Hodges' Model: Welcome to the QUAD: July 2021

Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...

Saturday, July 31, 2021

Break in a hand or leg ...

individual - PERSON - patient
|
INTERPERSONAL : SCIENCES
humanistic ------------------------------------- mechanistic  
SOCIOLOGY : POLITICAL
|
family - group - population
"When 
one breaks a hand or leg, the bones, the tendons, the muscles, the arteries, the nerves, and the skin do not break and tear in one line,
nor afterwards do they grow together and heal at the same time.
"




"... So, in a revolutionary break in the life of society, there is no simultaneousness and no symmetry of processes either in the ideology of society, or in its economic structure. The ideological premises which are needed for the revolution are formed before the revolution, and most important ideologic deductions from the revolution appear only much later" (1960:159).


Trotsky, L. (1960). Literature and Revolution. Translated by Rose Strunsky. Ann Arbor: University of Michigan Press.

Blau, H. (1991). The Surpassing Body. TDR (1988-), 35(2), 74-98. doi:10.2307/1146090


Friday, July 30, 2021

Review: iv Fundamentals of Person-Centred Healthcare Practice

Chapter 15 on 'Being sympathetically present' is a timely review of empathy, sympathy and compassion. As students learn and are exposed to experiences in practice and socialised (or not) in how these are practised this is very useful allied with exposure to the 6Cs. Mentioned in post iii: chapter 19 on Person-Centred Rehabilitation would benefit from the addition of reablement and resettlement. Given resort to a single chapter [22] on mental health it is understandable that the extreme form of trauma - physical and psychological experienced (but not necessarily wholly remembered) for people sexually assaulted points to forensic and Criminal Justice Liaison and Diversion Services. The authors here are to be congratulated on a feat of explanatory gymnastics. This just hints at the PSYCHO-dynamic* world that is mental illness, health and well-being (*physical and political).

Perusal of W2tQ reveals how readily Hodges' model can encompass the sciences and the arts (humanities). This is by design (the model's structure). The book stresses art with some (very well-balanced and executed) illustrations and prose. Once again (sorry) though, I thought of veterans, homeless, veterans, prisoners and newly released offenders and their circumstances. Being person-centred is very much attitudinal but this is physical not just cognitive and how we apply knowledge. Where this person is in space that is the centre of gravity. How best to approach, a person living with dementia and impaired senses, a homeless person lying under a bridge - even before we speak. 

 

I'm sure I read 'touch' in here, but it is not indexed. Post-COVID and in nursing as part of person-centredness this is an important part of communications skills, safeguarding and being safe. 

For the newly released prisoner, how prepared are they to be the person they can be, even before we are 'person-centred'?

"For the first time in 25 years the one-off payment given to adult prison leavers in England and Wales is to be raised. The Prison Discharge Grant will increase from £46 to £76, but what difference will that make?"

https://www.bbc.co.uk/sounds/play/m000y5sq

 

The book identifies different interventions and models relevant to the respective practice area, i.e. rehabilitation. Chapter 33 presents a personal challenge in (being a lifelong learner) whether you have a fixed or growth mindset, which of four archetypes of self-awareness applies to you (pp.322-323)? It's worth reading for heutagogy (p.327). I was prompted to consider the ongoing journey here. If anyone would like to test the reflexive credentials of Hodges' model (p.328) please get in touch. Salience is a key concept in Hodges' model. What is important to the patient - person? What is now? Are we only person-centred dealing with conscious persons? Again, perhaps a missed opportunity - care of the unconscious patient? I enjoyed chapter 30 on critical thinking. I was reminded of (verbal) accounts of people applying the Tidal model in forensic care. This proved not exactly straight forward, whereas, once learned Hodges' model can function as an aide-mémoire. If shared then collaboration may be enhanced since as the latter sections of this book show specific concepts need to be identified, articulated, agreed and applied.

The final chapter's title made me laugh a little: A call to action. Sometimes you can't win on the periphery of academia (a privileged position nonetheless?). KISS (Keep it simple stupid) applies to Hodges' model, but whether simple, or deemed complex the model fails to be recognised as a vital tool for all health and social care practitioners. Especially learners taking their seats (in-situ or online) on course 101. I take heart in believing that Hodges' model has a very long tail in relevance and global potential.

Once again model/framework envy creeps in, as I have no evidence (yet). 

Paradoxically (or not) this book will have me try to take note of instances when an interaction calls for a suspension of person-centredness: for me, the patient, client, carer - for us simultaneously.

This is the 'take-away' for me from this book which I also heartily recommend.

I will refer to 'healthful' in another book review.

SPIRITUAL
 
individual - PERSON - patient
|
INTERPERSONAL : SCIENCES
SPIRITUAL  humanistic ---------------------------- mechanistic  SPIRITUAL
SOCIOLOGY : POLITICAL
|
family - group - population
 
SPIRITUAL
Mindset :: Parity -
attitude aptitude
(My choices*)


Hodges' model - disassembly for care
- of esteem :: Touch
aptitude attitude



Hodges' model assembly of care
Culture
Child - Parent - Guardian
FAMILY- Social network

Be the 'person' the
Social Determinants of Health
predict/dictate?


prisoner release


grants and welfare

*(Are you joking - without attending to the politics of health and social care? Diet, green spaces, identity, community (facilities), housing ...)

Many thanks to the publisher Wiley-Blackwell for the review copy.

Review i

Review ii 

Review iii

Fundamentals of Person-Centred Healthcare Practice,  McCormack, B., McCance, T., Bulley, C., Brown, D., McMillan, A, Martin,S. (Eds.). ISBN: 978-1-119-53308-5 February 2021 Wiley-Blackwell.


Thursday, July 29, 2021

Review: iii Fundamentals of Person-Centred Healthcare Practice

 

Previously, I recognised the many links throughout the book and on p.54 there are five relating to professional standards. These reflect the book's international scope and multidisciplinary relevance. Those on page 54 do work and support the text. One of them I was presented not with the expected page and missed the outcome of the 'click'. I wasn't going to re-type but found the page through the site's menu. Some links are long, as I found, whether permalinks [usually shorter] or fallback search text might improve link-longevity I'm not sure.

As a reassurance the contrast issue black-text-on-dark-green is limited to one figure.

The book is well referenced with an additional reading list. I've been made aware through plagiarism detectors (one paper) which - it appears - have 'read' an introductory section to Hodges' model as self-plagiarism. I wondered if in comprising a community of practice the references here maybe somewhat insular. I've no analysis to support this and the same no doubt may apply to other to emergent ideas, including threshold concepts. You have to start somewhere. At fear of contradiction there are many theories called upon and referenced.

Students may find the more attention to the position and specificity of references useful p.75 "we cannot not communicate." How times, chapters (8 - Communicating and Relating Effectively), theory, practice and management are challenged. The art of  'sympathetic presencing' working on the phone triaging acute community mental health referrals, 'Being kind and warm'.

For a text on person-centredness the book is imho mental illness-health light, but then as noted what is the book about? Am I suggesting that such books should attend to disciplinary equality? That said if there is a test for parity of esteem here, what do you conclude from one dedicated chapter? I was surprised, but is there a dilemma here? Beside 'Trust in self and others' I made a note, 'intuition'. Is person-centredness and being person-centred taken for granted within mental health practice? Research suggests not. 

Reading the table of contents you will find:

Chapter 18: Being person-centred in the acute hospital setting
Chapter 19: Person-Centred Rehabilitation
Chapter 20: Being person-centred in community and ambulatory services
Chapter 21: Experiencing person-centredness in long-term care
Chapter 22: Being person-centred in mental health services
Chapter 23: Person-centred support for people with learning disabilities
Chapter 24: Being Person-centred in Maternity Services
Chapter 25: Being person-centred in children’s services
Chapter 26: Being person-centred when working with people living with long-term conditions
Chapter 27: Palliative and end of life care services

I had a sense that the chapters were not sufficiently differentiated despite the titles. This may say more about my reading and the (editor's achieved) coherence of the book overall. Perhaps also for me, person-centredness is realised in-situ with personalised details. Not just vignettes (which are used) but the detailed intra- interpersonal, social, physical, political and spiritual choreography that is person-centred care: whether or not there is engagement (a dance).

Dementia is represented but the context appears to be residential care. You will find challenging / courageous conversations, but not challenging behaviour in situations that test interpersonal skills and person-centredness especially for staff, students, carers and families (dementia in general hospitals - despite numerous initiatives). Trauma has its place in the mental health chapter (and in current literature), but again the challenge of psychoses, anorexia are missed opportunities to reveal the potential and delivery of the Person-Centered Practice Framework.

Since the book's publication with its stress on the welfare and well-being of staff and educators too, the need to make explicit the politics in health is even more extreme. The need to protect the title of 'nurse'; mis-information generally and relating to COVID. Person-centred decision making and shared decision making are described as systems. Perhaps this misses the nuances of a health care professional, the team and family working with a person were they are making an unwise decision (pp.83-92). Another chapter indicates the need and utility of disciplinary bridges:

Chapter 17: Socio-political context in Person-centred Practice

 
individual - PERSON - patient
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
family - group - population
MIND :: Parity -

 - of esteem :: BODY

Culture
Child - Parent - Guardian
FAMILY


SOCIO -
 Refugees Homeless
title of 'nurse'*
mis-information

Organisational culture?

- POLITICAL

One more to follow with many thanks to the publisher for the review copy.

Review i

Review ii

Review iv

Fundamentals of Person-Centred Healthcare Practice,  McCormack, B., McCance, T., Bulley, C., Brown, D., McMillan, A, Martin,S. (Eds.). ISBN: 978-1-119-53308-5 February 2021 Wiley-Blackwell.

* https://twitter.com/hashtag/ProtectNurse?src=hashtag_click

 

Wednesday, July 28, 2021

New citation / reference for Hodges' model in J Adv Nurs.


 

Here is the new reference to Hodges' model which I have added to the bibliography:

Hamilton EAA, Dornan L, Sinclair M, McCoy J, Hanna-Trainor L, Kernohan WG. A scoping review protocol: Mapping the range of policy-related evidence influencing maternal health outcomes in a fragile, low-income country. J Adv Nurs. 2021 Jul 20. doi: 10.1111/jan.14956. Epub ahead of print. PMID: 34288043. 

Whatever your field if you are interested in learning more about Hodges' model I would be pleased to hear from you - whether or not you are in a 'field' and whatever colour it happens to be green, blue, red, black-white.

Ack. Research Gate's alert.

Tuesday, July 27, 2021

Review: ii Fundamentals of Person-Centred Healthcare Practice


With 30+ pages left I need to remind myself of the book's focus -  the Person-Centered Practice Framework [PCPF]. 

The 'practice' in the title is key too and I am envious of the attention afforded to the PCPF. The book very much seeks to inform student learning and in section 4 on learning and development. The book is very effective in operationalising person-centred care and person-centredness.

I'm constantly fascinated by the way processes arise everywhere. This is inevitable. Time, space, events, the flows of data, information, knowledge and the systems we use are necessarily process-oriented. Who are you at 2pm compared with 8pm - shift patterns permitting?

Purposes are discussed and the 34 chapters cohere very well in style and vocabulary. Perhaps I expect too much. A vocabulary that bridges the process-laden world of the sciences and political machinations with the humanistic - experiential - world of lived experience? I need to accept that 'whole systems' rely on processes that are not just physical, but social, psychological and political. I can't though help but read "Committed to healthfulness as process and outcome" in task-oriented and politicised (outcome) terms (p.15).

In table 2.2 (p.16) on associated concepts a list that includes patient- client- woman- child- family- relationship- centredness, I see this as humanistic and hence as a matter more of purposes and practice than process. A letter explaining 'person-centredness' to an alien visitor the Oscleans, is a welcome creative distraction and reminder for me of SETI@HOME which has stopped distributing work. Here, I read 'service-users' as an unconscious bias towards the dark-side to bring the Force in to the mix. 

On twitter (and here) I've tried to highlight that the BIO-PSYCHO-SOCIAL model is incomplete.

IT IS NO LONGER SUFFICIENT.

Yes: Person-centredness is about an individual's being.

To BE person-centred your stance must include the POLITICAL* (p.19, p.35).

I'm still deliberating on what sort of tool is Hodges' model?

It is far more than a Johari Window (p.36):

https://hodges-model.blogspot.com/search?q=johari

'Situation' litters the text - oh for a situated model: "Look for alternative ways of explaining a situation (i.e. reframing a discussion)" (p.37).

As you can see, this books gets you thinking and reflecting ...

The book's editors and publishers are courageous and true to the format by including weblinks. I will try some of these and report back.

 

self - individual - PERSON - patient client carer
|
INTERPERSONAL : SCIENCES
HUMAN ----------------------------------------------- MACHINE
SOCIOLOGY : POLITICAL
|
family - group - population
patient- client-
beliefs wishes identity hope


time place space


woman- child- family- relationship-
 
policy power £$

More to follow with many thanks to the publisher for the review copy.

Review i

Review iii

Review iv

*Update 6 August: See 'Political Quotient'

Fundamentals of Person-Centred Healthcare Practice,  McCormack, B., McCance, T., Bulley, C., Brown, D., McMillan, A, Martin,S. (Eds.). ISBN: 978-1-119-53308-5 February 2021 Wiley-Blackwell.

 

Sunday, July 25, 2021

Info Smörgåsbord

Going through papers (again) I saved 'Infovore' from New Scientist back in 2006. Individually and collectively we are hungry for information (even when asleep - in the form of dreams?), hence we are infovores. The brief article explains work by Bierderman and Vessel, Perceptual Pleasure and the Brain. Information gives us a high via a "type of chemical receptor known as mu-opioid".

If time ever permits I would like to write again about 'information':

The pull quote reads: 

"Information that triggers the most memories causes the greatest pleasure"
Clearly from 2006 there may be further studies to consider, but revisiting this since 1996 a new paper would incorporate the informational dimensions of Hodges' model. The pull quote with its emphasis on memory and pleasure begs discussion of persons living with dementia.

Another saved newspaper concerned a book review from 2015 Why Information Grows: The Evolution of Order, from Atoms to Economies by César Hidalgo. Searching here on W2tQ there's no post about this text - hence why it's still gathering dust.

https://www.ft.com/content/36cad2c0-1038-11e5-ad5a-00144feabdc0in

Finally and related to 'information', data and knowledge are the way Hodges' model suggests and can make explicit disciplinary bridge as posted previously 

[ https://hodges-model.blogspot.com/2009/08/combining-h2cm-informing-science-and.html ].

For me, the FT is expensive, (as mentioned before) so I want to squeeze out all the value I can. Another page, by Gillian Tett (2014) discusses "How should we analyse our lives?" The book here is Alex "Sandy" Pentland's Social Physics.

This scratches the surface of papers [a few printed, the majority now on Zotero], other items from the quality press and science media I've kept.

I mention this as after this month all I will be posting [ and tweeting @h2cm ] are the remaining book reviews and other occasional items. A new citation is worthy of a post and celebration for Hodges' model - added already to the bibliography listing in the sidebar. Again if you can add to the bibliography, are interested in using Hodges' model and writing too please let me know. I'm conscious here and on twitter I feel I'm repeating myself and rather wasting my time. That said in mitigation and a blatant excuse the past 18 months has enforced a holding pattern on us all. When the pattern breaks I'd like to be 'elsewhere' in terms of any teaching opportunities, completing some writing and addressing the outstanding lack of a digital presence.

Thanks for your visit and time.

The Word, Infovore, New Scientist, 22 July 2006, p.56. (Sorry no more details).
https://www.newscientist.com/article/mg19125612-200-the-word-infovore/

Bierderman, I., Vessel, E. Perceptual Pleasure and the Brain, American Scientist. May-June 2006, Volume 94, Number 3, p.247. DOI: 10.1511/2006.59.247
https://www.americanscientist.org/article/perceptual-pleasure-and-the-brain

Gillian Tett (2014) "How should we analyse our lives?", FT Weekend, Magazine, January 14-15, p.46.

Jones, P. (1996) Humans, Information, and Science, Journal of Advanced Nursing, 24(3),591-598.

Tuesday, July 20, 2021

Review: i Fundamentals of Person-Centred Healthcare Practice


This book is written for students and as per the title the focus is central to student's learning, knowledge, skills and practice through placement experiences. It needs to be pointed out that there is an underlying framework that the book's chapters refer to, this is the Person-Centered Practice Framework [PCPF]. While the editors have biographies the (non-editing) contributors are listed by affiliation. I would have liked to read a brief professional biography.

I was encouraged, but under no illusions, when I read that the authors: "show how the Framework interconnects with and fits with the approaches, concepts, models or principles relevant to their professions, roles, service users, students, colleagues, service contexts or learning environments." (Foreword). Clearly the PCPF has been fine-tuned and subjected to research nationally and internationally.

The book is thought provoking at the same time as being accessible with bite-sized chapters. I've often wondered about the meanings behind 'careful'. The introduction provides us with 'healthful' which I am still chewing over. I was encouraged too in the introduction as the book clearly needs to define many forms of care (e.g., person-centred, family, relationship) and concepts, such as, person, personhood and person-centred.

The text size, font and layout are modern and accessible. Some of the figures (p.5) while informative take a real effort to read and interpret, given the use of shades of green and grey. Here contrast - black on dark-green - is a problem. Each chapter begins with 'learning outcomes' and there are activities 'Who am I as a person?' in chapter 1. 

As we prepare for COP26 (fingers x'd) chapter 1 differentiates between person and non-persons. Now we see how the future and our ability to practice person-centred care depends on the viability, sustainability and hence protection of the biosphere.

Section 1 and the book as a whole is a marvellous primer for new learners. On pages 8-9 the discussion on 'the reflective person' and Sabat's three forms of self highlights the importance of the context and how person-centredness is situated:

Sabat, S. R. (2002). Surviving Manifestations of Selfhood in Alzheimer’s Disease: A case study. Dementia, 1(1), 25–36. https://doi.org/10.1177/147130120200100101
 

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
Self 1

Self 2

Self 3
 
Self 3*?

More to follow(*) with many thanks to the publisher for the review copy.

Review ii 

Review iii

Review iv

Fundamentals of Person-Centred Healthcare Practice,  McCormack, B., McCance, T., Bulley, C., Brown, D., McMillan, A, Martin,S. (Eds.). ISBN: 978-1-119-53308-5 February 2021 Wiley-Blackwell.


Monday, July 19, 2021

"The day a language died"

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


Catawba


"This week another language died: Carlos Westez, more widely known as Red Thunder Cloud, the last speaker of the Native American language Catawba, died of a stroke at the age of 76. With him passed away the Catawba language. 
Anyone who wants to hear the war songs, the hunting songs and the religious chants of the Catawba can apply to the Smithsonian Museum, where, back in the Forties, Red Thunder Cloud recorded a series of them for posterity. Some earnest folk might even take the trouble to learn some of them by heart. But Catawba as something that lived and breathed and developed organically is gone for good. Of the creatures alive on the planet, only Red Thunder Cloud's dog, which survived him and understood commands in no other tongue, still presumably has snatches of Catawba rolling around his brain." p.41.

 

Popham, P. The day a language died, The Independent, 20th January, 1996, p.15.

https://en.wikipedia.org/wiki/Red_Thunder_Cloud

 

Saturday, July 17, 2021

"Whipala Chango"

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


A new flag of the indigenous people of Northern Chile
"Whipala Chango"

"The Chango - a colonial-era term which has stuck - are descended from nomads who inhabited South America's west coast over 10,000 years ago. Despite their culture having supposedly vanished, 4,725 Chileans defined themselves as Chango in a 2017 census, in the "other" category. Many still work as hardscrabble, nautical types, as their ancestors did (they were known for sea-lion skin rafts). Some still use ancient tools such as the chinguillo, a net fibre bag to carry fish, and the chope, an iron file to scrape molluscs off rocks." p.41.

The Chango people, A sea change, The Economist, March 6th, 2021, 438: 9235, pp.41-42.

 

Thursday, July 15, 2021

Of Bodies and Persons

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


Three-body problem


Three-Person problem


 

https://www.britannica.com/science/three-body-problem

 

Sunday, July 11, 2021

Measuring physical, mental and social space: A Political record

Since I was a child and my father used a metallic tape measure and my mission was to get it from the garage; I remember the sound as it was rolled out and uttered an occasional click. I took for granted its ability to hold its temporary span, filling a void perhaps and then its signature crack as it collapses. I was reminded of this yesterday.

The span now 3.5 metres.

What a measure of resilience this is.


individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
mental RESILIENCE

PHYSICAL resilience

Ability to 'span' ?
'health career' = life chances
education, work, relationships, housing, the literacies (lifelong learning) ...


Policy

POLICY resilience:

Strategic, planned, long-term, funded, integrated ...

 

 Previously: Caution! spanning the Theory - Practice Gap

 

Friday, July 09, 2021

ERCIM News No. 126 Special Theme: "Privacy-Preserving Computation"

Dear ERCIM News reader,

ERCIM News No. 126
ERCIM News No. 126 has just been published at https://ercim-news.ercim.eu/

The Special Theme of this issue focuses on current research on privacy-preserving computation, coordinated by our guest editors Rudolf Mayer (SBA Research) and Thijs Veugen (TNO and CWI).

Thank you for your interest in ERCIM News. Feel free to forward this message to anyone who might be interested.

Next issue:
No. 127,  October 2021
Special Theme: "Smart and Circular Cities" (submissions welcome!)

Peter Kunz  (with thanks)
ERCIM Office

2004, Route des Lucioles
BP93
F-06902 Sophia Antipolis Cedex

https://www.ercim.eu
--------------------------------
@ercim_news
http://twitter.com/ercim_news

join the ERCIM Linkedin Group
https://www.linkedin.com/groups/81390/

[I have edited to reduce the number of links.]

Wednesday, July 07, 2021

SIMPOL Supporters Q&A - Corporation tax

Dear Peter,

As a supporter of the Simultaneous Policy (SIMPOL) campaign to solve global problems, we’d love you to join us at our next SIMPOL Supporters Q&A zoom meeting. It’ll be on Tuesday 13th July at 8pm UK time.

We’ll be discussing the recent international agreement on a minimum level of corporation tax signed by over 130 countries. But will it work? To answer that question and others, we’re delighted to have Richard Murphy of the Tax Justice Network with us. He’ll explain the agreement, whether it’ll be effective, and answer your questions. Your hosts will be Rob Cobbold of the Conscious Evolution Podcast and me, John Bunzl, SIMPOL’s founder.

Edited: please ask people to register by sending an email to info@simpol.org and we will then send them the link.

You’ll be very welcome. We look forward to seeing you then!

Best wishes,

John

John Bunzl – Trustee

International Simultaneous Policy Organisation

https://www.simpol.org

Topic: Simpol Supporters Q&A zoom

Time: Jul 13, 2021 08:00 PM London

Monday, July 05, 2021

Art, Imagination, NHS, History & Future: c/o Banksy and FT

individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
 
Banksy, 'Game Changer', 2020 Banksy/Instagram @banksy





 
"It has been another challenging week for the UK's NHS as nurses were offered a paltry 1 per cent pay rise. But the artist Banksy is to show his support by auctioning "Game Changer" (2020), a painting initially made to hang in University Hospital Southampton, and now sold to benefit the NHS. The hand-painted, signed work, which shows a kneeling child playing with a toy nurse instead of more traditional superheroes, is estimated by Christie's at £2.5m to £3.5m".
 

Gerlis, M. (2021) The Art Market, Collecting, Life&Arts, FTWeekend, 13-14 March, p.14.

'Game Changer' source: https://www.artnews.com/art-news/news/banksy-southampton-general-hospital-game-changer-1202686284/

Saturday, July 03, 2021

Two papers and a Conference

However much I try to multitask the result is illusory. Writing projects are many and the status of most is stalled*. Even those 'active' such as the SDG paper that combines Hodges' model, public health, specifically nutrition is on a sister journal and still awaiting word from the reviewers and editorial team. Where the paper remains active for me is that since last summer I've had the assistance of a co-author. This really does make a difference.

 Another paper I've posted about is the two-part draft [4400 Words / 46 Refs :: 4700 Words / 37 Refs] on:

  • Threshold Concepts
  • Hodges' model 
  • Liberty Protection Safeguarding (Deprivation of Liberty Safeguarding - DoLS)
  • Residential Care and Nursing Homes

Before the renewed focus on the SDG effort, the TC paper benefited from feedback (which will be acknowledged). Putting it down (yet again), it seemed a much more complete draft. Now, as the themes suggest, post-Covid, another revision-pass is merited. In compensation, as I find with Hodges' model and  each new year, the two-part paper's focus is even more relevant.

Next week I will once again share Hodges' model with a community of practice. Postponed from July 2020:

TC2020: 8TH BIENNIAL THRESHOLD CONCEPTS CONFERENCE, 2021

I wish I had data to back up and support the paper. I have routinely used Hodges' model implicitly in this care context as a community mental health nurse. Once again the work is descriptive. Before COVID struck, I was planning to address this and will as soon as possible. Now, I've sixteen slides to complete.

*Don't mention the website!