Medical social workers assume various distinct roles in their practice. These roles range from educator and advocate to counselor, liaison, and mediator. The generalist intervention model (GIM) informs medical social work practice, with these roles reaching across each stage of the model. Medical social workers view patients and their problems in context, combine practice skills and techniques that meet the individual situation, and implement interventions across the multiple systems present in the patientâ€s life. The interventions are implemented on a continuum ranging from micro to mezzo to macro levels.

It is important to be mindful of the fact that patients are not the only people with whom medical social workers practice. It is not uncommon for medical social workers to intervene with family members and support caregivers, cooperate with members of the community, and collaborate with other health care professionals as well.

To prepare for this Discussion, think about the wide array of services provided by a medical social worker. Consider the roles, responsibilities, and scope of practice of the medical social work profession. Examine the medical social work practice skill within the GIM.

By Day 3

Post a description of three primary roles of medical social workers that you consider to be inspiring and rewarding. Explain why. Explain how these roles directly support patients and their families. Explain how these roles might directly address three issues related to patient care (e.g., noncompliance with treatment regimen). Then, describe specific interventions (e.g., patient education to improve treatment compliance) you might implement when performing your primary roles to resolve the three specific issues you selected. Illustrate these issues and interventions with examples (e.g., patient education or health literacy to reinforce treatment regimen).

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

Gehlert, S., & Browne, T. (Eds). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.

• Chapter 2, “Social Work Roles and Health-Care Settings” (pp. 20–40)

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Overview/Description:

The purpose of this assignment is to describe, evaluate and discuss application of a nursing grand or mid-range theory. This assignment also provides the learner an opportunity to connect theory and research to nursing phenomena. Learners will develop an 8-10 page paper (excluding the title page and references) using APA style to address the elements listed below.

Theory/Author Name and Background

1. Select a Grand or Mid-Range Theory that is appropriate to your practice setting.
2. Describe the theorist’s background in detail and discuss how their experiences have impacted the theory development.
3. Examine crucial references for the original and/or current work of the theorist and other authors writing about the selected theory.
4. Identify the phenomenonof concernor problems addressed by the theory.

Theory Description

1. Explain whether the theory uses deductive, inductive or retroductive reasoning. Provide evidence to support your conclusion.
2. Describe the major concepts of the theory.  How are they defined? (theoretically and/or operationally) Is the author consistentin the use of the concepts and other terms in the theory?
3. Interpret how the concepts are defined.  Implicitly or explicitly?
4. Examine the relationships (propositions) among the major concepts.

Evaluation

1. Identify explicit and implicit assumptions (values/beliefs) underlying the theory. On what assumptions does the theory build?
2. Examine if the theory has a description of the four metaparadigm concepts of nursing. If so, how are they explained in the theory? If the metapardigm is not explained, what elements do you see as relevant to the theory and why?
3. Discuss the clarity of the theory.  Did it have lucidness and consistency?

Application

1. Examine how the theory would guide nursing actions.
2. Describe specificallyhow you can use this theory in your area of nursing (Practice, Education, Informatics or Administration).

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