Hodges' Model: Welcome to the QUAD: April 2019

- 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, April 30, 2019

Book: "The Healing Next Time"

SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION


"Roy McFarlane’s second poetry collection, The Healing Next Time, is a timely and unparalleled book of interwoven sequences on institutional racism, deaths in custody and of a life story set against the ever-changing backdrop of Birmingham at the turn of the millennium. Here forms a potent and resolute narrative in lyrical and multidimensional poems which refuse to look the other way or accept the whitewashed version of events."

TIME

healing


Roy McFarlane, "The Healing Next Time"


Book cover artwork: Barbara Walker

My source: Richard Booth Bookshop, Hay-on-Wye

Friday, April 26, 2019

Glove Awareness Week: Under the SSKIN ii


Glove Awareness Week
29 April - 3 May 2019




SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION


"What should I do?"

Glove Awareness: RCN

What can we do?
 
What must I/we do?


On the 15th April in London I attended the 3rd RIPEN workshop (Re-envisioning Infection Practice Ecologies in Nursing) I learned a lot from listening to colleagues far closer day-to-day - night-to-night to the sharp end of infection control and protective measures. Of particular interest was discussion on hand-washing and the circumstances, frequency and numbers of dressing packs that are used and the constant search for evidence-based practice.

Actually without taking anything from those people at the infection coal-face, can I take back that reference to "far closer"?

Take it back, because this really matters to us ALL.

See also:
Under the SSKIN 

Thursday, April 25, 2019

Compassion TO Governance: "Meet you in the middle?"


Governance:
"Yes, in theory and practice!"

SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION

compassion


THEORY


PRACTICE


governance



While compassion must be demonstrated by the individual practitioner [as one of the 6Cs], it is also a positive phenomena that should be found, experienced and readily transferred - communicated within the team and community of practice.

Allied with governance, health systems should then ensure that there is time and space for compassionate care. While 'middle' might work as a metaphor in Hodges' model, the qualities of compassion and governance are not about the 'middle', as in, being average.

Hodges' model can also help us appreciate the role that self-governance plays in personal responsibility, accountability and professionalism.

The great amount of effort and work to place assure the person is at the center of care (and #h2cm) also becomes apparent.


My prompt: https://twitter.com/PippaJL01/status/1121399893225037824

Monday, April 22, 2019

Earth Day & Night

We need coherent vision to do the right things ...

We need not just to look, but to see, envision and act ...

As Earth Day turns to Night -

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














- we should not allow people 
to be kept in the dark about 
the things that really matter ...

Climate Change

Universal Health Coverage

Universal Access to Health

Health Information for All

The Social Determinants of Health

Open Access ...



Earth Day 2019

Sunday, April 21, 2019

Eye tracking - the silver bullet..?

Eye tracking: 
the silver bullet of competency assessment 
in medical image interpretation?





*Jones, P. (2019) Eye tracking: the silver bullet of competency in achieving integrated, holistic and person-centred care through reflection and critical thinking? 2020 Vision in Care.1:1-25.


individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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*Of course there is no such paper ...

Friday, April 19, 2019

Sunday, April 14, 2019

Infographic: What does the UK spend on health and social care?

c/o John Appleby and BMJ


The political impact of this spending have huge ramifications for many individuals 
in terms of efficiency, effectiveness, equity and equality.

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

Source:


Saturday, April 13, 2019

In my mind's eye I can picture care: Frame by Frame

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

Aphantasia -
unable to visualise mental images




Ed

Animation
Frame by Frame
Aphantasia - 2.5% of people may have it
Requires memory plus areas in the frontal, parietal, temporal, and occipital lobes to work together.

Catmull ...

has "blind mind's eye"

... a former Pixar President





Additional links:

Can’t count sheep? You could have aphantasia

Aphantasia: Losing the mind’s eye 

Low, V. Picture this: the top animators who can't draw mental images, The Times, Wednesday, April 10, 2019, p.24.

Monday, April 08, 2019

Multivariate Testing - meet - Multivariate Care ...

aka: socio-technical?


SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION
creativity
MULTIVARIATE TESTING


The human side of data


"Data testing more or less works from a mathematical base using dichotomy and statistical averages. So it trends towards value. but this just promotes uniformity and means it will become a struggle to differentiate yourself,"p.3



[ ... and a way to define what person-centredness is not in a big-data world? ]

Charles Orton-Jones, Uncovering the human side of data, Raconteur, Future of Data, (Distributed with The Times) 26/03/19.

Saturday, April 06, 2019

Court of Protection: Supported Decision-Making - case of P

SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION

Decisions on: residence, care,
alcohol consumption, depression

reluctant and distrustful of (statutory) services

Who would P feel she could trust
 to help with decision?

psychological interventions

P. being listened to ...

feel safer, healthier, in control, respected
detox placement

 (identified by LA)

place - area

physical health services

Access to knowledge - local expert - 'signposting'

Asking why and why again ...


distrust of social workers
sister and neice primary people of trust
then GP.

So family and GP became more involved.
engagement
Local Authority [LA]

Social workers and mental health support workers agreed to take a back seat

CRPD Committee
Mental Capacity Act
Judge, Lawyer

option to introduce elements of supported decision-making into the Court of Protection



Friday, April 05, 2019

Four windows on reducing the global burden of Malaria

SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION
education

awareness


Insect screen: photo https://centor.com






policy

SDH

funding - further studies

reduction in the global burden of malaria
 



Thursday, April 04, 2019

Trophicognosis. Is this sufficient?

SELF - individual
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INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
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group - POPULATION



trophicognosis






trophicognosis

 [trof″ĭ-kog-no´sis]
the scientific approach to determination of an individual patient's nursing care needs; suggested as an alternative to the term nursing diagnosis.

trophicognosis. (n.d.) Miller-Keane Encyclopedia and Dictionary of Medicine, Nursing, and Allied Health, Seventh Edition. (2003). Retrieved April 4 2019 from
https://medical-dictionary.thefreedictionary.com/trophicognosis

Wednesday, April 03, 2019

Navigating Health and Social Care: We are on a mission - aren't we ...?*


"Before the introduction of instrument navigation, an aircraft pilot had to give up his mission whenever weather conditions worsened to a degree where visual orientation did not allow for secure landing at his destination airfield. This is situation of today's surgery." p.43.

Adams L, Krybus W, Meyer-Ebrecht D, Rüger D, Gilsbach JM, Mösges R, Schlöndorff G (1990)
Computer assisted surgery. IEEE Computer Graphics and Applications. 10:43–51.

*All together.