Hodges' Model: Welcome to the QUAD

- 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 - one day). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Saturday, February 17, 2018

Common Sense..? c/o Shlain

The phrase "common sense" has several meanings. In one, it is the wisdom of all the senses, a holistic and simultaneous grasp of multiple converging determinants. In this meaning, common sense is intuitive and is often the opposite of logic. In another meaning, it is the wisdom of more than one person. It is the result of the give-and-take of face-to-face conversation with another, which allows one to "hear oneself think." In this second meaning, common sense is wisdom generated "in common."
Shlain, L. (1998). The Alphabet Versus the Goddess: The Conflict between Word and Image. London: The Penguin Group, p.315.

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Friday, February 16, 2018

Common Sense..? c/o Santayana

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

"Santayana departs from the British school, however, in insisting that a common sense philosophy cannot itself be adequately defended by common sense." p.63.

common sense
?
common sense
?

common sense
?


O'Sullivan, N. (1992) Santayana. St Albans: The Claridge Press.

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Thursday, February 15, 2018

Suffering and Autonomy at End of Life - Conference

The Suffering and Autonomy at End of Life Project is pleased to issue a call for registration for our culminating conference: Suffering and Autonomy at End of Life.

The conference follows a series of workshops concerning the ways in which suffering at the end of life may both threaten and augment autonomy. For instance, a person’s perspective on what’s valuable or important may be enhanced through their suffering and their understanding about who they are and what they care about may be advanced. Suffering at the end of life plausibly often yields just such enhancements and advancements, therefore providing distinctive opportunities for the augmentation of autonomy. Suffering at the end of life can also threaten autonomy. It can alter the sufferer’s preferences and distort their reasoning ability, problematizing the status of their decisions and consent. It can also limit the sufferer’s ability to pursue long-term goals, and undermine relations with others, both of which are important for autonomy.

This culminating, interdisciplinary conference will focus on how the effects of suffering on autonomy are reflected in existing regulatory frameworks governing end of life care, and in what ways those frameworks may be appropriately altered in response to the effects we have been identifying.

The conference will be held 12-13 April, 2018 in Philosophy at the University of Glasgow and will include reflective readings on case studies, roundtable discussions comprised of Scottish practitioners focused on questions of both policy and practice, and research presentations including:

David Clark (University of Glasgow, End of Life Studies)
Ben Colburn (University of Glasgow, Philosophy)
Jennifer Corns (University of Glasgow, Philosophy)
John Harris (University of Manchester, Philosophy)
Bridget Johnston (University of Glasgow, Nursing and Palliative Care)
Neil Manson (University of Lancaster, Philosophy)
Daniel Weinstock (McGill University, Philosophy and Law)

This event is free and open to the public, but registration is necessary for catering purposes. To register or for further inquiries please email Jennifer Corns: jennifer.corns AT ac.uk

The workshop is funded by the Royal Society of Edinburgh with PIs Ben Colburn and Jennifer Corns.
n.b. I have registered through the organisers.

My source: PHILOS-L list - https://www.facebook.com/PhilosL/

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Tuesday, February 13, 2018

Book: Politics Of The Mind - Marxism and Mental Distress

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

Psycho-Political





https://bookmarksbookshop.co.uk/view/45353/Politics+Of+The+Mind%253A+Marxism+and+Mental+Distress
POLITICS OF THE MIND

Source: MHHE AT JISCMAIL.AC.UK

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Monday, February 12, 2018

Free online course - Global Health and Disability c/o HIFA

Dear all,

I hope that you are well.

We are super-excited as we are just putting the final touches on our online course on Global Health and Disability. It features key global leaders in disability and many testimonials and videos from people with disabilities from around the world. It argues strongly for the inclusion of people with disabilities in development.

I would be very grateful if you would share the information below with colleagues or others who may be interested in joining the course. It is suited to anyone with an interest in health and disability, from low or high income settings, and should take up about 2-3 hours per week for 3 weeks. The launch is Feb 26. Let me know if you have any questions.

All the best,
Hannah


Global Health and Disability

Leaving no one behind: disability, health and wellbeing in global development

A 3 week (maximum 4 hours per week) free online course from the International Centre for Evidence in Disability at the London School of Hygiene & Tropical Medicine

Course starts 26th February 2018

For more details, to check out the trailer or to register your free place on the course, click here:

https://www.futurelearn.com/courses/global-disability/1

Why join the course:

Around 15% of the world’s population, or 1 billion people, live with some form of disability, with numbers continuing to rise over the coming decades.

People with disabilities are often overlooked in national and international development, and can face widespread barriers in accessing services, including health and rehabilitation services, even though simple initiatives are available to enable access. Our three week course aims to raise awareness about the importance of health and well-being of people with disabilities in the context of the global development agenda: Leaving no one behind.

What topics will you cover?

  • The magnitude of disability and relevance of disability to the global development agenda
  • Defining disability and how it can be understood and measured
  • The challenges to health and wellbeing amongst people with disabilities and why people with disabilities might have poorer health
  • Why people with disabilities may have difficulty in accessing health services
  • Links among longer term health conditions and disability
  • How to improve access to health care and rehabilitation for people with disabilities
  • Community based inclusive development for improving access to health and rehabilitation for people with disabilities
For more details, to check out the trailer or to register your free place on the course, click here

Source: Dorothy Boggs and Hannah Kuper of London School of Hygiene and Tropical Medicine via HIFA.

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Sunday, February 11, 2018

Courage [ii]: One of the 6Cs - for Individual & Governments?

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

As a student nurse in the 1970s courage took several forms. Advocating for personalised clothing and care plans. A choice of tea/coffee with or without milk or sugar. Charge nurses and sisters took action to ensure patients on upstairs wards were not carrying hot food containers without proper protection. You had to empathise with the patients on the 'rehabilitation' wards as successive students on placement initiated their personalised care planning for the patient. Change did happen: a consequence of what courage and the other 6Cs can do (even if the 6Cs were not explicit then).

Through the 1980s the nursing record got rather lost in the nursing process, as some took the critical line of the patient - the person, being 'processed'. 

Circa 2002-2003 The National Programme for IT was to put the 'record' straight. But the jigsaw is still not complete.



Long ............................................ Road (can)
The public were to have access to their record and there are successes. Some GP practives have risen to the challenge. Nationally, the potentialof electronic health records is still to be realised, even in a summary record form.

Joined up, integrated, interdisciplinary and interoperable care records, for example, between nursing homes, primary care, secondary care and social services remain by-and-large on the collective wishlist and a must-do. The governance of this remains rather contested, especially across scientific applications in health research and the public (good).*


The first post noted the need for governments to have courage in policy and take the long view . that responsible government responsive to demographics and global warming demands.  Google and Microsoft have publicised their health record solutions; Microsoft's Healthvault is ongoing. Amazon, Berkshire Hathaway and JP Morgan have announced a joint initiative to shake up America's costly health market.
Is this an example of courage? Given the availability of access to the cloud, big data and emergence of AI processing and solutions - this is more an opportunity fostered by frustration at medical costs. Microsoft does well to stay the course. This time it's not about kicking a problem into the long grass, it's having a can down the road to see  if - IT can finally realise its potential to patients and public health.


You also never know what other tools you might find... ;-)

Dean, J. (2018) Will Amazon be good for US health? The Times, 5 February, p.43.

*More to follow in this.

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Saturday, February 10, 2018

Courage: One of the 6Cs - for Individual & Governments? [i]

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

Courage is perhaps one of the more challenging of the 6Cs for learners to grasp and even for experienced staff  to exercise. As a concept a definition is easy to find. Courage is often associated with whistleblowing. Over the decades whistleblowing has proved critical and vexed to both an individual's career and organizations.  Hodges' model encourages us to expand on this ...

The courage of seeking
data,
information,
knowledge,
diagnosis and prognosis
Address:
assumptions : misinformation : disinformation
["Dr Google", fake news, drugs online..?]
Disclosure or withholding information

||||||||||||||| LONG GRASS |||||||||||||||
Husbands, wives, partners, sons and daughters with many friends find courage every moment of everyday (and many nights) when caring for someone living with dementia and other chronic illnesses. Practitioners may need courage to challenge promises made by family members that - "A nursing home? Never!" But, is the patient still at the centre of concern in these cases? Care at home at any cost? This can be the 'record' that matters to families.


Governments of all hues and globally are vested with courage, but how they exercise this quality depends vitally on governance. This is same reason, constraint that operates on the individual. "Do I? Don't I?" becomes "Do we? Don't we?" But then that individual practitioner is (must be) supported (governed) by supervision and the deliberations of the multidisciplinary team.
What is the governments' record? Do governments have the courage to address the problems sustainable health and social care presents? Or, do they just kick the  problem...


Courage [ii]: One of the 6Cs - for Individual & Governments?

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Friday, February 09, 2018

2nd EAI International Conference on Emerging Technologies for Developing Countries

http://africatek.org/

May 29 - 30, 2018 | Cotonou, Benin
Submission Deadline: February 20, 2018


Scope

AFRICATEK 2018 targets the use of emerging technologies (e.g. cloud computing, IoT, data analytics, green computing, Smart grid etc.) in developing countries.

Find out more about topics here.

Building innovative solutions and services based on cutting edge technologies is very challenging in developing countries for several reasons. The limited IT infrastructure and Internet penetration are two of the key hindering barriers.

We are pleased to invite you to submit your papers to AFRICATEK 2018. They should be in English, following the SPRINGER formatting guidelines (see Initial Submission).

Publication 

All accepted papers will be published by Springer and made available through SpringerLink Digital Library.


Proceedings will be submitted for inclusion in leading indexing services Ei Compendex, ISI Web of Science, Scopus, CrossRef, Google Scholar, DBLP, and more.


Papers will be judged on originality, correctness, clarity and relevance. Submitted papers must be original work, and may not be under consideration for another conference or journal.

Important dates:

Full Paper Submission Deadline: February 20, 2018

Notification Deadline: March 19, 2018

Camera-ready deadline: April 19, 2018

Start of Conference: May 29, 2018

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Tuesday, February 06, 2018

Book: The Beautiful Cure

individual - self - patient - client - carer - person - resident - guest ...
 (person-alised medicine?)
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group
Bound to be Beautiful here

https://www.penguin.co.uk/books/1109946/the-beautiful-cure/

and here ...

Questions of cost will be heard here ...

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Monday, February 05, 2018

BBC Radio 4: "The Truth About Hawaii"

Individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

http://www.bbc.co.uk/programmes/b09ntd0h






Source: BBC Radio 4
Roderick (Paul), Christine (Lizzie) and Jocelyn (Sarah) in 'The Truth About Hawaii'

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Sunday, February 04, 2018

Circle of Life - c/o Ben Lockett

Spiritual - Being
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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Credit: Ben Lockett





Credit and my source:
Ben Lockett/Fortitude Press: The Times, 6 January 2018, p.6. "Circle of life This image of a woman in the Staffordshire moorlands appearing to touch the North Star was created using a technique called star trail photography"

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Saturday, February 03, 2018

c/o [hifa] WHO Webinar: Compassion [ii] mapped to Hodges' model

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

sympathy, empathy, compassion
mental states, feelings, emotions
communication (verbal - non-verbal)
experience, sorrow, suffering
personal ethics, learning
reflection, self-compassion
psychometric instruments
mentor, role model
listening, non-judgemental
student idealism
 meditation, contemplation
(drug concordance)

Poor psycho-
Research
Teaching
methods and methodologies
measure compassion
Technical competence
diagnostic accuracy
studies - literature
(drug compliance)
QUANTITY

health & compassion
as a 'science'
social support 

QUALITY
culture
peer support - sharing
reflexive, desire to help
rapport,
PRACTICE based research
Research on empathy > compassion
role models
teamwork

better outcomes,
public demand
(for more compassionate)

health workers,
high workload
mission statements
Health Institutions
Regulatory organizations
Medical councils
harassment - poor team functioning

See also and c/o HIFA:
c/o [hifa] WHO Webinar: Compassion – the heart of quality people-centred health services

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Friday, February 02, 2018

A Health Self-Portrait...

individual - self - patient - client - carer - person - resident - guest ...
 (you get the picture...?)
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group


How easy is 
it to create 
a portrait of a 
patient's health?
How easy is
 it for a patient
to create a 
health self-portrait?








Source:
https://twitter.com/thehumanxp/status/959501549901934593
https://twitter.com/thehumanxp/status/959501549901934593

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Thursday, February 01, 2018

c/o [hifa] WHO Webinar: Compassion – the heart of quality people-centred health services

Fascinating............
Please see the following link to a paper that may be of interest.
Integrating compassion to clinical care: a review of an emerging ‘science’
Kind regards

Saroj J

https://cjms.sljol.info/articles/abstract/10.4038/cjms.v54i1.4822/

http://www.hifa.org/support/members/saroj
sarojoffice AT yahoo.com

[*Note from HIFA moderator (Neil PW): Thank you Saroj. For the benefit of those without immediate web access, here is the citation and abstract:

Jayasinghe, S., (2017). Integrating compassion to clinical care: a review of an emerging ‘science’. Ceylon Journal of Medical Science. 54(1), pp.3–8. DOI: http://doi.org/10.4038/cjms.v54i1.4822 [open access]

ABSTRACT
Sympathy, empathy and compassion are a family of connected mental states or emotions that relate to understanding and responding to another’s feelings. Compassion can be defined as a feeling that arises when witnessing another’s suffering, and motivates a desire to help. It differs from empathy, which is experiencing another’s feelings, and sympathy (a feeling of sorrow and concern to another’s pain or suffering).

There is a public demand for health workers to demonstrate more compassion. This is reflected in compassion being stressed in mission statements of health institutions, and in the goals of regulatory organizations and medical councils. Increasingly, compassion and technical competence are both considered as integral elements of quality care. Despite their acknowledged importance in health care, empathy and compassion are rarely researched or taught explicitly.

Measuring compassion is difficult and there is a need for psychometrically validated instruments. As a result, most research is on empathy. Empathy improves diagnostic accuracy, patient satisfaction, drug compliance, and lead to better outcomes (e.g. improved glycaemic control in patients with diabetes). Studies have found a rapid decline in empathy during the undergraduate medical course, believed to be due to poor role models, students experiencing harassments by senior staff, confronting clinical realities that counter student idealism, higher workload, and poor psycho-social support. Facing distressing situations with little support leads to empathic distress. The intensity of the latter is reduced by functioning as teams, listening to each other’s concerns non-judgementally, self-reflection to understand one’s own emotional reactions and cultivation of self-compassion. Skills of self-compassion and compassion towards others may be learnt through contemplative approaches and certain religious meditation techniques (e.g. ‘Metta’ meditation in Buddhism). Sri Lanka could also draw on these indigenous cultural and religious practices and take a lead role globally in the emerging interdisciplinary ‘science’ of compassion and health.]

My source:
HIFA: Healthcare Information For All: www.hifa.org
HIFA Voices database: www.hifavoices.org

View this contribution on the web site https://dgroups.org/_/9rhprvm9

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Wednesday, January 31, 2018

Care with a Smile: For a Smile in Care Homes


individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group


Self-esteem, self-image

anxiety, worry, depression

Able to express needs
communication
Ability to ask, remind, argue - self-advocate
 
Challenging behaviours,
agitation, aggression

Irritability, poor sleep

reduced attention and concentration

Observation of staff - pain?

Loss of dentures, memory


Changes in gums, gum disease, weight loss
cleaning teeth, false dentures, fit, marking dentures, care plans
Access to toothbrush, toothpaste, mouth wash, Oral hygiene
Sugar – sweets (one of few pleasures?)

Risk of thrush and other infections (cardiac?)

Mobility of the resident
Appearance and sense of well-being

Pain of toothache, analgesia – tiredness
Avoiding eating and drinking properly

Access to dental surgery

Changes with speech

Equipment challenges of remote care, technology changes
Mobile clinics

Responding to expressed distress -
whether explicit or implicit
(listening - caring)

Confidence.
Isolation
Avoiding other people.

Having friends and family to advocate for dental care

Impatience with others, argumentative,
shouting

Family expectations

Guidelines
Commissioning of dental care in the residential / nursing home sectors
Local authorities, Health, CQC
Asessment - Evaluation
Referral process
Staff  awareness and knowledge

The nursing home make the referral?
The family must make the referral?
Payment
National standards
Domiciliary visits paid in advance.

Dental service packs packs circulated to residential and nursing homes across a Region.





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Monday, January 29, 2018

Saturday, January 27, 2018

Planning tool for Early Onset Dementia - Mapped to Hodges' model [i]

 This post is prompted by a tweet:


individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group
Self-knowledge of symptoms -
Learn about my condition
Learn and stimulate the brain
Use lists, what I am doing, what interests me
music, places, work-experiences ...
Consider interventions, record in my biography
Feel safe, confront fears and anxieties
What does 'well-being' look like for me
Positive thoughts, dreams, aspirations
Use Mental Capacity for Future Planning
- and signs
 Seek environments that support me;
avoid those that drain or inhibit me


Use technology to create biography
(Research into diagnostic journey)


Take control - strategies on nutrition and health
Share biography with loved ones, friends.
Tell them how they can help -

 Ensure (assure) future needs are/will
be met as I would like them

(Hey!) I can still contribute to society so ..

- consider getting help e.g. Dementia Advisors
(Guidelines for health services, esp. primary care, GP, family physicians)
Mental Capacity Act, Power of Attorney,
Advanced Decision Making
Yes: to occupation, earning or volunteering

Apologies in advance, as the formatting may be disrupted on some devices so two lines may not scan across the care domains as intended.

As you can see this brief 'sketch' of #StillMyLife shows that the emphasis of this planning tool is well-placed. This also highlights what I have referred to as 'holistic bandwidth'. There are many claims regarding the centredness of various things, for example; student education and learning, health and nursing care, government and the way business is conducted. In this instance, the question of what is the conceptual, disciplinary and professional extent of a tool, approach, theory or practice. Is its claimed philosophical, ethical, social or other objective fully deserved? Is it person-centred, or task centred? Does it deal with the political dimensions of significance to an individual with a disabling health condition as it claims?

I will extend this explanation in a further post soon, expanding the bracketed points above. There's another paper here!

n.b. Note the boxes and the absence of ticks.

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Thursday, January 25, 2018

Conference: The Foundations of Conceptual Engineering

A conference on The Foundations of Conceptual Engineering at NYU, on Sept 14 and 15, 2018. To attend, please register by following this link no later than August 31, 2018.

One dimension of cognitive success is getting it right, i.e gaining knowledge of facts. Another dimension of cognitive success is using the right concept, i.e. framing a topic in the right way. This view, if correct, tasks inquirers with critically examining the concepts they are using and perhaps replacing those concepts with new and better ones. This task is often known as “conceptual engineering”.

The idea that conceptual engineering is an important task for inquirers in and outside philosophy has recently gained traction. Some philosophers think conceptual engineering is an important task for inquirers to pursue.  The conference is focused on foundational issues in connection with conceptual engineering. Topics to be addressed include the following:
  • What are the semantic mechanisms that underlie conceptual engineering?
  • What are concepts, and which role (if any) do they play in conceptual engineering?
  • How can a theory of conceptual engineering be integrated with large-scale semantic theories? 
  • Which precise changes does a language undergo when its speakers engineer concepts?
  • Is conceptual engineering something that speakers can ever purposefully bring about?
  • What is the relation between changing concepts and changing reality? 
The planned conference will focus especially on the semantic foundations of conceptual engineering and push towards a better understanding of the process.

The conference is organized collaboratively by members of NYU (Vera Flocke and David Chalmers) and members of the research project ConceptLab, located at the University of Oslo (Herman Cappelen and Andrew Peet).

 More...

<>

If this conference needs a workshop, a workbench, or conceptual engineering facility they might care to look at Hodges' model. Whether for conceptual brainstorming, requirements, prototyping, refactoring, combination ... Hodges' model can have a role. Some musings in this vein follow...

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group

One dimension of cognitive success is getting it right,
i.e gaining knowledge of facts.
Another dimension of cognitive success is using the right concept,
 i.e. framing a topic in the right way.
Acceptable to the patient (or advocate) and ethical?
Achieving concordance - agreed 
relevant to the context, issue, problem?
Logical consistency, coherence and permanence?
Holistic bandwidth is tested - semantic scope?
Conceptual Engineering instantiated in software, argumentation? AI? Conceptual Spaces?
Topic is person-centred 
(patient, student, carer...)
Testing: Concepts with positive :: negative are switched - re-framed? 
Other dichotomies? Conceptual slide-rule?
Known 'semantic drift' in vocabulary - concepts: disuse, archaic, new, re-purposed?
Assessment is comprehensive?
Knowledge of 'conceptual engineering' 
how to - rules, laws (mechanisms)?
Concepts were measurable (as were previously defined) quantifiable?
Flagged interdisciplinary use of concept? Transdisciplinary?
Visual tools - representation, diagrams?
Reversible quality: 'engineering' disassembly?
Conceptual dependency on threshold(s)?
Engineering concepts: 
tolerance, project, professionalism, failure, risk, benefits, techne?
'Conceptual engineering' defined units & standards: word, words ... corpora?
Research methodologies, methods?
Literature
Available social sources were utilised, or at least pursued?
Narrative derived from concepts references life history (story)?
Tested and accepted by peers - multidisciplinary team?
Inclusive?
Quality criteria were met
Cultural, ethnic due regard  met

legal?
concepts used were appropriate
 to outcome(s)?
'Space' for uncertainty, constraints, unwise decisions?
Policy influence on language, examples found in health and social care 2008-2018 austerity?
Accords with and assures the Sustainability Development Goals?
'Macro conceptual engineering' - 
Level of required change in health systems: 
new & existing




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Wednesday, January 24, 2018

Webinar: Using arts in the training of primary care professionals

http://www.euprimarycare.org/news/webinar-using-arts-training-primary-care-professionals-30-january-1230-pm-netherlands-time

Dear Colleagues,

The European Forum For Primary Care (EFPC), invites you to its FREE Webinar: Using arts in the training of primary care professionals (30 January @ 12.30 p.m. Netherlands time)
Human centred care and holistic approach are very crucial for strong and effective primary care. Arts, particularly narratives and using drama, has a potential to be an efficient tool to achieve competencies needed to care the patient as a whole person. Involvement of art into primary care professionals’ training can help them to understand themselves and their patients better, especially by stimulating emotional intelligence.

Don’t miss this great opportunity to learn more and register now!

Date: Tuesday 30 January, 2018 , 12.30 P.M (Netherlands time)

For Registrations send your interest to: info AT euprimarycare.org (max 100 participants)

More information : http://www.euprimarycare.org/news/webinar-using-arts-training-primary-care-professionals-30-january-1230-pm-netherlands-time

HIFA profile: Diana Castro Sandoval is Junior Project Coordinator at the European Forum For Primary Care in the Netherlands. Professional interests: Be updated within different healthcare initiatives around the world and look for interesting projects, possible partnerships and collaborations to raise awareness of different healthcare issues. d.castrosandoval AT euprimarycare.org

My source:

HIFA: Healthcare Information For All: www.hifa.org

HIFA Voices database: www.hifavoices.org

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Tuesday, January 23, 2018

Public Service(s) Ethos ii (notes)

Behind the post from 19 January 2018 are the 4Ps which can be related to Hodges' model.

individual
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INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

ethos:
PURPOSE -

Were possible the patient should have a purpose in relation to their condition, care, and recovery as far as possible. (How do we define proactive, preventive care...?) The nurse and colleagues will similarly be purposed to deliver person-centred care. The organisation can make a difference here - to individual practitioners, translating the organisational ethos through leadership to ensure individual's can be creative, safe, effective, innovate and find their role and purpose rewarding and (constantly) refreshing. Ethos here should align with personal ethics and values. Fire may be a mechanistic phenomena, but burnout here is best avoided.

SERVICES:
process -

In the past and today nursing has been and is defined and described in task-oriented terms. Hodges' model acknowledges this by differentiating between the activities that nurses carry out some are mechanistic and others are humanistic. Through a combination of  interventions nurses help patients regain their independence as far as possible. 
Outsourcing and project management are also tied to process-laden perspectives, models and schema.
PUBLIC
practice -
Students are socialised into practice (yes, I had a bath).  Our practice is contextual, that is, it is situated. Interaction and the time nurses spend with patients and often carers places an emphasis on the exercise and maintained competence of interpersonal skills. Empathy, rapport, dignity and respect, universal positive regard ... they are exercised and practised here. If this is the domain were therapuetic relationships are forged, this is also the domain where contact-time counts. Count the beans as we may, the qualitiative relationships in the time spent between nurse-patient; lecturer-student; mentor-student; leader-team contact are definitive for the public and practitioner. Enjoy this, as the robot help is enabled with an ethos of its own?

ethos
POLICY -
The initial post was prompted by POLITICS.  Many nurses try to be apolitical, necessarily so at work. In a way, as you can see the HUMANISTIC-MECHANISTIC axis provides a dodge. The humanistic placement of practice in Hodges' model can account for the public service ethos of "Don't Panic Carry On". Although many try to circumvent the politics of healthcare, there is no escape from the effects of policy on the service. The UK and USA remain ideologically divergent in healthcare (and geologically) but the debate is now heard everywhere and when. It is infraglobal. It is heard everywhere and when. In the political domain there are obvious sensitivities associated with our use of maps and our place upon them. Addressing the ethos of healthcare at an individual and population level now calls for maps of a unique kind.




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Monday, January 22, 2018

Life Drawing Live


individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
#LifeDrawingLive with Jonathan Yeo
A live-streamed class to join from home
Special events
Thursday 25 January 2018
7.30 — 9pm

https://www.royalacademy.org.uk/event/life-drawing-live-with-jonathan-yeo




My source: RA mailing list

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Sunday, January 21, 2018

Finding voice: Harmonious and Discordant Care

  Life stories: 

Where exactly and when do life chances and health career pivot?


for hard-up singers and musicians in 1899, 
calling it his favourite of all his works." p.2

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

"You are born an artist
or you are not
and you stay an artist even if
your voice
is no longer a wonder" p.2


"unpleasant smells of urine" and
"17-hour gaps"
between dinner and breakfast
 =
"Inadequate"

"Almost half of Britain's 410,000 residents receive some level of local authority support ..."


"Guests are free to come and go
as they please and though Mandelli
 doesn't go out to dinner any more,
she still goes to La Scala,
often to rehearsals." p.2

"Around one-third of the UK's
bed capacity is at risk of closing
within the next 5 years, ..."

"The rise of the minimum wage
has also put pressure on an industry
where labour accounts for 70 per cent of costs, while Brexit has increased reliance
on more expensive agency staff."



Sources:

Plimmer, G. (2017) Frailty of Four Seasons shows risk to residents, FT Weekend, 16-17 December. p.18.

Roberts, H. (2018) At Home: Harmony in Verdi's care home, House&Home, FT Weekend, 6-7 January. p.2.

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Friday, January 19, 2018

Public Service(s) Ethos

individual
|
INTERPERSONAL : SCIENCES
humanistic --------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group

ethos

SERVICES
PUBLIC
ethos



Corbyn, J. "... public services ethos ..." heard this week on the news, 17 January, 2017.

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