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1 Medical social work scope of practice and competencies Charlis Brown McKay Department of Social Work, Walden University SOCW 6204 Dr. Teresa Harper March 24, 2024

2 Medical social work scope of practice and competencies A healthcare setting in specific that I find most interesting is a Cardiovascular Hospital. The primary cause of death in the US is cardiovascular disease (Aldred et al., 2005). In additon to the contributing physical factors associated with heart disease; depression, anxiety, anger, emotional stress and physical inctivity increase the risk for cardiac disorders. Treating the social problems of heart disease by building strong relationships with hospitals, patients, and the patient's support system and easing their tension or the stress and strain of care and interventions is the general scope of a medical social worker in this setting (Thurlow, 1995). Some of the primary responsibilities include:  Conduct comprehensive assessment on assigned patients to identify potential and actual patient issues.  Initiates an individualized plan of care to address identified needs; monitors and revises the plan in collaboration with the team.  Providing crisis counseling  Provide therapeutic counseling,  Assist families with transitioning from the hospital to the home  Educate families about end-of-life care,  Address financial concerns The key component in fulfilling the patients' needs is implementing a sense of competence (Gehlert & Browne, 2019). According to the NASW Code of Ethics (2016) the standards were developed to enhance social work professionals awareness of the skills, knowledge, and values needed to work in this ever-growing community. One ideal method for staying within the scope of practice is to refer the patient to someone who is knowledgeable and skilled in the needed area

3 of practice whether that be another socialworker, other professionals, or consult with a team ( Hopp et al., 2015).Whether or not to accept a patient and continue working with them will depend on a number of subjective and objective factors, including the client's conduct and my response to it, as well as my ability to pick up the skills I'd need to treat patients. It will be obvious in certain situations whether I have those ingredients ( Hopp et al., 2015). It would also be crucial to look for any other resources that might be available, enlist the help of the entire interdisciplinary team, or consult the supervisor for advice. To recommend a patient to an alternative healthcare provider, I would need to get the patient's medical background, current symptoms, and any other pertinent data. I would then get in touch with the other medical professional and set up an appointment (Peterson, 2012). As a medical social worker, there are several skills and competencies that would be beneficial in effectively serving the patient’s as a cardiac social worker which includes: 1. Communication Skills: Being able to communicate effectively is essential to comprehending the requirements of both patients and their families. Empathy and attentive listening are part of this. 2. Cultural Competency: It's critical to comprehend and honor patients' cultural backgrounds and beliefs. This involves being conscious of how cultural variations may affect how a patient approaches healthcare and how comfortable they are with various treatment alternatives. 3. Crisis Intervention: Medical social workers frequently assist families and patients experiencing a crisis. In these kinds of situations, having the ability to evaluate and act is essential. This involves assisting people in making difficult decisions, offering emotional support, and putting them in touch with resources.

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4 4. Advocacy Skills: Patient needs and rights are upheld when engaging in advocacy. Supporting a patient's treatment preferences, assisting with insurance problems, or putting patients in touch with neighborhood resources are a few examples of this. 5. Knowledge of Healthcare Systems: It's important to help patients manage their care if they have a solid understanding of how healthcare systems work, including insurance procedures, hospital policies, and available treatments. 6. Ethical Decision Making: Medical social workers frequently encounter intricate ethical predicaments when making decisions. Decision-making skills that uphold professional ethical standards and uphold patients' rights and wants are essential 7. Case management: This entails organizing a patient's medical care, which includes making service arrangements, establishing connections with other medical professionals, and monitoring a patient's progress. 8. Counseling Skills: A medical social worker's job includes a lot of emotional support and assisting patients in coping with their ailments (Werner et al., 2004). References

5 Aldred, H., Gott, M., & Gariballa, S. (2005). Advanced heart failure: impact on older patients and informal carers. Journal of advanced nursing , 49 (2), 116-124. Gehlert, S., & Browne, T. (2019). Handbook of health social work (3rd ed.). Wiley. Hopp, F. P., Camp, J. K., & Perry, T. E. (2015). Addressing Heart Failure Challenges through Illness-Informed Social Work. Health & social work , 40 (3), 201–208. https://doi.org/10.1093/hsw/hlv036 National Association of Social Workers. (2016h). NASW standards for social work practice in health care settings . ttps://www.socialworkers.org/LinkClick.aspx?fileticket=fFnsRHX- 4HE%3D&portalid=0 Peterson, K. J. (2012). Shared decision making in health care settings: A role for social work. Social Work in Health Care , 51 (10), 894-908. Thurlow T. J. (1995). The role of the cardiovascular social worker. The Nursing clinics of North America , 30 (2), 211–219. Werner, P., Carmel, S., & Ziedenberg, H. (2004). Nurses' and social workers' attitudes and beliefs about and involvement in life-sustaining treatment decisions. Health & Social Work , 29 (1), 27-35.

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