At a glance 65: Better Life for older people with high support needs: the role of social care

Published: May 2014

Key messages

The Joseph Rowntree Foundation has identified seven key challenges to be addressed for older people with high support needs to achieve a better quality of life. Social care has a key role to play in meeting these challenges.

1. Old age is not about 'them': it is about all of us
2. Older people are individuals and they are, as a group, becoming more diverse
3. Relationships matter to us whatever our age; we have a fundamental human need to connect with others meaningfully
4. Older people with high support needs have many assets, strengths and resources that they can also bring to the development and provision of services
5. Whatever our age or support needs, we should all be treated as citizens: equal stakeholders with both rights and responsibilities
6. The individual and collective voices of older people with high support needs should be heard and given power
7. We need both to innovate and improve existing models

SCIE's role is to share knowledge about what works and use this to produce practical resources. Many of these resources will support people working in all aspects of social care to address these challenges.

From: Slow is beautiful (Bloomstein, net, July 2014)

The quotes below are from a one page article in the July issue of net magazine. The message is that while efficiency in online experiences is critical especially in ecommerce and business there is still a place for 'slow' and content that asks questions (I hope so):

"Second thoughts undermine efficient ecommerce experiences. But if we only value efficiency, we ignore opportunities for learning and validation that characterise effective, less transactional experiences.

... (How several brands - "Foster Good Decisions")

DESIGN FOR QUESTIONS

These content types and design patterns aren't necessarily the fastest way for users to complete transactions. Instead, they help users engage with purchases with greater confidence, satisfaction and certainty. When content pushes us to weigh options and wrestle with difficult concepts, it pushes us to ask questions - and place greater weight on their answers."

It does not take a giant leap of imagination to consider this in health and social care contexts?

Margot Bloomstein, .net, July 2014, Issue 255, p. 42.

Contextual annealing: Research rolling - hotter, colder, hotter

In conducting research you focus on the question, then the method follows. You may have to go back to the question (in truth) as the methods available to you present their own opportunities and constraints.

Over the past two months this has been a questionnaire within residential care facilities.

Sometimes a confounding factor is to how to describe the study. It's a bit like the figure-ground illusion. One minute you are thinking of the individual, the care worker; the next moment the organisation.

Perspectives shift all the time. This is one of the roles of Hodges' model. The ability to switch from individual to group (population) and various other perspectives and contexts.

I’ve an image of an iceberg. At any one time the questionnaire study’s above the water, the institutional case study under: but then it rolls.

MEMO: .health as a top-level domain

m e m o r a n d u m

Date:	20 May 2014
To:	ICANN
From:	PETER JONES
Subject:

Please do not try to put a full stop to ongoing efforts to utilise the internet to benefit the true health and well-being of the world's citizens.

The work is a challenge, much has been achieved and there is great promise for the future and not merely through the quantified self, personalised medicine, biotechnology and the virtual healthcare market. ...

The self, indeed this whole effort must be assured, integrated and qualified.

This means of course that the provenance, standards and values vested in health related data, information and knowledge must be of the highest quality.

Then - we can start to think about -




Yours sincerely,

Peter Jones

Additional link:
http://www.jmir.org/2014/3/e73/

[hifa2015] World Medical Association calls for a moratorium on the sale of the .health top-level domain

Dear colleagues,

The World Medical Association has called for a moratorium on the sale of the .health top-level domain (TLD). This is significant as the WMA 'is an international organization representing approximately 9 million physicians of all specialties and sectors.'

Below are extracts from a letter from the WMA Secretary-General dated 8th March to ICANN (the body that administers internet domains). The full letter is available here:

http://www.icann.org/en/news/correspondence/kloiber-to-chehade-et-al-11mar14-en.pdf

'By now the ICANN Board is aware that .health is one of the ten most opposed new gTLDs...'

'... We, the World Medical Association (WMA), add our voice to recommend that the auction of the .health gTLD not go forward.'

Best wishes,
Neil
-----
[ c/o Neil Pakenham-Walsh ]

Let's build a future where people are no longer dying for lack of healthcare knowledge: Join HIFA www.hifa2015.org

If you must rumple the care domains - rumple them together

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

group

'A Man’s body and his mind, 
with the utmost reverence to both I speak it, 
are exactly like a jerkin, and a jerkin’s lining; – 

rumple the one	– you rumple the other.’ 1

¹ Sterne L. The Life and Opinions of Tristram Shandy, Gentleman (1761), vol. 3, ch. 4 (eds M New, J New). University of Florida Press, 1978.

Source: Royal College of Psychiatrists (2013) Whole-person care: from rhetoric to reality Achieving parity between mental and physical health. Occasional Paper 88, March 2013. p.2.

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 ..... with you on your journey to better health

My source: Zain Sikafi CEO and Founder of doctoori.net  - info AT doctoori.net

International Nurses Week: If I live I'll see you Tuesday...

Richard Prince (b. 1949)
Nurse of Greenmeadow 

Price Realized

$8,565,000

http://www.Christies.com/IfILive

My source:

FT Weekend May 10 - 11 2014. Life&Arts, Style p.5

Image:

http://www.pinterest.com/pin/560487116097991129/

Genetic disorder: belief's a-gender

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

group

Y I tell you what you will believe and IF you can have an education!	X Wither women in science and engineering?
X Whose place is this? 'Who' is the community? #BringOurGirlsBack	Y Human Rights for Girls and Boys

Interested in writing? [ II ] Hodges' Health Career - Care Domains - Model

In the side bar beneath the bibliography (on a desktop) I've listed a few topics worthy of critical attention. The real need is to link practical application of Hodges' model and further some theoretical underpinnings for the model. This is now happening and it's quite a challenge as I chase questionnaires and write up a draft report for next week. This report is set out as a paper using an author's template from a nursing journal.

Trying to get the message out on writing about this free, holistic bandwidth defining, holistic wrangling, (self-) caring info-portal I blogged an appeal of sorts in 2010. Here we are again. The existing topics in that list relate to the original purposes of the model, plus a few 'extras':

• reflection;
• curriculum development;
• case formulation;
• holistic care;
• conceptual spaces

I'll revise the above as a result of this post and ongoing studies at Lancaster University. I will also add the journal to the most recent recovery paper. Expanding on the above for the benefit of anyone interested in using Hodges' model, reflection (as in 2010) is for me the primary purpose of the model.

Reflection: I'm sure that Hodges' model can complement existing and established approaches to reflection. It would be interesting to compare the use of Hodges' model with a control in clinical reflection, reflective practice with a patient/client, and in clinical or managerial supervision. (You see why this is a challenge, and I appreciate it is easy to generate suggestions!)

Curriculum development: If you need a map that incorporates an academic compass (sat-nav even) look no further. Where are the curricula hot-spots and how are they distributed?

Case formulation: There is an existing draft that needs to be revisited at some point, but the scope here is huge in terms of disciplines and applications. As mentioned above it is coming up with questions and research methods.

Holistic care: Is it time to revisit this phrase? Break it apart and put it back together if it still fits?

Is it a case of damaged goods?

Is this a broken currency as it originally did not include the patient as an active participant? Is it one of several linguistic tropes, said in earnest yet what does it mean? How do we measure it? Could there be a role for Hodges' model in defining or measuring it in theory (through the health record) in practice through outcomes that are demonstrably holistic? Does this make sense...? What is this holistic bandwidth that PJ witters on about? Is an informatics metaphor too far, or this a means to a definition?

To conceptual spaces I need to add threshold concepts and there is a literature here for health and social care, something to build upon and post here....

[Itforum] Unique Technology / Assessment Request

The ITForum featured the following post with ongoing discussion and resources related to TEL - technology enhanced learning:

Hello Michael,

When I read your post my thought was that this was a classic example for an adaptive learning module/set of modules. This was a significant concept in the 1970s/1980s when elearning was peaking.

It seems unfortunate that the proliferation of the LMS has all but reduced the learning environment to subject-matter presentation and quizzes.

The recent proclamation of the eLearning Manifesto (http://elearningmanifesto.org) as well as ideas expressed by OULDI (http://www.open.ac.uk/blogs/OULDI/) and my own ideas of Design Alchemy (Sims, 2014) provide alternative ways of thinking about elearning. These may assist in re-thinking strategies to achieve your goals.

Roderick Sims, PhD

design alchemist

ITFORUM mailing list
http://listserv.lt.unt.edu/mailman/listinfo/
This is a listserv of the Association for Educational Communications and Technology. The focus of this list is instructional and educational technology topics ranging from technology integration through cognitive systems thinking and beyond.

Thanks to R Sims and Ack. ITForum. I have added the link to Sims, 2014 above.

The original question concerned - core competencies required for nursing programs....

Wellbeing: A Complete Reference Guide

Several years ago well-being was everywhere so it seemed. I even blogged about this wondering about the professional side of caring and the care professions:

Well-being and the dilution of 'caring'

What triggered the reflections above in 2010 was the appearance of the British Journal of Wellbeing (BJW). I subsequently learned that the journal launched in April 2010 was published until the end of 2011; the publisher (MA Healthcare) then launched a new journal the British Journal of Mental Health Nursing (BJMHN). I was also advised that although BJMHN has some similarities to BJW, it has more of a nursing focus. 

So, perhaps there was some merit in my thoughts back in 2010 and yet well-being (or wellbeing) is a central discussion point. It has to be if we are to conjoin:

health education : health care 

'being' - 'well' (physically, mentally, ....)

self care : care services

health literate - health 'expert' / professional
.....

I now wonder if the scope of the volumes in a complete reference guide on wellbeing as indicated below, might benefit from an overarching conceptual framework?

This reference set comprises six volumes that focus on the ways wellbeing has been studied and can be applied across different aspects of the life course.

• The first multi-volume examination of all elements of wellbeing.
• Volumes cover children and families; the workplace; the environment; aging and later life; economics; and policies of wellbeing
• Each volume brings together leaders of their respective fields in an edited volume of original articles
• Presents a synthesis of the latest research on this growing and interdisciplinary area of study

Wellbeing: A Complete Reference Guide
Edited by Cary L. Cooper, CBE
Distinguished Professor of Organizational Psychology and Health at Lancaster University, UK
Now available in print and online
6 volumes • 3,000 pages • Hardcover
Print Edition ISBN: 978-1-118-53882-1

* 
Personal communication: Sam Gournay
Sent: Wednesday, 20 March 2013, 11:30
Subject: FW: Message from MA Healthcare website