Social workers in oncology are members of the inpatient and outpatient multidisciplinary teams and provide care directly to patients and their families and care givers.
Social workers fill support and advocacy roles for patients/clients and work on behalf of patients in cooperation with varyious specialists
Social Work is also available to team members who cope daily with ongoing trauma of working with a palliative patient population.
Social Work Roles
Illness Adjustment
- provide illness adjustment counseling to patients and their families along- bereavement counseling and Advanced Planning.
- assists patients with depression, anxiety, anticipatory grief, etc.
This counseling varies in format to span individual, couple and family counseling.
Practical Issues
- facilitate patient access to resources and entitlements that may be available towithin the greater hospital network and / or those in the community at large (i.e., Trillium Drug Plan, EI Compassion Leave, etc.)
Family Coping / Interpersonal Problems
- could include coping of a patient’s children, their partner, and extended family, etc.
Counselling of Accompanying Major Life Stresses
- could include such stresses as recent loss, conflict / abusive relationship, unemployment, etc.
Existential Issues (meaning of illness, etc.)
- counseling patients in palliative phase of illness and those anticipating losses (sexual functioning, disfigurement, independence etc.)
Support for Patients with Limited Support
- act as Advocate for this vulnerable patient population
Discharge Planning / Placement (inpatient only)
Not all patients are able to return home following admission. Patients that require ongoing nursingwill have Social Work facilitate applications for private Retirement Homes, Long Term Care facilities, Complex Continuing Care (SMOL), or Palliative Care Unit (SMOL). Social Work leads the family in planning these discharges and helps with their losses of independence.
Communication
Social Work is sometimes employed to facilitate better communication between the patient / familyand their medical team when more information would assist in overall coping.
At KGH
Social Work strives to ensure there is a continuum of care for patients between both the Outpatient and Inpatient service.
inpatients:
There are 3 full time Registered Social Workers attached to this Service and they cover palliative care, hematology, stem cell, oncology and some internal medicine patients.
in cooperation with varying specialists
Social Work services are available during any of the greater than 3000 patient visits serving people of the Southeastern Ontario region.
The economic impact of illness
In this video clip Cindy Fitzpatrick talks about the economic realities of a diagnosis like cancer.
Social Work Resources
Internal financial assistance programs such as our KGH Auxiliary Fund and Adult Special Service Fund along with external sources like the Brenda Cupido Fund, Breast Cancer Action Kingston, Ontario Assistive Device Program (breast prosthetics, colostomy supplies, pressure garments, etc.), Ontario Trillium Drug Plan, etc.
income Assistance Programs: Employment Insurance Illness / Compassion Leave Benefits, Canada Pension Plan, Ontario Disability Support Program, Ontario Works Assistance, etc.
Out of home placement facilities - Regional Palliative Care Unit (SMOL) provided that patients consent to DNR Orders, Complex Continuing Care (PCU), Long Term Care, and Retirement Home facilities
Quinte Thousand Island Lodge at Kingston General Hospital (weekday accommodation for distance outpatients)
Canadian Cancer Society (transportation services for all cancer-related travel), Cancer Connection, Cancer Centre Resource Library & Inpatient Resource Access program
Funeral services for families that require financial assistance (Ontario Works program)