| Summary: | 碩士 === 玄奘大學 === 社會福利與社會工作學系碩士在職專班 === 102 === Thought change of the family with the involvement of discharge planning services
- A case of neurologic deficit patients with poor self-care
Student：Lin, hung¬-Lin Advisors：Dr.Hou,Chien-Chou
Hsuan Chuang University Institute of Social Welfare and Social Work
ABSTRACT
In the case of long-term care, neurological cerebrovascular related disease accounts for about 60-70%. One of the most important issues that cause physical dysfunction is stroke and vascular disease. The sequels of this disease not only trigger motion, sensory and cognitive dysfunction, but also it will influence ADL (activities of daily living) and life quality. Also, subsequent care may cause a great burden for the family and society.
The purpose of this research is to study patients with neurological disorders who cannot take care themselves, through (1) discharge preparing team involved, (2) social resources available or families (3) the situation of medical social workers and the subsequent care of patients placement. At the same time, analysis (1) the thought and the process changes of taking care of patients, (2) feelings and expectations to those medical social workers, (3) the importance of long-term care in the health system, and further recommendations for its services and policies.
This study used qualitative research methods, subject to purposive sampling and selected 10 subjects to collect valid data by reading literature, participant observation and in-depth interviews to collect.
The result: (1) discharge preparing team involved: to help families to get available resources without traipsing (2) social resources available or families: solve patient-care problem. Help families to gain positive attitude, looking for available social welfare resources and reduce the economic burden. Eventually, improve the quality of life of patients and their families (3) medical social workers are the coordinator of family communication. To be a bridge of families and professional medical team, giving assistance not only on spiritual, but also physical. Provide information and resources of medical organization to families and help them transfer to another suitable nursing home if needed. Follow-up resource distribution status after the patient is discharged, and the continued use of long-term care services.
Giving recommendations according to the research findings, (1) a patient-centered service model: providing a total care service rather than task-oriented to serve patients. Pull together hospital resource in connection to communities, families and informal resources to take care for the sick; (2) medical social workers to provide dynamic services by walking around to sick rooms and provide necessary assistance for those who need; (3) hospital advocates the intension of medical social workers: make patients to understand the conditions and intension of using long-term care welfare resource via variety of promotional tools; (4) transportation service for long-term care management center: it should combine private transportation service in order to provide more comprehensive services.
Key words：Discharge planning, social resources, medical social workers, health belief model, long-term care.
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