Hospice Social Work Involvement

➢    Assess patient and patient family needs

○      Assist with family conflict

○      Facilitate patient and family adjusting to terminal illness

➢    Create a plan, intervention and goal(s)

➢    Educate patient and family on interventions

➢    Offer support and companionship at end of life

➢    Assist with advance directive planning

➢    Funeral planning

➢    Community referrals

➢    Advocate for client’s best interest

➢    Insurance questions or assistance

➢    Respite care and facility placement assistance

➢    Encourage caregiver and staff selfcare

Home Health Social Work Involvement

➢    Assessment of the social and emotional factors related to the beneficiary's illness, the need for care, their response to treatment, and adjustment to care

➢    Assessment of financial resources, and the community resources available

➢    Services provided on a short-term basis (two to three visits) to a beneficiary's family member or caregiver when it is shown that a brief intervention is necessary to remove a clear and direct impediment to the effective treatment of the beneficiary's medical condition or to the rate of recovery

➢    Appropriate action to obtain available community resources to assist in resolving the beneficiary's problem