Medical Social Services and Case Management

An admission to the hospital can create anxiety for both the patient and their family. Bothwell Regional Health Center has a team of nurses and social workers who provide a wide range of services to patients and families. Our nurses and social workers help find answers to questions concerning how to pay for hospitalization, planning for care after discharge, patient education, advanced directives and linking to other community resources for services.

Advance Directives

The written instructions you use to state your healthcare preferences before becoming seriously ill are called advance directives. Before making these important decisions, we recommend that you discuss the issues and your personal wishes with your family, close friends, physician, attorney or clergy. Documents that state these wishes include a Living Will, Written Healthcare Directive or Durable Power of Attorney for Healthcare Decisions.

Our Policy states that it is your right to make healthcare decisions. Our goal is to make certain your preferences are known and respected. If you have not previously documented your healthcare preferences, the healthcare team will take all reasonable steps to maintain your life.

Important points about healthcare directives:

  • Missouri law does not allow family members to make healthcare decisions for adult patients unless specifically granted in a Durable Power of Attorney.
  • An advance directive has no effect if the patient is pregnant.
  • If you have an advance directive from another state, it will be accepted, but may not be fully enforceable if it fails to comply with Missouri law.
  • An advance directive may be revoked by a patient at any time by any manner in which the patient is able to communicate.
  • In the event the patient's condition does not allow us to verify if an advance directive is available, all reasonable steps will be taken to maintain his or her life.

In addition to the hospital, the following organizations provide forms for advance directives:

Advanced Directives Form

Ethics Committee

The Ethics Advisory Committee is a group of healthcare professionals and community representatives that provide education and awareness of ethics in health care. They review and develop policies that involve ethical issues and provide input when ethical dilemmas come up during patient care.

Patient Advocates

Patient Advocates serve as liaisons between the patient, their families and the hospital. The Patient Advocate transcends departmental lines and interacts with staff at all levels of the organization. They help resolve questions and concerns when departmental staff have been unable to do so.

Patient Advocates are available from 7 a.m. to 4 p.m. Monday through Friday and can be reached by calling (660) 827-9588. If the Patient Advocate is not available, please ask hospital staff to contact the health center’s Patient Care Coordinator, who is available and on duty 24 hours a day, seven days a week.