Ambulances, Bikes, Cars and Dennis

There are many rites of passage. Some are universal, others culture specific, or a facet of religious identity. Perhaps there are rites of passage that change over time, or are as yet unclear. When should a young person have their own mobile phone, especially when that phone is 'smart'? Perhaps that is a step too far, to see a phone as a rite of passage? Or, perhaps it signifies an erosion of the human experience of growing-up. 

Mastering a bicycle is, if not a rite of passage, an experience I remember so well. An experience revisited and enjoyed even more as an adult with my own children. It really is something when the hand-lets-go, a signifier of more transitions to follow. 

I learned to ride on two-wheels, in the cobbled backs that ran behind and between the rows of terraced houses. When I was aged 9-10, out on my bike I skidded and came off, trying to stop for a car. It was my fault, the driver was pretty upset too and carried me home. An X-Ray revealed I had hairline fractured of my tibia. I can remember being up so late 'The Untouchables' were on B&W TV. Back then a full-length 'pop' and crutches were required. After the pain subsided, a knitting needle was very useful. The plaster was well-scribed too. I had to attend the fracture clinic at Walton Hospital, Liverpool and still recall Dennis the ambulance gent. He was a great laugh.

I was reminded of this on BBC Radio 4's Today programme, 07:24:35 & 08:55:25, 11 March. Two guests recounted the start of their cycling careers, as adult and a child. British Cycling has started a campaign having found:

Apparently, 97% of children from the richest backgrounds can ride a bike.

While only 86% of children from the poorest backgrounds are able.

This equates to 350,000 children, who would like to ride a bike but can not.

Individual

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      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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Group

Experiences, skills MENTAL HEALTH Memory - of 'taking flight' Life skill: "It's like riding a bike!" Healthcare role model Ambulance staff 'Dennis'	Sustainability PHYSICAL HEALTH Accessibility 350,000 children would like to ride a bike. Fracture clinic Tibia
Childhood - Friends Adult - Parenthood Cycling clubs Socialisation Social Justice Engagement - Play	Inequality 97% of children richest backgrounds can ride a bike. Only 86% of children from the poorest backgrounds

There is an APPG for Cycling and Walking, which is also seeking to address accessibility:

British Cycling backs social justice inquiry to improve access and appeal of cycling to all

When there is a new link I will add it here. In the meantime, can you get on your bike!

https://www.bbc.co.uk/sounds/play/m0028swm

Previously: APPG : Cycling : Sport

Take II? Fit for Government . . ?

As a community nurse, driving is obviously pretty essential to your being able to work. I have come across non-driving community nurses (earlier this year) but they are still few(?). As a boy going to work with my father you could see how dependent he and workmates were upon a string of vans, cars and be able to drive both being on the 'right-side' of the law and his health. It was always an 'event' a new van, fitting out with racks, shelves, nooks, hooks and crannies for all sorts.*

Then as a community nurse older adults you come across individuals who still have their driving license, still have their car on the drive / front, and still have the car keys. Perhaps family have suggested to mum, dad, brother, sister, aunt: "Look, isn't it time to call it a day and give up driving?" Ouch! There's a crash - in itself.

Re-working the two-part draft paper on deprivation of liberty safeguarding, threshold concepts, Hodges' model within residential care, some thresholds are difficult, challenging to call. But some are safety critical, and perhaps need a more 'proactive' stance, without giving way to ageism. Is it the local community's job - the public's job to proffer a diagnosis: and what about persons on the world stage? Diagnosis by social media?

I quickly admired those people who, though reticent, gave up the literal fast-lane. Inevitably you wonder how you will react when the time comes. Will you have the humility, the goodness of grace to hand over the keys? To call it a day. With an ageing population, I've warned the children when driving to expect the unexpected. Cars going the wrong way. It was a struggle for my father: but safety as it so often does - did the trick - with the impetus of physical illness.

Sometimes, at work, after a family trying, and a fracas, when they've tried to hide / remove the car keys, suddenly a near-miss has upped-the-ratchet. Neighbours have seen the 'driver' reversing out into the road, with numerous car horns announcing the event. Then perhaps you are intercepted outside, a call comes to the day center (the transport is also going), the community team, or the GP's surgery (the neighbours have helped with medication).

I've had to speak to GPs for them to visit, meeting them on occasion. Do GPs - family physicians still have the same gravitas today?

This is a care transition: what can be a difficult one. A helpful point (diplomatic argument) that often gets through is the matter of car insurance and the status of the existing policy?

Does a political leader carry insurance?

It is difficult for all, a person's human rights, choices, freedom; their life story, former career perhaps, their health career - most definitely.

With events in the USA and the Democrat Party, and seeing the cover of The Economist I had to TAKE II.

Individual

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      INTERPERSONAL    :     SCIENCES                   

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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Group

cognitive state memory insight Fitness for Office: Mentally & Physically Legally	The Economist
safety of Others community - duty of care - safeguarding  (however realised)

This is global problem that is set to increase and not just for reasons of health.

Ack. The Economist

https://www.economist.com/leaders/2024/07/04/why-biden-must-withdraw

Owen, D. (2009) In Sickness and in Power: Illnesses in Heads of Government during the Last 100 Years, London: Methuen Ltd. ISBN: 978-0-413-77689-1

Listen also ... BBC Radio 4 Moral Maze 

'The Morality of Stepping Down'

Previously:

Hubris syndrome: Daedalus Project [Psycho-Political]

*I suspect he's still driving around somewhere. x

'The Deepest Breath'

Individual
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      INTERPERSONAL    :     SCIENCES               

HUMANISTIC  --------------------------------------  MECHANISTIC      

 SOCIOLOGY  :    POLITICAL 

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Group

"Netflix has collaborated with A24, Motive Films, Ventureland and Raw on this gripping look at the undeniable connection forged between two athletes as they navigate the vigorous and competitive world of freediving. The Deepest Breath will have its world premiere at the Sundance Film Festival in January 2023.
Logline: A champion freediver trains to break a world record with the help of an expert safety diver, and the two form an emotional bond that feels like fate. This heart-stopping film follows the paths they took to meet at the pinnacle of the freediving world, documenting the thrilling rewards – and inescapable risks – of chasing a dream through the silent depths of the ocean."

 

Image: c/o Netflix

PHT-2 Obesity paper - Chance is still up. Please help us WIN the @Nutrients_MDPI "Nutrients 2023 Best Paper Award"

Dear Professors and Colleagues,

https://doi.org/10.3390/nu13041200

the chance is still up to win the @Nutrients_MDPI "Nutrients 2023 Best Paper Award" for our Childhood Obesity paper from the School Study.

Nutrients Editorial Office prepared for us this banner (above) to use for social media etc.

Motevalli, Mohamad, Clemens Drenowatz, Derrick R. Tanous, Naim Akhtar Khan, and Katharina Wirnitzer. 2021. "Management of Childhood Obesity—Time to Shift from Generalized to Personalized Intervention Strategies" Nutrients 13, no. 4: 1200.
https://doi.org/10.3390/nu13041200

Pls help us with your continuous support to WIN, kindly asking 2^nd time now to POST & SHARE widely the prepared text-blocs below with the attached grafic, thx so much!

Best Katharina

Like, Post, share and recommend at/via:

• Researchgate – pls. recommend these 4 papers, thx
• https://www.mdpi.com/2072-6643/13/4/1200 = Grafic No. 1
• https://www.mdpi.com/2072-6643/13/8/2741
• https://www.mdpi.com/2072-6643/13/10/3521
• https://www.mdpi.com/2072-6643/13/8/2776
• Twitter – attention: extra text blocs due to word limit!
• https://twitter.com/NurmiStudy/status/1639980527674351618
• Facebook
• https://www.facebook.com/nurmistudy/posts/pfbid0vCxsxbFGBH8eDeWtP2qNqRe5qT7G3RyqSfMBHvzWwp2zuMuoexiftKFvwqMfzmBPl
• https://www.facebook.com/nurmistudy/posts/pfbid031TssHDZrkcUDiZpNDxAqYS6NTq3q8LcibmJdcJMuzgYmnuNMGf58kv64VYiqe9obl
• Instagram
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Discussion: "Reflecting on Health, Well-Being and Staying Well"

c/o Josh Bailey, Bailey's Grill

6th February 2020 2pm
30-60 mins plus discussion

Bailey's Grill and Bar CIC
25 Heath Road
Ashton-in-Makerfield
WN4 9HH
United Kingdom

This interactive session will, with the audience, generate a framework to help us individually reflect upon our own health and the health of others, whether family members, or as a health / social care professional.

It might help (not essential) to bring a pen and some paper.

Motivating the Gut to Walk, to Run

individual - self

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL

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group- population

motivation: "I must go for run again  - regularly -  build up the distance to long ..." *Walk, run, do something ...	On long distance runs: the body produces lactate -  a by-product of muscles working in reduced oxygen. Guts of marathon runners nurture colonies of bacteria that can consume lactate. The bacteria transform lactate into propionate. Propionate "has been shown to increase the heart rate and maximise  the rate of oxygen consumption, making it essentially a natural performance-enhancing drug." Whipple, p.13.

Scheiman, J. et al. (2019) Meta-omics analysis of elite athletes identifies a performance-enhancing microbe that function, via lactate metabolism, Nature Medicine.

https://doi.org/10.1038/s41591-019-0485-4

Fitbiomics
https://www.fitbiomics.com/

*I'm sure I recall reading in Bortz's 'Next Medicine' stressing the importance of movement to independence.

My source:

Whipple, T. (2019) Gutsiest endurance atheletes have the running bug, The Times, 25 June, p.13.

A headspace full of 'cans'

individual

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INTERPERSONAL : SCIENCES

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

SOCIOLOGY : POLITICAL
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group

"My headspace	is 25m long."
join me!

Sport England: This Girl Can

Photo: PJ Bus stop WN4

comment: Activities of Daily Living ADLs and Hodges' model [1]

Guy Dewsbury got in touch through LinkedIn in response to the ADL post [1]:

On 12/01/09 6:49 AM, Guy Dewsbury wrote:
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Hi Peter
Really like your post on ADLs, but it seems that ADLs whenever they are used omit the need of the person in preference to the risk associated with them. I am sure you would agree, that is why I tend to pay a passing nod to ADLs but instead concentrate on what the person actually wants and aspires to and see how this can be achieved.

I wonder what your take on this is. I would have thought that aspiration and need are critical in mental health as well, in fact I would posit that by concentrating on ADLs it is easier to omit looking beyond them to the real needs of the person.
Over to you..
Guy

On 12/01/09, Peter Jones wrote:
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Hi Guy
Thanks for your comments and feedback. I quite agree - in a way that's what the blog post is saying. If you look at the basic ADLs they are 'placed' or associated with the sciences - processes - physical tasks. That's why I highlighted some of the psychological aspects in the intra-interpersonal domain.

For example, in future posts I may add the way that there are a lot of people with quite chronic respiratory problems, but they carry on as their behaviour has modified such that they know they can no longer run for the bus. Although an assessment of respiration may reveal their (medical) problem their needs are elsewhere.

Perhaps - if you don't mind - I could post your reply and my note above on the blog as a follow-up - since the comments are disabled.

Cheers Guy appreciate your getting in touch.
Peter J.

--------------------
Guy Dewsbury has sent you a message.
Date: 12/02/2009
Hi Peter
Happy for you to post anything you want.
Great reply too
Guy

Image source: Running for the bus - Jess and James