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II–3 The Role of the Medical Social Worker (MSW) to Introduce and Continue Low Intensity Pulsed Ultrasound (LIPUS) Treatment

Medical social workers (MSW) improve available medical care, a system of social welfare, improve resources for patients and physicians, and assist with medical treatment, discharge of the patient, coordination between the patient and medical professional, and consultation with the patient family. As a result of such efforts, MSW have contributed to build a better healthcare setting. However, we lost some opportunities to give our patients LIPUS in the past because of insufficient coordination. To improve this, the physician asked MSW for cooperation to construct a system for introduction of LIPUS treatment in 2009. We analyzed the steps such as the case choice for LIPUS, determining the LIPUS treatment, communication with the patient, and meeting with the supplier etc., that had been conducted by physician alone. And, we determined which of these steps could be acted only by physicians and manualized the program for the other steps. After introducing this manualized program, we conducted LIPUS 52 times which increased from 13 times in a year. As most of bone fracture patients in our hospital are old and require nursing care, they have difficulty to continue LIPUS treatment because of their living conditions, such as living alone, dementia, etc. after their hospital discharge. Therefore, MSW cooperated with the nursing care business service and promoted the effective use of LIPUS. MSW who coordinates the welfare with medical care in a community medicine can contribute to not only bone fracture treatment of the elderly person effectively, but also ensuring the safety and support of the patient.