- 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

Tuesday, November 29, 2016

Power vectors...?

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









...
line management
line(s?) of communication
special measures
legal directions
line(s) of command
chain of command
command hierarchy
command line
bottom line
...

Sunday, November 27, 2016

Hodges' meta-model...?

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.

Wednesday, November 23, 2016

Individual Gravitas

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

Trisha Brown: Man Walking Down the Side of a Building (1970)







Trisha Brown: http://www.trishabrowncompany.org/?page=view&nr=1187

My source: The Moderna Museet, Stockholm 24 August 2016.

Image source:
http://alfa-img.com/show/trisha-brown-man-walking-down.html

Sunday, November 20, 2016

Cut here and here and...

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



..................
CUT HERE
..................


       CUT HERE        



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.

Mazumdar, T. (2016). My quarrel with a proud FGM cutter. BBC.

My source: From Our Own Correspondent, BBC Radio 4. Neither Love Nor Money

Image: https://www.mysoti.com

Sunday, November 13, 2016

Too much Information...

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



My source: Post and image c/o BBC Radio 4 - Digital Human

Saturday, November 12, 2016

Triangulation: c/o Roger Ballen

individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population
Triangulation: (c) Roger Ballen





Triangulation: (c) Roger Ballen


© 2016 Roger Ballen

The Theatre of Apparitions

My source and original image (top):
Jackson, K. Snapshots Primitive power in black and white. The New Review, The Observer, 30 October 2016. p.5.

https://www.theguardian.com/artanddesign/gallery/2016/oct/29/through-a-glass-darkly-roger-ballens-theatre-of-apparitions-in-pictures


Friday, November 11, 2016

Dementia & Sleep: What the Papers Say

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

Sleep disturbance



Sleep disturbance 2




Just recently I came across a gentleman who in living with dementia and supported by his wife at home has been struggling with his sleep. Waking in the early hours 0330, 0400 in the summer is not too bad accompanied by the dawn chorus, but if it happens most days? And then in Winter: that is another matter.

Also fairly recently there are increasing instances of this man not being sure that the lady-  who is in their / his house and is taking him shopping - is his wife. She looks like my wife...? She knows what to buy and then she pays for the shopping.

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

Who are you?

Have the doctor consider
 prescribing a sleeping tablet

"Oh OK! Hello Sandra."

Arrange a medical review

This gent is up early anyway as there is a newspaper to collect which involves a walk. The problem is he leaves too early and is then outside waiting. His wife was struggling with all this so we discussed the need for a care review by the community mental health team. A sleep diary was provided to obtain some data upon which to base decisions. While I was in the garden with Mr. my student (thanks Katie) suggested to Mrs Y that this 'imposter' be passed as a friend. This has since proved very effective at reducing anxiety, social tension and distress.

Whilst we constantly strive for truth, honesty and respecting autonomy and dignity, sometimes sadly, 'truth' is compromised. It becomes less clear when it is being cognitively undermined.

We also want to maximise independence and support what are the usual daily activities of living: collecting the newspaper included. Risks were becoming evident however. So, Mrs Y came up with a strategic decision which has seen this gentleman adjust very quickly. Sleeping in until 8 o'clock is quite a surprise for the rest of the family to hear. And for us too. It is as if the (subscription) token for the newspaper was not only sitting waiting in a pocket or wallet. It also had slot in memory, where it had to be kept on constant refresh, whirring away; of such importance that it was proving quite disruptive introducing new risks, disturbing sleep. There are still many other activities and walks to be enjoyed. Nice call Mrs Y:

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







Cancel the newspaper

Sunday, November 06, 2016

Reply to: [HIFA] Self-care could cut need for millions of GP visits (4)

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:

  • INTRA- INTERPERSONAL
  • SOCIALLY
  • the SCIENCES
  • POLITICALLY
  • SPIRITUALLY
Abbott, J. & Ryan, T. (2000). The Unfinished Revolution: Learning, Human Behavior, Community, and Political Paradox, Stafford, UK: Network Educational Press. p.162.

Kind regards,

Peter Jones



Saturday, November 05, 2016

Looking for a Career in Finance? Why limit yourself...

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


Know your patient


Know your patient

Know your patient
and carer

Know your clients...
and your patient


By knowing them you can help them to know themselves.

From self-knowledge to self-care when possible.

Friday, November 04, 2016

Quantum existence and experience...

"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.
individual
|
INTERPERSONAL : SCIENCES
humanistic -------------------------------------------  mechanistic
SOCIOLOGY : POLITICAL
|
group-population






Lee, D. (1961). Autonomous Motivation. In. Anthropology and education. Series: Martin G. Brumbaugh lectures in education., Series 5. Gruber, Frederick C. (Ed.). Philadelphia: University of Pennsylvania Press. pp. 103-123.

Thursday, November 03, 2016

Fight to Power - Flight to Wonder

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












Photo sources:

Star Party

Nazeer Al-Khatib
Freelance Photographer‎‏ based in Aleppo
#Syria Fighters from the Free Syrian Army react as they fight against the IS near #Dabiq on October 15 #AFP Photo by @NazeerAlk

My source:
Smith, H.L. (2016). Caliphate crumbles as holy village falls, The Times, 17 October, pp.34-35.

Tuesday, November 01, 2016

Empty Construction: A prelude to person-centred care

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


My source: Financial Times
Photo source: http://www.basquecountrymagazine.com/en/street-art