- 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

Monday, February 27, 2017

Hidden Faces

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


I-dentity


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


HIDDEN


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

My source: BBC News Channel

Hidden Figures

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


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.

Friday, February 24, 2017

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

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




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

Monday, February 20, 2017

#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:

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






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:

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





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.

Sunday, February 19, 2017

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

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

"... 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

Friday, February 17, 2017

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

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


Thursday, February 16, 2017

A Spin on Logic, Belief, Facts & Truth

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

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.

Saturday, February 11, 2017

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

Wednesday, February 08, 2017

The Cost of Dementia - Total £26.2 billion

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

Tuesday, February 07, 2017

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

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

PERSON-CENTERED CARE

PERSON-CENTERED CARE

PERSON (FAMILY)-CENTERED CARE

Universal credit...?


My source: The Guardian via Natalie Bennett


Sunday, February 05, 2017

A Model of Nursing: According to Klein

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

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

Wednesday, February 01, 2017

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