Myocardial infarction patients in the acute care hospital: a conceptual framework for social work intervention

This paper describes a conceptual framework for identifying myocardial infarction patients in the acute care hospital who are at risk for medical and psychosocial complications that may impede recovery. Because of their precarious medical status, these patients present special issues for social work practice. Psychosocial factors affecting outcomes are reviewed and interventive strategies are outlined. The crucial role of adaptive denial in recovery is highlighted.