ABSTRACT
In this third year of the global Covid-19 pandemic, we are in touch with the tragedy of life, our fear of extinction, and the anxieties associated with the regression of human civilisation. Fatigue and exhaustion, coupled with existential burnout and profound sadness is apparent in all thirteen global reports. Covid has interrupted our sense of personal continuity and omnipotence, confronting us with our vulnerabilities and exigencies, fuelled by our failed economic, political, and social models. The weakening of shared values, fragmentation of relations, increasing aggression, and social chaos augment divisions and splitting. As we connect with inequality and privilege, some experience guilt and discomfort. Many are awakening to the interconnectedness of all things, and our individual and collective responsibilities. We need credible and reliable leadership to rebuild trust, and responsible, functioning political authorities and institutions to help foster belonging, protection, and agency. We are struggling to think enough, care enough, and act enough. "Let's wake up” to the available resources within us and externally, rediscovering positive energies and the courage to live with contradictions, engaging our "inoculated selves against seeing injustices” and acting responsibly towards our common home and the common good. Will we succeed? © 2022,Organisational and Social Dynamics.All Rights Reserved.
ABSTRACT
Objective: The COVID-19 pandemic triggered a worldwide need for telehealth services. Previously providing services in remote communities, virtual consultations were implemented to accommodate the needs of people with CF (pwCF) who were shielding and unable to attend faceto- face consultations. Method: This group has compiled a CF Physiotherapist’s toolkit of essential elements necessary to enable delivery and promotion of safe, equitable virtual sessions, specific to pwCF. Through international collaboration and shared experience, the toolkitwas developed to support physiotherapists working across paediatric and adults with CF. Results: Centres implementing telehealth into routine care need rigorous methods to evaluate safety and effectiveness ensuring optimal care. Using telehealth for joint sessions with shared care centres, or during transitional periods, should be considered ensuring equitable access and specialised care for all. The health benefits of telehealth, the coincident enhanced control of cross infection and resource savings, to the hospital and the person/family with CF in time and travel costs, are invaluable. A blend of virtual and faceto- face consultations could be the mainstay of future CF care. CFTR modulator therapy, improved specialised care, and improving life expectancy is compelling clinicians to review current services, improve efficiencies and continually optimise care and health outcomes. Telehealth, may provide an option for alternative models of care which may not be suitable for all but should be considered as an option in future CF services. Conclusions: Using this toolkit, the CF Physiotherapist is provided with relevant guidance and support for delivery of online/virtual respiratory review, spirometry assessment, evaluation of inhalation therapy, airway clearance and exercise opportunities. The toolkit promotes an equitable translation from face-to-face care to virtual care and includes strategies for risk mitigation in the virtual setting.
ABSTRACT
From 2019, the novel coronavirus or “Covid-19” spread around the globe, bringing death and disruption. On or around 8 January 2021 thirty-six Listening Posts were conducted in twenty-three countries: Australia, Argentina, Brazil, Bulgaria, Canada, China, Denmark, Faroe Islands, Finland, Germany, India (11 regions in one combined report), Ireland, Israel, Italy (4 LPs), Lithuania, Netherlands, Poland, Serbia, South Africa, Taiwan, Turkey, United Kingdom, United States of America. This global report synthesises twenty-two local reports, extracts general themes and patterns, and offers connections and interpretations. For the first time International Listening Posts were conducted online. © 2021, Organisational and Social Dynamics. All rights reserved.