Social Work; Essays on the Meeting Ground of Doctor and Social WorkerCabot, Richard C. (Richard Clarke)
Science
Social Work; Essays on the Meeting Ground of Doctor and Social Worker
Cabot, Richard C. (Richard Clarke)
Charities, Medical; Friendly visiting; Medical social work -- United States; Social service
It is for this reason that the social worker is above all others the
person who can convey life-saving information to the public in an
effective way. A considerable amount of this precious knowledge is now
possessed by the medical profession; but it is shut away useless,
unavailable, in medical libraries and in doctors' minds. The social
worker can fight disease by spreading the contagion of medical truth.
She can multiply the foci from which truth can spread still more after
she is gone, just as disease is redistributed again and again from new
nests of infection.
The _prognosis of disease_, like its causation, is a subject on which
the social worker should know almost as much as the doctor. This is
possible because medical knowledge on this subject is still so very
limited. For the purposes of one who has to combat the poverty, sorrow,
idleness, and corroding fears which disease produces, knowledge of
prognosis is a most useful tool. For example: if one is to make plans
for the care of a group of children during their mother's illness, one
must have some idea how long that illness is going to last. If it
affects the bread-winner of the family, how long will he or she be
disabled, and how completely; what are the hopes of ultimate and
complete recovery; will chronic invalidism follow; is it worth while in
this particular disease to spend a great deal of money and time in
trying to achieve a complete cure, or is cure so improbable and at best
so incomplete that our resources can be expended more wisely in other
directions?
A knowledge of prognosis will help the home visitor greatly in the
solution of such problems. But it must be added that such knowledge as
she already possesses about the prognosis of a disease, such as
tuberculosis or heart trouble or kidney trouble, must always be
supplemented by all the information that she can gain from the doctor as
to the present prognosis in the case of the particular patient with whom
the social worker has to deal. For the general prognosis of a disease is
greatly modified by the particular circumstances in each individual
case.
Physicians are not at all eager to impart their knowledge about
prognosis, because this knowledge is so limited and so faulty. No
scientific man likes to make definite statements upon so indefinite and
hazy a matter as prognosis. Nevertheless, it is essential for the
patient's good that the doctor should be asked to give her as clear and
definite a statement as is possible for him to make with the facts that
he possesses. For it is only upon the basis of such a statement that an
intelligent plan of social treatment can be constructed.
Public-domain text, read in full here on John Shaqi.
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