Let's talk about our feelings: Emotional labour of community practice in times of pandemic

The start of the early Christian church is recounted in the book of Acts. In Acts 2 (NKJV) shares that after the outpouring of the Spirit of God, over 3,000 believers gather themselves together, where they “held everything in common, shared their resources, and that each person’s needs were met (Acts 2:42, The Message). The following article takes a bird’s eye view that assists us, as social workers, in understanding the importance of community practice. Community calls us to a sense of belonging and inclusion with a group of people. Community also calls us to consider again our shared values and resources. This article grounds us in the Biblical narrative, moves to our social work skills and knowledge base, and then concludes with thoughts that encourage us to address the “wicked problems” by being disruptive forces in the planned change process which is at the heart of community practice.

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Common Comorbidities that Alter Heart Failure Prognosis - shaping new thinking for practice.

Current Cardiology Reviews ◽

10.2174/1573403x16666201113093548 ◽

2020 ◽

Vol 16 ◽

Author(s):

Pupalan Iyngkaran ◽

Merlin Thomas ◽

John D Horowitz ◽

Paul Komesaroff ◽

Michael Jelinek ◽

...

Keyword(s):

Heart Failure ◽

Self Management ◽

Community Practice ◽

Elderly Age ◽

Medical Specialists ◽

General Internal ◽

Allied Health Care ◽

Speciality Training ◽

New Thinking ◽

Failure Prognosis

: At least half of all heart failure (CHF) patients will have a comorbidity that could be undertreated, requires additional speciality input and/or polypharmacy. These patients are then at risk from iatrogenic and disease related complications and readmissions if not closely supervised. Common comorbidities of relevance are cardiorenal and cardiometabolic syndromes (DM, obesity, OSA), chronic airways disease, elderly age and accompanying therapeutic optimisation. The structure of community practice often leaves primary, speciality and allied health care in silos. For example, cardiology speciality training in Australia creates excellent sub-specialists to deliver on the diagnostics and therapeutic advances. A casualty of this process has been gradual alienation of general cardiology towards general internal medical specialists and GP's. The consequences are largely noticed in community practice. The issue are compounded by suboptimal communication of information. This review explores these issues from a cardiology sub-speciality lens, firstly cross speciality areas important for cardiologist to maintain their skill and finally a brief overview of disease management and identifying game changing common denominators such as endothelial dysfunction and self-management.

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