Week 6: Transitions Flashcards
defining characteristics of transition include?
- process, disconnectedness, perception, patterns, response
is transitions about :
definite beginnings and end?, linear? cyclical?
it can be all of these things depending on the context.
what can affect a transition experience?
- socio-economic resources
- ethnicity
- ageism (e.g. people lose agency and others take over to make decisions)
- life course influences
- social construction of dependency (we focus on what people can’t do instead of their abilities - often w/ people w/ disability)
what are the 6 domains of transitions?
- physical
- psychological
- social identities
- emotional
- individual factors, physical
- social meanings
6 domains of transitions: physical, psychological and social are experienced as?
- changes in role, relationships and identities
6 domains of transitions: emotional, individual and social are experienced as?
environmental factors, physical health (functional ability but also what it means to someone), personal meanings, health
two directions in transition literature?
- identifies processes/factors likely to influence experience and outcomes of transition
- suggests what “healthy” transition includes (user-centred approach)
as a practitioner working with someone going through transitions, what are some things that can help?
- be sensitive!! don’t go in with assumptions - find out what their individual meanings are, what are their strategies and thoughts?
- be aware of differences in how i perceive something vs. how the client perceives it.
- acknowledge that disruption in life may cause chaos, confusion.
in working with transition clients, what can lead to more respectful practice?
- identify commonalities (focus on what we share with service users rather than what is different).
impairments (and transitions) can be
- motor/sensory
- cognitive
- communication
- behavioural domains (e.g increased anger/aggression)
physical, cognitive, communication, psychological, behavioural and emotional changes can change psychosocial outcomes - for example:
- individual social adjustments
- network of relationships
- social activities
- social participation
what can be considered more debilitating that the ‘disability itself’
if psychosocial impacts are profound and complex over the long term as part of all aspects of person’s life.
what can be more disruptive than physical or cognitive difficulties?
psychosocial need (note emotional and behavioural)
long-term difficulties associated with brain injury after discharge?
- living back in community
why would you need a clear understanding of psychosocial needs?
to link to services and intervention in community
three core areas of psychosocial need?
- interpersonal relationships and family relationships
- community participation
- school/study/employment
the three core areas of psychosocial need form the basis of ?
support and service provision in the long term
social work practice in transitions
- emergency care
- inpatient rehab (liaison w/ multidisciplinary team, person,family)
- family work
- counselling, education, case management
- assessing community and family resources for discharge
- outpatient rehab
social work practice in community settings in transitions
- education
- adjustment
- family work *
- community integration
- work
impact of family in transitions
- key support
- enhance outcomes
challenges for family in transitions
- cognitive behavioural challenges/ physical challenges
- depression, anxiety, stress
- changes in family function (reduced involvement, communication, role change)
- resilience/ adaptive coping
when analysing the 6 domains of transitions, what questions are important to note?
- what helps?
- what constrains?
- what is the impact on all stakeholders?
