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Would Palliative Care Patients Benefit from Social Workers' Retaining the Traditional 'Casework' Role rather than Working as Care Managers? A Prospective Serial Qualitative Interview Study

Bibliographic Data

ID10898682
AuthorsH Clausen (Western General Hospital, corresponding author)
Year2005
Volume35
Issue2
Pages277-285
Publication date2005-03-01
Open AccessNo
TypeARTICLE
VenueThe British Journal of Social Work (JOURNAL)
Journal identifiersISSN: 0045-3102 • E-ISSN: 1468-263X
PublisherOxford University Press (PUBLISHER • GB)
DOI10.1093/bjsw/bch176
OpenAlexW2151690446
LanguageEN
Citations received5

Social workers have made a significant contribution to the development and delivery of palliative care. Both palliative care and social work are rapidly evolving but, given their changing contexts and increasing workloads, can they sustain compatibility? Advances in treatment of life-threatening illness mean that people live longer in a period of palliative care. Social work has undergone radical change in the wake of the 1990 NHS and Community Care Act and subsequent local-authority modernizations, with social workers now given the role of care managers, rather than the more traditional ‘casework’ or therapeutic role. This paper aims to explore the current and potential role of the social worker in palliative care for people with cancer and other prolonged life-threatening illness. It draws upon evidence from a prospective qualitative, patient-centred research study, which detailed the experiences of forty people with lung cancer and advanced cardiac failure, and their personal and professional carers (Murray et al., 2002). A total of two hundred and nineteen qualitative interviews were carried out. We found that social workers were conspicuous by their absence from the lives of these forty vulnerable adults, who were living and dying in the community with many unmet needs which, potentially, could be met by social-work input. The study highlights six areas of concern in which social-work assessment and intervention could have impacted on dying patients’ quality of life and that of their carers: loss and dependency, family-centred issues, carers’ needs, practical tasks, emotional and spiritual struggles, and finally, support needs of staff. These areas are outlined to explore the territory which a social worker might inhabit if resources and policies permitted.

Intervention (counseling) · Palliative care · Political science · Qualitative research · Quality of life (healthcare) · Sociology · Geriatric Care and Nursing Homes · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology · Social Work Education and Practice · Social Work

  • Patient views of social service provision for older people with advanced heart failure

    Open Access•Merryn Gott, Sarah Barnes et al.•Health & Social Care in the…•2007

  • Selling social work by the pound? The pros and cons of agency care management

    Malcolm Carey•Practice•2006

  • Social Work, Religion, and Palliative Care

    Martha Wiebe•Journal of Religion & Spirituality…•2014

  • Dying old in the 21st century

    Open Access•Margaret Holloway•International Social Work•2009

  • Developments in end-of-life and palliative care social work

    Open Access•Malcolm Payne•International Social Work•2009

Citations per year0.25
Citation span2006 - 2014 (9)
Highly citedNo

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