Hidden Faces

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INTERPERSONAL : SCIENCES

humanistic -------------------------------------------  mechanistic

SOCIOLOGY : POLITICAL

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group-population

I-dentity	FACES
	HIDDEN

Still source: https://news.artnet.com/exhibitions/richard-mosse-new-film-barbican-853790

My source: BBC News Channel

Hidden Figures

individual

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INTERPERSONAL : SCIENCES

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SOCIOLOGY : POLITICAL

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group-population

	FIGURES
	HIDDEN

See also:
Sobel, D. (2017). The Glass Universe, The Hidden History of the Women Who Took the Measure of the Stars, Fourth Estate,

Image: © 2017 Twentieth Century Fox Film Corporation.

Inner model II: Hodges' model - helping to locate Social Sciences...

individual

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subjective	objective
A scheme for analysing assumptions about the nature of the social sciences, The subjective-objective dimension The Subjectivist The Objectivist Nominalism ontology Realism Anti-positivism epistemology Positivism Voluntarism human nature Determinism Ideographic methodology Nomothetic

Burrell, G., and Morgan, G. Sociological Paradigms and Organizational Analysis. London: Heinemann, p.3.

My source: Table 1.1 A scheme for analysing assumptions about the nature of the social sciences, The subjective-objective dimension, Tudor, K. (1996). Mental Health Promotion, Paradigms and practice, London: Routledge, p.30.

Related link: http://faculty.babson.edu/krollag/org_site/org_theory/Scott_articles/burrell_morgan.html

#NHSMillion: From one quadrant to another three

The image below is from twitter and the #NHSMillion campaign which I've RT a couple of times on @h2cm. The graphic is repurposed here representing the NHS as an organisation with its Socialist founding. On twitter the arrow would point to the twitter account holder's name. In Hodges' model we can readily travel from the individual to the million and more; from personalised healthcare to population health:

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Within Hodges' model the arrow points to the INDIVIDUAL axis. The stress is placed on a person* and their experience of the NHS whether for themselves or a family member. Care should always encompass physical and mental health care, with emergency care prioritised firstly of course.

As an NHS employee I have been cocooned from many of the financial vagaries of the world. This does not mean I work for nothing, don't pay tax, have holes in my pockets ... On the contrary I'm frustrated and increasingly annoyed about austerity and the pay situation over the past 5 years and more. Interest rates, Brexit, the Euro, the $ ... all count here too. Healthcare does need to be paid for - one way or another. The cocoon refers to the effect of the founding core principles of the NHS:

• that it meet the needs of everyone
• that it be free at the point of delivery
• that it be based on clinical need, not ability to pay

As well as the four domains Hodges' model carries within its structure a series of interdisciplinary bridges as previous posts reveal; psycho-social, psycho-somatic - you get the picture.

A further tweet from @NHSMillion brings home the SOCIO-ECONOMIC and SOCIO-POLITICAL dimension of health and social care. The cocoon is ruptured, the vulnerability of the NHS's core principles and values is laid bare:

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We need to assure and ensure that the many can continue to make a difference to the one. Even as that gratitude is increasingly reframed as people learning how to stay well for longer and better look after themselves.

*The arrow is also pointing to the center of the model. Truly person-centered care should be able to demonstrate that full round of the four domains have been factored into any assessment, plan, intervention and evaluation with the spiritual also duly considered.

Space, Memory, Home, Organisation I - Do Ho Soh

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"... Suh creates architecturally scaled, fabric installations informed by his personal experiences, that recreate specific domestic spaces where he has lived, including his childhood home (a traditional hanok-style Korean house), a house in Rhode Island where he lived as a student, and his apartment in New York. Suh weaves translucent structures made of monochrome polyester, at once architectural, and ephemeral, inviting viewers to wander through their dreamlike interior passageways (often complete with details such as light switches and door handles). ..."

Rubbing/Loving Project: Apartment A, 348 West 22nd Street, New York, NY 10011, USA

Do Ho Suh

Text: http://www.lehmannmaupin.com/

Image: TimeOut - An artist's house is not a home: It's a bunch of drawings
https://www.timeout.com/newyork/blog/an-artists-house-is-not-a-home-its-a-bunch-of-drawings

My source: Bloomberg - Brilliant Ideas
https://www.bloomberg.com/news/videos/2016-10-10/do-ho-suh-on-brilliant-ideas

Author's latest work: The list keeping dementia at bay

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Raymond Briggs Image: Jenny Goodall/Daily Mail

Photo and story: https://www.pressreader.com/uk/daily-mail/20170117/281715499314709

My source: Whipple, T. (2017) Author reveals his latest work: the list keeping dementia at bay, The Times, January 18, p.11.

A Spin on Logic, Belief, Facts & Truth

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Doxastic Logic Individual Belief	Post-truth (time) Short : Long term Statistics Facts Proton Spin Mystery
The public The crowd The people The public - the politicians deserve	Post-truth (politics) Alternative-Facts Fake news False promises True Spin The politicians - the public deserve

My original source:
Simon Kuper, (2017). The age of broken promises, FT, Magazine, 28/29 January, p.5.

Rare Diseases Day 2017 28th February

RARE DISEASE DAY 28 FEB

Previous related posts ...

Threshold Concepts, Professionalism & Scope of Practice

Amongst the chaos of self-directed study, vapourware, writing and starting a PhD program one writing project still in draft form concerns Hodges' model and what is termed the 'scope of practice'. As a generic and multidisciplinary conceptual framework Hodges' model can, I believe, assist in demarcating and differentiating the following:

• knowledge - in all its forms;
• a curriculum;
• interprofessional working;
• activity, tasks, actions;
• responsibilities;
• expected competences;
• procedures;
• assistant, associate, general registered, specialist - advanced practice;
• existing policies, law, rules and standards;
• records

Another draft paper (closer to completion I think) and which I've referred to before (see - chaos is the word!) relates Hodges' model to threshold concepts and definitely bears revisiting.

Scope of practice is different from professionalism but invites comparison. For example, the professionalism that is hopefully exercised when a practitioner recognises that their scope of practice is being called into question.

Searching the literature once again below is a new paper that combines professionalism and threshold concepts. I will see if I can add another paper of note and extend this post later in the week.

Hilary Neve, Helen Lloyd & Tracey Collett (2017) Understanding students’ experiences of professionalism learning: a ‘threshold’ approach, Teaching in Higher Education, 22:1, 92-108,
DOI: 10.1080/13562517.2016.1221810

To link to this article: http://dx.doi.org/10.1080/13562517.2016.1221810

The Cost of Dementia - Total £26.2 billion

individual

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INTERPERSONAL : SCIENCES

humanistic --------------------------------  mechanistic

SOCIOLOGY : POLITICAL

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group-population

Unpaid Care by Relatives* £11.6 billion psycho	Healthcare Costs £4.3 billion
social Publicly Funded Social Care £4.5 billion socio	Private Social Care £5.8 billion economic

*A Carer qualifies for an assessment themselves as an individual.


My source:
Whipple, T. (2017). Millions of pounds are 'wasted on poor care'. The Times, February 2. pp.20-21.

Figures: Alzheimer's Society estimate
https://www.alzheimers.org.uk/info/20091/position_statements/146/financial_cost_of_dementia
[ No longer available ]

Why we need a generic conceptual framework: "Universal person centered care"?

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PERSON-CENTERED CARE	PERSON-CENTERED CARE
PERSON (FAMILY)-CENTERED CARE	Universal credit...?

My source: The Guardian via Natalie Bennett

A Model of Nursing: According to Klein

individual

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Monochrome vert sans titre (M 75), 1955 ca

Région de grenoble (RP 10), 1961

Monochrome rouge sans titre (M 38), 1955

"Klein's paintings take away the expected content of that form, instead focusing our attention on a direct encounter with pure colour freed from all external impurities. Created using mechanical rollers, the works emphasise a non-expressive gestureless presentation of pure pigment, affirming his refusal to 'provoke colour relations'." (TATE Liverpool, Feb 5th 2017). In the (science and) art of nursing, however; we must provoke assessments and evaluations within these care relations and between them.  L'infirmière est le travailleur constant, à l'intérieur, sans et entre les deux.

My source: TATE Liverpool, Yves Klein, Feb 5th 2017.

Images: Yves Klein Archives

Hodges' model: A prompt for debate in defining Health & Well-being

WHO definition of Health

"Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."

The Definition has not been amended since 1948.

individual

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mental disease infirmity	physical disease infirmity
social disease? infirmity?	political? disease? infirmity?

The correct bibliographic citation for the definition is: 

Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.

See also: Wikipedia - Health (as a human condition)

Text source: https://www.who.int/about/who-we-are/constitution