the
hospice interdisciplinary team. - Assesses the psychosocial status of
patients and families/caregivers related to the patient's terminal
illness and environment and communicates findings to the registered
nurse and other members of the interdisciplinary group. Provides an
assessment in the patient's identified residence and assistance when
this is not safe and another plan is required. - Carries out social
evaluations, including family dynamics, caregiver abilities,
communication patterns, high risks for suicide, neglect or abuse and
plans intervention based on evaluation findings. - Counsels patient and
family/caregivers as needed in relationship to stress, and other
identified coping difficulties. Provides crisis intervention when
necessary. - Assesses for, and educates interdisciplinary group, on any
special needs related to the culture of the patient and family. Includes
communication, role of family, space, and any special traditions or
taboos. - Maintains clinical records on all patients referred to social
work. - Point of Service documentation is an expectation of all clinical
personnel for quality care, accuracy, and communication standards. The
clinician is expected to appropriately document at Point of Service,
have timely synchronization of patient data & effectively communicate
with the Patient Care Team. - Educates patients and families on, and
assists in, preparation of advanced directives. - Provides information
and referral services for organization patients and families/caregivers
regarding practical and environmental needs. - Provides information to
patients and families/caregivers and community agencies. - Serves as
liaison between patients and families/caregivers and community
agencies. - Maintains collaborative relationships with organization
personnel to support patient care. - Maintains and develops contracts
with public and private agencies as resources for patient and
personnel. - Participates in the development of the plan of care,
involving the patient and family, and attends regularly scheduled
interdisciplinary group meetings, assisting the team in recognizing the
effects of the psychosocial stresses on the symptoms of the terminal
illness. - Assists physician and other team members in understanding
significant social and emotional factors related to health problems and
death/dying issues. - Participates in discharge planning when needed.
Assists patient and family/caregiver with securing durable power of
attorney and with funeral arrangements, as needed - Assists family and
patient in planning for funeral arrangements, financial, legal, and
health care decision responsibilities. - Other duties as assigned. [For
more information or to apply click
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HospiceCare in the Berkshires