Social care |
In March 2023, we published Joining the dots: A blueprint for preventing and managing frailty in older people. This set out seven touchpoints of care that should be available to older people, as and when they need them and 12 recommendations to systems. One of the recommendations is specifically around the provision of rehabilitation and one of the touchpoints is ‘Integrated urgent community response, reablement, rehabilitation and intermediate care.’
In this new document, we take a deep dive into this Blueprint recommendation, looking at the evidence behind the provision of rehabilitation for older people and highlighting examples of best practice from across the UK and internationally. We argue that rehabilitation should be a component of virtually all care for older people, across all care settings, and that there is no such thing as ‘no rehabilitation potential.’
This document has been led by Professor Anne Hendry, Honorary Professor at the University of the West of Scotland and Senior Associate at the International Foundation for Integrated Care and a group of BGS members from across the UK and across disciplines have contributed to drafting the document. We hope that BGS members, commissioners and system leaders will find it useful in planning rehabilitation services for older people in their communities.
More information - full report.
Rational choice theory | Natural sciences theoretical & methodological pluralism functionalism |
Social sciences - Humanities | policy |
"The theoretical and methodological pluralism that we suggest here, holistic pluralism, is one way to overcome incommensurability between the natural and the social sciences while avoiding functionalism, technological and environmental determinism, and over-reliance on rational choice theory."
from Introduction:
"The fact that sustainability science is “dealing with interconnected problems” (Kauffman and Arico 2014:413) requires that researchers in the field take a comprehensive, integrated, and participatory approach to science and reality (Sala et al. 2013). This explicit ambition to integrate knowledge—across scales, sectors, and substance domains, and across the nature-society, science-society, and knowledge-action divides—implies that sustainability science must inherently live up to (at least) three things. It must build on several foundational disciplines and have the capacity for interdisciplinarity; it must embrace theoretical and methodological pluralism and have the capacity for reflexivity (Isgren et al. 2017); and it must integrate knowledge generated from engaging with different disciplines, theories, methods, and contexts, and thus aspire to transdisciplinarity. Rather than merging or unifying the actual disciplines or their theories and methods into integrated frameworks, we argue that pluralism is the best way forward for dealing with sustainability challenges, such as biodiversity loss, climate change, land use change, water scarcity, and ill health. In this article, we use ontological, epistemological, and theoretical reasoning to support our argument. The critical ambition is to provide the rationale for a new approach that has the potential to capture the best available knowledge on social and natural dimensions of sustainability; we call it social fields and natural systems. The problem-solving ambition is to describe the approach and illustrate it in two empirical examples. If successful, this will show how holistic pluralism is one possible way of integrating knowledge across the social and natural science divide."
Figure 2 Olsson, L., & Jerneck, A. (2018).
"In an interim report, the inquiry chair, Sir Brian Langstaff, said 'wrongs were done at individual, collective and systemic levels'." | (UP) contaminated blood blood donors 'dying for COVER |
 | UP scandal paid justice' (screening?) |
As highlighted previously, the full title of Hodges' model was originally The Health Career Model.
"Career is a lifetime process. The word process here is important. If the English language did not render it too awkward, it would be preferable to make a verb out of it: careering. The major phases in the process relate to the physiological changes as the individual moves from infancy toward his ultimate death." p.113.
"The pursuit of career is not merely a social phenomenon in the sense that the values and purposes are socially derived and hence attainment is reflexive of community attitudes, but because career performance always involves two highly social orientations: collaboration and identification. It is a social performance. No person achieves satisfaction going it alone; he must collaborate with diverse others, usually socially structured groups - family or household, clan, age-mates, work associates, or whatever." p.117.
Identity Work, roles, activity for all. | "The activities of the motivated individual can be conceptualized as his or her career. By career I mean that trajectory through life which each person undergoes, the activities he or she engages in to satisfy physical needs and wants and the even more important social needs and wants. The career, then, is activated in the service of both the physical being and the symbolic self."p.107. | ||
| Policy Politics The health career and human career of future generations and all life. Artificial Intelligence - Future 'careers'? |
| |||
[My] attention, priorities, beliefs, mindset(s) .. Knowledge Health literacy (All literacies) Choices Decision making Motivation My health: Physical AND Mental Responsible for..? | |
Culture Lifestyle Friends - Family Dining custom & practice | Food Industry National - Global action Policy - Law Health Economics (Price of foods) Food labelling Impact of Climate Change |
I look forward to reading and reviewing these books. Many thanks to:
Julian Richer (Author), Kate Miller (Editor) (2024) Our Housing Disaster: - and what we can do about it. London: Richer Publishing and Media.
https://www.richersounds.com/our-housing-disaster.html
Joaquim Braga & Mário Santiago de Carvalho (eds.) (2021) Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy. Cham: Springer Verlag.https://link.springer.com/book/10.1007/978-3-030-75478-5
Fritjof Capra, Pier Luigi Luisi (2014) The Systems View of Life - A Unifying Vision. Cambridge: Cambridge University Press.
https://www.cambridge.org/gb/universitypress/subjects/life-sciences/genomics-bioinformatics-and-systems-biology/systems-view-life-unifying-vision?format=HB&isbn=9781107011366
"The concept that best captures the process of homogenization is isomorphism. In Hawley's (1968) description, isomorphism is a constraining process that forces one unit in a population to resemble other units that face the same set of environmental conditions. At the population level, such an approach suggests that organizational characteristics are modified in the direction of increasing comparability with environmental characteristics; the number of organizations in a population is a function of environmental carrying capacity; and the diversity of organizational forms is isomorphic to environmental diversity." p.149.
"We identify three mechanisms through which institutional isomorphic change occurs, each with its own antecedents: 1) coercive isomorphism that stems from political influence and the problem of legitimacy; 2) mimetic isomorphism resulting from standard responses to uncertainty; and 3) normative isomorphism, associated with professionalization. This typology is an analytic one: the types are not always empirically distinct." p.150.
"Some of them went further, using approaches based in political economy, world systems theory, and theories of neocolonialism and underdevelopment to show that economic imperatives on a global scale were a major force in shaping education worldwide. Others interpreted such change through an institutional lens, arguing that the convergence toward accepted models of modernity has resulted in a process of educational isomorphism within and across countries." p.1.
Carnoy, M., & Rhoten, D. (2002). What Does Globalization Mean for Educational Change? A Comparative Approach. Comparative Education Review, 46(1), 1–9. https://doi.org/10.1086/324053
"The movement is inspired by Rudolf Virchow (1821-1902), who coined the term zoonosis, arguing that there should be no dividing lines between animal and human medicine. This position has been gathering momentum in the last fifteen years. The One Health Initiative is a rather daring interdisciplinary alliance that unites physicians, osteopaths, veterinarians, dentists, nurses, and other scientific-health and environmentally related disciplines, on the basis of a simple hypothesis, which is the isomorphism of structures between humans and animals in immunology, bacteriology, and vaccine developments. This means that humans are both exposed and vulnerable to new diseases, like bird flu and other epidemics, which they share with animal species." p.16.
Rosi Braidotti. (2015). Yes, There Is No Crisis. Working Towards the Posthumanities. DiGeSt. Journal of Diversity and Gender Studies, 2(1–2), 9–20. https://doi.org/10.11116/jdivegendstud.2.1-2.0009
"The chapter begins by developing the logic of strategic voting in a single- member district system, thus won by whichever party or candidate gets the most votes (first past the post, or FPTP). This represents the simplest and easiest case for the logic of strategic voting, and similarities (and sometimes theoretical isomorphism) exist between strategic voting— sometimes called instrumental voting (or voting as an investment)— and expected- utility maximization." p.3.
Aldrich, J. H., Blais, A., & Stephenson, L. B. (2018). Strategic Voting and Political Institutions. In J. H. Aldrich, A. Blais, & L. B. Stephenson (Eds.), The Many Faces of Strategic Voting: Tactical Behavior in Electoral Systems Around the World (pp. 1–27). University of Michigan Press. http://www.jstor.org/stable/j.ctvh4zhzr.4
"Let us take a closer look at this important topic: what might be termed the isomorphism between the realm of care and the realm of perception/oikeiôsis-allotriôsis." p.57.Joaquim Braga & Mário Santiago de Carvalho (eds.) (2021). Philosophy of Care - New Approaches to Vulnerability, Otherness and Therapy. Cham: Springer Verlag.
- will add here ... suggestions welcome h2cmng AT yahoo.co.uk
Descartes’ - cogito ergo sum^ A psychological case formulation for ...? | (Being constantly …) rational^ ... in pursuit of evidence |
Drama: A case formulation for the audience. | Absurd: When £££$$$ meets health - the where of when the audience aren't interested in the how, and why of the case formulation. |
"In the Theatre of the Absurd, the audience is confronted with actions that lack apparent motivation, characters that are in constant flux, and often happenings that are clearly outside the realm of rational* experience. Here, too, the audience can ask 'What is going to happen next?' But then anything may happen next, so that the answer to this question cannot be worked out according to the rules of ordinary probability based on motives and characterizations that will remain constant throughout the play. The relevant question here is not so much what is going to happen next but what is happening? 'What does the action of the play represent?'" Esslin. (p.416).
mind . . . - and there was I ... I always thought heat rises? | 'heat sinks' minima - maxima 'accountability ... ... ... ... ... sinks' |
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On Tuesday, 30 April 2024 at 14:37:02 BST, Helen Coombe, UK <helen AT medicalaidfilms.org> wrote:
[i] WHO Global strategy on digital health 2020-2025, https://www.who.int/health-topics/digital-health#tab=tab_1
What I value and the values I hold. Philosophy | Nature - Nature has Intrinsic Value  |
What we value and the values we hold. | Natural Asset Companies The continuity of capitalism, or new approaches? |
Apparently nature has intrinsic value and 'natural asset companies' are a thing (for good or ill is another Q. - continuity of capitalism? Is this one way where (literally) SMALL comes in? As nature locally has value, citizens are stakeholders (in the country by proxy)? But then how as societies do we compensate urban environments and those who clamour for - see the future in 'smart' cities? https://www.nytimes.com/2024/02/18/business/economy/natural-assets.htmlSee also:
 |
| CURATION |
"As the eighteenth-century English painter Joshua Reynolds put it, 'Simplicity is an exact medium between too little and too much.' Curation helps ensure that exact medium." p.159.
Bhaskar. M. (2016) Curation: The power of selection in a world of excess. London: Piatkus.
Book image: Waterstones.
See also: Is Hodges' model a selection machine?
 |
| Brian E. Hodges - c/o Brian's family. |
Born in Liverpool, UK.
Community Mental Health Nurse NHS, Part-time Lecturer,
Researcher Nursing & Technology Enhanced Learning
Registered Nurse - Mental Health & General
Community Psychiatric Nursing (Cert.) MMU
PG Cert. Ed.
BA(Joint Hons.) Computing and Philosophy - BIHE - Bolton
PG(Dip.) Collaboration on Psychosocial Education [COPE] Univ. Man.
MRES. e-Research and Technology Enhanced Learning, Lancaster Univ.
Live and work in NW England - seeking a global perspective.
The views expressed on W2tQ are entirely my own, unless stated otherwise.
Comments are disabled.
If you would like to get in touch please e-mail me at h2cmng AT yahoo.co.uk
orcid.org/0000-0002-0192-8965
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