How Does A Social Worker Help Me In A Skilled Rehab Nursing Center?

How Does A Social Worker Help Me In A Skilled Rehab Nursing Center?

by Catherine Denlinger, MSW, LSW
Director of Social Services
The GRAND of Dublin

Social WorkerSocial workers are a part of the interdisciplinary team that will assist you from the admission process to your discharge from a center. The team consists of Nursing, Activities, Dietary, Therapy and Social Services.  Our emphasis is on advocating, empowerment and making sure that your psychosocial needs are met.  We will assist you with advocating your wants/needs.  We want to make sure that your stay is as comfortable as possible.   We will empower you to increase your independence.  We want you to ensure your resident rights are respected and that your dignity is maintained.  We will assist with referrals needed to assure your psychosocial well-being.  We can assist with arranging counseling services, psychiatric services, spiritual services and so forth.  A social worker will assist you with making safe discharge plans for home.   This may be returning home to live alone, with family, at a Senior Living Center in Assisted Living, Independent Living or Long Term Care.  We will assist you with making sure that you have your medication, follow up appointments, home medical equipment and home health care services or outpatient therapy services arranged.

Here, at The Grand of Dublin, you will be met by a social worker shortly after your arrival.  We will welcome you to the center, provide you with our business card, explain our role and assist with any concerns/issues and/or questions that you may have.  We will further discuss preliminary discharge planning and schedule a care conference with you and your loved one(s) for a few days after you arrive.  At the care conference, along with the interdisciplinary team, we will discuss goals, length of stay, discharge planning in more detail and address any issues/concerns that you or your loved one(s) may have.  During your stay, we are here to ensure that your psychosocial needs are met in a timely manner.  We are available to you if you need us for anything!  Toward the end of your stay with us, we (along with some members of the interdisciplinary team) will meet with you to discuss and finalize your needs for a safe discharge.  We will order your home medical equipment if needed, discuss follow-up appointments and set up home health care services and/or outpatient therapy services for you.  We can make referrals to social service agencies.  We will also meet with you to review your medication needs along with our Pharmacy Technician.  Our social services department looks forward to meeting you and assisting you through your recovery process.

About the Author