Creating a Seat at the Table: How Family Meetings Elucidate the Palliative Care Social Work Role

J Palliat Med. 2020 Dec;23(12):1688-1691. doi: 10.1089/jpm.2019.0645. Epub 2020 Apr 23.

Abstract

Background: Palliative care social workers (PCSWs) play a crucial role in optimizing communication and family-centered care for seriously ill patients. However, PCSWs often struggle to demonstrate and receive open acknowledgment of their essential skill set within medical teams. Objective: This case discussion focuses on the care of patients and families surrounding family meetings to highlight the crucial role of the PCSW in (1) preparing the family; (2) participating in the provider meeting; (3) participating in the family meeting; and (4) following up after the meeting. The aim is to illuminate how the PCSWs can demonstrate their unique and essential skill set to medical teams and as a means of furthering the work of psychosocial clinicians throughout medical systems. Conclusion: As the medical model continues to shift toward family-centered care, it is crucial for medical teams to optimize their partnership with patients and families. PCSWs can offer a trauma-informed biopsychosocial-spiritual lens that is instructed by continuity of care and exemplary clinical and rapport-building skills. PCSWs can play a critical role in optimizing communication, support, collaboration, and family-centered whole-person care.

Keywords: family meetings; psychosocial support; social work.

MeSH terms

  • Communication
  • Family*
  • Humans
  • Palliative Care*
  • Professional-Family Relations
  • Social Work