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
Besides acquiring all that she can learn of the causes and prognosis of
disease, the social worker should be familiar with the symptoms of the
more important and _common types of disease_. There are now several
books written particularly with the object of conveying to social
workers and others such knowledge as I have referred to, yet without any
pretence of equipping the person either for nursing or for the practice
of medicine. I will mention here a book by Dr. Roger I. Lee, Professor
of Hygiene in Harvard University, "Health and Disease: Their Determining
Factors" (Little, Brown & Co., Boston, 1917), and my own book, "The
Layman's Handbook of Medicine" (Houghton Mifflin Co., Boston, 1916).
In order to understand such books, and to arrange her knowledge of
disease in such form that it may be easily handled, the social worker
must have a slight knowledge of anatomy and physiology, so that she can
arrange the symptoms of disease in connection with the different systems
of organs: circulatory, digestive, respiratory, urinary, nervous, and
locomotive.
Finally, the social worker must know the _principles of hygiene_, in
order that she may effectively combat medical quackery and the prevalent
medical superstitions of the people. That portion of hygiene which is
both securely founded upon scientific evidence and useful in the
preservation of health, makes up only a very small body of knowledge, so
that it can be easily mastered by any intelligent person. Our knowledge
upon such matters as diet, exercise, bathing, sleep, ventilation, when
such knowledge is both scientific and practically useful, could be
written upon a very few pages. It consists largely of negatives which
contradict the current superstitions.
In my own work in this field I have found it essential that there should
be no mystery and concealment, no obscurantism and mediæval Latin in the
methods of treatment which the social worker explains or carries out
under the doctor's directions. She must be able to deal with the
patients frankly, openly, without concealment or prevarication.
Otherwise she will not have moral force enough behind her statements to
bring them home to the patient so as to secure any reform in his
hygienic habits. Such reforms are difficult enough in any case. They are
usually impossible unless they can be initiated by one rendered eloquent
and convincing by the consciousness that she leans upon the truth and
has nothing to conceal. If she has mental reservations, if she is trying
to protect the authority of the physician in a statement which she does
not believe to be wholly true, the force of her appeal will be so
weakened that it will probably be ineffective.
_Technical methods_
There are some technical processes of diagnosis and treatment which are
usually carried out by the visiting nurse, but which may well be
performed after a brief training by the social worker who is not a
nurse. Among these are:
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