NANDA-I Newsletter - theme of clinical reasoning

'This month at NANDA-I, we have been exploring the theme of clinical reasoning.

Clinical reasoning is at the heart of nursing; it’s how nurses make sense of complex patient information and choose the best path forward. While many nurses think of diagnosis as the centerpiece, it’s really the thinking that leads up to it, gathering cues, interpreting what matters most, and then safely determining goals and actions, that makes all the difference in outcomes. Strong reasoning helps nurses notice subtle changes and act with confidence.

As healthcare grows more complex, understanding how nurses think, not just what tools they use, helps elevate care for every patient. We’ll be sharing insights throughout the year to help you stay connected to nursing knowledge and its impact on care delivery and education.'

 

Teaching Tip: Clinical Reasoning in Practice

Start With Assessment to Improve Reasoning

When nurses work with standardized languages and clinical judgment tools, it’s tempting to dive right into diagnosis. But the most accurate and useful nursing judgments always come from strong, systematic assessment first. Quality assessment supports better interpretation of patient needs and more precise identification of nursing responses. Quick Tip: Use a flexible assessment framework, whether it’s a conceptual model or a tool like functional health patterns, to make sure you’re capturing the data that matters most first. When you build a solid foundation with assessment, everything that follows (including diagnostic thinking) becomes clearer and more grounded.

 

My source: 'Friends of NANDA®-I Newsletter' subscription (with my emphasis).

See also:
https://nanda.org/2025/12/nanda-360-for-educators-and-researchers-strengthening-nursing-knowledge-through-diagnosis-centered-reasoning/

Assessment, plus planning, implementation - action, evaluation (plus, formulation).

Functional and cognitive [Health, Illness, Climate, Poverty, Political, Security, Prevention, Self-care, ...] patterns.

'... make sure you’re capturing the data that matters most first' - Situated, Context, Salience.

For a competent practitioner an assessment can also be 'therapeutic' for the patient.

Previously: 'classification' : 'diagnosis' : 'NANDA' : 'ICD'

August 2022 - Journal of Health Care for the Poor and Underserved

To JHCPU readers,

 

The August 2022 issue of the Journal of Health Care for the Poor and Underserved (JHCPU) has been released:

https://muse.jhu.edu/issue/48370

The Note from the Editor appears below. Following the link will bring you to the full table of contents.

With best wishes for the new academic year,

Ginny Brennan

 

Note from the Editor

Public Health and Politics

Positioned at the nexus of social science and health, the Journal's work is necessarily political. One of the many concerns in the U.S. as we approach the Fall of 2022 is the U.S. Supreme Court's June decision in Dobbs v. Jackson Women's Health Organization to overturn Roe v. Wade and with it the Constitutional guarantee of the right to abortion, abrogating women's moral autonomy over their reproductive health. In this issue, Frohwirth and colleagues consider another contested site in the reproductive health care landscape—contraception affected by abortion policy—as they assess the impact on women in Iowa of a 2017 reduction in Medicaid coverage of contraceptive care. Due to the new law, patients enrolled in the state family planning program could no longer access subsidized care at publicly funded clinics affiliated with abortion provision, and over 15,000 patients had to find to find a new family planning provider. The researchers learned in their qualitative study that high fees for visits and contraceptive methods, restrictive or inadequate insurance coverage, and access barriers such as long appointment wait times were the most common barriers to preferred contraceptive care, and these barriers compounded one another. Furthermore, barriers grew once the more restrictive Iowa Medicaid policy was in place. The authors conclude that policy changes supportive of contraceptive care would decrease vulnerability and increase reproductive autonomy.

Several papers in this issue bear on the construction of datasets or use datasets in new and sophisticated ways. We publish them aware of the fact that database construction is central to many highly political debates. Qato and colleagues introduce an intermediate-level variable—the nursing home—into an analysis of the distribution of COVID19 vaccination among nursing home residents. Looking at over 12,000 nursing homes in terms of the racial heterogeneity of the residents, the authors find that residents of the quantile of homes that were more predominantly non-Hispanic White were significantly more likely to be vaccinated (mean vaccinated 85.65%) than residents of the quantile that was least predominantly non-Hispanic White (mean vaccinated 72.74%). The authors of this short article conclude, "A higher proportion of White residents per facility was associated with higher resident COVID-19 vaccination rates reflecting continued disparities in quality of care during the pandemic."

While it is not construed formally as a variable, the construct of neighborhood in the paper by DiFiore and colleagues reveals significant patterns in the distribution of food insecurity. They assess food insecurity in relationship to perceived neighborhood safety, social cohesion, informal social control, and crime, adjusted for demographics, socioeconomic status, and neighborhood characteristics. The participants in the study were 300 mothers and female caregivers of Medicaid-enrolled two- to four-year old children in Philadelphia. Greater food security was associated with higher perceived neighborhood safety and social cohesion, and lower police-recorded violent crime rates. The evidence of this research suggests that the structural condition of living in a supportive neighborhood social environment may protect against food insecurity.

Kong and colleagues conducted COVID19/food security research, using longitudinal data to assess the interrelationships among food insecurity, mental health, and the COVID19 pandemic. They found that food insecurity was associated with stress, depression, and anxiety. They also found that these conditions improved over time during the pandemic among food-secure participants but worsened among food-insecure participants. The pandemic appears to worsen the already vicious cycle connecting food insecurity and mental health.

Two papers based on the Youth Risk Behavior Survey (YRBS) argue for enriched variables for coding race and ethnicity. Jones and Satter analyze mental health outcomes based on race and ethnicity and, in doing so, they observe that over 80% of respondents to the YRBS who self-identified as American Indian/Alaska Native also self-identified as Hispanic. American Indians/Alaska Natives are often multi-racial and of Hispanic/Latino ethnicity, and therefore outcomes differ widely depending on whether one examines American Indian/Alaska Native alone or in combination with other racial/ethnic variables. Also using the YRBSS, Braun and colleagues assessed tobacco and alcohol use and adolescent sexual practices among Black, bi/multi-racial, and White adolescents. They find that results differed across all three groups, leading them to conclude that nuanced racial categories are called for.

It is our hope that these and the many other papers in this quarter's issue—through their attention to social, scientific, and political decisions affecting health and health care—will serve to advance health justice, either through or in spite of the political process.

Virginia M. Brennan, PhD, MA

Editor, JHCPU

Associate Professor, Meharry Medical College

My source:
Spiritof1848 Listserv WWW.SPIRITOF1848.ORG #Spiritof1848

NANDA International's First Webinar

On Thursday a webinar - NANDA-I's first - provided an update on Nursing Diagnoses:

 

It wasn't just what is new and revised in the diagnoses that was of interest, but the explanation and discussion of the Level of Evidence criteria. Resources, challenges, ways to get involved, and future directions were also described. The levels of evidence criteria for diagnoses submission stood out, reinforcing how 'concepts' remain key to this work and application.

In the Q&A I asked about NANDA-I (and other classification schemes) contributing to the metrics for the Sustainable Development Goals (and not just 'health' SDG-3) and Social Determinants of Health. Since the 1990s nursing informaticians saw terminology systems and technology having a role in making nursing visible. This is crucial at the global* level of SDGs, SDoH and challenges that are not 'on the horizon', but are a present and real danger: climate change, conflict, pandemics, and mass migration. Despite such uncertainties, I found the event very encouraging.

 *local, and glocal too.

TABLE OF CONTENTS:

Part 1 The NANDA International Terminology: General Information

1 What's New in the NANDA-I 2021-2023 Edition
2 International Considerations on the Use of the NANDA-I Nursing Diagnoses

Part 2 Recommendations for Research to Improve the Terminology
3 Future Improvement of the NANDA-I Terminology
4 Revised Level of Evidence Criteria for Diagnosis Submission

Part 3 The Use of NANDA International Nursing Diagnoses
5 Nursing Diagnosis Basics
6 Nursing Diagnosis: An International Terminology
7 Clinical Reasoning: From Assessment to Diagnosis
8 Clinical Application: Data Analysis to Determine Appropriate Nursing Diagnosis
9 Introduction to the NANDA International Taxonomy of Nursing Diagnoses
10 Specifications and Definitions Within the NANDA International Taxonomy of Nursing Diagnoses
11 Glossary of Terms

Part 4 The NANDA International Nursing Diagnoses
Domain 1. Health promotion
Domain 2. Nutrition
Domain 3. Elimination and exchange
Domain 4. Activity/rest
Domain 5. Perception/cognition
Domain 6. Self-perception
Domain 7. Role relationship
Domain 8. Sexuality
Domain 9. Coping/stress tolerance
Domain 10. Life principles
Domain 11. Safety/protection
Domain 12. Comfort
Domain 13. Growth/development

Diagnosis vs Formulation in Mental Health

"Should psychological formulation replace diagnosis?"

When Brian Hodges created the model the original purposes (c. 1983-84) were to facilitate:

1. Reflection and reflective practice;
2. Integrated - person-centred care;
3. Holistic care (mental, physical, social, political and spiritual) and;
4. Bridge the Theory - Practice gap.

After learning and applying the model in 1987-88 I quickly recognised the multi-fold purposes and functions to which Hodges' model can be applied. One of these is clinical assessment which are encapsulated in 1-4 above. Importantly this includes assessment across all fields of health and social care; and more specifically case formulation as applied within various psychological therapies and interventions.

Noting a tweet (see below) I knew straight away that here is a blog post, even before being pointed to an associated blog post,

In 1998-9 I started a course on the use of psychosocial intervention and cognitive behaviour therapy in psychoses. From the outset as a student mental health nurse, you are constantly made aware of the politics in psychiatry and mental health nursing:

Clare, A.W. (1976) Psychiatry in Dissent: Controversial Issues in Thought and Practice. London: Tavistock

Even on twitter (and I don't wish to denote surprise) there is often marked debate, critique, even sniping between psychology, psychiatrists and users of mental health services, patients, or survivors whichever nomenclature you prefer.

I have always tried to draw student's attention to coding and classification. Key to this is purpose: clinical diagnosis, epidemiology, research, demographics, national and international reporting and statistics (plus of course - pandemic management). Being a health care professional demands an awareness of diagnosis, the tools available, how they change and their limitations. Even if it is 'not your job' to 'diagnose', that understanding is important to your effectiveness and ability to empathise with patients, carers and families.

Implicit in Hodges' Health Career - Care Domains - Model is time and potential or otherwise for change in and throughout someone's life.

Students will and should become embroiled in the debate of mental illness as a social construct. Although world events at present heighten the view of things being polarised and now in its starkest form - people too and Yes - #BlackLivesMatter. The continuum model of mental health affords another viewpoint. It suggests the gradual way a person's beliefs can become more bizarre over time. Substance harmful use is not some necessary (essential) precipitating factor, but it can accelerate a negative transformation of a person's view of themselves, others, the world and future.

A diagnosis can be constructive, providing renewed certainty and direction. A diagnosis can also be destructive in terms of how a patient, their loved ones, friends and society receive it. There are nursing diagnoses also; and as such Hodges' model provides a means for a nursing, psychological and clinical case formulation.

In response to reference to the 'medical model', I have tweeted many times how the biopsychosocial model, of which the medical model is a part, is incomplete.

Beyond diagnosis and formulation, there is a need to see the model that really does the work,

for the real elephant in the room to reveal itself.

I am of course referring to the bio-psycho-socio-political model.

Appeal to the medical model, without reference to the political is ingenuous. It is the political after all that permits institutions to award degrees and the granting of licensing and registers to 'practice', prescribe drugs and other treatments. Ready incorporation of the political should be acknowledged by the extent of change through the past 40 years of mental health service provision (and more recent stasis?).

Or, perhaps legislation passed in that time does not yet speak volumes?

The role of community mental health nursing has changed profoundly in this time and the accent (as evinced three days a week Nov-Mar 2020) is upon assisting individuals to manage their substance harmful use, financial affairs, strained therapeutic relationships and emotional dysregulation. Very often it is statutory agencies who 'rely' on diagnoses. A psychological formulation would probably have little 'leverage' as part of a Personal Independence Payment (PIP) assessment or appeal. It is here that a medical diagnosis - has currency. Consultant Psychiatrists have little enough time so the CPN/CMHN acts as the go-between. Reaching across from the intra- interpersonal domain to the political.

The narrative written on the assessment/appeal form will include content that would no doubt contribute to a psychological formulation (and even psychodynamic) were this is relevant purely for the purpose of the assessment. As such it is the dialogues and narratives that are engendered that can increase self and mutual understanding and awareness. This can in turn provide the opportunity to progress more positively a person's situation within which diagnoses and formulations play a part. There is still a great 'gap' between the formulaic and diagnostic outputs and the therapies that are available.

individual

|

INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

|

group - population

Diagnostic and Statistical Manual of Mental Disorders (DSM–5) multiaxial? Psychological formulation Psychodynamic formulation Psychiatric diagnosis TI:ME Health career - life chances	Medical diagnosis multiaxial? International Classification of Diseases SNOMED CT TI:ME Health career - life chances

[Recruitment agencies seek mental health nurses as 'disability assessors'. I am a realist. I know some people are beyond the pale, but that doesn't mean we should not try. These assessments can be opportunities to engage anew, but of course that is not what is required?]

My prompt:

Samei Huda - Twitter

https://twitter.com/SameiHuda/status/1266749685915627521?s=20

Relatedness and Similarity - in The Health Career Model

How can we demonstrate the basis for the axes, 'found' conceptual structures and conceptual clustering in Hodges' model?

UMLS::Similarity Web Interface (measuring pairwise similarity and relatedness of medical concepts)

Some results and definitions obtained from the above.

Results:

The similarity of person (C0027361 ) and patient (C0030705 ) using Lin (lin) is 0.85.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Conceptual Distance (cdist) is 0.5.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Resnik (res) is 1.6384.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Jiang & Conrath (jcn) is 1.7295.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Path Length (path) is 0.5.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Wu & Palmer (wup) is 0.8.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Nguyen & Al-Mubaid (nam) is 0.2038.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Random Measure (random) is 0.5703.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

The similarity of person (C0027361 ) and patient (C0030705 ) using Leacock & Chodorow (lch) is 2.9957.

Using:    SAB :: include MSH
    REL :: include PAR/CHD

--

The relatedness of individual (C0027361 ) and group (C1257890 ) using Vector Measure (vector) is 0.7869.

Using:    SABDEF :: include UMLS_ALL
    RELDEF :: include CUI/PAR/CHD/RB/RN

The relatedness of individual (C0027361 ) and group (C1257890 ) using Adapted Lesk (lesk) is 9584.

Using:    SABDEF :: include UMLS_ALL
    RELDEF :: include CUI/PAR/CHD/RB/RN

--

The relatedness of self (C0036588 ) and group (C1257890 ) using Adapted Lesk (lesk) is 263.

Using:    SABDEF :: include UMLS_ALL
    RELDEF :: include CUI/PAR/CHD/RB/RN

The relatedness of self (C0036588 ) and group (C1561557 ) using Vector Measure (vector) is 0.4054.

Using:    SABDEF :: include UMLS_ALL
    RELDEF :: include CUI/PAR/CHD/RB/RN

Definitions:

individual (C0027361)

HL7V3.0 : A living subject of the species homo sapiens.

NCI : Human beings in general.

NCI : A human being.

NCI_BRIDG : A human being.

MSH : Persons as individuals (e.g., ABORTION APPLICANTS) or as members of a group (e.g., HISPANIC AMERICANS). It is not used for members of the various professions (e.g., PHYSICIANS) or occupations (e.g., LIBRARIANS) for which OCCUPATIONAL GROUPS is available.

individual (C0237401)

individual (C3245468)

HL7V3.0 : Description:Person as specified by coverage policy or program.

HL7V3.0 : Description:The level of coverage under the policy or program is available to an individual.

HL7V3.0 : Description: A role played by a party covered under a policy as the policy holder. An individual may be either a person or an organization.
Note: The party playing the role of an individual insured is not a claimant in the sense conveyed by the RoleClassCoveredParty CLAIM (claimant). However, a named insured may make a claim under a policy, e.g., a party that is the named insured and policy holder under a comprehensive automobile insurance policy may become the claimant for coverage under that policy if injured in an automobile accident and there is no liable third party. In the case of an individual insured making a claim, a role type code INSCLM (insured claimant) subtypes the class to indicate that an individual insured has filed a claim for a loss.
Example: The individual insured under a comprehensive automobile, disability, or property and casualty policy that is the policy holder.

HL7V3.0 :

self (C0036588)

HL7V3.0 : The "same" roleclass asserts an identity between playing and scoping entities: that they are in fact instances of the same entity and, in the case of discrepancies (e.g different DOB, gender), that one or both are in error.
Usage:
playing and scoping entities must have same classcode, but need not have identical attributes or values.
Example:
a provider registry maintains sets of conflicting demographic data for what is reported to be the same individual.

NCI : The individual as the object of his own reflective consciousness.

HL7V3.0 : The relationship that a person has with his or her self.

self (C1551994)

HL7V3.0 : Covered party is the policy holder. Also known as the subscriber.

See also:

WordNet::Similarity

This is a Perl module that implements a variety of semantic similarity and relatedness measures based on information found in the lexical database WordNet. In particular, it supports the measures of Resnik, Lin, Jiang-Conrath, Leacock-Chodorow, Hirst-St.Onge, Wu-Palmer, Banerjee-Pedersen, and Patwardhan-Pedersen. 

n.b. While Hodges' model was created for application in health and social care contexts it can be applied generally.

Paper: Using Typography to Expand the Design Space of Data Visualization

New Issue of She Ji.
The Journal of Design, Economics, and Innovation

Using Typography to Expand the Design Space of Data Visualization

Abstract

she ji

This article is a systematic exploration and expansion of the data visualization design space focusing on the role of text. A critical analysis of text usage in data visualizations reveals gaps in existing frameworks and practice. A cross-disciplinary review including the fields of typography, cartography, and coding interfaces yields various typographic techniques to encode data into text, and provides scope for an expanded design space. Mapping new attributes back to well understood principles frames the expanded design space and suggests potential areas of application. From ongoing research created with our framework, we show the design, implementation, and evaluation of six new visualization techniques. Finally, a broad evaluation of a number of visualizations, including critiques from several disciplinary experts, reveals opportunities as well as areas of concern, and points towards additional research with our framework.

New Book Series "Coding for Humanists” 1st Vol. "Drupal for Humanists"

The Institute for Digital Humanities, Media and Culture (IDHMC) at Texas A&M University (http://idhmc.tamu.edu) is pleased to announce “Coding for Humanists,” a new book series from Texas A&M Press that addresses the practical skill-development needs of scholars in the humanities. The series is edited by Quinn Drombrowski and Laura Mandell.

The hands-on training offered at an institute or workshop such as DHSI, DHOxSS, and HILT equips scholars to pursue new directions in their research and/or pedagogy. These workshops stand apart from generic technical training sessions through their focus on the specific needs, interests and goals of humanists. The pedagogical approach respects students’ intelligence and expertise without assuming a pre-existing knowledge of other programming languages or technologies.

The “Coding for Humanists” book series follows in the spirit of these workshops (http://coding.forhumanists.org). Each volume focuses on a particular tool, technology, methodology, or programming language, using humanities examples. Without assuming any prerequisite technical knowledge, “Coding for Humanists” books guide scholars through the jargon, concepts, and processes fundamental to the technology under consideration, leaving them ready to use the technology independently, or deepen their knowledge through resources written for a general audience. For scholars who are unable to attend an in-person workshop, or who wish to develop new technical skills as time permits, the “Coding for Humanists” series fills an unmet need for clearly-written, accessible training materials developed specifically for a humanistic audience.

The first volume, Drupal for Humanists by Quinn Dombrowski (http://drupal.forhumanists.org/), will be published this fall. Co-editor of the series, Quinn Dombrowski is the Digital Humanities Coordinator in Research IT at UC Berkeley, and has developed numerous digital humanities sites using Drupal, including the DiRT Directory and DHCommons. She has taught “Drupal for Digital Humanities Projects” at DHSI since 2014, and Drupal for Humanists expands upon the materials that have been used successfully in that course.

This book is a significant expansion of, and improvement on, the open access early drafts that have been posted on this site since 2013, and are still available through the Wayback Machine. Over the next year, excerpts from the book will be posted to the site. In addition, there is a great deal of further information about Drupal modules, configuration, and tips and tricks for building Drupal sites that extends beyond the maximum feasible word count for the book. This information, too, will be posted on an ongoing basis, and contributions will be solicited from the community of humanities Drupal users and developers. (From: http://drupal.forhumanists.org/ )

Upcoming volumes in the “Coding for Humanists” series include _XQuery for Humanists_, by Clifford B. Anderson, Jonathan Robie, and Joseph C. Wicentowski; _XSLT for Humanists: Building Digital Editions_, by co-editor of the book series, Laura Mandell; and _Databases for Humanists_, by Harvey Quamen. The series is accepting proposals for additional volumes; please see submission guidelines here:
http://coding.forhumanists.org/submission-guidelines.

Laura Mandell
Director, Initiative for Digital Humanities, Media, and Culture
Professor, English
Texas A&M University
e: idhmc AT tamu.edu
@mandellc

My source: Laura via humanist AT lists.digitalhumanities.org
List info and archives at at: http://digitalhumanities.org/humanist

Drupalcon Munich 2012 [i]

Drupalcon Munich 2012 Group Photo

Well another European Drupalcon has been and gone. It was an awesome event in Munich; the venue, sessions, organisation and the community. It all proved a brilliant experience even without the night time thunder and lightening.

I'm not sure if this particular sponge is saturated to its limited capacity, but compared with previous years I took fewer notes and haven't posted as yet. The (glaring) take home lesson for me remains the same. Write less: do!

The notes I do have started after the first keynote by Dries Buytaert on the State and future of Drupal. Personally, I prefer a presentation rather than the interview format. A change in format must be a relief for Dries and for circuit regulars, but despite a visual interlude the social negotiation seemed for me to get in the way of the show and tell. Given that though Drupal is a year aware from the next release, so this reduces the 'news'. Portland 2013 will no doubt be literally more telling.

I did scribble some ..., on Entities and Properties and attending How to Dominate the Theme Layer. Useful to consider that the visual hierarchy may not match the outline of your site in terms of information architecture. The idea of styling now and injecting classes later has much appeal. I am enthralled by the prospect of font selection, colour and other site design aspects.

There were several sessions on Multilingual sites in D7 & D8. The pros and cons of node level translation vs. field level translation were explained, the latter being considered the best model for most use cases and set to be the likely default in D8. Given the cons of translation and the need to keep it simple I would set about limiting translation to Brian Hodges' original course notes and a new introduction to h2cm. Another key question referred to the type of experience you are building - is it totally symmetrical or asymmetric?

More to follow.  
Photo source:
https://www.flickr.com/photos/drupalassoc/7893709730/

Reflections [I] Conceptual Spaces At Work: Lund University, Sweden, May 2012

I started writing up and reflecting on my notes while still in Lund on Saturday evening 26th May. As I passed the taxi rank returning to my B&B I knew Eurovision had started: Englebert sang out. It was quite novel to be in Sweden that night.

The conference was excellent.

Lund is a beautiful, friendly city and the weather was amazing.

I am so pleased I made this journey and would like to thank the organisers and sponsors for their work and support. The conference was free to attend, which greatly assisted me. Speakers were in the majority which added to the event's value for me (and the other participants). Some of the presentations included maths and logic, but as I was advised initially I could follow the gist of all the presentations and the details of many.

If you are a nurse, social worker, occupational therapist... and you read through these follow-up posts you may well wonder how is this relevant to healthcare? Well at the moment that is unclear, but I'm sure there is a connection. I'll share some tentative connections here and add some photographs over the next few weeks or so. As I review my scribbled notes I may have made some mistakes, missed out key points and references are still appearing, but here goes ...

The first session on Thursday was by Carita Paradis, who presented White aromas and subtle oak spices: From sensory experiences to language through conceptual spaces. Carita's focus was wine tasting with its four sensory modalities of VISION, SMELL, COLOR, and TASTE and a descriptors list for the properties of wines, such as sharp, soft, lemon and cherry. There is a corpus as the paper explains:

... the source of data used in this investigation is the American wine magazine, the Wine Advocate. The corpus contains 84,864 wine reviews published 1989 – 2006. The total number of words used is 8,332,666 and the number of different words is 46,000 (for more information about the corpus as such and an interactive information visualization (InfoViz) tool to be used to retrieve different kinds of information about the wines reviewed, both linguistic information and metadata, ... p.4.

In addition for both red and white wines there is an aroma wheel. It was helpful in the Q&A at the end to be reminded of the relative dominance of the senses. Questions had me recalling the emotional and reflexive response of disgust and how this is 'hardwired' - the limbic system and connected to other senses. The findings of a lower to higher directionality in modalities - touch through to sound and vision and the use of metaphors and the direction of these: soft light OK but not light softness was fascinating.

So, there are more reasons for a blog post than the four senses referred to by Carita. What descriptors are there for the four care domains (interpersonal, sciences, political and social)? How can they be discovered (or recovered)? Where is the corpus for nursing? Is there a secondary source? Is there a case for a different approach? Are there several in the form of nursing classification and terminology systems?

As to the other sense: I also wondered about the sound of money and advertising (of alcohol), generally more tightly controlled in Sweden as I understand, especially advertising aimed at children.

Carita Paradis & Mats Eeg-Olofsson, Describing sensory experience recontextualization through properties, objects and imagery in discourse, Lund University