This is an opportunity for you to engage in self-awareness. Reflect upon the int

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This is an opportunity for you to engage in self-awareness. Reflect upon the interview and the population research by answering the following questions:
1. What did you learn about the population in your research that caused a shift in the way you think?
2. Do you believe there are adequate services available for the population? Why or why not? Any suggestions for improvement to existing services or service delivery?
3. When interviewing the social worker, what impacted you the most about what he/she shared and discuss. Elaborate.
(This reflection paper should be a minimum of 2 full pages.)
interview :
SOCIAL WORKER: I graduated from FIU since, 1999. And I’m working right now at Kindred Hospice agency. I worked over here for 14 years and the main goal for our agency is to provide palliative care to our patients. We do home visits, hospital visits, nursing home visits, and ALF visits. I don’t know if you are familiar with the means?
GROUP: Yeah, that’s what I was gonna ask. What does ALF mean?
SOCIAL WORKER: ALF means assistant living facilities, which is, you know, that that is a place that is only be allowed for six patients. You know, I say the government gave it the license to the order and they allow only to have six patient in the place and the nursing home, you know, that, that I say, you know, big facility right now, our sensors in our agencies around say it’s around 475 patients.
GROUP: Oh, wow.
SOCIAL WORKER: Case is very big right now. You know, we are hiring social workers. So if you know anybody, you know, MSD over, you. You can call me and I can refer to the page, you know, to the person in charge for the human resources and they can do, you know, an interview.
GROUP: Oh, absolutely. The typical client for you is they’re, they’re like in hospice is that they’re really elderly?
SOCIAL WORKER: Hospice patients means that is the patients with, you know, critical conditions, patient who has prognosis for takes months.
GROUP: They take them into hospice when they feel like there’s no more that they can do for them? Correct?
SOCIAL WORKER: Right. Right. The criteria as an angle flies.
GROUP: No, I’ve dealt with a lot of hospice. Okay. How do you prepare for this mentally? Does it take a toll on you? Do you do any counseling?
SOCIAL WORKER: Okay. Basically we do counseling to the families in order to prepare them for, you know, to the end on flight. We do also referral for the community resources. For example, we got patients who live at home and the family they need like, you know, food stamps. We do referral for food stamps. We do referral for Medicaid waiver program with that. I don’t know if you’re familiar with that program?
GROUP:Mhmm.
SOCIAL WORKER: That program is a state local program that they provide hours for companionship.
GROUP: What’s the name of it?
SOCIAL WORKER: Medicaid waiver program. They got a big waiting list right now. We got very, very high demands of patients who needs those type of service, but basically, you know, that agency is a big help to the families. More to keep patients at home. That program is only for patients who live at home.
GROUP:Correct.
SOCIAL WORKER: And sometimes when the family transfer the patient to the ALF, which that mean assisted living facilities. They pay the rest of the cost of the ALF. But when the patient is transferred to the nursing home, they have to qualify for nursing home placement and they have a criteria in order to be admitted to the nursing home.
GROUP: Okay. And what about for you guys, for you guys as social workers, dealing with all these people that are about ready to, to die. Is there anything that they offer you for counseling or, or to help with that?
SOCIAL WORKER: No, uh, as an employee, no, no. But you know, due to years of experience that you have, you have to be prepared mentally to work with these type of patients. Right now in the beginning, when I start working in hospice for me was a little bit difficult to see, you know, and deal with those type of patient and see the past, struggling with those situations. After years of experience, you got, you know, little by little you have to learn. How is the difference between, you know, your personal life and you working setting. And that’s the only way. If more on the daily basis to provide the proper care for the patients and the family. That’s the only way. You have to be prepared for them to ask any type of care questions that they needed. Also, we provide information for the funeral home we do for our community. We got a program in Dade county. They call P I P program. With that program is only for families that they got very, very low income. So we do applications for them in order to help them to do funeral home arrangements. Because today in this difficult time, the prices are very, very high.
GROUP: Oh my God
SOCIAL WORKER: They don’t have the money to pay for the funeral home. So that’s another thing that we have to do. To find funeral at home for them in order;
GROUP: They can afford.
SOCIAL WORKER: they can afford it. Yeah.
GROUP: So would you say that would be the greatest challenge right now within your field? That the prices for the funeral homes or what other challenges are there?
SOCIAL WORKER: I’m thinking, you know, this is the big challenge that we have. To find funeral home that they catching a very, very low price in order to do cremations. Because right now we got a lot of family to do cremations because they cannot afford the whole viewing.
GROUP: I would like to interject and ask a question real quick. What are any ethical dilemmas that you might have in this type of job in this particular field of practice? Oh, sorry. Hear words. Will you please repeated any, um, sort of ethical dilemmas in this particular field of practice that you’re in?
SOCIAL WORKER: Right now is, you know, to deal with the family that they don’t have sex in the patient’s conditions, that’s the big ethical dilemma that we have. So we have to provide a lot of education. We have to provide a lot of counseling to the family in order to assist with the patient’s condition. Because most of the time, all the patients in our hospice they’ve got a prognosis for six months and one year for life expectancy.
GROUP: So what kind of background would a social worker need to have to be able to enter this field?
SOCIAL WORKER: They have to at least have one year experience as a social worker in any type of agency. At least you have experience as a social worker, like in a hospital setting, nursing home setting, or home health, food stamps. Any type of experience as a social worker in any agency at least one year.
GROUP: Can I ask, what is it like? One day in your life going to work and doing what you do?
SOCIAL WORKER: Sometime I have normal days, but sometimes like a hectic day. Yesterday I got two patients who are dying that I have to deal, you know, with two deaths at the same time. Then I have to do also a nursing home placement at the hospital because we have to go to the hospital and visit the patients over there. And do the discharge plan for them and coordinate with the families, coordinate with the nursing facilities. So sometimes I got days that are very, very rough.
GROUP: I can imagine, my goodness.
SOCIAL WORKER: Yeah. So you have to, you know. Day by day, you’re getting the experience here to do and deal with a lot of things in the same time, because this is the job that is not, you know, doing one thing one day. Tou got days that you have to do multiple tasks in the same day.
So, you know, little by little, you are learning, you know, to do those things.
GROUP: Yeah. Any examples of what you’ve dealt with a client, for example, that has a different culture and you need to kind of play into their culture to understand, to show that you understand them. If that makes sense?
SOCIAL WORKER: Yeah. Sometimes, you know, we provide care to all races or anything. My area, we work by area and by team. So sometimes, you know, I got patients, the majority, in my case, they are Hispanic. And also for Americans, we got Philippines, Jewish, which is, you know, Miami beach area. So that’s another team, but especially in my team, we got a lot of Hispanic population. For the American population they are, I think, a little bit prepared to place a patient at hospice. But in Hispanic population, it is a little bit difficult due to the feeding, falling. Because sometimes when the patient is dying, the body is starting to shut down and they stopped to eat. So for the mentality for the Hispanic population, that’s a big issue. Because sometimes, you know, they get to the point that they have to place a Petro feeding, you know how that’s means right? It’s a tube in the stomach and they provide milk and all the medication through the Petro feeding. They don’t want to do that. And they get so resistant and they get so confused and they get so frustrated in order to accept, you know, patient diagnosis and prognosis. Yeah, definitely exhausting. You know, the main problem is they don’t take to feeding because they want the patient to eat normally like they used to do before. So, you know, they don’t see it, that the patient is declining little by little and they force them to eat. So sometimes they force the patient to eat and they get aspiration. And they have to send the patient to the hospital for pneumonia or any complication that they have.
GROUP: Do you have any self care routines or anything that you yourself do to prepare for work? SOCIAL WORKER: Especially, you know, I wake up early in the morning and I do exercises. Sometimes in the afternoon I walk with my husband around the block and I do those exercises to help me to release the anxiety of a very rough day. Those are the things that for me are working. In order to get vacation, I have to get the time I accumulated. And when I got the time accumulated, I took my vacations with my family and I go away from Miami. I go to visit my family in Puerto Rico. I go to visit my family in New York, I got family in California. To me, with my family and to see them. So for me, it’s very, you know, that’s a big, big emotional support for me.
GROUP: Going back to going back to the question about culture. Have you had to change the way that you give your services to certain clients of different cultures? In the way that you treat them for example, or is it all standard the same?
SOCIAL WORKER: No, it’s the standard, the same.
GROUP: Oh, okay.
SOCIAL WORKER: Yeah. It’s the same. We don’t do anything different for any type of patient. Race, religion, or whatever. We provide care for everybody.
GROUP: Okay. Now, what kinds of attitudes, values, knowledge, and skills must one have to work in this field?
SOCIAL WORKER: To work in this field. I think there are some people that don’t like it and some people, you know, like it. Because you have to be very compassionate to do this job. You have to have a big heart to provide love, you know, to the patients and to the families in order to provide proper care for them. So to be also empathic with them, to see, and to feel all the process that they’re going into. We respect religions, whatever they have, we respect, you know, race, whatever they have in order to provide the proper care for everybody.
GROUP: Okay. So how many staff do you guys have? I remember you mentioned how many clients. How many staff do you guys have working with you?
SOCIAL WORKER: Well, you know, we got the hospice agency. We are the biggest agency in the whole country because we got different sites in Miami.
Over here, we have around 850 employees. We also have an office in Orlando. And also we got patients in Key West. So we also provide care to Key West. So we are divided by area in my team. In my team, we got around 125 patients. You want overall in the whole country? I think it’s more around 150,000 could be. GROUP: How long has your agency been around?
SOCIAL WORKER: In Miami they started around probably 20 years ago.
GROUP: Would you say that your agency receives adequate funding?
SOCIAL WORKER: No, we are a private agency. Hospice is a private agency.
GROUP: Oh, okay.
SOCIAL WORKER: Yeah. Medicaid waiver program, is the one that they receive funds because it’s a government agency and they provide Funds for the government, I think once a year or two, two times a year. But we are a private agency because we bill to Medicare. Hospice bills to Medicare.
GROUP: You told us the name already, right? Of the agency.
SOCIAL WORKER: Kindred Hospice, Kindred
Hospice agency. My name is Rosa.
GROUP: What area is this in? Is it in the south Florida or north area?
SOCIAL WORKER: Our office is located in 6161 Blue Lagoon Drive, suite 170 Miami, Florida, 33126. The phone number over there is (786) 388-1400.
GROUP: All right. Does anyone have any more questions? I think we’ve pretty much covered it. All right. Yeah.Okay. Rosa, thank you so much for your time and help. Thank you so much.
SOCIAL WORKER: My pleasure, I hope, you know, I helped a little bit and I wish good luck to everybody. GROUP: Oh, thank you. Thank you. Thank you.
SOCIAL WORKER: Have a nice day. Bye.

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