... line management line(s?) of communication special measures legal directions line(s) of command chain of command command hierarchy command line bottom line ... |
In combination the empty foreground and background brings us simultaneously to what is 'now': the situation, the context. The personal, social, political and physical are constantly re-presented in the health:ill-health duality. Our focus remains: ill-health. We still lack the depth of vision to resolve this duality. Focus needs structure: only from simplicity may we travel to complexity.
The need for simplicity, structure, meaning and recording can be found, accomplished and apprehended through the conceptual framework known as Hodges' model. Its cruciform span is coincidental, and yet can be interpreted as four ways. Four ways of looking - seeing, learning and knowing. Five ways and even. As the model and the user reflects the innumerable perspectives that can be found as these conceptual spaces breathe: waxing and waning. Always from that initial state. Emptiness with structure.
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and CUT HERE |
"Tulip Mazumdar has an uncomfortable encounter with a "cutter" and undergoes a demonstration of what really happens during FGM." BBC Radio 4.
| Perception Stimuli Concentration - 'Noise' - Attention Safety - Salience - Space Anxiety - Disposition - Mood Sense-making Models of Communication TOO MUCH - information - TOO LITTLE "How much do you have?" |  |
| Activism Policy Employment Awareness Employer Engagement Equality Inclusion |
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Sleep disturbance | |
Sleep disturbance 2 |
Who are you? | Have the doctor consider prescribing a sleeping tablet |
"Oh OK! Hello Sandra." | Arrange a medical review |
| Cancel the newspaper |
The following is a reply to a thread on HIFA - Healthcare Information For All:
Dear Lucie, Thelma and All,
The Austrian economist Joseph Schumpeter (1883-1950) defined a dynamic economy as that which is in equal parts destructive and constructive (Abbott and Ryan, 2000).
As Lucie points out in the NHS we are set-fast in ill-health delivery, curricula and workforce planning. Breaking this demand-supply is to try to stop a runaway process that has spawned many other processes: specialties, disciplines, treatments...
Policy makers repeatedly place the solution in reducing demand by eliminating - providing cures for diseases and through technology.
Innovation through technology is still sold as a (the) solution (2002.. NPfIT - currently NHS Digital). Technology has a role to play. The benefits however must be Socio-Technical.
We can readily see the connection between Schumpeter's definition and our present preoccupation with innovation and technology driven disruption?
Talk abounds of the healthcare system / market / economy being disrupted (as per HIFA and this thread!).
Innovation is often stimulated through seed funding.
In computing a runaway process may need to be 'Killed'. Clearly and despite the resultant irony, we cannot do this to our respective healthcare systems (whatever their constitution and ideology).
We cannot Kill the NHS, private and 3rd sector systems we have at present and have them newly reconfigured on 31 December 2016, 23:59:60 UTC to be primarily:
HEALTH PROMOTING, PREVENTIVE - Self-caring and with a health literate populous
Even with the addition of a leap second; this would be a leap too far.
Change of our health care systems will need to be 'seeded'.
Many small gains can be compounded, the seeds must be broadcast across the domains of Hodges' model:
Know your patient | Know your patient |
Know your patient and carer | Know your clients... and your patient |
"Such a picture of man in the universe is clearly presented in the language of the Wintu Indians of California. Here the primary verbal stem refers to a world, a universe, that neither exists nor does not exist. We might say that it refers to the nature of things, a nature which is not realized because the things themselves do not exist, the situations have not come to be and may never come to be. Only at the instant when man experiences these do they come into existence, into history. The experiential or existential stem of the verb is derivative from this other stem. When man speaks with the aid of this stem, he asserts existence through his own experience of it. And it is only through his doing, through, probably, his decisive act or his act of will, that the world to which the primary stem refers can have concrete existence. This dialogue between the idea of the universe or the potential of the universe, and man's experience, runs through the entire linguistic structure." p.115.
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| Brian E. Hodges - c/o Brian's family. |
Born in Liverpool, UK.
Community Mental Health Nurse NHS, Part-time Lecturer,
Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General
Community Psychiatric Nursing (Cert.) MMU
PG Cert. Ed.
BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton
PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man.
MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise.
Comments are disabled.
If you would like to get in touch please e-mail me at h2cmng AT yahoo.co.uk
orcid.org/0000-0002-0192-8965
