scholarly journals Navigating fierce love during the pandemic: Reflections of a Pinay Scholar Warrior

2021 ◽  
Vol 20 (1-2) ◽  
pp. 256-263
Author(s):  
Alma M Ouanesisouk Trinidad

This article presents reflections of a Pinay Scholar Warrior of Kapu Aloha and Mahalaya during the pandemic. Excerpts from her social media and reflections from her personal journal reveal the complexities of navigating fierce love in social work teaching and service. Issues related to facilitating critical analyses of social determinants of health, grief and loss, and rediscovering strengths and joys. Implications of women of color in the academy is alluded.

2020 ◽  
Vol 32 (4) ◽  
pp. 199-205
Author(s):  
William Cabin

There is significant literature on the importance of addressing social determinants of health (SDOH) to improve health care outcomes. In response, the Centers for Medicare and Medicaid Services (CMS) has expanded Medicare Advantage plans ability to cover SDOH-related services. Medicare home health does not cover SDOH-related services. A literature review indicates no studies on the nature, significance, or impacts of the lack of SDOH coverage in Medicare home health. This article summarizes an initial, exploratory study to address the literature gap, based on interviews of a convenience sample of 29 home care social workers between January 2013 and May 2014 in the New York City metropolitan area. Results indicate social workers believe the lack of SDOH coverage, including social work, in Medicare home health results in exacerbation of existing patient conditions; creation of new, additional patient conditions; increased home care readmissions and rehospitalizations; increased caregiver burden; and exacerbation of patients’ mental health and substance abuse needs. Policymakers are urged to consider adding coverage of social work and SDOH to Medicare home health.


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