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. 2008 Winter;30(2):19–33.

Table 1. Medically-Related Social Services Provided in Skilled Nursing Facilities1.

  • Making arrangements for obtaining adaptive equipment, clothing, and personal items

  • Meeting the needs of residents who are grieving.

  • Assisting staff to inform resident and those they designate about the resident's health status and health care choices and their ramifications.

  • Assisting resident with financial and legal matters.

  • Providing or arranging provision of needed counseling services.

  • The provision or arrangements of interventions to address the following:

    • Behavioral symptoms

    • Presence of chronic disability, medical, or psychological conditions

    • Presence of legal or financial problems

    • Inability to cope with loss of function

    • Changes in family relationships, living arrangements, and/or resident's condition or functions

    • Abuse of alcohol or other drugs

    • Need for emotional support

    • Physical or chemical restraints

    • Lack of an effective family/support system

    • Resident-to-resident physical altercations

    • Depression

    • Difficulty with personal interaction and socialization skills

  • The provision or arrangements of interventions to address chronic or acute pain.

  • Providing alternatives to drug therapy or restraints by understanding and communicating to staff why residents act as they do, what they are attempting to communicate, and what needs the staff must meet.

  • Monitoring residents with mental disorders as defined by DSM-IV for progress in improving physical, mental and psychosocial functioning.

  • Discharge planning services.

  • Assisting resident to determine how they would like to make decisions about their health care, and whether or not they would like anyone else to be involved in those decisions.

  • Through the assessment and care planning process, identifying and seeking ways to support resident' individual needs.

  • Promoting actions by staff that maintain or enhance each resident's dignity in full recognition of each resident's individuality.

  • Maintaining contact with family (with resident's permission) to report on changes in health, current goals, discharge planning, and encouragement to participate in care planning.

  • Making referrals and obtaining services from outside entities.

  • Finding options that most meet the physical and emotional needs of each resident.

  • Implementing interventions to assist residents with mental disorders as defined by DSM-IV to meeting treatment goals.

1

American Health Care Association: The Long Term Care Survey. Washington, DC. 2006.