- learn about the conceptual framework Hodges' model. A tool that can help integrate HEALTH and SOCIAL CARE, INFORMATICS and EDUCATION. The model is situated, facilitates person-centredness, integrated - holistic care and reflective practice. A new site using Drupal is an ongoing aim - the creation of a reflective workbench. Email: h2cmng @ yahoo.co.uk Welcome

Thursday, February 04, 2016

"Values in Advanced Directives" mapped to Hodges' model

Hechter, et al. (1999) consider values in respect of advanced directives and medical treatment. The authors discuss an old debate in social science that still divides objectivists and subjectivists. Below, with my emphasis the four designated values are mapped to Hodge' model:

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

(ii) self-concept values involving feelings of dignity, self-control, and/or physical capacity (designated as function);


(i) hedonic values about pain, aversive physical states, chances for recovery to some minimally satisfactory level, and so forth (designated hereafter as pain);


(iii) allocentric values referring to concerns with creating an emotional burden for family and/or loved ones (designated as burden)

(iv) financial considerations (designated as cost) (p.409). 


Since 1999 and considering the above I have added the following additions to reflect elements of change and a more generic view:



identity, self-expression (of needs), consistency in expressed wishes, intentionality, mood, alternative-adaptive forms of communication, time - active listening


distance, logistics (family, friends), what telecare might offer in terms of communication, evidence-based interventions, measures, assessment


independent advocacy, standards of social care, 'appropriate' placement for ongoing care, social - life history;

legislation - mental capacity, advocacy, evidence-based care - policy, pension, safeguarding;


While the focus of Hechter, et al. is specific these values also apply in a more generic sense. As students and lifelong learners engage with patients, carers and public they must learn to have due regard for the totality of values that might be encountered.


Hechter, M., Ranger-Moore, J., Jasso, G., & Horne, C. (1999). Do Values Matter? An Analysis of Advance Directives for Medical Treatment. European Sociological Review, 15(4), 405-430.

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