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CAPC Palliative Care Discussion Forum
Palliative Care in Long Term Care Settings

In Reply To: Chaplain and Social Services
Previous Message: Re:Chaplain and Social Services

Post Re:Chaplain and Social Services
Author: Tim_Ford
Date: Feb 5, 2010 8:28 am
Though the odds of a professionally-trained MSW or chaplain providing biased counsel to a resident are slim to none, nevertheless the vulnerability of this population (doubly so among palliative patients) is such that the mere appearance of a conflict of interest is enough to warrant extreme caution. In principle, if the LTC cannot justify what, in my opinion is a base service to the residents, then farming it out to a community partner with a financial bias is unwise. Would they allow your hospice to provide 'pro bono' nursing services or physicians for patients not under your care? Sadly, it is precisely these 'rock-and-a-hard-place' conundrums that sometimes catalyze the FTE's. In the end, it is the LTC's reputation and responsibility that is at stake.

Tim Ford
Palliative Care Chaplain
VCU Massey Cancer Center
Richmond, VA
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