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Biomedical subjects

M Greeman

Publications and source records attributed to M Greeman.

5 recordsLinked to original sources
PubMed1997

Smoking in nursing homes: conflicts and challenges.

Nursing home social workers were surveyed to determine nursing home smoking policies and the effect these policies may have on resident and staff interaction. Data analyses suggest that in the past five years there has been a trend toward facilities becoming smoke-free. Facilities that permit smoking face greater conflicts between residents and staff. Social workers are expected to be resident advocates as well as mediators in such areas of conflict. This difficult position is further complicated by the social workers' personal views regarding smoking and "guest" standing in medical settings.

Adult↗
PubMed1993

Social work practitioners as researchers: is it possible?

Social workers are encouraged and often expected to conduct research in addition to their clinical duties. Unfortunately, few practitioners seem interested and there is usually a lack of tangible supports in most practice settings. To counter this, a support group of non-supervisory clinical social workers in a Department of Veterans Affairs Medical Center met regularly with a social work educator-consultant in order to strengthen research skills, maintain motivation, and promote publication. This group successfully published seven articles with an additional five in process. In contrast, a second research group at the same facility foundered after eight months. Similarities and differences between the two groups are discussed. Recommendations are made about how agencies might encourage and sustain practitioners in the development and publication of clinical research.

Curriculum↗
PubMed1991

Negative effects of a smoking ban on an inpatient psychiatry service.

Although many psychiatric inpatient units have banned smoking, the authors suggest that problems associated with implementation of no-smoking policies in these settings have been underreported. Over a two-year period after implementation of a smoking ban on inpatient units at a Veterans Affairs medical center, an estimated 20 to 25 percent of patients who smoked had difficulty adjusting to the ban, and some patients experienced major disruption in their treatment. Four cases illustrating problems in treating highly disturbed, nicotine-dependent patients are presented. The authors recommend that inpatient settings where smoking is banned should accommodate patients who cannot tolerate abrupt smoking cessation by providing smoking areas or allowing off-unit smoking breaks.

Adult↗
PubMed1989

Management of HIV-positive psychiatric patients who fail to reduce high-risk behaviors.

The authors describe clinical and legal dilemmas faced by staff involved in providing inpatient psychiatric treatment to two HIV carriers who continued to practice high-risk behaviors after learning of their HIV infection. Staff were unsure of their obligation to report the patients under a state law giving the commissioner of health broad discretion to limit the freedoms of HIV-infected individuals who continue to practice high-risk behaviors. Treatment of the patients also raised concerns about the appropriateness of treating noncompliant HIV-infected patients in traditional psychiatric settings and the lack of suitable aftercare facilities. The authors advocate developing a specialized treatment approach for noncompliant HIV-infected patients and provide a series of recommendations that might serve as the foundation for such an effort.

Acquired Immunodeficiency Syndrome↗