The Social Work Department is comprised of two offices. The primary office is located
on the first floor of the hospital. The discharge planning nurse's office is in the
West Annex, the white building next door. The department is staffed Monday through Friday,
8:00AM - 4:30PM. The social worker will meet with families at other hours by appointment.
The social worker or discharge planning nurse may be contacted via phone by either the
Nursing or Floor Supervisor, should a problem, question, or crisis arise after-hours.
The Social Worker provides services for patients from newborn through geriatric.
However, due to the average age of patients admitted, and the nature of the services
provided, Social Services patients are primarily geriatric.
The Social Worker uses High-Risk Screening criteria to assist in the identification
of patients. This screening considers both medical and social indicators.
- Medical Indicators:
- CVA/TIA, as referred
- Congestive Heart Failure, as referred
- Chronic Obstructive Pulmonary Disease, as referred
- Diabetes Mellitus, as referred
- Orthopedic Problems (ie, fractured hip, multiple fractures, etc.)
- Terminal Illness
- Drug & Alcohol Abuse
- Neurological Disorders, as referred
- Senile Dementia
- End-Stage Renal Disease
- Head Trauma
- Metastic Cance
- Elective Orthopedic Procedures
- Social Indicators:
- Patients older than 75 who live alone or with an invalid
- Patients older than 85
- Patients suspected of being victims of abuse or neglect
- Patients who are transferred to the hospital from a nursing or personal care home
- Patients with frequent admissions
- Adult patients unable to perform activities of daily living
There are many services provided by the Social Services department:
Social Services provides coordinated discharge
planning services to assist patients/families to develop appropriate and timely
discharge plans, including, but not limited to, nursing home placement,
rehabilitation placemant, in-home services, durable medical equipment, and
Crisis Intervention/Supportive Counseling
Social Service is available
with any crisis situation necessitating immediate use of community resources, emotional
support, or any services coordinated by the Department. Supportive Counseling is
appropriate with terminal patients and families, patients facing crisis situations, etc.
Support, education, and crisis intervention may assist patients and families to better
utilize their medical care appropriately.
Social Services provides education regarding Advance
Directives, insurance coverage, finances, stress management, and discharge plans
regarding placement and community resources.
The Social Services Department provides medical social
work services in the hame to improve or maintain the social, emotional, functional, and
physical health status of the patient, as well as to enhance the coping skills of the
family or caregiver(s).