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Implications for Social Workers:    Click on the link at left to go to your desired page:  Introduction  Page 2  Page 3  Study 1  Study 2  Study 3   Conclusion  Implication for Social Workers  Post-Test

Chronic hepatitis C is difficult to treat and can be progressive if not treated. Relevant patient and family decisions regarding therapy should include considerations for an increased life expectancy, versus treatment costs and the likelihood of adverse events associated with untreated disease. And although these side effects can be severe and there may be uncertainty concerning the effectiveness of treatment at first, most studies concur that pegylated interferon in combination with ribavirin is the therapy of choice for patients 18 years or older.  And social workers need to be aware that compliance to weekly injections of peginterferon and daily ribavirin are key to the therapy's success. Family and social issues that threaten patient compliance with this therapy need to be dealt with quickly and appropriately.

As part of the treatment process, it must be acknowledged by the treatment team that issues related to the contraction of hepatitis C and the long-term effects of such a chronic disease will most likely have adversely affected both patient and family. Therefore, the role of the clinical social worker as part of the multidisciplinary team is to foster support for improved coping and quality of life during therapy administration.

Social work interventions should include the following:

·Perform a psychosocial assessment including issues related to the mode of contraction, expected therapeutic outcomes, family dynamics of past coping mechanisms and an inventory of patient/family strengths and support systems as it relates to chronic disease progression. Social role, and psychological and functional issues of adaptations to chronic illness will determine the patient's quality of life goals.

·Assess for financial barriers with regard to accessing treatment and assist with referrals, advocacy, and resources eligibility as chronic disease can affect family financial stability.

·Assist with team teaching related to treatment regimen, dose modifications, and possible side effects in order to promote effective coping and compliance during therapy administration.

·Provide ongoing counseling support for optimal coping with common side effects of therapy, including hair thinning, fever, muscle aches, bruising, depression, anxiety, aggressiveness, infections, vision changes, rashes, cardiac risks and birth defects from accidental pregnancy. Encourage therapeutic interventions as needed. Because common side effects and anxiety regarding the uncertainty of treatment effectiveness can act as barriers, patient and family coping hinges on thorough teaching and counseling support by the entire multidisciplinary team during the duration of the therapy administration to ensure the highest quality of life outcomes.