- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal (it might happen one day!!). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Wednesday, December 29, 2010

Musings... axes in hand and mind

...

Axes in hand and mind
[Accounting for the I-G (individual-group) axis and the need for the H-M axis]

Clearly there is a need for a basic scaffold. One that reflects the real world and the real time to which we are all exposed and are a part; and one that can also represent the model(s) we wish to create - the products of our health care, nursing activities. The scaffold we build must be one on which we can hang concepts and for simplicities sake human (care) concerns. Specifically a conceptual scaffold and a human scaffold. The latter can be represented simply as a continuum from INDIVIDUAL to GROUP, hereafter referred to as I-G.

The other, the conceptual scaffold, calls for what might be termed conceptual inflation. If we imagine the I-G as the vertical challenge (remember the health & safety issue!) and draw with the 'individual' at the top, then there is much we can model based on this basic dichotomy. This is too simple however. We cannot capture the part of the rich tapestry that is life - well-being, health - and death. For this another axis is needed.

(Which begs me to ask myself:
is there a law that suggests that one axis however oriented invites another?)

With this further partition and heralding of a further dichotomy what is lost? What is gained, if anything? In scribing this first line we explicitly separate the 'one' - the self from the other. The addition of another axis is where and how we define a center. With this center and from it we can find the energy to fuel our conceptual inflation. We literally draw out the foundation by considering what these persons do? ...

Conceptual inflation: Four-fold nursing agnostics
...
PJ Dec 2010

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Tuesday, December 28, 2010

Links of interest c/o HIFA2015 list

The following links appeared in recent HIFA2015 Healthcare Information For All posts:

AuthorAID: http://www.authoraid.info/ is a global research community that provides networking, mentoring, resources and training for researchers in developing countries.

IICD - Information and Communication Technologies (ICT) for Development: http://www.iicd.org/

Education for Health: http://www.educationforhealth.net/ an Open Access Journal.

Scientific Eletronic Library Online: Scientific Eletronic Library Online

Welsh Annual Conference 2010: http://www.welshconfed.org/WelshAnnualConference2010.htm

Welsh Information Literacy Framework: http://www.library.wales.org/index.php?id=7498

PLoS journal on Neglected Tropical Diseases: http://www.plosntds.org/home.action

Knowledge 4 Health eToolkits: http://www.k4health.org/toolkits

NCBI.NCI Paper: Poor reporting and inadequate searches were apparent in systematic reviews of adverse effects http://www.ncbi.nlm.nih.gov/pubmed/18394536

Health Speaks: pilots result in 266 new local language health articles http://blog.google.org/2010/12/health-speaks-pilots-result-in-266-new.html

ERMED: Electronic Resources in Medicine Consortium http://www.nmlermed.in/

Global Health and Prevention calendar: http://www.pitt.edu/~super1/lecture/lec40851/index.htm

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Monday, December 27, 2010

Musings... building models, health & safety, group and individual

....

Basic foundations and minimal defaults
[Accounting for the I-G (individual-group) axis]

Since nurses and technologists are concerned with communication then the foundation from which they begin to (build and model their) work is of fundamental importance. The foundation needs to be generic in the first instance. Generic in the sense of the commonality that language instills, enables and facilitates within and between communities. Not only that, but if we take the property of 'generic' to its extreme then the foundation must be stripped down to the barest of defaults: there are no 'types'.

To use the safety analogy we need to risk assess the extent of our model building activities.

We can do this by asking: is this a one, or at most two dimensional venture; such that we can rest secure on terra firma? Or are we above 'ground' floor and immediately required to address health and safety legislation?

Since medicine and nursing are concerned with - must be evidence based - there is an immediate  vertical challenge in the hierarchies inherent in the sciences and the structure of knowledge.

Science is not the only influence here. The foundation of what we are modelling and building must reflect the ultimate subjects (the person - patients, carers, communities, whole populations) of our activities. So, the individual (whose very safety is our concern!) must be factored in and with this concept the notion of human rights. While a dialogue of no trivial nature in itself, suffice here to suggest that individual and applied human rights emerges out of and is dependent upon the collective (group). This in turn is a measure of the level of social coherence, coherence through a level of social and political organisation that allows leaders to effect positive change and betterment. The person, the individual is built not upon the shoulders of giants, but ordinary people - our ancestors and peers. ...

Axes in hand and mind
...
PJ Dec 2010

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Thursday, December 23, 2010

Call for Papers: 1st Int. Workshop on Pervasive Care for People with Dementia and their Carers (PCPDC-2011)

(To the webmasters of http://www.pervasivehealth.org please check the status of your site - 'attack site')

Dublin, Ireland, 23 May 2011

http://trail.ulster.ac.uk/pcpdc/

To be held in conjunction with the 5th International ICST Conference on Pervasive Computing Technologies for Healthcare 2011

The global population of persons aged 60 and over is rising dramatically. Between 2006 and 2050, the number of people aged 60 and over will double from 650 million to 2 billion people representing 22% of humanity. One group of the ageing population that is particularly vulnerable to loss of independence is those affected by dementia. It is estimated that around 820,000 people in the UK have dementia. Recently emerging computing and assistive technology have been used to attempt to improve the quality of life for people with dementia..

The workshop aims to provide a forum for discussion on challenges and opportunities in bringing technology to support people with dementia. The workshop will feature the theme of ‘engaging people with pervasive technology’.

Research topics included in the workshop

This workshop will feature the theme of  ‘engaging people with pervasive technology’ in dementia research. Researchers from academic, healthcare, industrial and third party organisations are invited to contribute. Early researchers and researchers from healthcare are particularly welcome. Research areas include, but are not limited to:

Theme 1 – What are the opportunities of pervasive care technology?

Development of pervasive ICT systems
Human computer interface design
Behaviour monitoring and activity recognition
Knowledge representation and dissemination
Data analysis and interpretation
Sensor design and application

Theme 2 – User engagement

Key issues emerging when working with people who have decreased capacity for consent
Ethical issues for implementation
Methods for engagement
Pitfalls of engaging people with dementia, their carers and intermediate users

Important dates

Submission deadline:          25th February 2011
Notification of acceptance: 25th March 2011
Camera-ready copy due:    4th April 2011
Conference / Workshop:    23rd – 26th / 23rd May 2011

Format

Submitted papers should not be longer than 4 pages in standard IEEE two-column format.

For more detailed formatting instructions please see http://www.pervasivehealth.org/?page_name=author_skit.

Accepted papers will be published online in IEEE Xplore Digital Library (to be confirmed).

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Monday, December 20, 2010

Shared Approach: 3 keys (and a certain conceptual framework)

Before we trip into 2011 let's make a quick return to 2008 and the three keys to the Shared Approach in mental health assessment [NIMHE, 2008] which are copied below.

In between each one I have highlighted how the Health Care Domains Model can contribute ...

1) active participation of the service user concerned in a shared understanding with service providers and where appropriate with their carers;

In the end (or at the beginning!) a model of care or assessment tool is only as good as the person using it.

To progress with key #1 there are in fact two locks to open. These are in the form of 'using' and 'user'. H2CM incorporates the individual from the outset. The model encourages consideration of the client's beliefs, preferences, and experiences ... Can the client and carer actually use the model themselves to help understand their needs, their care plan and interventions? Is there a homework exercise there for them?

Do they have capacity to decide? Do they need support - an advocate? How do we ensure the carer is factored into the care equation? Well, in h2cm that's through the social domain.

2) input from different provider perspectives within a multidisciplinary approach, and;

Do you know what "different provider perspectives within a multidisciplinary approach" look like?

Well just envisage that for a few moments. ...

A scary exercise, eh?

In order to take those different perspectives and integrate them a common framework is surely needed?

Artists are lucky they use perspective as an integrative lever on paper, canvas, or whatever medium.

Clients, carers, health and social care professionals need a canvas of their own, BUT one that is sufficiently generic and agnostic to be 'owned' by all. 

3) a person-centred focus that builds on the strengths, resiliencies and aspirations of the individual service user as well as identifying his or her needs and challenges. NIMHE (2008)

H2CM can support and foster person-centred care. The model is situated: there is one (changing) situation with the person at the center. Whatever the context -

strengths, resilience, stresses, vulnerabilities, aspirations, needs, challenges

- the care domains model is fit for purpose. Health and social care is dynamic, in person-centred care that focus needs to change accordingly. Our assessments and evaluations need to resolve the SCIENTIFIC, SOCIOLOGICAL, POLITICAL, INTERPERSONAL and SPIRITUAL dimensions of care while assuring the BIG picture.

Reference:
The National Institute for Mental Health in England (NIMHE) and the Care Services Improvement Partnership. 3 Keys to a shared approach in mental health assessment. London: Department of Health; 2008.
Available from: http://www.3keys.org.uk/downloads/3keys.pdf

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Sunday, December 19, 2010

Call for Maps: Mapping Science Exhibit, 7th Iteration on "Science Maps as Visual Interfaces to Digital Libraries" (2011)

Background and Goals

The Places & Spaces: Mapping Science exhibit was created to inspire cross-disciplinary discussion on how to best track and communicate human activity and scientific progress on a global scale. It has two components: (1) physical exhibits enable the close inspection of high quality reproductions of maps for display at conferences and education centers and (2) the online counterpart (http://scimaps.org) provides links to a selected series of maps and their makers along with detailed explanations of how these maps work.

Places & Spaces is a 10-year effort. Each year, 10 new maps are added, which will result in 100 maps total in 2014. Each iteration of the exhibit attempts to learn from the best examples of visualization design. To accomplish this goal, each iteration compares and contrasts four existing maps with six new maps of science. Themes for the different iterations/years are:

  * 1st Iteration (2005): The Power of Maps
  * 2nd Iteration (2006): The Power of Reference Systems
  * 3rd Iteration (2007): The Power of Forecasts
  * 4th Iteration (2008): Science Maps for Economic Decision Makers
  * 5th Iteration (2009): Science Maps for Science Policy Makers
  * 6th Iteration (2010): Science Maps for Scholars
  * 7th Iteration (2011): Science Maps as Visual Interfaces to Digital Libraries
  * 8th Iteration (2012): Science Maps for Kids
  * 9th Iteration (2013): Science Maps for Daily Science Forecasts
  * 10th Iteration (2014): Telling Lies With Science Maps

Places & Spaces was first shown at the Annual Meeting of the Association of American Geographers in April 2005. Since then, the physical exhibit has been displayed at more than 175 venues in over 15 countries, including eleven in Europe, plus Japan, China, Brazil, Canada, and the United States. A schedule of all display locations can be found at http://scimaps.org/exhibitions

Submission Details

The 7th iteration of the Mapping Science exhibit is devoted to science maps that serve as visual interfaces to digital libraries. These maps might communicate the

  * quality and coverage of data sets,
  * the structure (ontology, taxonomy, classification hierarchy) of data sets,
  * (semantic) linkages between data sets,
  * the evolution of a data set, or
  * access and usage patterns of data sets.

They are intended to support the navigation, management, and utilization of mankind’s scholarly knowledge and to make it more readily available to researchers, educators, industry, policy makers and/or the general public.

We invite maps that show a visual rendering of a dataset together with a legend, textual description, and acknowledgements as required to interpret the map. Science map dimensions can be abstract, geographical, or feature-based, but are typically richer than simple x, y plots. Scientific knowledge can be used to generate a reference system over which other data, e.g., funding opportunities or job openings, are overlaid or be projected onto another reference system, e.g., a map of the world, but must be prominently featured.
See http://scimaps.org/static/docs/all-maps-1-6.pdf for an overview of the 60 maps already featured in the exhibit.

Each initial entry must be submitted by Jan 30th, 2011 and needs to include:

  * Low resolution version of map
  * Title of work
  * Author(s) name, email address, affiliation, mailing address
  * Copyright holder (if different from authors)
  * Description of work: Scholarly needs addressed, data used, data analysis, visualization techniques applied, and main insights gained (100-300 words)
  * References to publications in which the map appeared
  * Links to related projects/works

Entries should be submitted via email to the curators of the exhibit: Katy Börne (katy at indiana.edu) and the exhibit designer Michael J. Stamper (mstamper at indiana.edu) using the email subject header “Mapping Science Entry”.

Please feel free to send any questions you might have regarding the judging process to Katy Börner (katy at indiana.edu). Please keep subject header (as used here).

This call - with additional details -  is also available at http://scimaps.org/call

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Wednesday, December 15, 2010

Call for Papers - 2011 CHI Workshop on Bridging Practices, Theories, and Technologies to Support Reminiscence

CALL FOR PAPERS

CHI Workshop on Bridging Practices, Theories, and Technologies to Support Reminiscence 2011
http://www.cs.cornell.edu/~danco/remchiwork/

CHI 2011 Workshop

This one-day workshop explores how HCI-related practice and research can understand and support reminiscence. The workshop has two main goals. First, we hope to bring together academics and practitioners from a variety of backgrounds, disciplines, levels of experience, and approaches to studying and supporting reminiscing. Second, we hope to explore a variety of topics around current and potential uses of technology to support reminiscence, including but not limited to:

- understanding people's current practices around reminiscing;
- exploring empirical studies and theories of memory that might inform technology designs;
- presenting, critiquing, and evaluating existing technologies for reminiscence,
- considering how technology might support new reminiscing practices, and
- supporting social aspects of reminiscence.

We are particularly interested in participants from outside the CHI community to foster new perspectives and collaborations. Our plan is to conduct three short discussion-focused panels organized around participants' interests. Those discussions will ground small groups in articulating interesting directions, studies, designs, and outlines of potential grant and book proposals at the intersection of reminiscing and technology

SUBMISSION

Interested participants should mail position papers of up to 6 pages in .pdf versions of the CHI Extended Abstracts format to danco at cs.cornell.edu by January 14, 2011. Papers should clearly express how the authors' participation will further the goals of the workshop: what do authors offer and hope to gain by participating? They should also clearly, but briefly, present participating authors' backgrounds, in order to support our goals of creating a diverse group of participants.

We will notify accepted participants on or before February 11, 2001. A limited amount of funding will be available, primarily to support attendance for people from other disciplines who are not regular CHI attendees. The workshop will be held on Sunday May 8, 2011 in Vancouver, Canada. Please note that at least one author of an accepted position paper must register for the workshop and for one or more days of the CHI 2011 conference.

IMPORTANT DATES

- Jan 14, 2011: Position papers due
- Feb 11, 2011: Notifications of participation
- Apr 1, 2011: Final versions of position papers (to be shared with other participants)
- May 8, 2011: (Sunday) The workshop! (Here's the list of all workshops.)
- May 9-12 2011: CHI itself

ORGANIZERS

- Dan Cosley, Information Science, Cornell University danco at cs.cornell.edu
- Maurice Mulvenna, School of Computing and Mathematics, University of Ulster md.mulvenna at ulster.ac.uk
- Victoria Schwanda, Information Science, Cornell University vls48 at cornell.edu
- S. Tejaswi Peesapati, Information Science, Cornell University stp53 at cornell.edu

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Monday, December 13, 2010

h2cm = Bayesian Quarters?

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL
The Bayesian approach allows human insight, subjective though it is, to be combined with statistical information, limited though it may be. It is not surprising that this blurring of the line between the methodologies of the sciences and the humanities has attracted passionate supporters as well as furious enemies on both sides of the cultural divide.
Von Baeyer (2003) p.79.

von Baeyer, H.C. (2003) Information: The New Language of Science, Weidenfeld and Nicolson, London.

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Friday, December 10, 2010

Recipe for tension: Left-of-center values - Human (lower) Rights

Sometimes the invisible is most visible ...

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL
Person
visible - invisible
in the conceptual frame 
Where
is
your
science
now?
'Peace'
the
ultimate
meme?
Discuss.
"Human (lower) Rights"

Image source: Heiko Junge [20/27] Kansas City Star
http://www.kansascity.com/2010/12/09/2509904/empty-chair-left-for-jailed-chinese.html

Related links:

Recipe: Holistic care - Care pebble turnover*

Recipe II: Holistic care - Care pebble overhere!

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Thursday, December 09, 2010

Recipe II: Holistic care - Care pebble overhere!

...

WouldBeUser: Well there's no shortage of pebbles, the referrals come thick and fast.

ActualUser: That's why reflecting on that particular pebble is important, turning it - them, their situation over. Asking yourself is there anything I and the team have missed?

WouldBeUser: OK, the beach is still full of them!

ActualUser: Is it the pebble you are trying to see?

WouldBeUser: Ah, of course! Individualised care?

ActualUser: That's right. Nursing, health, social care and in fact good governance everywhere is about seeing the person. Sometimes it isn't easy; but if you pick that person out then you can count the rewards as you would the pebbles on the beach ...

Original image sources - see Recipe I

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Sunday, December 05, 2010

Recipe: Holistic care - Care pebble turnover*

WouldBeUser: How can you sum up use of the health career - care domains - model?

ActualUser: Well it's a bit like you are picking and throwing some pebbles on the care plan or game board.

WouldBeUser: What - as simple as that!

ActualUser: Yes, but - NEVER underestimate the value of turning each of those pebbles over and reflecting, sharing...

*Also great for a game of nudge - nudge.

Original image sources:

http://imagecache.artistrising.com/artwork/lrg//4/417/7CV9000A.jpg
http://www.crglass.ca/images/dark%20green%20pebbles.jpg
http://www.crglass.ca/images/dark%20blue%20pebbles.jpg
http://www.crglass.ca/images/red%20pebbles.jpg

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Saturday, December 04, 2010

h2cm and clinical equipoise

The past few weeks reading the Journal of Evaluation in Clinical Practice - I've encountered the concept of equipoise: specifically the clinical form.

The Health Career - Care Domains - Model is all about 'poise'.

The model's care domains provides the perfect workout.

Medicine, health and social care constantly exercises us. We are whether or not we recognize it on a balance board. In fact if you consider that image and then factor in the complexity of health care today you realise just how much stuff (technology), how many people (subjects, agents) need to be on that same board. Who does the board belong to though? Well of course it's -

Jo (off-balance, strengths depleted, sick (and tired), prone to relapse, bank poleaxed...) Public's !

The April 2010 issue of the above journal is a fascinating read. I noticed today that some of our placement students were not aware of the recent and current position regarding health policy: that is the 'long view' of decades such as: Health of the Nation, the National Service Frameworks, Darzi ... They need to address that and I'm sure they will.

This journal issue prompts me to consider evidence based medicine anew, especially:
  • How long it's been around - some 20 years.
  • Its occupying the SCIENCES domain, with its weight threatening to overbalance all (you could say it's a significant singularity).
  • The realization that the Emperor is short on clothes.
  • Given the above it can mature. Bogdan-Lovis and Holmes-Rovner (2010)
Back to that board: and stepping onto the health care domains - all four of them so spread your feet - you can see instantly (feel that feedback) how EBM, shared decision making and (person) patient-centered care are all related. As Bogdan-Lovis and Holmes-Rovner (2010) highlight:
Equipoise is the heart of the shared decision making movement, and it embodies the problems for which patient decision aids are most often developed to explain the risks and benefits of competing alternatives. p.377.
h2cm is well suited to this task on so many levels.

The past week or two I've also noticed several mentions of the need to nudge people - here and there - both in the media and in Bogdan-Lovis and Holmes-Rovner's paper and references.

More to follow - and as you step-off take care ....

Wilson, K. (2010) Evidence-based medicine. The good the bad and the ugly. A clinician's perspective. Journal of Evaluation in Clinical Practice, 16, 398-400.
Bogdan-Lovis, E., Holmes-Rovner, M. (2010) Prudent evidence-fettered shared decision making. Journal of Evaluation in Clinical Practice, 16, 376-381.

And for the week ahead:
One mind, many minds - ONE PLANET. One need, many needs - ONE PLANET: what price stability?
http://hodges-model.blogspot.com/2009/02/one-mind-many-minds-one-planet-one-need.html

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Thursday, December 02, 2010

Bursary applications - 17th Oxford Workshop on Evidence-Based Practice

Dear Colleagues,

The Centre for Evidence-Based Medicine is offering three free bursary places on the -

17th Oxford Workshop on Teaching Evidence-Based Practice.

Applicants will need to cover their travel and accommodation costs.

All applicants should send a covering letter with their application (which can be downloaded at www.cebm.net) detailing their current involvement with Evidence-Based Practice and outlining what they would do with the knowledge gained on the workshop. Applicants should also enclose a current C.V..

All applications should be sent to me at the address at the bottom of this email. Closing date for applications is 31st March 2011.

I should be grateful if you would disseminate this email to any and all interested parties.

The 17th Oxford Workshop on Teaching Evidence-Based Practice will be held 5th - 9th September 2011 at St. Hugh's College, Oxford, UK and is aimed at clinicians and other health care professionals, including those involved in mental health, who already have some knowledge of critical appraisal and experience in the practice of evidence-based health care and who want to explore issues around teaching evidence-based medicine.

There will be two main themes running throughout the workshop:

Teaching will be addressed through the exploration of different educational models for teaching evidence-based practice and identification and discussion of issues of pedagogy, curriculum design development and maintenance. The aim will be to promote the teaching of evidence-based health care at your home institution.

Personal Development will be addressed by offering guidance and help in extending and advancing participants' existing critical appraisal and teaching skills.

All good wishes,

Olive

Olive Goddard
Centre and Editorial Manager
Centre for Evidence-Based Medicine
Department of Primary Health Care
Old Road Campus, Headington
Oxford, OX3 7LF

............................................................
email: olive.goddard AT dphpc.ox.ac.uk
 www.cebmh.com

My source: CEBMH-MEMBERS AT JISCMAIL.AC.UK

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Wednesday, December 01, 2010

Rhinos, evidence based medicine and 'out-reach'

It would be be marvellous to be able to introduce h2cm to the nursing, health and social care communities in Asia, especially China. According to Flag Counter just two visitors. There are the good - effective ways of doing that and the not so good. How the following measures up I'm not sure...

Working in health we are surely aware of the need to base what we do on evidence. Although nurses are not necessarily independent as the patient advocate. Advocacy is still an important part of the nursing role and one requiring specific advice in some instances.

Earlier this month a Guardian article related the ever more precarious position of the South African rhino and how claims about the curative properties of rhino horn as a medicine fuels poaching. The UK is nowhere near South Africa or China so what gives? What gives is the Planet, the tiger too and the biosphere in general. Apparently rhino horn is just compacted keratin and has no medicinal properties.

Nurses tend to be a green, ecologically minded group and the best source of change comes from within. It is never easy to change the beliefs of others, especially when your culture venerates its elders. Belief also remains a powerful factor in health. Despite this do nurses not have a duty to challenge beliefs that are wrong, to educate their communities?

What price true literacy: spiritual, 3Rs, ICT, health, environmental ....?

There must be a way for nurses to unite on this - 
across cultures, borders, digital barricades, politics, beliefs ....

As we make a difference individually with patients and carers ... collectively can we extend our reach to other communities too? While there's still time - and we try not to bite our nails.

Interesting and clearly ironic in the UK that after a generation public health is to have a new service with a return to the local authorities.

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Sunday, November 28, 2010

Buller and Butterworth: Skilled nursing practice - four domains?

The health care domains model identifies four domains within health and social care and medicine. What evidence is there to support the model's inclusion of:

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

- plus the spiritual within and without? Steve Buller and Tony Butterworth undertook a ethnographic study in 2001 'Skilled nursing practice - a qualitative study of the elements of nursing'. With skilled nursing practice at the center (Fig. 5.) they identified:

relating and communicatingdoing the job
being professionalmanaging and facilitating

There is some overlap, reflection arises in relating and communicating and doing the job. Overall however there is a definite correspondence between these domains and those within h2cm - the health care domains conceptual framework. I have equated being professional with the SOCIOLOGY domain as for the authors this includes being with patients, conveying confidence, handling situations, being informed. Managing and facilitating is undoubtedly POLITICAL with supervising, auditing, making sure things get done. Doing the job - is based upon planning, informing, assessing, intervening, and being confident (with equipment, procedures, manual dexterity..?).

Having been thinking and writing about h2cm for many years it is a shame that other models have benefitted from funding and gain "ward and community (research) cred" while here evidence is retrofitted. Looking at the paper just in the decade since submission and publication I wonder which elements remain local, and where other elements of the skills base (care concepts) have migrated to ethnographically?

Steve Buller, Tony Butterworth (2001) Skilled nursing practice — a qualitative study of the elements of nursing. Int. J. of Nursing Studies. 38, 4, 405-417.

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Friday, November 26, 2010

Wonk - and the comprehensive health record

As the future unfolds the day will emerge when a 'wonk' - that is, "someone meant to know everything" (Prospect Magazine, Dec 2010, p. 19) is realised in software (or in a termin-ological mix with some "I'll be back" hardware).

The Internet is already envisaged as a giant global graph - a vast intelligence. The health care domains model provides a framework - a graph - to capture what someone or some group of people know about a situation. Policy, practice and values are often rightly based and measured against ideals. In health (and social-) care the comprehensive health record is the ideal. Throw information technology into the mix and you have an ideal of Platonic proportions.

Can you have a complete and ongoing record and still work smart and Lean?

I don't wonk, do you?

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Thursday, November 25, 2010

Before you measure ....

Fitness-to-work tests to be reformed after criticism

- you check your tools:

You calibrate, validate and balance ...

strengths - weaknesses
functional - diagnostic
humanistic - mechanistic
individual - group
purpose - policy
practice - process
physical - emotional
person centred - policy centered
sad (?) - (you will be -) happy


Additional links:
How to assess happiness? A tale of three measures
WWF: Manifesto - The Politics of Happiness
Frank Furedi: Why the ‘politics of happiness’ makes me mad

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Monday, November 22, 2010

Call for Papers for the European Design 4 Health Conference 2011 + 6th CIPED


Lab4Living at Sheffield Hallam University is pleased to announce the Call for Papers for the  
European Design 4 Health Conference 2011. The conference will be held at Sheffield Hallam University from 13 - 15 July 2011, Sheffield, UK.

The conference will provide a platform for dialogue between designers, healthcare professionals, funding bodies, researchers and users. Submissions to the conference are invited, in the following forms:
Abstract submissions: extended abstracts that address the conference themes.
Exhibition proposals: exhibits of innovative artefacts or systems that make significant progress in design for health.
Visit www.design4health.org.uk . Join the conference mailing list for regular updates.

6º CIPED - Congresso Int. de Pesquisa em Design (6th CIPED - Int. Congress of Research in Design)

- to be held at the Fundação Calouste Gulbenkian, Lisbon, October 10-12, 2011:
An Agenda for Design. More details will be provided later, just keep the dates free!

Professor Peter Lansley, BSc, MSc, PhD, MCIOB, FCOT
Director, KT-EQUAL – Knowledge Transfer for Extending Quality Life
School of Construction Management and Engineering, URS Building,
University of Reading, Whiteknights, PO Box 219, Reading, RG6 6AW, UK

p.r.lansley at reading.ac.uk www.sparc.ac.uk (and my source).

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Wednesday, November 17, 2010

The Beauty of Diagrams: Vitruvian Man BBC Four

Tomorrow a new six part series begins on BBC Four.

Diagrams, conceptual frameworks and cognitive spaces have driven my interest in models of care and h2cm for decades:

1996 Peter attends 'Thinking with Diagrams' Colloquium, IEE, Savoy Place, London. 18 Jan BCS-SGES et al.
Professional Group C4: Digest No: 96/010
Chronology

I also maintain a diagrams listing on the sciences domain listing, suggestions welcome.

So, really looking forward to this!

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Saturday, November 13, 2010

Comets, holistic care and peripheral vision


Comet Hartley 2 is still bright and yet throughout its visit by Earth quite diffuse, so I have yet to try to find it with my binoculars. To effectively use binoculars, a telescope (or even a microscope) and enjoy the astronomical delights (especially as Councils save money and switch off street lights) it helps to develop your peripheral vision.



Nursing, medicine and social care calls for its own kind of peripheral vision. Peripheral vision that nonetheless enables us to really see. It is ironic that in order to see the big picture that includes the person, that allows us to coherently assess, plan, deliver and evaluate person-centred care we must look off-center.



Comet image source: http://maineastro.com/2010/10/binocular-comet-now-high-in-the-sky/

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Wednesday, November 10, 2010

Grand Challenges for Global Health: 15th - access to clean, clear, knowledge

Dear HIFA2015 colleagues,

The news item below is forwarded from the Global Health Council, which reports the mHealth Summit taking place this week in washington DC. It is especially good to see that Bill Gates is giving a keynote address. This suggests that the Gates Foundation may be poised to address the 15th Grand Challenge for Global Health, as proposed by international health leaders in The Lancet:

"The Gates Foundation identified fourteen challenges [Grand Challenges for Global Health] but a fifteenth challenge stares us plainly in the face: The 15th challenge is to ensure that everyone in the world can have access to clean, clear, knowledge - a basic human right, and a public health need as important as access to clean, clear, water, and much more easily achievable."
Tikki Pang (WHO), Muir Gray (NHS, UK), and Tim Evans (WHO): 'A 15th grand challenge for global public health.' The Lancet 2006; 367:284-286.
http://www.thelancet.com/journals/lancet/article/PIIS0140673606680501/fulltext

When HIFA2015 was in planning back in 2006, the lead author of the above paper, Dr Tikki Pang (Director of Research policy and Cooperation at WHO) said: 'HIFA2015 is an ambitious goal but it can be achieved if all stakeholders work together'. Bill and Melinda Gates are critical stakeholders. I look forward to see Bill Gates' presentation. Will the Gates Foundation take up the 15th Challenge? Will the Gates Foundation prioritise the challenge of health information for all by 2015?

Bill Gates keynote yesterday is not yet available on the web, but it will be soon at: http://mhealthsummit.org/conference/live-webcast

I hope that Bill Gates will use this opportunity to articulate a clear and specific vision from the Gates Foundation: a vision of a world where people are no longer dying for lack of access to appropriate, reliable healthcare information. With their support, there is no doubt this vision can and will be realised.

With best wishes,
Neil

HIFA2015 profile: Neil Pakenham-Walsh is the coordinator of the HIFA2015 campaign and co-director of the Global Healthcare Information Network. He started his career as a hospital doctor in the UK, and has clinical experience in rural Ecuador and Peru.  For the last 20 years he has been committed to improving the availability of healthcare information for health workers in developing countries. He has worked with the World Health Organization, the Wellcome Trust, Medicine Digest and INASP (International Network for the Availability of Scientific Publications). www.hifa2015.org  neil.pakenham-walsh AT ghi-net.org

My source:  www.hifa2015.org

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Friday, November 05, 2010

Information Revolution and Greater Choice and Control - webchat Nov 9

Put your questions about the Information Revolution and Greater Choice and Control direct to Andrew Lansley, Secretary of State for Health, on November 9 at 1.30pm.

People can ask questions in advance by emailing:
informationrevolution AT dh.gsi.gov.uk - or -

 by Tweeting their question, using the hashtag #inforevolution.

The webchat will be available from November 9 at www.dh.gov.uk/informationrevolution and you can watch the live Q&A on screen, ask questions and leave comments. We will also be tweeting Andrew Lansley's answers and the comments we receive. A transcript of the webchat will be available on the website after the event.

I would be grateful if you could bring this to the attention of any interested individuals or groups.

With best wishes

Anne Cooper
National Clinical Lead for Nursing
Office of the Chief Clinical Officer
NHS Connecting for Health
anne.cooper AT nhs.net
http://www.connectingforhealth.nhs.uk
NHS Connecting for Health supports the NHS in providing better, safer care by delivering computer systems and services which improve the way patient information is stored and accessed.
Additional link:
http://conversations.dh.gov.uk/2010/10/17/home/
My source:
British Computer Society Nursing Specialist Group

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Thursday, November 04, 2010

Drupal musings 19: DrupalCamp Edinburgh, Panels, another prize book! and a 'mu'.

DrupalCamp Edinburgh was just one day, but a Drupal drenched day. So, camping can be fun even when it rains - community spirit and ethos, tips and things you never knew.

The first session on PHP namespaces with Jonathan was on the technical side, but this is a topic to watch for Drupal 8.

Up RPC - upgrading was also technical in the sense of being for people with sites to upgrade. Joachim went through the process from Drupal 5 to 6.

Drush - the DRUpal SHell (Mac) was presented by snufkin and with the frequency Drush crops up at Drupal events, inc. NW England it's a mu - must use.

A question was raised around multimedia in Drupal, this centred upon images.

The afternoon was built around Chris Muktar's session on WikiJob. Chris described the site's birth, growth and move to Drupal. Wikijob utilises the PressFlow distribution of Drupal optomised for performance and scalability. What was fascinating here were the insights into the use of Pantheon and Amazon Web Services. The good news for Chris and WikiJob is that hosting costs are dropping month-on-month while the lessons: you need to know what you're doing and AWS is self-service.

Providing for mobile users came up and here I was actually able to contribute (well sort of) with my notes from Copenhagen and Martin Joergensen's session.

At the end there was a prize draw. I won another book! Drupal 6 Panels Cookbook, Bhawin (Vin) Patel, Packt. Having read this there's no doubt that combining Views and Panels packs some punch, especially as in Chapter 10 a travel website is created and the recipe uses the PressFlow distribution. This chapter also uses the Location and GMap modules, which I am currently looking at. Since first hearing there were modules called Panels, Views and Context I've automatically attributed h2cm related functionality to them. The care domains are 'panels'. Organic Groups, another example has proved quite different to what I thought and I only learned that this summer (that's why using really is learning). What the book brings home - without picking up the shovel - is the way these modules leverage each other.

At 10am when everyone first met with two sessions scheduled with the rest of the 10-5 day a blank I worried: 200 miles! (I didn't attend, but the morning also saw Addison Berry of Lullabot running a "Beginners Track"). My faith deserted me only for a moment. Great job Duncan and all, if there is another let me know!

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Wednesday, November 03, 2010

W2tQ & H2CM: the old site and CSS3 & HTML5

As mentioned before this blog is shifting down a gear or two (besides - less is more).

The effort to engage by providing creative and original content
+ selective announcements will continue and 
many thanks 
to the people who have recently seen fit to contact me
and say they appreciate what is here.
You are welcome!

I need to 'finish' a basic Drupal 6 site, start on h2cm for Drupal 7. This will include tinkering with the old site. Yes, I know.... but it's a good way to learn about CSS3 and HTML5. I've invested a lot in the links pages and Autumn - Winter's the time to try Drupalesence.

So there will be some changes on the old site, content and formatting which may not look 'finished' (there's that word again) or work cross-browser. Thanks for your patience and your visit.

[I know there are 27 posts on the PostRank list, but there's quite an archive now so the top 27 of 700+ is still sorting itself out.]

Drupal musings 19 to follow just after midnight GMT on DrupalCamp Edinburgh ... ;-)

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h2cm: Globalization, Accommodation theory and Relativism (Grayling, 2010)

From A.C. Grayling's Ideas that Matter, 2010, Phoenix.

Globalization: p. 235-236.

A more neutral account of globalization describes it as the process of making things known, done, available or possessed worldwide - such as Internet access, telecommunications, medical knowledge and benefits such as vaccines, transport technologies, political ideas, art and music, books and much besides.
Grayling also explains how the increased distribution associated with globalization is unequal, hence the sense of injustice that is felt resulting in protest.

The health care domains model is concerned with making things known - helping to make knowledge available on a personal, group and family level. This is no Mercator projection, not even Peter's projection but it is a global map.

Accommodation theory: p. 3-5.
Accommodation theory states that when people talk to each, they adjust their behaviour and manner of speech to take account of (to accommodate themselves to) the topic, the circumstances, and the other people engaged with them in conversation.

There are many theories to explain how we communicate and thereby model(?) ourselves, others and the world. Imagine a doctor's surgery and the morning's clinical consultations, it is easy to envisage the role that accommodation routinely plays. The one-to-one conversation (dialogue, argumentation, debate) can be extended, and viewed as the combined chatter, the whole series of multidisciplinary Q&A with the breaks (the silences when we are listening!). Accommodation theory has proved of value in multiculturalism, especially on policy concerning immigration and integration. p.5

The care domains provide an ethnoculturally neutral space (it could be argued) for the accommodations that are demanded in the 21st Century. 

Relativism: p.433.
There is a distinction to be drawn between moral or cultural relativism, on the one hand, and cognitive relativism on the other. The former concerns the difference between cultures, or between different historical phases of the same culture, with respect to religious, social, and moral values and practices, that is, with respect to what might be called the 'superstructure' of the culture's conceptual scheme. Cognitive relativism concerns the 'infrastructure', the level of basic beliefs about the world, such as that there are perception-independent, re-identifiable and individually discriminable objects or events, occupying space and time, interacting causally, and bearing properties of various kinds.
Much is said of the games that people play. Whether the care domains model provides a game board that can accommodate both the super- and infrastructural conceptual levels is open to question. In the health career model the infrastructure level concepts are light - as we find that they reside in the upper part of the model: perceived, individually discriminable (INTRApersonal) objects occupying space and time (SCIENCES) with mass, weight, inertia. ... The political domain prompts access to values and how these shape the total conceptual landscape(s), the conversations and silences that go on there ...

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Sunday, October 31, 2010

New: The Journal of Humanities and Information Systems


Dear colleagues

It is my pleasure to announce a new journal, published by IBIMA, that will cater for articles in the interdisciplinary field of Information Systems and the Humanities (JHIS). This is a call for submissions for the first edtion of JHIS.

JOURNAL DESCRIPTION

The Journal of Humanities and Information Systems (JHIS) is an international peer reviewed and applied research journal that publishes papers on the symbiotic relationship between the two disciplines of Information Systems and the Humanities. Its unique focus will be research on Humanities-enriched IS, but other Humanities-Computing papers and case studies will also be considered. All papers will be subjected to a multiple blind peer review process. Papers should contribute to the existing body of knowledge of the domain in terms of theory and/or practice.

MISSION

JHIS aims to create an international forum to discuss and evaluate studies that implement theoretical constructs borrowed from the Humanities in various aspects of Information Systems, as well as investigations regarding the application of information technology in the Humanities. The creation of
publication opportunities for research with refreshing angles, some borrowed from other sciences, is a conscious effort to share interest and useful research and to counteract rigid procedures that are "stifling the intellectual advancement of our discipline" (Shoib and Nandhakumar, 2009).

SCOPE

Topics of interest for this journal include, but are not limited to, the following list:
  • Linguistics and Information Systems
  • History and Information Systems
  • Art and Information Systems
  • Philosophy and Information Systems
  • Law and Information Systems
  • Hermeneutics and Information Systems
CALL FOR ARTICLE SUBMISSIONS TO JHIS

Since there still are limited publication opportunities for Information System scientists (cf. Straub, 2009:v) in comparison with some other older, well-established disciplines, new opportunities should be embraced and used in order to build our discipline. Therefore, our colleagues are invited to submit some of their research outputs to this new outlet.

ASSOCIATE EDITORS AND PEER REVIEWERS

Please let me know if you would be interested to become an associate editor or peer reviewer of JHIS.
The editors and reviewers of JHIS should be like diamond miners taking a positive view while looking for "exciting forays into new research domains" (Straub, 2009:vii). The general aim in the review processes of this new journal will be to be inclusive and developmental rather than to perform "a
modern hygiene ritual", because we agree with Wastell and MacMaster (2008:64) that "a high rejection rate implies a collective failure of scholarship not the intellectual prosperity of a field".

For more information about the journal and submissions, see:
http://www.ibimapublishing.com/journals/JHIS/jhis.html

Jan H. Kroeze, School of Computing, University of South Africa
(editor-in-chief)

My source:
Humanist Discussion Group, Vol. 24, No. 451
Centre for Computing in the Humanities, King's College London
www.digitalhumanities.org/humanist

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Saturday, October 30, 2010

HCI 2011 Health, Wealth and Happiness Call for Papers


The 25th British Conference on Human-Computer Interaction (HCI2011)

July 4th - 8th, 2011 at Northumbria University, Newcastle-upon-Tyne, UK.

The HCI Educators conference, Workshops and Tutorials will be held on 4th and 5th July, 2011 and a Doctorial Consortium on the 5th July. The main conference runs from the 6th-8th July, 2011. HCI 2011 is organised by the PaCT Lab (Northumbria University) in cooperation with the British Computer Society.

This year we will be looking for papers to put in our alt.hci sessions. So if you think your work doesn't usually make it into this conference then maybe this year is your year.

Accepted papers will be published by BCS in the annual conference proceedings, freely available online in BCS Electronic Workshops in Computing (eWiC) and will also be included in the ACM digital library.

Important Dates:

  • Full Paper and Workshop submission: 21st January, 2011
  • Workshop notification of acceptance: 11th February, 2011
  • Work in Progress and alt.chi submission: 18th February, 2011
  • Short and Posters  submission: 18th February, 2011
  • Demos and Experiences submission: 18th February, 2011
  • Doctoral Consortium 18th February, 2011
  • Panels: 18th February, 2011
  • Notification of Acceptance for all other categories: 8th April 2011
  • Camera-ready copy for proceedings required by 6th May 2011
Deadline for author registration: 4th May 2011

Conference: 4th July - 8th July, 2011

Conference Scope and Description:

Human Computer Interaction is a key area of computing. This is the leading conference in the field of Human Computer Interaction in the UK. It covers the design, evaluation and application of techniques and approaches for interacting with devices and services.  HCI is now on its 25th conference and at this anniversary we ask you to reflect on our theme of Health, Wealth and Happiness. Technology is posed to play a growing part in our health and maintaining well being into older age; wealth manifests itself in many ways, many of which we do not always recognise - relationships, richness of life experience, creativity and innovation, knowledge and qualities of character. Lastly is there a relationship between happiness and technology use, will more gadgets increase our well being? And as ever contributions in any aspect of HCI are welcome.

Suggested topics:

We solicit original research and technical papers not published elsewhere including the following topics:
  • Affective interaction
  • Aesthetic interaction
  • Art and interaction
  • Bodily interaction
  • Cyber-relationships, sex and eroticism
  • Design and Evaluation methods
  • Ethnographic and field studies
  • Ethics and HCI
  • Experience Design
  • Fun and Play
  • Health informatics and technology
  • Human values
  • Information visualization and presentation
  • Interaction Criticism
  • Moods, meditation and relaxation
  • Musical and audio interaction
  • Novel interaction techniques and devices
  • Privacy, Security and Trust
  • Social networking
  • Spirituality and Beliefs
  • Sustainability and HCI
  • Ubiquitous, pervasive, and mobile interaction
  • Universal design
  • Usability studies
  • User Experience
  • Wearables and fashion
  • Wellbeing and technology
Keynote Speakers
  • Abigail Sellon, Microsoft Research, UK
  • Gregory Abowd, Georgia Tech, USA
Paper Submission:

Submissions must be in an electronic form as PDF format. All submissions should be formatted to the ACM standard, see http://www.acm.org/sigs/publications/proceedings-templates , and will appear on-line in the BCS EWiCS series and the ACM Digital Library.

Submissions should be made through the EasyChair system, which will open for submissions in November and will be linked from the conference website http://www.hci2011.co.uk/ with detailed instructions. We have put together an international review panel. Submissions will be peer-reviewed by at least 3 peer-reviewers, selected by the appropriate chairs. Additional guidelines can be found on the conference's website.

It is a condition of acceptance that at least one author must register for each accepted paper, no later than the early bird deadline of 4th May 2011.

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Thursday, October 28, 2010

Fran Biley's video: Students on nursing theory

I came across this great video created by Francis Biley Bournemouth University through the Martha Rogers list:


Quite some time ago I wondered about having dummy - animated heads to carry out a dialogue. It is great to see how e-media forms and tools have developed now.

I have my own thoughts and ideas on nursing, perhaps over time I am drafting them in the bibliography and here on W2tQ?

Additional links:

Nursing theory resources SCIENCES links
Virtual Reality in Nursing: A dialogue from 1991
Nursing Telemachus and Computers: A dialogue from 1995

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Saturday, October 23, 2010

Drupal musings 18: healthcare group, DrupalCamp and #183

It's a fair trip to Edinburgh from NW England just for one day on the 30th October, but DrupalCamp looks like it will be worth it. I've just booked a room for the Friday night and will set out straight from work.

There's been a Drupal healthcare group for quite a while, now there's also a list of health sites using Drupal:

http://groups.drupal.org/healthcare-sites

One day, one day....!

I'm not sure if this post is contrived: a means of getting to post #183. That was the total for 2009 and here we are already.

If one day, one day is going to happen then this blog is going to slow down soon. No suspended animation though. There will be a pulse.

The involvement of a few link partners on W2tQ is very helpful. It seems the archives are of interest. This not only supports the IT side - future hosting ... but attending events (DrupalCamp travel, B&B) and possibly conferences...

As a full-time nurse I sometimes have to rely on holidays to attend events that really float my boat (or fly my plane). Drupalcons are a case in point. It's not easy trying to simultaneously span nursing, education and informatics, but it really is fascinating [and it makes me :-) ]. Take the following conference:


March 30th and 31st 2011 in Grange-Over-Sands, Cumbria, UK

I raise this because problem-based learning is a real gift for the health career model, but this gift runs to £235 (which of course for two days training / education is very reasonable - there is a free half-day workshop too). 
So, One day, one day - but meanwhile enjoying the journey and the many bridges. ...

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Friday, October 22, 2010

Care origin(s) and open access #OAW2010

The most striking and ubiquitous presence in the health career model is its basic diagrammatic form. The image at left provides some mathematical additions and there at the center is the origin.

In this respect the model (literally) draws our attention to the identification of the care problems, constraints, strengths, solutions that affect the individual with whom we are engaged. We are immediately aware that there is inevitably more than one aspect to consider.

To save repetition I am only going to refer to problems. So, the model's form highlights that there is no single origin of problems, but many. At some time a problem, for example physical, may become the priority. Then the SCIENCES domain is critical. Deprivation of liberty concerns may split the priority creating tension across the INTER-intraPERSONAL and POLITICAL domains.

As priorities are dealt with there needs to be a return to the -

origin.

The question is asked: in which care domains do the problems lie? We call this re-assessment and evaluation.

In Open Access Week the health care model is also 'open access'. Not just in terms of being a free, accessible resource available to all, but being discipline agnostic, neutral and applicable across cultures and ethnic groups. The model is also open in terms of mindset. The users of h2cm provide that and as they do open* and origin-al care unique to the individual has a chance to follow.

*Open care? Mmm...


Image source: origin - http://en.wikipedia.org/wiki/File:Coordinate_with_Origin.svg

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Monday, October 18, 2010

Drupal musings 17: PHPNW 2010, HTML5, DrupalCamp Edinburgh

PHPNW 2010 on the w/e 9th - 10th October was well worth attending. Sessions for me after the keynote included:

Let your toolchain set you free

Debugging – Rules and Tools

The curious case of php|architect

Designing HTTP URLs and REST Interfaces

All the sessions where very informative, but the latter proved the most interesting. I noticed REST interfaces kept coming up at the Ruby conferences in '08 and '09 and also in reading about Ajax. So David Zuelke's session was very interesting both with his critique of how REST is applied (twitter) and his humour. I look f/w to the videos appearing.

A dinner date with friends meant I had to leave early and so I missed the prize draw. The past week started with a smile when Emma Parker, PHPNW10 Events Team emailed to say I'd won a book in the prize draw. Last Thursday the book arrived:

Pro HTML5 Programming

Magic! Thanks to the conference team and Apress.


I have just learned about DrupalCamp Edinburgh on the 30th and have registered.

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Sunday, October 17, 2010

The Empowered Patient Conference

HIFA2015 brought this conference to my attention rather late, but it is nonetheless well worth posting. Indirectly for the health career model, which can facilitate patient and carer education and empowerment. In addition to demonstrating the global potential of h2cm this announcement also demonstrates how small the world is becoming. I had the pleasure of hearing Mark Duman present in Manchester at a local BCS medical informatics meeting in the spring. I've since maintained a link to the Patient Information Forum here on W2tQ and Links III - 'Patients, Carers & Self-Care'.

If you are organising a conference or event for 2011 ... please let me know. I may be able to assist with free publicity on the care domain pages interpersonal, sciences, political or sociology - especially if your themes are similar: nursing, informatics, education, global health, self-care. ...



HELP is pleased to organize The Empowered Patient Conference in Mumbai on 20 October. The website is at http://www.patientpower.in/

Traditionally, Indian patients were passive and were quite happy to leave all medical decisions to the doctor. However, times have changed, and internet positive patients are hungry for information and want to work in partnership with their doctor. This is a huge challenge - and a great opportunity as well. We feel patients are the largest untapped health care resource and that Information Therapy is Powerful Medicine!

In partnership with the Patient Information Forum, UK, HELP is organizing The Empowered Patient Conference. Our keynote speaker will be Mr Mark Duman, President of PiF:
http://www.pifonline.org.uk/home/

Information Therapy can help patients (and health insurance companies!) save money on medical care by:
  1. Promoting SelfCare and helping them to do as much for themselves as they can.
  2. Helping them with Evidence-Based Guidelines, so that they can ask for the right medical treatment that they need - no more and no less.
  3. Helping them with Veto Power, so they can say No to medical care they don’t need, thus preventing overtesting and unnecessary surgery.
Information Therapy is good for doctors and hospitals as well, as patients who are well-informed have realistic expectations of their treatment. They are much more likely to have a good medical outcome and much less likely to sue.

How can we all work together - doctors, patients, hospitals, health insurance companies and IT companies, to ensure that patients are at the heart of everything we do in healthcare?

Dr Aniruddha Malpani, MD
Medical Director
HELP - Health Education Library for People
Excelsior Business Center,
National Insurance Building,
Ground Floor, Near Excelsior Cinema,
206, Dr.D.N Road, Mumbai 400001

Helping patients to talk to doctors! Information Therapy is the Best Prescription!
Read over 20 health books free at www.helpforhealth.org
Read my blog about improving the doctor-patient
Relationship at http://doctorandpatient.blogspot.com/
Join India’s first health wiki at www.myhealthpedia.in

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self disclosure: personal distractions & Andrew Marr

Although I've installed, re-installed ... been reading, attended 3 Drupalcons and the monthly NW Drupal Users group in Manchester - Drupal remains a scary character. I am in for the long haul though and the new PC is a great asset. All I need now is a place of my own. It's complicated. There was a question raised on the psychiatric nursing email list about the "Do I?" - "Don't I?" of self disclosure.

As for the "Do I?" - "Don't I?" Drupal - since summer 2008 separation and divorce has been the source of distraction. It still is, with a 'final' hearing to follow in the new year about the 'marital' home. I need the equity: STAT! This protracted delay in resolving matters is not my fault (although there is a counter argument that says the delay spans 24 years3). Such disclosure here may grate with some readers; if so well actually to date I've been re-strained to the point of chronic constipation. Whether a citizen journalist or not I'm pleased to remain an exception to Mr Marr's tirade about bloggers this past week.

As per the first post of 2010 it is now 12 months since I had my first cataract op c/o surgeons Messrs Heaven and in November 2009 Mr Mars at Wigan Infirmary. I'm sending a thank you card now. Now, because the past 12 months have been visually amazing! As each season has come along new sights (no pun intended) and old vistas refreshed have been a great revelation. Things are coming together. Drupal musings 17 to follow soon ...

3The main disclosure here is not about 'self' but about the three amazing individuals that union brought into the world. This 'self' would not want to change that for anything in the world.

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Saturday, October 16, 2010

New to nursing? after Jules (just scratchin the skin)

If you are new to nursing (social care, learning disability, forensic nursing... ) we have some amazing guests on this weeks show, appearing especially for you, because of you: because you care - on four stages ....
[with apologies: Jules Holland, BBC 2]

Interpersonal : Sciences
Sociology : Political
Self Awareness
orientation
communication
rapport, empathy
anxiety
values, beliefs
mood, risk
knowledge & skills
aptitude and attitude
anatomy and physiology
(The) Make the Beds
 TPR [BP]
hygiene
birth...........................................death
drugs
journals, books
nutrition
assess, plan, actions, evaluate
tech & equipment
community
family

relationships
culture
traditional medicine
social networks
public involvement
HUMAN RIGHTS
Consent, Choice, Capacity
health economics
Law
DoH, NLM, WHO
health social care services
professionalism
policy

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Friday, October 15, 2010

Blog Action Day 2010 - Water: conceptual drops in the health career model

Today is Blog Action Day and the theme is water.

Below I have added a selection of water related links across the domains of the health career model:

Interpersonal : Sciences
Sociology : Political

The above links:
http://www.environment-agency.gov.uk/homeandleisure/beinggreen/117266.aspx
http://www.waterencyclopedia.com/
http://www.science-parliament.eu/forums/2010-water-science-politics/1151/water-in-philosophy
http://ngm.nationalgeographic.com/2010/04/water-is-life/kingsolver-text
http://thewaterproject.org/
http://en.wikipedia.org/wiki/Properties_of_water
http://earthobservatory.nasa.gov/Features/Water/
http://www.who.int/water_sanitation_health/
http://solar-center.stanford.edu/news/sunwater.htmlhttp://www.simetric.co.uk/si_water.htm
http://www.nursingtimes.net/nursing-practice-clinical-research/homeostasis-part-4-fluid-balance/203260.article
http://www.lenntech.com/water-mythology.htm
http://aquadoc.typepad.com/waterwired/
http://www.photovault.com/Link/Food/Water/WellsDevelopment/FWWVolume01.html
http://www.bbc.co.uk/programmes/b00sg2my
http://www.waternet.be/
http://www.worldwaterday.org/
http://www.who.int/water_sanitation_health/economic/
http://water.org/
http://www.unesco.org/water/wwap/

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