I am very happy to have been given the opportunity to work within the hospice arena. And as I learn my way on the job (I'm the only social worker here at present), I realize that I must start communicating with different team members within their own professional culture. This is not shocking to me, since I have worked in the health setting before for serveral years, but it seems so exaggerated now. And the fast pace of hospice, even when interacting with patient families, seems to cut short much of the counseling techniques that I have relied upon in the past. I would like to hear from other social workers about how the interact with team members and how they represent the needs of a patient/family.

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  • Hello, Tobi. At Crossroads Hospice, we have team meetings on each patient every two weeks. The disciplines are divided into teams. I have a chaplain that I am paired with for most of my patients, and a fairly small group of nurses that I work with who care for my patients. Geographical boundaries help to limit team sizes, though imperfectly at this point.

    At these meetings, the focus, at a minimum, is on the patient's physical condition, with comments from social workers and chaplains about the patients and their caregivers/families/friends. Sometimes the focus of the patient discussion is on the psychosocial aspects of their care; obviously, it depends on the situation. Problem solving involves the entire team.

    In between these meetings, we remain in touch via conversations in the office and phone calls. Some team members are more prone to sharing information than others. The longer we work together as a team, the better we are able to function together on behalf of our patients, because we build a trust level among us that facilitates our work.

    Sometimes I find myself serving as an advocate for caregivers in team meetings. It is easy for team members to view family/caregiver needs as impediments to caring for the patient. I do my best to reach out to and understand the needs and concerns--often emotional--of the family, as, in truth, they are really inseparable. Having all disciplines looking at the case together is so helpful in getting the truly "big" picture. Remember the poem about the blind men and the elephant, where each man, touching a different part of the elephant, identified it as different object? Much the same thing can take place at times for us. That's why this formal meeting time is so helpful. Hope this helps a little.
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