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What is unique about the practice of palliativecare for people experiencing homelessness? We discuss the principles of harm reduction, social determinants of health, and trauma informedcare. I saw a person who couldn’t access the social determinants of health. It’s been quite a ride.
Eric and I are joined today on this podcast by Anne Kelly palliativecaresocialworker to discuss these issues with Liz. Alex: And joining us as she has many times, Anne Kelly is a socialworker at the San Francisco VA. Liz: Yeah, palliativecare teams is exactly one of those institutional factors.
We all, when bombarded with information have to take certain elements of a decision and focus on those; and in the ICU, you can imagine, we’re bombarded with information a lot. We have our socialworkers and our psychologists and we know how to manage these symptoms. Were these two resources already there?
So the reason why our palliativecare team had those coping skills, which we often traditionally think is more on the purview of a psychologist, is just because of Mass General being a general hospital, palliativecare grew up with a very close and collaborative relationship with psychiatry and psychology.
So, basically, with a stepped care model, the goal is to tailor care delivery to the patient’s needs while at the same time utilizing less clinician resources. How it works is that all patients will have access or encounters with the specialty trained clinician, a psychologist, a socialworker, a palliativecare clinician.
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