It's ironic that I wrote a post on self-care since I've been working so much lately! With my continued long commute and 5-6 day work weeks, work really took a toll on me these past few months. Things I experienced include:
Poor eating habits: I certainly engaged in lots of emotional eating this past month, mostly chocolate.
Increased acne: Probably from stress and lack of sleep.
Increased irritability and poor mood: Likely from lack of sleep and exhaustion from work.
Increased sleepiness: I've actually had to pull over and nap in my car several times during my afternoon commute. Not good!
Lack of productivity: This is demonstrated by things like my messy room and lack of blog updates!
This month, I'm definitely going to take a few days from work and perhaps take a trip somewhere. Self-care is something that should not be neglected by social workers. I know that I was not giving my best during these past few weeks. Hopefully after some recharging I'll come back refreshed and do better!
Showing posts with label work. Show all posts
Showing posts with label work. Show all posts
Saturday, April 7, 2012
Sunday, February 12, 2012
About Social Services at a Hospital
Though considered a specific area of practice, hospital social work is actually relatively broad. Social services departments vary in function from hospital to hospital, with individual social workers performing correspondingly diverse roles. I've found that certain tasks I perform at one hospital might be performed by a completely different profession at another, or just omitted entirely.
When asked what I do at work, I often have a hard time explaining due to the variety of tasks I perform every day. However, after some thought, I've manage to divide my roles into five categories. These categories are not mutually exclusive, and some hospitals may not even have social workers performing tasks in all of them.
Assessing
The psychosocial assessment is fairly universal not only in medical social work, but the social work field as a whole. Obtaining information on someone's health, mental status, social environment, and living situation prior to admission helps to provide a more holistic picture of a patient, instead of simply focusing on the admitting diagnosis. From here, social workers can determine if patients have needs for discharge planning, community resources, and/or end-of-life support.
Discharge Planning
The purpose of discharge planning is to ensure patients leave the hospital safely, so as to reduce the probability of readmission. Discharge planning is the role that most often overlaps with that of RN case managers and discharge planners. It is also one of the more time-consuming ones due to the paperwork required and the importance placed on it by the hospital administration, which is keenly interested in keeping costs down. Discharge planning is the role many social workers consider the most frustrating, as they feel that they didn't pursue masters degrees to perform "secretary work".
Discharge planning tasks include the following:
-Arranging skilled nursing placement for patients
-Arranging home health services for patients
-Ordering durable medical equipment for patients
-Arranging transportation to a skilled nursing facility or home
-Arranging follow-up appointments with medical doctors
-Copying/faxing patient charts to complete the aforementioned tasks
-Pulling strings, performing magic tricks, and making miracles happen so that a patient discharges safely and in a timely manner
Counseling
Social services give emotional support to patients and their families during hospitalization. Situations social workers may face include the following:
-Helping patients adjust to new illnesses/diagnoses
-Helping patients cope with chronic illnesses
-Supporting patients who are dealing with mental illness
-Counseling patients with substance addictions
-Comforting patients and family members in crisis situations
Providing Community Resources
Patients often do not know what community services are available to help them. This is especially the case for new parents and the elderly. Hospital social workers are well-versed in local community agencies and can provide information on the following:
-Applying for government assistance (Medicare, Medicaid, SSI, etc.)
-Low cost medical clinics
-Discounted prescription medication
-Caregiver assistance
-Board and care/assisted living placement services
-Resources for new parents
-Community support programs for seniors
-Food banks
-Homeless shelters
-Support groups for cancer/substance use/grief/etc.
-Paratransit
In some cases, social workers may also refer patients to the following agencies:
-Child protective services
-Adult protective services
-Public guardian (for conservatorships)
-The police
Addressing End-of-Life Issues
End-of-life is a sensitive topic that most medical professionals - including doctors - have difficulty discussing with patients. As a result, social workers are often called on to do the following:
-Participate in hospice/palliative care team consultations
-Arrange hospice care
-Educate patients on advanced healthcare directives
Hopefully this post provides a decent breakdown about social services in a hospital setting. While social workers at different hospitals may vary in function, their purpose in providing compassionate psychosocial assistance to patients remains universal.
Tuesday, February 7, 2012
Saturday, August 6, 2011
Social Work: Where Workplace Violence is the Norm, Not the Exception
In Major League Baseball, fights such as last night's bench clearing brawl between the Giants and the Phillies are not the norm. Contrarily, workplace violence is a risk faced by social workers on a daily basis.
Since entering the work force a little over a year ago, I've been bitten/chased by dogs, exposed to a multitude of diseases, threatened with physical harm, assigned to unsafe neighborhoods, and called to deal with aggressive individuals. I know that as I continue my career as a medical and home health social worker, I'll inevitably encounter many more risky situations. While I try to be aware of my surroundings and take precautionary measures (such as keeping pepper spray in my purse during home health visits), there are those scary moments when I find myself thinking, "Please don't hurt me!"
Here are a few things I've done in an attempt to minimize my risk at work:
-Carry pepper spray with me during home visits
-Inform friends and family when I'm going to be doing a home visit, and asking them to call me after a set amount of time
-If possible, position myself in an area near a door so I can escape if necessary
-Ensure that Cody Gray situations are stabilized before attempting to see the patient
Another thing I might do that someone recommended is purchase a white lab coat with "Social Worker" embroidered on it to use for my home health job. Since individuals associate white lab coats with the medical profession, outsiders will likely be less suspicious when I pull up for a visit. In fact, I've heard stories of social workers in white lab coats that have had gang members protect their cars during house appointments with family members.
How do other social workers out there minimize risk during home visits? What tips/recommendations do you follow when it comes to keeping safe on the job? I'd certainly like to hear your input!
Since entering the work force a little over a year ago, I've been bitten/chased by dogs, exposed to a multitude of diseases, threatened with physical harm, assigned to unsafe neighborhoods, and called to deal with aggressive individuals. I know that as I continue my career as a medical and home health social worker, I'll inevitably encounter many more risky situations. While I try to be aware of my surroundings and take precautionary measures (such as keeping pepper spray in my purse during home health visits), there are those scary moments when I find myself thinking, "Please don't hurt me!"
Here are a few things I've done in an attempt to minimize my risk at work:
-Carry pepper spray with me during home visits
-Inform friends and family when I'm going to be doing a home visit, and asking them to call me after a set amount of time
-If possible, position myself in an area near a door so I can escape if necessary
-Ensure that Cody Gray situations are stabilized before attempting to see the patient
Another thing I might do that someone recommended is purchase a white lab coat with "Social Worker" embroidered on it to use for my home health job. Since individuals associate white lab coats with the medical profession, outsiders will likely be less suspicious when I pull up for a visit. In fact, I've heard stories of social workers in white lab coats that have had gang members protect their cars during house appointments with family members.
How do other social workers out there minimize risk during home visits? What tips/recommendations do you follow when it comes to keeping safe on the job? I'd certainly like to hear your input!
Saturday, July 9, 2011
How Other Professions View Social Work
Yesterday, I was talking to my mom about how the RN case managers at one of my jobs often have to stay several hours after their shift making reports to different insurance companies. My mom, a bedside nurse of over 20 years, scoffed at the idea of RN case managers having stressful jobs and stated, "All they do is talk and sit in front of a computer all day. Their job is so easy." In the past, my mom has made similar comments about social work, stating that all we do is "talk to people", while people like her have to clean bodily fluids and give medication. Hence, my mom feels that MSW salaries are fair when compared to Associates and Bachelor's degrees in nursing.
I feel that despite being a nurse for so long, my mom still lacks understanding of what social workers and RN case managers do in a hospital setting. While I do try to educate her, my mom frequently reminds me that I am a "rookie" and that she has been in the field for 20 years. Out or respect for her work experience - and my sanity - I try not to engage in extended debates with her when she brings up the subject.
However, these conversations with my mom make me wonder about how other medical professions view social work. I know that my RN case manager co-workers value the services we provide, with some even advocating for social worker salary raises because we do the same discharging planning work as they do. But what about bedside nurses, therapists, pharmacists, doctors, and others who don't see what we're doing all day? I realize that there will always be "rivalries" between different professions, but shouldn't we acknowledge the unique contributions of each job in providing care instead of making diminishing statements about one other? I'd definitely like to see my mom work in case management one day and see if she still finds it "easy" afterwards.
In other news, I'm still working on finding a place to live. Haven't found an ideal place yet, but I'm keeping my hopes up!
I feel that despite being a nurse for so long, my mom still lacks understanding of what social workers and RN case managers do in a hospital setting. While I do try to educate her, my mom frequently reminds me that I am a "rookie" and that she has been in the field for 20 years. Out or respect for her work experience - and my sanity - I try not to engage in extended debates with her when she brings up the subject.
However, these conversations with my mom make me wonder about how other medical professions view social work. I know that my RN case manager co-workers value the services we provide, with some even advocating for social worker salary raises because we do the same discharging planning work as they do. But what about bedside nurses, therapists, pharmacists, doctors, and others who don't see what we're doing all day? I realize that there will always be "rivalries" between different professions, but shouldn't we acknowledge the unique contributions of each job in providing care instead of making diminishing statements about one other? I'd definitely like to see my mom work in case management one day and see if she still finds it "easy" afterwards.
In other news, I'm still working on finding a place to live. Haven't found an ideal place yet, but I'm keeping my hopes up!
Saturday, March 19, 2011
Social Work Burnout Happens In Different Ways
While having a discussion with my mom today, she said the following: "Chinese people don't want to be social workers because there is no prestige in the profession. They all want to be doctors." Instead of arguing the many things wrong with her statement, I opted to remain silent as I've had this conversation with her thousands of times before to no avail.
What sets me apart from many of my social work friends is that the majority of my stress does not come from work. It comes from having to come home at the end of the day and hear about how I am "less than" because I do not have a more "prestigious" job. Furthermore, coming home from work is like going to a second job. Since my mom is a nurse, she spends dinner time railing about her latest problem patient (like I don't encounter lots of them at work) and lecturing me about what I should be doing at work as a medical social worker. She tells me that nursing is significantly harder than anything a social worker has to do, hence making social workers deserving of a salary half that of a nurse. Unfortunately, my family takes a militant "no secrets" approach which prevents me from setting boundaries at home. Hence, I go to work to escape the stress associated from being at home.
There are three reasons I continue to live at home. The first is to save money. The second is that I have yet to find a stable full time/part time job that will allow me to move out without draining my savings. The third is the cultural belief within my family that unmarried adult children who move out are ungrateful and abandoning their parents. To cope with this situation, I involve myself in extracurricular activities and surround myself with supportive friends. I am also on the hunt for jobs that are not within commuting distance from my house.
In the next few weeks, I will revamp my resume and cover letter and re-intensify my job search in hopes that I can move out before my one year anniversary of graduating with my MSW. Social work jobs right now are pretty tight, and a medical social work position is even more difficult to obtain. As living at home is beginning to result in medical social work burnout, I am open to jobs in different settings such as college campuses.
For the immediate future, my main goals are to find a job and move out. I also want to go on a nice vacation with the money I've saved from living at home. I'll definitely keep everyone updated on my exploits. Wish me luck!
What sets me apart from many of my social work friends is that the majority of my stress does not come from work. It comes from having to come home at the end of the day and hear about how I am "less than" because I do not have a more "prestigious" job. Furthermore, coming home from work is like going to a second job. Since my mom is a nurse, she spends dinner time railing about her latest problem patient (like I don't encounter lots of them at work) and lecturing me about what I should be doing at work as a medical social worker. She tells me that nursing is significantly harder than anything a social worker has to do, hence making social workers deserving of a salary half that of a nurse. Unfortunately, my family takes a militant "no secrets" approach which prevents me from setting boundaries at home. Hence, I go to work to escape the stress associated from being at home.
There are three reasons I continue to live at home. The first is to save money. The second is that I have yet to find a stable full time/part time job that will allow me to move out without draining my savings. The third is the cultural belief within my family that unmarried adult children who move out are ungrateful and abandoning their parents. To cope with this situation, I involve myself in extracurricular activities and surround myself with supportive friends. I am also on the hunt for jobs that are not within commuting distance from my house.
In the next few weeks, I will revamp my resume and cover letter and re-intensify my job search in hopes that I can move out before my one year anniversary of graduating with my MSW. Social work jobs right now are pretty tight, and a medical social work position is even more difficult to obtain. As living at home is beginning to result in medical social work burnout, I am open to jobs in different settings such as college campuses.
For the immediate future, my main goals are to find a job and move out. I also want to go on a nice vacation with the money I've saved from living at home. I'll definitely keep everyone updated on my exploits. Wish me luck!
Wednesday, October 13, 2010
Happy Case Management Week!
At work, I am part of the Case Management Department. This department consists of nurse case managers, social workers, and assistants who work in tandem on a patient's discharge. While case managers handle the medical aspects of a discharge, the social worker's primary role is to address social issues such as coping, substance abuse, family dynamics, community support, safety, abuse, and end of life decision making.
This week is National Case Management Week, and I am pretty happy that my job is including the social workers in the festivities. This week, I received a free pin, free lunch, and free gift certificates. Very sweet. Next up: National Social Work Month in March!
Don't forget to thank your case manager, social worker, and discharge planner for ensuring that each hospital patient gets discharged in a safe and timely manner!
This week is National Case Management Week, and I am pretty happy that my job is including the social workers in the festivities. This week, I received a free pin, free lunch, and free gift certificates. Very sweet. Next up: National Social Work Month in March!
Don't forget to thank your case manager, social worker, and discharge planner for ensuring that each hospital patient gets discharged in a safe and timely manner!
Sunday, October 10, 2010
A new beginning
Wow, it's been almost a year since my last post! I suppose time flies when you're busy. Let me summarize the events of the past year:
-I completed my MSW program last May. While I am relieved to be done, there are times when I miss the student lifestyle. I suppose contributing to this feeling is the fact that...
-I moved home. Considering I didn't have a job lined up upon graduating, I took advantage of my parents' generosity and moved back home. While this is meant to be a temporary arrangement, my parents do not want me moving out until I secure a full time job. Moving home has certain been an adjustment, as I enjoyed living on my own. However, the biggest benefit is that I'm saving tons of money by not paying rent (my parents refuse to accept rent money, telling me to save it instead).
-I landed a per diem job at a hospital. After three months of obsessively searching and applying for jobs, I was finally hired by a staffing agency. I currently work at an acute hospital as a medical social worker. While planning discharges and addressing multiple patient issues can be exhausting, I find that my days go by rather quickly. Overall, I am content with the work I do and happy that my salary is higher than my initial expectations (which were really low). Currently, I am working full time hours as one of my co-workers is on leave for a few weeks.
-I am still applying for jobs. Ideally, I would like to land a full time job with benefits so I can move out of my parents' house already. However, I am not in too much of a hurry to sign away the next 30 years of my life just yet. There are a few things I'd still like to do, such as travel and dedicate time to hobbies I've been neglecting because of school. When I feel ready (and the right job comes along), I'll move out. Ideally, I'll have saved up a decent amount of rent money from not having paid rent while at home.
Anyway, that's my life update. Now that I'm not busy with school, I'll see what I can do about updating this blog more often!
-I completed my MSW program last May. While I am relieved to be done, there are times when I miss the student lifestyle. I suppose contributing to this feeling is the fact that...
-I moved home. Considering I didn't have a job lined up upon graduating, I took advantage of my parents' generosity and moved back home. While this is meant to be a temporary arrangement, my parents do not want me moving out until I secure a full time job. Moving home has certain been an adjustment, as I enjoyed living on my own. However, the biggest benefit is that I'm saving tons of money by not paying rent (my parents refuse to accept rent money, telling me to save it instead).
-I landed a per diem job at a hospital. After three months of obsessively searching and applying for jobs, I was finally hired by a staffing agency. I currently work at an acute hospital as a medical social worker. While planning discharges and addressing multiple patient issues can be exhausting, I find that my days go by rather quickly. Overall, I am content with the work I do and happy that my salary is higher than my initial expectations (which were really low). Currently, I am working full time hours as one of my co-workers is on leave for a few weeks.
-I am still applying for jobs. Ideally, I would like to land a full time job with benefits so I can move out of my parents' house already. However, I am not in too much of a hurry to sign away the next 30 years of my life just yet. There are a few things I'd still like to do, such as travel and dedicate time to hobbies I've been neglecting because of school. When I feel ready (and the right job comes along), I'll move out. Ideally, I'll have saved up a decent amount of rent money from not having paid rent while at home.
Anyway, that's my life update. Now that I'm not busy with school, I'll see what I can do about updating this blog more often!
A new beginning
Wow, it's been almost a year since my last post! I suppose time flies when you're busy. Let me summarize the events of the past year:
-I completed my MSW program last May. While I am relieved to be done, there are times when I miss the student lifestyle. I suppose contributing to this feeling is the fact that...
-I moved home. Considering I didn't have a job lined up upon graduating, I took advantage of my parents' generosity and moved back home. While this is meant to be a temporary arrangement, my parents do not want me moving out until I secure a full time job. Moving home has certain been an adjustment, as I enjoyed living on my own. However, the biggest benefit is that I'm saving tons of money by not paying rent (my parents refuse to accept rent money, telling me to save it instead).
-I landed a per diem job at a hospital. After three months of obsessively searching and applying for jobs, I was finally hired by a staffing agency. I currently work at an acute hospital as a medical social worker. While planning discharges and addressing multiple patient issues can be exhausting, I find that my days go by rather quickly. Overall, I am content with the work I do and happy that my salary is higher than my initial expectations (which were really low). Currently, I am working full time hours as one of my co-workers is on leave for a few weeks.
-I am still applying for jobs. Ideally, I would like to land a full time job with benefits so I can move out of my parents' house already. However, I am not in too much of a hurry to sign away the next 30 years of my life just yet. There are a few things I'd still like to do, such as travel and dedicate time to hobbies I've been neglecting because of school. When I feel ready (and the right job comes along), I'll move out. Ideally, I'll have saved up a decent amount of rent money from not having paid rent while at home.
Anyway, that's my life update. Now that I'm not busy with school, I'll see what I can do about updating this blog more often!
-I completed my MSW program last May. While I am relieved to be done, there are times when I miss the student lifestyle. I suppose contributing to this feeling is the fact that...
-I moved home. Considering I didn't have a job lined up upon graduating, I took advantage of my parents' generosity and moved back home. While this is meant to be a temporary arrangement, my parents do not want me moving out until I secure a full time job. Moving home has certain been an adjustment, as I enjoyed living on my own. However, the biggest benefit is that I'm saving tons of money by not paying rent (my parents refuse to accept rent money, telling me to save it instead).
-I landed a per diem job at a hospital. After three months of obsessively searching and applying for jobs, I was finally hired by a staffing agency. I currently work at an acute hospital as a medical social worker. While planning discharges and addressing multiple patient issues can be exhausting, I find that my days go by rather quickly. Overall, I am content with the work I do and happy that my salary is higher than my initial expectations (which were really low). Currently, I am working full time hours as one of my co-workers is on leave for a few weeks.
-I am still applying for jobs. Ideally, I would like to land a full time job with benefits so I can move out of my parents' house already. However, I am not in too much of a hurry to sign away the next 30 years of my life just yet. There are a few things I'd still like to do, such as travel and dedicate time to hobbies I've been neglecting because of school. When I feel ready (and the right job comes along), I'll move out. Ideally, I'll have saved up a decent amount of rent money from not having paid rent while at home.
Anyway, that's my life update. Now that I'm not busy with school, I'll see what I can do about updating this blog more often!
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