Professional Focus of the Department
Professional Focus of the Department
Social work in a healthcare facility is part of the treatment process for hospitalized patients (children, adults, seniors), aiming to analyze sudden social consequences resulting from illness or injury, or to assess long-term social problems of the patient that have become more pronounced due to the current hospitalization. The goal is to carry out an analysis of social problems related to the patient’s current health condition, determine a social diagnosis, and develop a plan of solutions to mitigate or resolve these consequences, provided there is active cooperation from the patient and their surroundings, with an emphasis on multidisciplinary cooperation (collaboration with healthcare professionals, authorities, state and local government institutions, and other organizations).
The aim of the department is to provide the patient and their social environment (family, community) with recommendations in the form of a set of social interventions, primarily to ensure follow-up care after the end of hospitalization in a healthcare facility.
Procedure for placing a client in a social services facility:
When deciding on placing a patient in a social services facility, a detailed assessment of their health and social condition must be carried out based on five criteria:
AGE OF THE PATIENT
CURRENT HEALTH CONDITION AND ITS PROGRESSION
SOCIAL AND ECONOMIC STATUS OF THE PATIENT (marital status, housing situation, social functioning before hospitalization, relationship with relatives). Regular income of the patient: pension, benefits in material need, sickness insurance benefits
MOBILITY STATUS (ambulatory, partially mobile, bedridden)
PATIENT’S SELF-CARE STATUS (nutrition and fluid intake, bladder emptying, bowel movements, personal hygiene, bathing, dressing, undressing, changing position, sitting, standing, climbing stairs, walking on flat surfaces, orientation in the environment, adherence to treatment regimen, need for supervision).
Administrative procedure for placing a patient in a social services facility (SSF):
PHASE 1
in the event of a decision to initiate the process of placing a patient in an SSF. Social services facilities are divided into:
Facility for Seniors (FfS) – conditions for placement: retirement age and the patient requires multi-hour assistance from another person.
Nursing Care Facility (NCF) – an adult, providing residential social services for a specific period due to changes in the person’s health condition, mobility, and self-care ability.
Social Services Home (SSH) – provides weekly, outpatient, or residential social services to a person who has not yet reached retirement age, due to changes in their health condition, mobility, and self-care ability.
Specialized Facility (SF) – providing residential social services to a person with changes in health condition, mobility, and self-care ability resulting from the following conditions: Parkinson’s disease, Alzheimer’s disease, dementia of various types, schizophrenia, multiple sclerosis, pervasive developmental disorder, deafblindness, severe organic psychosyndrome.
After the overall condition has been assessed, a so-called Application for an Integrated Assessment is drawn up, which, once completed (application, questionnaire, medical report), is sent for processing to the relevant Office of Labour, Social Affairs and Family according to the patient’s permanent residence. The office has approximately 60 days to process it, although this period may be extended as needed.
Once the final decision on the integrated assessment has been issued, you should begin communicating with providers of the selected types of social services. We recommend starting this communication and monitoring the availability of the selected types of social services even while the decision on the integrated assessment is still being processed.
PHASE 2
the second phase of placing a person in an SSF involves the patient’s family members searching for social services facilities within the Nitra region (or possibly outside it) that provide the type of social service specified in the integrated assessment issued by the relevant Office of Labour, Social Affairs and Family. We recommend monitoring providers of residential social services already during the first phase of placement. Once a suitable social services facility has been selected, a written agreement on the provision of social services is concluded with that facility. The agreement must be accompanied by proof of the person’s income for the current and previous calendar year, as well as a declaration of assets. Based on this application, the person is registered on the waiting list. An agreement for the provision of a specific type of social service, as determined by the decision, can also be concluded with more than one social services facility (two or more).
PHASE 3
refers to setting a specific date for the applicant’s admission to the selected social services facility. If the selected facility has an available place and the applicant agrees, the admission can already be arranged during the second phase, i.e. when concluding the agreement on the provision of social services. For admission to a social services facility, it is necessary to follow the instructions of the social worker at the chosen facility. Admission to a social services facility usually involves the following matters: gathering the necessary personal items: hygiene products, personal documents (ID card, health insurance card, birth certificate), a certificate of no infectious disease, confirmation of the primary healthcare provider – deregistration from the current general practitioner for adults, and registration with a new general practitioner for adults managed by the social services facility.
A special type of social service provided directly in the patient’s home environment is home care service. Home care service is a field-based social service provided in the home environment to persons who, due to their unfavorable health condition, depend on the help of another person. It includes assistance with self-care, household management, and basic social activities. To arrange this social service, a valid integrated assessment and communication with providers of field-based home care services in the given region are required.
- SSH – Social Services Home
- SF – Specialized Facility
- FfS – Facility for Seniors
- NCF – Nursing Care Facility
The area code before the extension is 037 / 6545 + extension
| social worker | PhDr. Marek Šrank, PhD. | 935 | marek.srank@fnnitra.sk |
| social worker | PhDr. Andrea Miavcová, DSc. | 743 | andrea.miavcova@fnnitra.sk |
| social worker | Mgr. Zuzana Müllnerová | 935 | zuzana.mullnerova@fnnitra.sk |
| social worker | Mgr. Michaela Klučková | 286 | michaela.kluckova@fnnitra.sk |
(Psychiatric Clinic, Child and Adolescent Psychiatry section)