Psychosocial Needs of our Patients

1
Psychosocial Needs of our Patients

• People can bring a great deal of baggage with
  them to the hospital

2
Psychosocial Needs of our Patients
3
Psychosocial Needs of our Patients

• What kinds of life stressors do you think a
  patient might be experiencing that may cause or
  contribute to patients health and well-being?

4
Psychosocial Needs of our Patients

• Finances
• -lack of income
• -inability to meet basic needs (medication, food)
• -underinsured or uninsured

5
Psychosocial Needs of our Patients

• Social
• -Family Supportive or not?
• -Family Available or not?
• -If available and on board with medical
  condition, can help with aftercare.

6
Psychosocial Needs of our Patients

• Social (continued)
• -Friends
• -Church support (company, meals)
• -Pets (Therapy pets)

7
Psychosocial Needs of our Patients

• Social (research)
• -Hospital increased risk of death with people
  who have no or poor social relations
• -Married people (men) live longer

8
Psychosocial Needs of our Patients

• Drug/ETOH can be co-occurring disorders to health
  problems or reason for hospitalization

9
Psychosocial Needs of our Patients

• Legal considerations
• -Patient on probation and parole
• -Mental holds police or physician

10
Psychosocial Needs of our Patients

• Education
• -Link between health and level of education
• -socioeconomic status often causes compromised
  health
• -increased emotional stress due to
• -finances

11
Psychosocial Needs of our Patients

• Education (continued)
• -Often more physically demanding jobs
• -The more money spent on health care, the less
  for medications food
• -Poor access to preventive care
• -Navigating the Medicaid system is complicated

12
Psychosocial Needs of our Patients

• When to refer to Social Work
• -Nursing Admission Assessment
• -Positive screen for tobacco use
• -ETOH use/abuse (past week 3 drinks)
• -Thoughts of suicide
• -Thoughts of harming others
• -Advanced directive needs

13
Psychosocial Needs of our Patients

• When to refer to Social Work
• -CAGE assessment
• -Have you ever tried to Cut down on your
  drinking?
• -Have you ever felt Annoyed by others
  inquiring into your drinking?
• -Have you ever felt bad or Guilty about your
  drinking?
• -Have you ever had an Eye opener in the
  morning to calm your nerves or get rid of a
  hangover?

14
Psychosocial Needs of our Patients

• When to refer to Social Work
• -Mental health assessments
• -referred by attending

15
Psychosocial Needs of our Patients

• When to refer to Social Work (continued)
• -Supportive counseling needs
• -Family discord
• -Financial/welfare assistance needs
• -Physician referral

16
Psychosocial Needs of our Patients

• Social Work roles in the hospital setting
• -Domestic violence
• -Reason for referral to ER
• -Security involvement if offender tries to
  visit
• -Difficult discharge

17
Psychosocial Needs of our Patients

• Social Work roles in the hospital setting
• -Child protection issues
• -Making reports
• -Documentation

18
Psychosocial Needs of our Patients

• Social Work roles in the hospital setting
• -Elder abuse
• -Adult protection/Idaho Commission on Aging

19
Psychosocial Needs of our Patients

• Social Work roles in the hospital setting
• -Initial grief support until chaplain arrives
• -Crisis intervention