Hodges' Model: Welcome to the QUAD: treatments

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 treatments. Show all posts
Showing posts with label treatments. Show all posts

Tuesday, September 02, 2025

12TH ANNUAL TANZANIA HEALTH SUMMIT 2025 (reminder)

THEME: "Harnessing Data Utilization and Technologies to Accelerate Universal Health Coverage"

INTRODUCTION 

Healthcare systems are evolving worldwide through the integration of health data and technologies. This integration is crucial for advancing Universal Health Coverage (UHC), particularly in developing nations. Data forms the foundation, encompassing patient information, treatments, and outcomes. Technologies on the other hand serve as tools like cloud storage, IoT devices, and blockchain that enable efficient data collection and processing. AI, a subset of digital technologies, then transforms this data into actionable insights through machine learning and predictive analytics, improving healthcare delivery and decision-making. The healthcare AI market's projected growth of 36.8% CAGR from 2025 to 2030 (Matsukatov, 2024) reflects its potential to revolutionize healthcare delivery, from diagnosis to resource allocation. Tanzania exemplifies how this integration impacts developing healthcare systems - with its UHC service coverage index expected to exceed 48% by 2025, the country is working to bridge healthcare access and quality gaps (WHO, 2025). The upcoming 12th Tanzania Health Summit will address how these components work together in low-resource settings. The focus will be on practical applications: health technology platforms for data management, technology infrastructure for connectivity, and AI-driven analysis for disease prediction. This integrated approach shows how developing nations can leverage technologies to accelerate progress toward comprehensive healthcare coverage despite the current resource constraints. 

CONTEXT 

Tanzania's healthcare system exemplifies both the challenges and opportunities in leveraging digital technology to achieve Universal Health Coverage in sub-Saharan Africa. With a doctor-to-patient ratio of 1.3:10,000 (against WHO's recommended 1:1,000), the country has strategically embraced digital innovation to bridge critical healthcare gaps (WHO, 2025). The Tanzania Digital Health Strategy (2019-2024) serves as the blueprint for this digital transformation, focusing on three key areas: health information systems, electronic medical records (EMRs), and data-driven decision-making (Ministry of Health, Tanzania Digital Health Strategy; 2019-2024). This initiative has shown measurable progress, with EMR deployment reaching 66.57% of healthcare facilities nationwide (PORALG, 2025). The implementation of DHIS2 (District Health Information System 2) has enhanced national health data collection and analysis, notably improving disease outbreak response capabilities.

Conference details 
Text: Concept note

Wednesday, March 30, 2022

Re-Inventing Schizophrenia: Updating the Construct

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


Re-Inventing Schizophrenia: Updating the Construct. Edited by Rajiv Tandon, Matcheri Keshavan, Henry Nasrallah. Schizophrenia Research. Volume 242, Pages 1-150 (April 2022).

My source:
https://twitter.com/JeroticStefan/status/1508898715473530888?s=20&t=X61DSrPzEyLvX-FhzY5r-A

Need for bio-psycho-socio-POLITICAL perspectives - spiritual too.

Previously on W2tQ: DSM

 

Monday, December 13, 2021

6th World Congress of the World Association of Cultural Psychiatry (WACP2022)

ROTTERDAM, THE NETHERLANDS 
15 - 17 September 2022 
pre-conference day 14 September 2022

What do we mean by 'culture'?
(draft - ideas...)
 
Individual
|

INTERPERSONAL : SCIENCES
humanistic ------------------------------------------ mechanistic
SOCIOLOGY : POLITICAL
|
Group
As individuals we are socialised into one or more cultures, depending upon our formative years, parenting and guardianship. Individual capacities and opportunities to learn and life experiences all influence a person's self-identity, their relationship to others and the society in which they reside (when not excluded). A key concept here is salience not just for the person, but the people close to them and the community. Reality can be defined individually, and socially; but it is mediated and ultimately negotiated and determined (often legally) elsewhere. This is why education is so important (to all the literacies?), to all in realising their potential. This begins in infancy and early childhood and must be protected.
A scientific perspective, reference and emphasis on evidence at the expense of personal experience. An approach that might be characterised and described as reductionist. It may see the individual in a mechanistic way, as 'broken' with a deficit, often defined in neurobiochemical and increasingly genetic terms that may not be fully understood by the individual concerned. 'Space' here can be interpreted literally; as ability to respire, to live in - shelter, how much space is 'my space' to live in? Personal recognition, status and hence identity, may be accorded and prioritised by papers I possess, the borders proximate to and bounding my current location and the history (evidence) of my being here.
Sociologically speaking, culture and society are discrete concepts. Cultures vary markedly across the globe, and this richness is to be celebrated. It is here we try to 'sense-make' our own context and that of others and the 'world' - if the opportunities are afforded to us (the social determinants of health are realised). Culture is noisy. Its silence can be deafening. Its vibrancy can be joyous, exemplify humanity at its best. Its modes and mediums of communication can also be subverted and weaponised. COVID-19 continues to reveal the value and values of social capital, local community, belonging and relationships, cooperation and our interdependence.
Culture can also refer to the capacity of an individual and society to not only exercise choice, but the range of choices available, access in a cognitive and physical sense. The political culture can profoundly influence freedom, autonomy and self-expression that an individual may represent through several identities and social roles. The combination of these identities and roles contribute to 'make' them the 'person' they are (or should be). Were an individual is vulnerable the culture 'here' also determines the extent of participation socio-economically,  especially when the individual is alone, in poor health and cannot self-advocate. Societies and cultures need security, law and justice to ensure no one is left behind.

 

My source: twitter @wacp06

Friday, August 16, 2019

"Finishing It" - Poems No Pills or poems On pills?


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

First work as Poet Laureate



Poet


Laureate



Simon Armitage


My sources:
Laureate's poem on a pill aims to tackle cancer, News, The Times, 14 August, 2019, p.14.

Singh, A., A pill with cancer's name on it is Poet Laureate's first work, The Daily Telegraph, 14 August, 2019, p.9.

Image source:
Sutton and Croydon Guardian
https://www.yourlocalguardian.co.uk/news/17835799.poem-paying-tribute-sutton-cancer-research-micro-engraved-onto-tiny-pill/

Friday, July 05, 2019

Fallacies of Work as Imagined: c/o Steven Shorrock - HSJ Patient Safety

I came across the following image on twitter. The tweet is also copied below.

This post is prompted by one from 'The Varieties of Human Work' on the Humanistic Systems blog 05/12/16 by Steven Shorrock. The focus is understanding and improving work, and in his opening there is a sense of very large net having to be deployed to capture all the disciplines and dimensions that are invariably involved in work.

"One of these is the simple observation that how people think that work is done and how work is actually done are two different things. This observation is very old, decades old in human factors and ergonomics, where it dates back to the 1950s in French ergonomics (le travail prescrit et le travail réalisé; Ombredanne & Faverge, 1955) and arguably the 1940s in analysis of aircraft accidents in terms of cockpit design (imagination vs operation). Early ergonomists realised that the analysis of work could not be limited to work as prescribed in procedures etc (le travail prescrit), nor to the observation of work actually done (le travail réalisé). Both have to be considered. But these are not the only varieties of work. Four basic varieties can be considered: work-as-imagined; work-as-prescribed; work-as-disclosed; and work-as-done. These are illustrated in the figure below, which shows that the varieties of human work do usually overlap, but not completely, leaving areas of commonality, and areas of difference."

The varieties of human work.

It immediately struck me how well the diagram can be translated and transposed on to Hodges' model on several levels and as per Steven Shorrock's excellent post. I acknowledge I am playing with language, but initial thoughts included:
  1. As per Shorrock: the difference between how people think about work and how work is actually done.
  2. Shorrock explains how for example 'work-as-imagined' draws on the other forms of work.The level of overlap in between the forms of 'work-as-' is as diverse as the contexts that arise and constantly change.
  3. There are many 'gaps' identified in Steven's post [not in the sense of a fault with his post]. A subset of these may relate to the theory-practice gap which was one original purpose of Hodges' model, to help close this gap.
  4. Orders of scale: from a single action to a whole job and its specification.
  5. The way the 4Ps process, policy, purpose and practice can be used (I identified the 4Ps within Hodges' model, one per care domain, many years ago).
As has been pointed out to me (on twitter) the context here is 'work' and not healthcare, but as Steven notes there are many disciplines, with commonalities and differences. I am really grateful to Steven for his post, in which he also stresses the overlap. 'Work-as' is a flux. Hodges' model can be viewed through time as series of frames. Below are some rather unstructured notes [musings] relating and extending the context of Shorrock's image and post to Hodges' model:

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

'Work-as-Imagined': Of the four P's I have placed 'PURPOSE' here, since the individual's purpose must (ideally) achieve synergy with colleagues and the organisational objectives and goals.

'Work-as-Imagined' involves thought (and so is infinite in variety) whether use of imagination is day-dreaming, or radically innovative. Until AI does take over, this is the 'meta' - cognitive domain. Amid many, Shorrock makes an important point in how we imagine the work other disciplines do. Often so many stereotypes follow that are often revealed in referrals and expectations. Shorrock highlights this at the macro level of policy makers [lower right in #h2cm] having to imagine the operational aspects of work; and the simplified accounts of surgery for a patient by anaesthetist and surgeon (while meeting the requirements of informed consent).

This domain may be 'work-preserving' in humanistic terms as it is the realm of tacit knowledge, creativity and innovation.

Although the artifacts of simulation are ultimately produced in the SCIENCES domain, they are 'imagined' in case studies and scenarios. Shorrock helps make it clear how much of work is theorised and practised virtually, but with recourse to imagination not technology.

Mental illness and the systemic - organisational response is mediated diametrically in Hodges' model. Ongoing critique of psychiatry and mental health services in some quarters appears to suggest that being unable to work-as-imagined here, means loss of self and identity that is then outsourced and effected by proxies and advocates. [Discuss?]


'Work-as-Prescribed': Reading 'prescribed' literally then drugs and other physical treatments arise here in the SCIENCES domain. The 4'P is PROCESS suggestive of procedures, specifications, instructions and formal rules. Process is important allied with PURPOSE in that if (your) can be described formally, by a set of rules then you may be vulnerable to your job being taken by a robot through 'robotic process automation'.

When I started in the NHS in the 1970s there was a shift taking place from being task-oriented (mechanistic) to individual/patient-centred (humanistic). Shorrock notes how there are relatively fewer examples of work-as-prescribed. Developed nations are waiting to see how many existing jobs are lost to AI and robots, but how many new ones emerge. (Can the developing nations 'skip' several prescriptions?)

Here, we also apply time to work. The past, current work and the future. Will we still work the same hours? Is there a lesson in '0' hour contracts? An obvious aspect of work is day vs. night shifts.

'Work-as-Prescribed' also reinforces the presence and context of the SOCIOLOGICAL domain. Now, conferences are devoted to 'social prescribing'. By its nature this is more often than not 'public' and therefore 'disclosed'.

Citizen science and patient involvement provide a further angle on work-as-prescribed. As does what is prescribed (especially in what is used) must to some degree influence what is proscribed in what is not used.

'Work-as-Disclosed' Sharrock writes concerns how work is explained and communicated. This will also involve teaching formally and health professional to patient, carer and public.  The challenge is that thinking about work and actually doing work is a SOCIO-POLITICAL act - transaction (as the literature demonstrates).
Socially, whether or not someone is working is also disclosed in their domestic  comings and going to work. The socio-political dimension is evident in the assumptions that follow homeless peopleand their apparent 'staying' (many do work?)? There are those who opt not to disclose at all and live off-the-net.

SOCIO-ECONOMICALLY there are constant references to 'pay-gaps' especially by those groups and their representatives most affected by low pay and austerity. While the social care workforce toil in the community, social care funding, provision and integration is pushed into the long grass that is green papers. Despite the social value and importance of this work, the status of this sector is signalled - disclosed as poor.

Nurses globally are campaigning to establish in law the requirement for safe-staffing levels. Sharrock alludes to the challenge of nursing as PRACTISED on the 'shop-floor' and ongoing studies on staffing - establishments and skill-mix.

In the 1980-90s expert systems specialists interviewed workers  in an attempt to understand the knowledge acquisition and elicitation associated were their profession - community of practice.

These humanistic care (knowledge) domains reflect the qualitative approach to research.

Work-as-disclosed also communicates to would-be future recruits. How are the aspirations of teenagers and mature entrants first experienced, discussed and carried forward socially?


'Work-as-Done' simultaneously speaks of power, employment, accountability and regulation. 

As four conceptual spaces #h2cm indicates the 'distance' between concepts that shifts according to context. The space that work takes place within and how people are managed, organised, controlled for efficiency with reminders, queues, appointments, and waiting areas are signs of the institution. The person was a long way from the creators of the Victorian asylum, even as they sought to establish (stamp?) a 'standard' level of care.

What difference does it make when work-as-done is bound to an individual and collective sense of duty?

The counterpoint is precisely [mechanistic] work-as-done. Work-as in shift completed and recorded - clocked as such. Work-as-done: the 12 hour shift or as already mentioned work-as-NOT-done due to the flexibility afforded by zero hour contracts. Work-as-done also denotes [scientifically] the concepts of power, energy and effort. So, work-as-done must result in personnel actually feeling 'done': burnt-out when safe-staffing is not assured.

The old saying: "If it is not documented it was not done.", springs to mind. Shorrock refers to surgery and loss of life. What was 'done' and what does an inquiry reveal? What is actually done and the way it is done if varies - contravenes 'norms' rules then there is a issue of whistle blowing. The question then becomes was the work done as it should - must - be? The 4P in this domain is POLICY. 

Perhaps a box-tick here also accounts for 'work-as-' elsewhere?





Sunday, July 15, 2018

Study: Do you have lived experience of emotional distress, neurodivergence, and/or behavioral health treatment? ...

... Are you a Mad Pride, neurodiversity, or psychiatric survivor activist?

A mental health advocate?

WHO: We’re seeking participants who have lived experience of “mental difference,” i.e. characteristics, traits, states, and phenomena that have been categorized as symptoms of mental disorders or developmental disorders, and/or lived experience of behavioral health treatment, and who have engaged in any form of advocacy.

WHY: To help researchers better understand how experiences of mental difference and behavioral health treatment impact activist involvement.

WHAT: A voluntary research study. This is an online survey lasting approximately 20-25 minutes. Participants will be asked questions about their mental health related experiences, involvement with activism, and viewpoints on sociopolitical issues within the mental health arena. Every 30th participant will receive a $50 gift card up to five cards.

HOW: Contact Emily Cutler at ecutler@mail.usf.edu or click on this link to directly access the survey: https://usf.az1.qualtrics.com/jfe/form/SV_acaniQNBp7Z7f81. The study’s protocol number is #00035052.

Nev Jones PhD
Assistant Professor
NIDILRR Switzer Research Fellow '17-'18

Department of Mental Health Law & Policy
Louis de la Parte Florida Mental Health Institute
University of South Florida
e: genevra AT usf.edu
t. @viscidula

Tuesday, February 27, 2018

Yesterday..? Now..? Rare Diseases Day (really*) is Tomorrow

https://www.rarediseaseday.org/

Just imagine - whether thinking about a nursing career, already a student nurse studying and learning how to practice, qualified or returning to nursing ... the range of real differences you - we can make!

*[see also - Yes: Rare Diseases Day was yesterday! oops!! ]
 

Saturday, February 03, 2018

c/o [hifa] WHO Webinar: Compassion - mapped to Hodges' model

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

sympathy, empathy, compassion
mental states, feelings, emotions
communication (verbal - non-verbal)
experience, sorrow, suffering
personal ethics, learning
reflection, self-compassion
psychometric instruments
mentor, role model
listening, non-judgemental
student idealism
 meditation, contemplation
(drug concordance)

Poor psycho-
Research
Teaching
methods and methodologies
measure compassion
Technical competence
diagnostic accuracy
studies - literature
(drug compliance)
QUANTITY

health & compassion
as a 'science'
social support 

QUALITY
culture
peer support - sharing
reflexive, desire to help
rapport,
PRACTICE based research
Research on empathy > compassion
role models
teamwork

better outcomes,
public demand
(for more compassionate)

health workers -
high workload
mission statements
Health Institutions
Regulatory organizations
Medical councils
harassment - poor team functioning
compassionate leadership

See also and c/o HIFA:
c/o [hifa] WHO Webinar: Compassion – the heart of quality people-centred health services

Monday, January 29, 2018

Thursday, December 22, 2016

Book: Cure - A journey into the science of mind over body

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

Thursday, August 27, 2015

‘Brain training’ app may improve memory and daily functioning in schizophrenia

Cambridge Advanced Training Programme
Credit: Peak

A ‘brain training’ iPad game developed and tested by researchers at the University of Cambridge may improve the memory of patients with schizophrenia, helping them in their daily lives at work and living independently, according to research published today. ... [3 August 2015].


My source: 
FT Weekend Magazine, 15/16 August 2015, p.41.

Friday, May 16, 2014

If you must rumple the care domains - rumple them together

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

'A Man’s body and his mind, 
with the utmost reverence to both I speak it, 
are exactly like a jerkin, and a jerkin’s lining; – 
rumple the one – you rumple the other.’ 1





1 Sterne L. The Life and Opinions of Tristram Shandy, Gentleman (1761), vol. 3, ch. 4 (eds M New, J New). University of Florida Press, 1978.

Source: Royal College of Psychiatrists (2013) Whole-person care: from rhetoric to reality Achieving parity between mental and physical health. Occasional Paper 88, March 2013. p.2.

Friday, February 28, 2014

Rare Disease Day 28 February 2014

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

Source: http://www.rarediseaseday.org/
I am honored to stand, in her graceful place, and shine a light on a delicate group of individuals who, nevertheless, in sheer numbers are a force to be reckoned with.
Thank you,

Sean Hepburn Ferrer
A disease or disorder is defined as rare in Europe when it affects fewer than 1 in 2000.
A disease or disorder is defined as rare in the USA when it affects fewer than 200,000 Americans at any given time. One rare disease may affect only a handful of patients in the EU (European Union), and another touch as many as 245,000. In the EU, as many as 30 million people alone may be affected by one of over 6000 rare diseases existing.
  • 80% of rare diseases have identified genetic origins whilst others are the result of infections (bacterial or viral), allergies and environmental causes, or are degenerative and proliferative.
  • 50% of rare diseases touch children.
In the words of Audrey Hepburn,

We cannot save everyone… but the knowledge that someone is coming to their rescue… that we care as a society is ultimately as important…”.

It is in this spirit that we invite you, alongside Sean Hepburn Ferrer, to Join Together for Better Care.
group - population

Tuesday, November 12, 2013

TO: EU -omics research community; if you are seeking a holistic approach for personalised medicine...

The relevance of Hodges' model as a resource in 21st century health care and research can be found within personalised medicine.

This is in addition to the need to assure holistic bandwidth within existing health care delivery, when it is person centered care that is the concern. Personalised medicine brings with it further challenges as it emphasizes the scientific, the inevitable reductionist work can potentially increase the distance between the humanistic and the mechanistic. The working document from the European Commission -

Brussels, 25.10.2013 SWD(2013) 436 final COMMISSION STAFF WORKING DOCUMENT. Use of '-omics' technologies in the development of personalised medicine
http://ec.europa.eu/health/files/latest_news/2013-10_personalised_medicine_en.pdf

on page 7 we read:

The figure is instructive as it shows that a holistic approach is needed to fully appreciate the challenges and opportunities presented by personalised medicine. 
'Holistic' is a much maligned word, with its fuzzy, new age connotations. Especially when the word count = '1'. Another related document also picks up the holistic call:
IMI2 will deliver tools, methods and prevention and treatment options (directly or indirectly) that will progress the vision of personalised medicine and prevention. Through providing the framework required to support collaboration between scientists, regulators, HTAs, patients and healthcare providers, IMI2 will ensure that research is translated into implementable solutions to current healthcare challenges. Solutions that are not purely focussed on the development of new medicines, but that provide a holistic personalised healthcare package as well as maintain people healthy and productive through out their lifetime. Reclassification of diseases based on their root cause and not symptoms will help addressing unmet needs even in areas where a range of options exist but patients do not respond, because their symptoms are misleading therapy choices.
[ IMI - Innovative Medicines Initiative ]

Outline Strategic Research Agenda for a biomedical research public private partnership under Horizon 2020: (draft) The right prevention and treatment for the right patient at the right time. 08 July 2013. (pdf link removed file not readable)

On page 10:
A sustainable healthcare system is a holistic one in which the patients are responsible for their wellness and quality of life; physicians, therapists, nutritionists, community carers, and all other actors in the value chain are motivated to this goal; delivery of care takes into account patient beliefs, values and both rational and irrational behaviors; the care is affordable to both public and private payers and promotes health; sustainable businesses can thrive; and the education, prevention and management of chronic conditions are aligned to achieve this goal.
The focus of these documents is -omics and the development of new medicines. By its very nature this research, data and knowledge lies deep within many sciences: new sciences no less. This recognition of the need for holistic approaches and perspectives is still very encouraging. As the first document on personalised medicine notes, future treatments must be from "bench to bedside". We can equate this as "mechanistic to humanistic", but only as long as the patient in that bed is a person and not just viewed as a diagnosis with an associated -omic profile.

Have a look also at the figure on page 7, the medical innovation cycle. As discussed previously on W2tQ patient safety needs situated awareness and holistic perspectives.

My original (and seemingly incomplete) source:
http://www.researchresearch.com/index.php?option=com_news&template=rr_2col&view=article&articleId=1339313 [no longer available]

Tuesday, July 23, 2013

Global Research Nurses’ Network discussion: Nearly Free Nursing Colleges - Mental Health Nursing Rwanda

Nearly Free Nursing Colleges

Reply by Carole Bennett

I have been working in mental health nursing in Rwanda, I have seen a significant need for a mental health nurses handbook and guide. At the request of the faculty at Kigali Health Institute, I have complied two electronic texts.

1.Mental Health Nursing I: Diagnosis, Treatment Guidelines and Standards of Care : The African Context. and
2.Mental Health Nursing II: Vulnerable Populations of Africa and Emerging Best Practices.

They have links to research, questions that guide the student reading, and then clinical cases for integration of what they have learned in each chapter. They are based on an 8 week course with 3 classes per week.

I would like to place them on the internet for free access but don't know how that is done.

They would be applicable for any nurses, mental health or general nurses working in post-conflict countries. The first handbook uses heavily the WHO MH Gap intervention guide which is excellent and COHSASA standards of care. The second book includes mental health in primary care, chronic mentally ill in villages, pregnant women and infants, refugees, women who are victims of gender based violence, Incarcerated mentally ill, and traditional healers. It is challenging but could be available to anyone with motivation and an internet connection.

Perhaps resources like this could be compiled into a program of study with internet oversight. I would be interested in pursuing this concept with others. I will be returning to the US in a few days but would like to see these ebook widely distributed and utilized. Does anyone have any ideas how this could be accomplished?

www.globalresearchnurses.org

Thursday, July 11, 2013

Computer-based 'avatar' therapy promising for persecutory auditory hallucinations

A study in the British Journal of Psychiatry has reported symptom reductions among patients hearing voices, who developed computerised 'avatars' of the voices and then engaged in dialogue with them. When compared with treatment as usual during a randomised trial, the therapy group showed mean reductions in scores for auditory hallucinations and for the omnipotence and malevolence of the voices. The researchers conclude: 'Patients who are able to sustain a dialogue with their persecutor feel much more in control.'
BJP June 2013, 202:428-433
Source:
http://www.mental-health-forum.co.uk/news-blog.html

In addition see and listen to:

BBC Radio 4: http://www.bbc.co.uk/news/health-23141916

Saturday, December 22, 2012

KT-EQUAL events: inc. Food and Nutrition in Later Life; Meeting the Needs of People Living with Dementia and their Carers ...

Dear KT-EQUAL supporters,
(Several other posts relating to SPARC and KT-EQUAL have been deleted, this has been retained for personal archive purposes. I learned a lot in attending some events organised under the auspices of this research programme, which stemmed from the IDEAS Factory in 2006.)

Hello. Here's an update about some of our activities and other news that may be of interest to you.

-----------------------------------------
Upcoming events programme
You are warmly invited to join our upcoming events:

------------------------------------------
Food and Nutrition in Later Life
------------------------------------------
When:    8 January 2013
Time:     9.30am - 16.15pm
Where:   University of Reading

The day features talks from experts, as well as an interactive "hands-on" showcase.  The event should be informative and fun, and provide an opportunity to meet and network with others who have personal or professional interests in food and nutrition for older people. The programme has been designed to appeal to a wide audience, including older adults, practitioners from health and social care, academic researchers, industry and charities.

Free to attend with lunch and refreshments included.

For further details and to book: ...

------------------------------------------
Thinking outside the box - meeting the needs of people living with dementia and their carers
------------------------------------------
When:    24 January 2013
Time:     9.00am - 16.45pm
Where:   The Forum, St James Parade, Bath, BA1 1UG

Dementia is a major challenge facing our health and social services over the next 20 years.  This has now been recognised by the government and significant resources are being directed towards early diagnosis, new treatments and management of people with dementia.

This funding will only be effective if we can develop news ways of supporting and managing people with dementia and there carers.  This will require a multidisciplinary team approach to problem solving and service delivery.  Health and Social Care Practitioners are familiar with the concept of multidisciplinary team working but often lack insights into dynamics of group working. We need to ensure that the interventions are effective and consider outcome measures that are appropriate for a long term neurodegenerative condition that are appropriate for patients and carers.

This event aims:

- to help researchers, health and social care professionals to think differently about meeting the needs of people who are living with dementia
- to consider the range of outcome measures that might be used to assess the benefit of an intervention
- to make researchers aware of the challenges and opportunities of multidisciplinary working
- to inform new researchers of the needs of people with dementia
- to trigger ideas for new research and provide a forum where participants can develop potential proposals

Please note that this event has limited places to ensure that representatives from several disciplines have the opportunity to participate.

Free to attend with lunch and refreshments included.

For further details and to register interest: ...

------------------------------------------
Design for Living in Later Life
------------------------------------------
When:    31 January 2013
Time:     10.00am - 16.30pm
Where:   The Open University, Milton Keynes

This event brings together the latest research ideas and developments about creating lifetime environments for people of all ages.

Free to attend with lunch and refreshments included.

For further details and to book: ...
------------------------------------------
Keeping safe and maintaining independence: older people and sight loss
------------------------------------------
When:    7 February 2013
Time:     9.30am - 15.45pm
Where:   Weetwood Hall Conference Centre and Hotel, Otley Road, Leeds, LS16 5PS

This workshop event is concerned with sight loss in later life and how we can enable people to live a quality life despite the difficulties that arise from diminished vision.

This event aims to raise awareness of sight loss and its impact and to increase knowledge and understanding of how to support people with sight loss. The programme will showcase new developments in research and practice that have the potential to inform practitioners.

Free to attend with lunch and refreshments included.

For further details and to book: ...
------------------------------------------
New posts on the KT-EQUAL blog which may be of interest to you:

Housing LIN newsletter – Housing with Care Matters, December 2012

This reflects back on some of the successes the Housing Learning and Improvement Network (LIN) had in 2012, including the recent 2nd annual conference attended by over 300 people.

The conference also saw Norman Lamb, Minister for Care and Support Services, announce an additional £40m in this financial year for Disabled Facilities Grants. Details of this and a number of other recent policy and funding announcements to do with housing, care and support are featured in this end of year newsletter along with information on new learning resources from the Housing LIN, important new publications such as HAPPI2, calls for information, and details of Housing LIN forthcoming regional meetings and events.

New dementia website launched: dementiakt.ca

The Canadian Dementia Knowledge Translation Network (CDKTN) and the National Core for Neuroethics are pleased to announce the launch of the online Dementia Knowledge Translation (KT) Learning Centre. This website is targeted towards new and established dementia researchers engaged in KT.

------------------------------------------

Invitation to take part in a study

I am sending some details passed onto us by one of our members, based at TRL:

We are currently undertaking a European study regarding older road users and what different countries do about supporting mobility. The aim of our project is to investigate travel patterns and road safety amongst older road users across Europe, see how they are changing and look at what work is being undertaken to support improving mobility. As part of this we are looking to undertake interviews with possible major players as to what they are doing. Would anyone be interested in taking part in a telephone interview with one of our researchers on this topic?

If you are interested please contact Jenny Stannard, Principal Project Manager and Road Risk Consultant.
email: ...

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Recent Highlights

A new BBC film highlights the work of our i-design team in Cambridge: how do older people use technology? http://www.bbc.co.uk/news/technology-20664470

Falling off the Bandwagon: Sustaining digital engagement by older people - a series of consultation events have recently been undertaken exploring potential solutions to the challenges faced by older IT users. A major consultation event took place at St Georges House, Windsor focusing on solutions and how to implement them.  http://www.stgeorgeshouse.org/consultations/social-and-ethical-consultations/recent-consultations/

We were delighted that The Princess Royal presented a keynote address at our recent 'Showcase world class occupational therapy research to meet the needs of an ageing population' event. This event took place at the College of Occupational Therapists where The Princess Royal is Patron. It was a unique opportunity to bring together leading experts to discuss ways of meeting the challenges of an ageing population.
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I hope that this is helpful. It's been a pleasure to meet with some of you over the course of this year - look forward to further developments in 2013. If you have any queries and or comments/suggestions please do not hesitate to contact me.

As this eventful year draws to a close, we would like to thank you for all your continued support and extend seasons greetings.  All the very best for 2013.

Bangar
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S Bangar
KT-EQUAL Research Co-ordinator
School of Health and Related Research (ScHARR)
University of Sheffield
Regent Court, 30 Regent Street
Sheffield  S1 4DA

Saturday, March 20, 2010

More SF (speculations on person-centred care...?)

I've been reading a bit more SF - this time Joe Haldeman's, The Forever War here's a fascinating excerpt:

I went to the phone in the kitchen and with some difficulty managed to get through to the hospital. A plain girl in her twenties formed in the cube. "Nurse Donalson, general services." She had a fixed smile, professional sincerity. But then everybody smiled.
"My mother needs to be looked at by a doctor. She has a --"
"Name and number, please."
"Beth Mandella." I spelled it.
"What number?"
"Medical services number, of course," she smiled.
I called into Mom and asked her what her number was.
"She says she can't remember."
"That's alright, sir, I'm sure I can find her records."
She turned her smile to a keyboard beside her and punched out a code.
"Beth Mandella?" she said, her smile turning quizzical.
"You're her son? She must be in her eighties."
"Please. It's a long story. She really has to see a doctor."
"Is this some kind of joke?"
"What do you mean?" Strangled coughing from the other room, the worse yet. "Really -- this might be very serious, you've got to--"
"But sir, Mrs. Mandella got a zero priority rating way back in 2010. "
"What the hell is that supposed to mean?"
"S-i-r . . ." The smile was hardening in place.
"Look. Pretend I come from another planet. What is a 'zero priority rating'?"
"Another -- oh I know you!" She looked off to the left.
"Sonya -- come over here a second. You'd never guess who .." Another face crowded the cube, a vapid blonde girl who smile was twin to the other nurse's. "Remember? On the stat this morning?"
"Oh, yeah," she said. "One of the soldiers -- hey, that's really max, really max." The head withdrew.
"Oh, Mr Mandella," she said, effusive. "No wonder you're confused. It's really very simple."
"Well?"
"It's part of the Universal Medical Security System. Everybody gets a rating on their seventieth birthday. It comes in automatically from Geneva."
"What does it rate? What does it mean?" But the ugly truth was obvious.
"Well, it tells how important a person is and what level of treatment he's allowed. Class three is the same as anybody else's; class two is the same except for certain life-extending--"
"And class zero is no treatment at all."
"That's correct, Mr Mandella." And in her smile was not a glimmer of pity or understanding.
"Thank you." I disconnected. Marygay was standing behind me, crying soundlessly with her mouth wide open. ...

Joe Haldeman, The Forever War, Gollancz, SF Masterworks, pp.148-149.
Link:
http://en.wikipedia.org/wiki/The_Forever_War

Monday, December 28, 2009

New education bodies created to promote innovation in the NHS

Health Innovation and Education Clusters (HIECs)

New bodies that combine the expertise of industry, health and education have been formed to promote innovation in the NHS, Health Minister Ann Keen announced today.

Health Innovation and Education Clusters (HIECs) are cross sector partnerships between NHS organisations, the Higher Education sector and blue chip companies such as BMW, GlaxoSmithKline and BT.

Through joint working HIECs will provide professional education and training and promote innovation in healthcare by speeding up the adoption of research. They will also provide professional education and training.

Over £11 million will be given to the 17 successful applicants that were chosen by an Independent Award Panel Chaired by Sir Alan Langlands, Chief Executive of the Higher Education Funding Council for England.

Health Minister Ann Keen said:

“HIECs are special partnerships that draw on the wealth of skills and experience of their members to improve the development of high quality care and services by quickly bringing the benefits of research and innovation directly to patients.

“These projects will attract and encourage the best talent who can recognise and rapidly adopt new and innovative healthcare and treatment.”

Independent Award Channel Chairman, Sir Alan Langlands, said:

“The standard of applications has been really high and we have been impressed by the high profile names that want to be involved in improving NHS care.

”HIECs will drive up quality standards in education and training and ensure fast adoption of innovation for the benefit of local people.

“The flexibility of the HIEC model means that the vision of each one is appropriate and specific to its local area.”

The HIEC concept was originally developed by a group of leaders from the NHS and university sector during the NHS Next Stage Review as one of the ways to deliver high quality healthcare.

Ends


My source: NHS-HE-FORUM at JISCMAIL.AC.UK