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Obstacles to effective case management with AIDS patients: the clinician's perspective
C S Roberts1, C Severinsen, C Kuehn
1H. Lee Moffitt Cancer Center and Research Institute, University of South Florida, Tampa 33682-0179.
Social Work in Health Care
|January 1, 1992
Summary
Effective case management for AIDS patients faces challenges including stigma, family support issues, AIDS dementia, ethical dilemmas, advocacy conflicts, resource limitations, and countertransference. Addressing these is crucial for patient care.
Area of Science:
- Social Work
- Public Health
- Medical Case Management
Background:
- Social work case management is vital for patients with Acquired Immunodeficiency Syndrome (AIDS).
- This case study examines the multifaceted role of a social work clinician managing an AIDS patient and his family.
Observation:
- The clinician performed roles including discharge planner, client advocate, counselor, and educator.
- Seven key obstacles to effective case management were identified through clinical observations.
Findings:
- Obstacles included the stigma of AIDS and homosexuality, inadequate family support, and the impact of AIDS dementia.
- Ethical dilemmas in discharge planning, advocacy conflicts, resource scarcity, and countertransference issues were also significant challenges.
Implications:
- Findings highlight the complex needs of AIDS patients and their families.
- Integrating clinical observations with social work literature can improve case management strategies for this population.