Hodges' Model: Welcome to the QUAD: hygiene

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 ...

Showing posts with label hygiene. Show all posts
Showing posts with label hygiene. Show all posts

Tuesday, September 29, 2026

THE PERIODICAL

The results of Menstrual Hygiene Day (MH Day) 2026 are in! 

They show what is possible when thousands of organisations and individuals join forces. Advocates, NGOs, media, governments, communities, and corporates came together to drive awareness and action on menstrual health and hygiene (MHH). All with one goal: creating a #PeriodFriendlyWorld for everyone. 

In 2026, we crossed the mark of 1,500 official partner organisations.
The MH Day movement continues to grow. 💪 

And so does our impact.
This year, the team tracked more than 3,000 MH Day events, 28,300 pieces of media coverage, and 299,000 social media contributions! 

Together, these efforts resulted in a new milestone: during the campaign period from 29 April to 10 June 2026: 

MH Day collectively reached 1.135 billion people worldwide. 

Isn’t that incredible? 

That’s nearly one in seven people on the planet, and the biggest reach in the history of MH Day! 

It shows that while MHH was a niche issue a few years ago, it is becoming more and more relevant for the mainstream of society. 

  Read more about the 
numbers,  trends,  and stories 
behind MH Day 2026
  

Thank you for being part of this growing movement! Together for a #PeriodFriendlyWorld!

Warmly,
Ina, Aya and the team at the International Secretariat of MH Day / WASH United


c/o - WASH United gGmbH Fürbringerstrasse 7 Berlin 10961 Germany

Thursday, May 28, 2026

International Menstrual Hygiene Day 2026

Facts & figures about MH Day and menstrual health & hygiene

About Menstrual Hygiene Day (MH Day)

  • MH Day is celebrated annually on 28 May to symbolize the average length of the menstrual cycle (28) and duration of menstruation (5).
  • It was initiated by WASH United and was first celebrated in 2014. WASH United is an award-winning non-profit based in Berlin/Germany, founded in 2011, with a focus on menstrual health and hygiene (MHH). WASH United focuses on strengthening the global MHH ecosystem by offering free, easy-to-use solutions for awareness, advocacy, and education, and engages in strategic advocacy throughout the year.
  • The mission of the MH Day movement is to create a period-friendly world.

A period-friendly world is a world in which menstruation is accepted as a normal fact of life and is no longer stigmatised. It is a world in which everyone is educated about menstruation from an early age. In a period-friendly world, everyone has access to quality and affordable period products of their choice. Everyone has access to period-friendly toilets. And in a period-friendly world, menstrual health services are available to everyone. It is a world where no one is held back just because they menstruate. (MH Day mission)

  • The impact of MH Day 2025: reach of 971 million people, 25,026 pieces of media coverage, 198,132 social media contributions, more than 2,000 events, and 1,350 partner organizations.
 
About Menstrual Health and Hygiene (MHH)

Global perspective of menstruation

MHH-related challenges


1 of 3  April 2026                                         Continued ...                                       #PeriodFriendlyWorld 

Tuesday, February 10, 2026

'Why is it so hard to find an NHS dentist?' BBC Radio 4 - Inside Health


'Dentistry is high on the public and political agenda. There have been dozens of headlines about access to NHS dentistry, with some people having to travel huge distances to find a dentist, or being put onto long waiting lists to get an NHS appointment.

In this episode of Inside Health, James Gallagher is joined by chairman of the British Dental Association Eddie Crouch, the Oral Health Foundation's Dr Rachael England, and consultant oral surgeon Tom Thayer. Together, they drill into the issues surrounding NHS dentistry. Along the way, they discuss possible solutions, whether contract reforms will help, and the potential future of dentistry in the UK.

Presenter: James Gallagher
Producers: Alice Lipscombe-Southwell and Thomas Hunt
Production coordinator: Stuart Laws
Content editor: Ilan Goodman'

Source & image: https://www.bbc.co.uk/programmes/m002r3nn

Latest paper re. Hodges' model:

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, (2026) Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model, Journal of Public Health Dentistry. 1–14, https://doi.org/10.1111/jphd.70034

Monday, February 02, 2026

Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model

 ABSTRACT

Objectives

Despite decades of national and global strategies, persistent inequities in oral health outcomes, access, and service provision remain. Existing frameworks often fail to integrate clinical and behavioral factors with social, cultural, and political determinants. This study aimed to map and evaluate oral health frameworks using Hodges' Health Career—Care Domains-Model (HCM), a meta-framework that spans clinical, behavioral, sociological, and political domains. The goal was to identify conceptual gaps and opportunities for greater integration.

Methods

A structured scoping review was conducted using MEDLINE, CINAHL, EBSCO, and search engine Google Scholar (1995–2025) to identify oral health-related conceptual frameworks. Frameworks were eligible if they addressed oral health determinants, behaviors, policies, or interventions. Two reviewers independently screened records and analyzed full-text articles. Frameworks were categorized by theoretical orientation and mapped against the four HCM domains to identify patterns of emphasis or omission.

Results

Of 226 identified records, 21 frameworks met inclusion criteria. These were classified into three thematic groups: balanced (addressing all domains), clinically led (focused on clinical/behavioral aspects), and policy/public health-focused (emphasizing sociological/political factors). Seven cross cutting themes emerged, including health promotion, systems integration, social justice, and cultural safety. While many frameworks promoted equity and policy reform, few offered implementation guidance or had been empirically validated.

Conclusions

HCM proved useful for systematically comparing frameworks and revealed consistent underrepresentation of political and structural domains. It offers a practical tool for oral health professionals, educators, and policymakers developing integrated oral health models that align with equity, sustainability, and universal health coverage goals.

S. Bettiol, P. Jones, H. A. Onyedikachi, and W. G. Kernohan, “ Bridging Gaps in Oral Health Frameworks: Mapping With Hodges' Health Career - Care Domains - Model,” Journal of Public Health Dentistry (2026): 1–14, 
https://doi.org/10.1111/jphd.70034

Saturday, March 22, 2025

THE PERIODICAL: Your Menstrual Hygiene Day Secretariat

Dear readers,
It was a rough first three months for many of us with US Aid ending abruptly in January.
Additionally, the global pushback against gender equality and menstruation-related topics continues.
Yet, in the face of this, we continue to stand strong.
Progress in menstrual health and hygiene (MHH) is happening—
from landmark funding commitments to critical research shaping
policies and understanding worldwide.

In this edition, we bring you:

Funding Updates / Events / Publications / Lots of new research


🩸🩸🩸



My source: Email - Newsletter: The Periodical.

Thursday, December 12, 2024

forms of Hygiene

A gift for Hodges' model:

 'good prose is like a windowpane'

George Orwell, WHY I WRITE


'How is it that Orwell has become the single answer to so many questions, in so many different subjects, for so many people? His name conjures an amorphous idea of fair play and “common sense”; his spare prose supposedly brings cool nonpartisanship to a world of impassioned blusterers. In keeping your sentences clean, the theory goes, you practise intellectual hygiene (“good prose is like a windowpane” and all that). A single word, “Orwellian”, evokes the great man’s foresight about the dangers of an overweening nanny state, a censorious far-left or whatever else may be getting your goat that day.'
Naoise Dolan, Why weak thinkers love Orwell, FT Weekend Magazine, October 19/20, 2024, pp.16-18.


INDIVIDUAL
|
INTERPERSONAL : SCIENCES              
humanistic ------------------------------- mechanistic
SOCIOLOGY : POLITICAL   
|
GROUP
INTELLECTUAL
MENTAL - EMOTIONAL - SPIRITUAL
(Coping with the 21st Century)

SELF-LIFE SKILLS
(control anxiety - being organised)


Health Literacy: Knowledge and aptitude for forms of HYGIENE

PERSONAL
ENVIRONMENTAL
DOMESTIC
FOOD

HANDS (How to sneeze, cough)
ORAL - DENTAL
CLOTHES
BODY
HAIR (frequency?)

Sustainability - balance


SOCIAL
COMMUNITY/RACIAL HYGIENE
Insertion of memory lest we forget
Insertion of a hook to do - think as we
tolerance for x,y,z


POLITICAL HYGIENE
aka. The Paradox
To Vote : To be counted
CIVIC



 
Reflecting about this in some contexts, more than others(?) I'm struck by the overlap between hygiene and literacy.

Completing, or attending to, being motivated to undertake - complete hygiene duties depends on knowledge and ability to act. Having basic needs met.
'
'Opening windows always ...'

literature : window

Thursday, December 21, 2023

'Freedom of belief' - really?

"We have seen that our beliefs are tightly coupled to the structure of language and to the apparent structure of the world. Our "freedom of belief," if it exists at all, is minimal. Is a person really to free to believe a proposition for which he has no evidence? No. Evidence (whether sensory or logical) is the only thing that suggests that a given belief is really about the world in the first place. We have names for people who have many beliefs for which there is no rational justification. When their beliefs are extremely common we call them "religious"; otherwise, they are likely to be called "mad," "psychotic," or "delusional." pp.71-72.

INDIVIDUAL
  |
     INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP

my freedom of belief
senses - logic
my belief - beliefs
belief hygiene
my mental health state
continuum model -
 of mental health-illness

freedom of movement
senses logic
physical reality
personal hygiene

culture
organised religions
our beliefs


theocracy
secular states
Mental health law

Wednesday, March 23, 2022

"Turning Red"

INDIVIDUAL
|
 INTERPERSONAL    :     SCIENCES               
HUMANISTIC --------------------------------------  MECHANISTIC      
SOCIOLOGY  :   POLITICAL 
|
GROUP









 

Previously: 'menstruation'

My source: Various


Thursday, January 27, 2022

The Art of Preserving Health - a Poem

  Self - Individual - Person
|

 INTERPERSONAL    :     SCIENCES               
HUMANITIES - ARTS ----------------------------------  SCIENCES
SOCIOLOGY  :   POLITICAL 
|
Community - Group - Population

Wednesday, March 31, 2021

'Clean tools' - fit for Conceptual Engineering?

Posting previously news of a conference on 'Conceptual Engineering' I was drawn and try to follow the following series:

Conceptual Engineering Seminar | Simon Blackburn (Cambridge): TBA 

March 30 @ 3:00 pm - 5:00 pm 

ABSTRACT. — When I hit upon the term ‘conceptual engineering’ in the Introduction to my book Think, I suppose I thought of it as simply a cute way of introducing what philosophers do. I had no idea that the term had already been used, although I have subsequently learned that it was. I have therefore been surprised that books and seminars have subsequently been devoted to the idea: it is as if books and seminars were simply entitled ‘Philosophy’ rather than directed at particular problems within philosophy. In my talk I hope to go further into that and try to understand why it happened. 

Yesterday, Simon Blackburn cited Austin (1956) and the need for 'clean tools', which led me to the following source*:

"First, words are our tools, and, as a minimum, we should use clean tools: we should know what we mean and what we do not, and we must forearm ourselves against the traps that language sets us. Secondly, words are not (except in their own little corner*) facts or things: we need therefore to prise them off the world, to hold them apart from and against it, so that we can realise their inadequacies and arbitrarinesses, and can re-look at the world without blinkers. Thirdly, and more hopefully, our common stock of words embodies all the distinctions men have found worth drawing, and the connexions they have found worth marking, in the lifetimes of many generations: these surely are likely to be more numerous, more sound, since they have stood up to the long test of the survival of the fittest, and more subtle, at least in all ordinary and reasonably practical matters, than any that you or I are likely to think up in our armchairs of an afternoon - the most favoured alternative method."

*my emphasis

Simon's talk of 'clean tools' prompted me to reflect:

The assumed neutrality of Hodges' model. As noted on W2tQ previously, Hodges' model is an invitation to start with a new slate. To leave behind bias and prejudice, to assure unconditional positive regard and a non-judgmental approach and attitude.

'Engineering' is usually conducted within a dedicated physical space. Apprentices will soon be familiar with the discipline of leaving the work environment clean and prepared for the next day. They will learn that tools have their place (even on the screen). Tools themselves also need care; so don't be care-less.

If Occam's razor is a preparatory rule for conceptual hygiene, perhaps we can take this further, or at least propose an addition? There is a 'rule of forceps' (which, it might be argued, is person-centred, or clearly patient-centred?) but not only are forceps a tool, we can utilise a divider too.

In use, Hodges' model suggests and facilitates dichotomous thinking. The forceps may help grasp the the key parts - the polarities of a situation. The divider may serve to help us to weigh and measure the 'distance' of two concepts, especially if they seem to be grounded across two of the model's care (knowledge) domains.

So Hodges' model may have a role in 'conceptual engineering', variously as a dialectic divider or dialectical forceps?

Austin, J. (1956). A Plea for Excuses: The Presidential Address. Proceedings of the Aristotelian Society, 57, new series, 1-30. Retrieved March 30, 2021, from http://www.jstor.org/stable/4544570Austin, J. (1956). A Plea for Excuses: The Presidential Address. Proceedings of the Aristotelian Society, 57, new series, 1-30. Retrieved March 30, 2021, from http://www.jstor.org/stable/4544570

There is a legal case of historic interest also described in the Austin's paper.

Wednesday, June 17, 2020

Op-Ed: Why dignified menstruation matters?

"reproductive health rights are human rights"


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

self-esteem
 self-respect
dignity
FEMINITY

awareness
ignorance
concepts
personal beliefs 

anxiety
fear
stress

vulnerability 
risk

mental health
trauma - abuse
impact on education

self-care
self-efficacy
health literacy 

psychological privacy
(this is my period - not my shame ...) 

A matter of 
human biology: 
anatomy & physiology
globally?
Bangladesh, Nepal, India, other low and middle income countries
 in South Asia

menstruation, menstrual period

adolescence,
women of reproductive age

wrong information
life threatening ...

menstrual hygiene 
menstrual health management

disaster response
natural disaster, floods, cyclones, conflict, refugees
cyclone shelters
lighting
physical security 
physical access to toilets
traditional materials - cloth
physical privacy
even if it's yours?

intergenerational factors...
"When I was a girl..."

Women's menstruation
menstrual period 
cultural and social beliefs
Health literacy
Health promotion

negligence and whisper
womanhood: dignity and respect
public discussion
 stereotype, ideas, taboos, stigma
shame
age old superstitions  life threatening harmful practices imposed to them by the family members, neighbours and the community
[ Community care?! ]

positive role models
positive support of husbands and families

social privacy

Human Rights Declaration
United Nations in 1948
'dignified menstruation'

UN Water

water, sanitation and hygiene (WASH)

Disaster relief:
1. Male perspective;
2. Cultural taboo;
3. Menstrual health not in plans?

power
control
 budgetary planning

Public Health
Policy

Toilet facilities
Provision of toilets
Toilet-sewage infrastructure

political privacy
(do not compromise my privacy 
by compromising my rights)


"All the stakeholders should explore all-inclusive 
and 
most comprehensive integrated approach 
to ensure dignified menstruation."


The Daily Observer, Why dignified menstruation matters? by PARVEZ BABUL

My source: HIFA

... and previously on W2tQ

Thursday, May 07, 2020

Antimicrobial Resistance - an AMR TOOLBOX

Dear All,

AMR (antimicrobial resistance) is an increasing threat to global public health worldwide that requires cross-sectional and cross-disciplinary action. It is present in every country and is spurred by several human made factors including over- and/or inadequate use of antibiotics, poor hygiene and infection prevention control, excessive usage of antibiotics outside the health care sector e.g. in life stock production. And there are reasonable assumptions that the current COVID-19 pandemic might fuel AMR in the hospital.

The AMR TOOLBOX (www.amrbox.org) is a comprehensive knowledge repository designed to provide its users with practical, up-to-date information on antimicrobial resistance. It collates documents, guidelines, posters, training tools as well as information sources for various disciplines and backgrounds including among others health care sector, veterinary and agriculture sector, but also the general public. Thereby, it contributes to the fight against AMR by providing high quality information for all stakeholders involved.

The AMR TOOLBOX is part of MEDBOX http://www.medbox.org and was jointly created by Apotheker Helfen e.V. and the MEDBOX team.

We hope you find this new toolbox useful! If you have any feedback regarding the content, please feel free to contact us under info AT medbox.org.

Best regards,

the MEDBOX team & Andreas Wiegand Apotheker helfen e.V.


Sieglinde Mauder
Project Manager MEDBOX
Karin Geffert
Project Assistant MEDBOX
www.medbox.org


HIFA profile: Sieglinde Mauder is Librarian at the Medical Mission Institute, Würzburg, Germany. She collects and distributes resources on HIV/AIDS, tropical diseases, humanitarian aid, health service management, e-learning for partners in developing countries.

sieglinde.mauder AT medmissio.de


My source: HIFA

Monday, December 09, 2019

#FreePeriods - Period Poverty (Schools opt-in January 2020)


INDIVIDUAL
|
INTER-PERSONAL : SCIENCES
HUMANISTIC -------------------------------------------------- MECHANISTIC
SOCIOLOGY : POLITICAL
|
GROUP

understanding
awareness
access

PERIOD

The RED box project

Schools - must opt-in


POVERTY

government funding



BBC Radio 4: 5 December 2019 [ from 20 mins...]
"After a long campaign from #FreePeriods, the Government agreed to fund a scheme to ensure all primary and secondary schools and colleges provided free period products to menstruating pupils. This was meant to start rolling out in September 2019 but has now been pushed back to January 2020. It is an opt-in scheme and so schools and colleges must sign up to receive free sanitary products. Gemma Abbott is a campaigner for FreePeriods and volunteer from the charity The Red Box Project, and Nadia Collier is a family support worker at a primary school in London, who has first-hand experience of how important these free period products can be."

Updated - Additional resource c/o RCN publications:

Promoting Menstrual Wellbeing

Publication Code : 007 856
"Menstruation is both a physiological and psychological milestone in a woman’s life. This publication has been developed to help nurses break down the stigma that can be associated with what is a completely natural process. It is important to use appropriate and flexible communication methods to ensure information on the menstrual cycle is delivered in an accessible format for women. This publication has a supporting promotional flyer (007 857) and both resources are supported by Hologic’s Wear White Again campaign."

Friday, April 26, 2019

Glove Awareness Week: Under the SSKIN ii


Glove Awareness Week
29 April - 3 May 2019




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

Sunday, October 14, 2018

"Socio-Technical - Infrastructures ?" (inc. Adult content)

Please note this blog post includes adult content - 'The Moderators'.


individual
|
INTERPERSONAL : SCIENCES
humanistic ----------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
|
group
psychological
support
?
Field of Vision - The Moderators from Field of Vision on Vimeo.


financial
support
?


My source: Fortson, D. (2018) Shocking world of the web content guardians, Business & Money, The Sunday Times, 14 October, p.5.

Monday, July 24, 2017

TOILET: Ek Prem Katha

When a love story = Hygiene and Safety


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

belief hygiene


personal hygiene
=
public
health
&
safety

political hygiene

Saturday, November 01, 2014

Ebola: impact across the care domains

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

grief, mental trauma, stress

ChildFund International opens first Interim Care Center for children orphaned by Ebola:
https://www.childfund.org/ChildFund-International-opens-first-Interim-Care-Center/
Dear Friends,
Ebola is  frightening.  Most information from TV, Facebook, and from our governments is poor. We want to change this by providing to you the best possible scientific information  about Ebola from leading scientists from Nigeria, Africa, the Library of Alexandria and experts world wide.

We have created a cutting edge lecture on Ebola for you to teach your students, share with your faculty and distribute to your friends. The Lecture has been translated by 20 scientific experts  into  Arabic, Chinese, English, Farsi, French, Hebrew, Japanese, Malay, Pashtu, Russian, Spanish and Urdu. It present the best possible scientific knowledge about this disease.

http://www.pitt.edu/~super1/lecture/lec52511/index.htm

...
We provide this to you as a “gift that is meant to be given”. Please share this with your students and faculty, and post the lecture on Facebook, tell others about  it through Twitter, etc.  The Library of Alexandria Lecture is free, developed by the global scientific community. Include links to this from Universities, Libraries, schools media, etc.

Let us continue to learn and share the scientific facts about Ebola.

Drs. Elegba, Kana, Bello-Manga and Adiri
Faculty of Medicine
Kaduna State University, Nigeria
Ismail Serageldin, Ph.D., Director Library of Alexandria
Ronald LaPorte, Ph.D. Director Emeritus WHO Collaborating Centre, Pittsburgh
Al Jazeera America
The biggest concern of the Ebola outbreak is POLITICAL*, not medical:
http://america.aljazeera.com/opinions/2014/8/ebola-virus-liberiasierraleonepolitics.html


Additional links:

Understanding the Ebola Virus and How You Can Avoid It:
https://alison.com/course/understanding-the-ebola-virus-history-treatment-and-prevention-revised

The Economist: Ebola and big data - Waiting on hold:
http://www.economist.com/news/science-and-technology/21627557-mobile-phone-records-would-help-combat-ebola-epidemic-getting-look

Ebola Resources:
http://ebolaresources.org/

Ebola Deeply:
http://www.eboladeeply.org/

Ebola, David Quammen, Bodley Head:
https://www.davidquammen.com/

Sources:
HIFA2015
https://sci-techuniverse.blogspot.com/2013/01/terrifying-facts-about-ebola.html
*my emphasis

Tuesday, July 19, 2011

Nursing, history and (future) travels

From: Stu Young c/o Facebook, Royal College of Nursing Students, 3:28pm Jul 19

Dear All,

Please look up the "Mary Seacole Memorial Statue Appeal" page on facebook it has moved to a new page, please support this cause for a nurse often forgotten by history.

Mary Seacole Memorial Statue Appeal

Mary Seacole born in Jamaica in 1805, died in London 14th May 1881: Jamaican / Scottish nurse, doctres.

<->

PJ: The other week I took my mother and aunt to Tywyn, Wales to trace family history and meet some friends. On the way back we stopped in Bala. I had heard of another nurse and a bookshop reminded me: Elizabeth Cadwaladr - with a movement for another memorial.

The lady in the shop explained the way to Betsy Cadwaladyr's home. That's a walk for the next trip.


UK Centre for the History of Nursing and Midwifery (disbanded 2018)

RCN: History of Nursing Society community

Tuesday, December 01, 2009

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

The Hodges' model matrix below lists some basic Activities of Daily Living. The intention is to read the table as per the numbers. In 1. - the sciences domain - is a list of basic ADLs, this represents my classification of 'where' these ADLs live within Hodges' model. This is followed by a qualification in the intra-interpersonal domain 2.:


2. While basic ADLs are typically designated as 'functional', that is related to physical abilities they are of course also very dependent upon mental health status. Including: mood, motivation, memory, orientation, confusion. Many ADLs are closely associated with disease and illness, which affects people's independence.
1. personal hygiene
dressing - undressing
eating and drinking
toilet: (urinary and faecal)
elimination (often taken for granted)
transfers: e.g. bed to chair and back
degree of mobility
(sitting - standing balance)

4. We can appreciate the impact of the carer's burden by arriving here finally. The sciences, interpersonal and political domains weigh heaviest here, as the carer assumes responsbility for the care of another, themselves and often other dependents.
3. Assessment of ADLs covers aspects of safety and risk to SELF, OTHERS and risk of SELF-NEGLECT.
Increasingly, however the emphasis is on self-care, independent living and strengths in the above ADL skills.

In further blog posts I will present a similar treatment of other ADLs with references.

Link:
"Activities of Daily Living Evaluation." Encyclopedia of Nursing & Allied Health. Ed. Kristine Krapp. Gale Cengage, 2002. eNotes.com. 2006. 30 Nov, 2009 http://www.enotes.com/nursing-encyclopedia/activities-daily-living-evaluation

Thursday, August 07, 2008

Hygiene: Hand wringing and Hand washing

Personally at the moment - and for some months to come - I’ve a lot of hand wringing to do. Ever future facing, while I get on with that - I’m reminded of the ongoing crusade for hygiene in hospitals and other clinical and care environments.

While 'hygiene' does not always seem to have the desired reach that health protection / infection control managers and Trust Boards would like - there are other examples. In mental health - after Clifford Beers - we speak of mental hygiene. In community nursing we commonly speak of sleep hygiene. So (grab the Horlicks) let’s check the sheets for unnecessary creases and see if we can’t improve things as heads are laid on pillows.


There is another form of hygiene which people* in many countries are having to practice at present: economic hygiene. A stock take of income and outcome. Of course, organisations do this when budgets are tight. In health and social care managers quickly identify the soft belly of savings that can be made.

Take the hygiene too far though and obsessive hand-washing becomes a problem.

(Could Hodges' model encourage a tendency for over-thinking? Does it provide evidence for those who characterise  reflection as navel-gazing and prevarication?)
For health care providers given the priority of nursing (the front-line!) administration is an easy target for savings.

There are new dependencies now though. The balance between admin and nursing duties has become blurred, with the arrival of IT AND paper systems.

So clearly - wash your hands according to the policy and latest evidence-based advice, but do take care that admin does not get washed away in the process.

*Me too!