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Role of Social Workers

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Suad Shadid

on 21 April 2014

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Transcript of Role of Social Workers

Role of Social Worker in Diabetes Care
1 _ Social and psychosocial aspects of Type 2 diabetes mellitus
2- The role of health care social workers in assisting patients and their Families to cope and live with the illness

and
Support
is
essential
Why Social Work Matters In Diabetes care ?
Social Workers
can
Support
What to Support ?
Diabetes in Saudi Arabia
A  social worker  can help if patients are having any kind of trouble dealing with the Social or psychological side of diabetes. This is just as important as the physical side of diabetes as stress hormones aren’t good for diabetes.
Al-Saeedi, Al-Dawood and Elzubier (2002) wrote that
hundreds of diabetic incidents
in Saudi Arabia are
uncontrolled
because they hold numerous
misconceptions
about diabetes and its treatment. These misconceptions
have a detrimental impact on their treatment outcomes (Al-Dawood et al., 2002).
The prevalence of diabetes is in Kingdom is at an
alarming level
as
Over 25 percent
of the adult population is suffering from diabetes and that figure is expected to
more than double by 2030
.
Half of the people over 30 years of age are prone to diabetes.
In
2010
, Saudi Arabia
ranks third
in the global prevalence of Type 2 diabetes
and second highest
in terms of percentage of
national healthcare expenditure on diabetes
(Kalyani, 2010).
3- Finding neglected areas of practice
4- Potential areas of Intervention
Misconception
Psychological and Social Aspects of Diabetes
First
Psychosocial issues upon diagnosis
It is important to note that individuals vary widely in their psychological responses to events. Although they share some commonalities, each person's experience is unique The diagnosis of diabetes can have a tremendous emotional impact on the person diagnosed and their family.
Emotions at diagnosis
vary but may include
Shock, Denial
Sadness, frustration
guilt, fear, anxiety
anger or even relief
Sometimes
Easy Acceptance
!!
Second
Ongoing issues and emotions
A crisis may occur at any time. Sudden change, a deterioration of their diabetes, or indeed factors unrelated to diabetes can provoke strong fluctuations in a person's emotional state .
Feelings commonly expressed by many people with diabetes can be divided into three categories. as seen on the Table.
Third
Changes in life style
Having diabetes, involves making changes to previous routines.
These day-to-day changes can provoke many strong feelings,
these feelings are generally negative and commonly range

from guilt (I really shouldn't have…)

and fear (Am I doing the right thing?),
to anger (Why should I change?).

These varied emotions directly affect
an individual's motivation and confidence.
Fourth
Impact on family and close relationships
people with diabetes and/or their families might experience:
Š struggles with issues of
dependency
and
autonomy
, especially with
teenagers
and
elderly
Changes in family routines and responsibilities (preparing food and glucose level monitoring Adding more responsibilities on the taking care person and patients) which create
stress and depression which is about
three times
more common among persons with diabetes than those without.
The current state of research shows that a multidisciplinary approach to diabetes is a viable solution to the existing diabetes issues
joint work
– with other members of the diabetes team such as a specialist diabetes nurse or a psychologist , Diabetes Educators, Dietitians and other health care providers
Social Worker Role
Social workers who are knowledgeable about diabetes can help patients and their families by :
Through counseling, social workers can
help people to acknowledge and share the emotional challenges raised by diabetes
. They are able to create a space in which patients may freely discuss how they feel about themselves and their diabetes.
People are encouraged to
talk about their concerns and anxieties
,
exposing
fears that can be dispelled or problems that can be resolved
.
Feelings of uncertainty and vulnerability can in this way be reduced, allowing the patient to feel more in control.
The social worker can
employ motivational interviewing
as a technique for identifying and setting realistic goals, maximizing the client's experience of success as each goal is accomplished.

Individuals are supported and
encouraged to anticipate potential problems
and to identify potential stressors.
Help patients and their families to
find their own solutions
for the anticipated problems which can reduce the impact of a stressful event.
Counseling also offers the opportunity to share techniques in stress reduction such as progressive relaxation and positive visualization.
1- Counseling
Anticipate
potential
problems
Empowering
Stress reduction
share the emotional challenges
Social workers can
facilitate examination and modification of negative thoughts
, thus improving self-esteem. At the same time, other psychosocial and Social issues outside diabetes which may affect a persons ability to cope may be identified and managed.
2 - Using some of the methods of cognitive behavioral therapy (CBT)
Based on the premise that behavior and emotions are in constant interaction with cognition (understanding). The aim of CBT is to help patients modify their dysfunctional beliefs and replace them with more appropriate or realistic beliefs.
Cognitive therapy (or cognitive behavioral therapy, CBT)
3 -

Family therapy
can be used to facilitate higher levels of family cohesion and communication, which enhance a person's ability to cope with diabetes
4- Work as a member of
multidisciplinary
intervention team
Social workers can connect patients with community agencies such as Social affairs or community welfare officers to improve a client's environmental or financial situation.
5- Work as a connecter
Neglected areas of practice
1- Involve In developing comprehensive plans of care
2- Work as case managers
Neglected by Social workers due to
Non recognizable role
of social workers
in diabetes care
by other health care providers
Lack of well trained
Social Workers
“A case manager is someone who guides individual patients through the various aspects of the health care system and co-ordinates all aspects of their care. The objective is to personalize care for patients and to provide appropriate linkages between different levels
and types of care. In many models, physicians, Nurses, primary health providers and Social workers can play the role of case manager.
Case Manager
1- Creating or helping to create efficient diabetes support groups
Potential Areas of Practice
2- Social workers should involve in diabetes care as
researchers
by developing and testing interventions,
exploring compliance, work as an outcome predictors
and improving empirical understanding of the psycho­ social
experiences of patients dealing with the challenges
of diabetes mellitus.
End of presentation
Thank you for listening
Suad Shadid
suad@shadid.com
Clinical Social Worker
King Abdulaziz Medical City - Jeddah

@shadidsuad
Any Questions ?
http://www.socialworktoday.com/archive/090208p18.shtml
http://www.helpstartshere.org/
http://www.institute2000.org/health-care/services/diabetes-care/
http://care.diabetesjournals.org/content/25/suppl_1/s33.full
http://www.idf.org/sites/default/files/attachments/article_109_en.pdf
References
I Feel
Blue
I Have
Fears
I`m
Stressed
I`m
Tiered
Full transcript