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14.3 Gerontological and palliative care social work

3 min readaugust 9, 2024

Gerontological and palliative care social work focuses on helping older adults and those facing end-of-life issues. These specialized fields address the unique needs of aging populations, from promoting independence to providing compassionate care during life's final stages.

Social workers in these areas support clients through various challenges, including decisions, prevention, advance care planning, and . They also assist with navigating complex healthcare systems and accessing essential support services for both older adults and their caregivers.

Aging and Long-Term Care

Aging in Place and Long-Term Care Options

Top images from around the web for Aging in Place and Long-Term Care Options
Top images from around the web for Aging in Place and Long-Term Care Options
  • enables older adults to remain in their own homes as they age
    • Involves modifying living spaces for safety and accessibility (grab bars, ramps)
    • Utilizes community-based services (meal delivery, transportation)
  • Long-term care provides ongoing support for individuals with chronic health conditions or disabilities
    • Includes various settings (nursing homes, assisted living facilities, home health care)
    • Offers different levels of care based on individual needs (personal care, skilled nursing)
  • evaluates an older adult's physical, cognitive, and psychosocial functioning
    • Conducted by interdisciplinary teams (doctors, nurses, social workers)
    • Helps determine appropriate care plans and support services

Elder Abuse Prevention and Intervention

  • Elder abuse encompasses various forms of mistreatment against older adults
    • Includes physical, emotional, financial, and sexual abuse
    • Can also involve neglect or abandonment
  • Social workers play a crucial role in identifying and reporting suspected elder abuse
    • Conduct risk assessments and implement safety plans
    • Collaborate with Adult Protective Services and law enforcement
  • Prevention strategies focus on education and awareness
    • Training for caregivers and healthcare professionals
    • Community outreach programs to recognize signs of abuse

End-of-Life Planning and Care

Advance Care Planning and Directives

  • are legal documents that outline an individual's healthcare preferences
    • specifies desired medical treatments in case of incapacitation
    • designates a person to make medical decisions
  • involves discussing and documenting wishes for care
    • Includes decisions about (artificial nutrition, ventilation)
    • Addresses preferences for pain management and comfort care
  • Social workers facilitate conversations about end-of-life preferences
    • Help clients understand various treatment options and their implications
    • Assist in completing necessary documentation

Hospice Care and Grief Support

  • provides comprehensive support for terminally ill individuals
    • Focuses on pain management and symptom control
    • Offers emotional and spiritual support for patients and families
  • Grief counseling helps individuals cope with loss and bereavement
    • Addresses emotional, physical, and social aspects of grief
    • Provides support through individual or group therapy sessions
  • Social workers in hospice settings coordinate care and offer
    • Facilitate family meetings to address concerns and make decisions
    • Connect clients with community resources for additional support

Support Services

Caregiver Support and Resources

  • programs offer assistance to family members caring for older adults
    • Provide education on caregiving techniques and self-care strategies
    • Offer services to prevent burnout
  • Support groups connect caregivers with peers facing similar challenges
    • Provide emotional support and opportunities to share experiences
    • Offer practical advice and coping strategies
  • Social workers assess caregiver needs and develop tailored support plans
    • Connect caregivers with community resources (adult day care, home health services)
    • Advocate for caregiver rights and access to support services

Medicare and Medicaid Navigation

  • provides health insurance coverage for adults 65 and older
    • Includes different parts covering hospital care, outpatient services, and prescription drugs
    • Offers additional benefits like preventive screenings and hospice care
  • provides health coverage for low-income individuals, including older adults
    • Covers long-term care services not typically covered by Medicare
    • Eligibility criteria vary by state and consider income and assets
  • Social workers help clients navigate complex healthcare systems
    • Assist with enrollment processes and understanding coverage options
    • Advocate for clients to ensure access to necessary services and benefits
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AP® and SAT® are trademarks registered by the College Board, which is not affiliated with, and does not endorse this website.


© 2024 Fiveable Inc. All rights reserved.
AP® and SAT® are trademarks registered by the College Board, which is not affiliated with, and does not endorse this website.

© 2024 Fiveable Inc. All rights reserved.
AP® and SAT® are trademarks registered by the College Board, which is not affiliated with, and does not endorse this website.
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