{"title":"The role of community and district nurses","authors":"Michelle McBride, Cliff Kilgore, Neesha Oozageer Gunowa","doi":"10.1016/j.intcar.2024.100231","DOIUrl":"10.1016/j.intcar.2024.100231","url":null,"abstract":"<div><div>Community and district nurses play a pivotal role in the healthcare system, serving as a bridge between hospitals and the communities they serve. Despite the increasing emphasis on preventing hospital admissions and providing care in the community, district nursing services often remain underfunded and under recognized. This article highlights the critical role of nurses working in the community, delving into their wide-ranging responsibilities and their significant impact on both individual and community wellbeing. It offers valuable insights for those considering a career in community nursing.</div><div>Although the NHS continues to face growing demands and resource limitations, district nurses remain central to the provision of community care. Their advanced skills enable them to deliver holistic care, allowing patients to remain in their homes while adapting to the ever-changing needs of the healthcare landscape. With workforce expansion plans underway, district nurses are poised to meet the challenges of the future, ensuring high-quality, patient-centered care in the community.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"27 ","pages":"Article 100231"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Promoting equity in community nursing","authors":"Vanessa Heaslip, Jonathan Parker, Kirsty Marshall","doi":"10.1016/j.intcar.2024.100229","DOIUrl":"10.1016/j.intcar.2024.100229","url":null,"abstract":"<div><div>The Covid-19 pandemic illuminated the health inequities that occur both in the UK and globally. Ultimately where individuals live, work and how they live has a major impact on the length of their life as well as the number of years living in illness. Community nurses have a key role to play in promoting health equity and addressing poorer health outcomes, however in order to achieve this they require a full understanding of the challenges and barriers experienced by those who are socially excluded or marginalized.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"26 ","pages":"Article 100229"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social prescribing: the view from the VCSE sector","authors":"Kate Jopling","doi":"10.1016/j.intcar.2024.100230","DOIUrl":"10.1016/j.intcar.2024.100230","url":null,"abstract":"<div><div>After many years of incubation by leading voluntary, community and social enterprise (VCSE) sector organisations, in 2019 social prescribing services were mainstreamed into the NHS primary care offer, with funding offered to Primary Care Networks to pay link workers’ salaries.</div><div>Social prescribing services capitalise on the VCSE's capacity to address issues that go beyond the medical, by bridging between the formal health system and the support available in communities. The VCSE sector has welcomed the NHS's adoption of social prescribing and wants to see it succeed.</div><div>However rolling social prescribing out across the NHS has been challenging, most notably in relation to funding for the VCSE sector. While NHS England now funds link workers directly, it does not fund the community activities and services into which link workers make referrals. The roll out of social prescribing has therefore created additional pressure on an already-stretched VCSE system, particularly in more deprived communities.</div><div>Finding sustainable solutions for funding the whole social prescribing “ecosystem” and securing its position as a core part of the health system will require work to bring a wider group of stakeholders together behind the vision for social prescribing and to secure their commitment to contributing to the outcomes it delivers.</div></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"26 ","pages":"Article 100230"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142428689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to behave in an interview with the media","authors":"Graham Thornicroft, Norman Sartorius","doi":"10.1016/j.intcar.2024.100216","DOIUrl":"10.1016/j.intcar.2024.100216","url":null,"abstract":"<div><p>Engaging with the media is a critical skill for professionals at any career stage, enabling them to contribute to public dialogue on significant issues. This article emphasizes the importance of the preparation and skill development for media interactions, whether proactive or reactive. Detailed guidance is provided on crafting effective press releases. Key preparatory steps for reactive interviews include understanding the journalist's intent and setting clear boundaries. The article underscores the necessity of honing a single, compelling message and offers strategies for effective communication during interviews, including the ABC technique (Acknowledge, Bridge, Communicate). Recommendations for post-interview follow-up and self-reflection are provided to enhance future media engagements. The article serves as a guide for professionals aiming to communicate their expertise and viewpoints effectively through various media channels.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"26 ","pages":"Article 100216"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How to read a research paper","authors":"Norman Sartorius, Sir Graham Thornicroft","doi":"10.1016/j.intcar.2024.100220","DOIUrl":"10.1016/j.intcar.2024.100220","url":null,"abstract":"<div><p>This article provides comprehensive guidance on accessing and using the research literature. It outlines the reasons for reading research papers, from being informed about professional developments to understanding publication trends and exploring unanswered research questions. The article details the initial steps of accessing online databases like PubMed and employing effective search strategies. It emphasizes the importance of evaluating articles to determine their relevance and comprehensibility. Guidance is provided on reading papers critically, focussing on the authorship, background, methodology, results, and discussion sections. Finally, it discusses methods for recording and organizing relevant papers using reference management software, ensuring efficient future retrieval.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"26 ","pages":"Article 100220"},"PeriodicalIF":0.0,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142083131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M Suzanne White, Nathania Bush, Meredith Hennion, Brianna Bush
{"title":"Promoting health and improving quality of life in heart failure patients","authors":"M Suzanne White, Nathania Bush, Meredith Hennion, Brianna Bush","doi":"10.1016/j.intcar.2024.100215","DOIUrl":"10.1016/j.intcar.2024.100215","url":null,"abstract":"<div><p>The objective of this article is to examine the current understanding of the factors influencing the quality of life (QoL) among individuals with heart failure (HF), with a focus on exploring the multifaceted aspects of physical, psychological, and social well-being to improve health. Through a comprehensive review of literature, this article aims to identify key determinants of QoL in HF patients, assess the impact of various nursing interventions and strategies on improving QoL outcomes, and highlight areas for future research and clinical practice development to enhance the overall well-being and holistic care of individuals living with HF.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"25 ","pages":"Article 100215"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141978904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social prescribing: community power and the community paradigm","authors":"Chris Dabbs","doi":"10.1016/j.intcar.2024.100222","DOIUrl":"10.1016/j.intcar.2024.100222","url":null,"abstract":"<div><p>Social prescribing is an approach that connects people to activities, groups and services in their community, but it can also be counter-productive and disabling. It exists between state and market paradigms.</p><p>The ‘community paradigm’ reflects a belief that people and communities themselves have the best insight into their own situation. It seeks long-term solutions within communities, rather than for them.</p><p>What matters most to people with long-term health conditions are: being respected; health; understanding yourself; purpose and being valued; quality relationships; and enjoyment.</p><p>An approach reflecting the ‘community paradigm’ would address the determinants of health and well-being, rather than the symptoms. It would integrate social approaches and public services.</p><p>The offer would be more a community offer than a service offer. People would experience success as participating, interdependent members of their community, recognized and valued for their gifts.</p><p>This requires change within communities and systems, through genuine co-production between the two. Making social solutions as or more attractive than service solutions requires an open and honest reflection on, and redistribution of, collective power and wealth.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"25 ","pages":"Article 100222"},"PeriodicalIF":0.0,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141985820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The management of inflammatory bowel disease in older adults","authors":"Karishma Sethi-Arora, Jimmy K. Limdi","doi":"10.1016/j.intcar.2024.100201","DOIUrl":"https://doi.org/10.1016/j.intcar.2024.100201","url":null,"abstract":"<div><p>The rising incidence and prevalence of inflammatory bowel diseases (IBD) is increasing. Taken together with population ageing, the number of older adults with IBD globally is set to increase. The wide differential diagnosis of IBD in older adults may result in diagnostic delay. In addition, there is a higher prevalence of frailty among older people with IBD, which is recognisable across age groups. Despite some common features, there are important differences in the clinical presentation and natural history of older-onset IBD compared with those diagnosed at a younger age. Challenges posed by co-morbidity, polypharmacy and loco-motor dysfunction influence treatment considerations and require a holistic and often multi-disciplinary therapeutic approach. The typical exclusion of older persons from clinical trials of IBD therapies may negatively influence application of modern treatment paradigms in these individuals. Recognition of the potential disconnect between chronological and biological age, with careful dynamic risk-stratification including frailty assessment, must underpin pragmatic and when possible, evidence-based decisions in this potentially vulnerable group, taking care to avoid under-treatment. This review covers the clinical presentation, diagnostic considerations and complexities surrounding the holistic management of IBD in older patients.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"24 ","pages":"Article 100201"},"PeriodicalIF":0.0,"publicationDate":"2024-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140644436","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Karishma Sethi-Arora, Yasmin Ingram, Jimmy K. Limdi
{"title":"The management of inflammatory bowel disease in pregnancy","authors":"Karishma Sethi-Arora, Yasmin Ingram, Jimmy K. Limdi","doi":"10.1016/j.intcar.2024.100200","DOIUrl":"https://doi.org/10.1016/j.intcar.2024.100200","url":null,"abstract":"<div><p>The peak incidence of inflammatory bowel disease (IBD) coincides with a woman's prime reproductive years. Pregnancy related knowledge remains suboptimal among healthcare professionals and women living with IBD. Preconception counselling can improve pregnancy specific IBD patient knowledge and provide a personalised risk assessment, to ensure optimal maternal and fetal outcomes. Although fertility rates in women with IBD are comparable with the general population, voluntary childlessness is common among women with IBD. IBD disease activity at conception and during pregnancy is a key determinant of the course of IBD during pregnancy. Active IBD during pregnancy is associated with adverse outcomes including spontaneous abortion, small for gestational age baby, and preterm birth. Most IBD medications are considered low risk during pregnancy and breastfeeding, except for methotrexate, JAK-inhibitors, ozanimod, ciclosporin, and allopurinol. Most women with IBD can have a vaginal delivery, but caesarean section should be considered in active perianal disease and history of ileal pouch surgery. We review the current evidence for preconceptual management of IBD, during pregnancy, and the postpartum period.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"23 ","pages":"Article 100200"},"PeriodicalIF":0.0,"publicationDate":"2024-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140121992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kavita Sethi, Karishma Sethi-Arora, Jimmy K. Limdi
{"title":"Health maintenance strategies in adults with inflammatory bowel disease","authors":"Kavita Sethi, Karishma Sethi-Arora, Jimmy K. Limdi","doi":"10.1016/j.intcar.2024.100191","DOIUrl":"https://doi.org/10.1016/j.intcar.2024.100191","url":null,"abstract":"<div><p>The Inflammatory Bowel Diseases (IBD) and associated immune-modulating pharmacotherapies are associated with an increased risk of avoidable complications, including vaccine-preventable opportunistic infections, cancers, osteoporosis, anxiety, and mental health disorders. The expanding therapeutic armamentarium requires a critical understanding of such complications and the preventative approaches required to reduce morbidity in these patients. Despite this, primary prevention strategies are often not prioritised in IBD patients.</p><p>This review aims to summarise appropriate health maintenance strategies, including appropriate pre-treatment infection screening and vaccination recommendations within the context of immunosuppression, and promotes timely screening for malignancies, osteoporosis, and psychological conditions. Clear communication, individualised action plans and cohesion between gastroenterologists and primary care physicians is crucial in optimising health maintenance in IBD patients.</p></div>","PeriodicalId":100283,"journal":{"name":"Clinics in Integrated Care","volume":"23 ","pages":"Article 100191"},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139738392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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