Hodges' Model: Welcome to the QUAD

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 ...

Wednesday, February 12, 2014

Joint Strike Care F-4(5)

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

individual(?)











Social Reflections on Power
Joint Strike Fighter F-35 Lightning II
group - population


Image source: https://www.f35.com/assets/uploads/downloads/13661/9777287314_9a87af14da_o__medium.jpg

Sunday, February 09, 2014

End of Life Care: Gold Standards Framework (Heaven's door)


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

individual
PRIMARY CAREACUTE CARE
CARE HOMESDEMENTIA (CARE)
group - population


Looking at a table 'GOLD STANDARDS SET BY BENCHMARK PROGRAMME' (p.23) in Prof. Thomas's HSJ article, I could see an instant fit between the four listed care contexts and the domains of Hodges' model.

There are also many overlaps and of course Hodges' model is an idealised resource. For example,  governance applies across all the above and in that way all can be placed in the POLITICAL domain.

Further points explaining the above includes:
  • The GP and primary care seeing the person first not the diagnosis. Again in this sense - respect and dignity we can place all these care specialisms in the INTERPERSONAL. You would hope that primary care 'know' the patient as a person, an individual; or at least through recourse to the primary care record.
  • If a care home 'works' it will be able to deliver care almost transparently, it is not a process but a social gathering. It is not the person's home (their home is not something to be forgotten, replaced like their past), but it seeks to emulate this as far as possible. Care is a routine that is also personalised and even at the end of life there is peace, calm and dignity.
  • Dementia care is a political challenge, a priority and challenge across all the domains. As in the previous post - what training is provided to Health Care Assistants and other staff? How is the strategy for dementia progressing across all these care environments?
The National Gold Standards Framework Centre in End of Life Care

Thomas, K. (2014) 'End of life care is a litmus test for the whole of the NHS'.  HSJ, 31 January, 124, 6384, 21-23.

Saturday, February 08, 2014

HCA training: Knock, knock, knocking on the political domain's door

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

individual
emotional care

physical care


social care


FRANCIS - a year on: 
How much training do healthcare assistants have before their first shift on a ward?

25% = none
group - population


Although that 25% sits nicely in the POLITICAL domain, what is the impact of this finding across the domains overall? Whether or not the impact is equally shared across the interpersonal, sciences and social domain, upon which domain will it end up knocking?


Calkin, S. (2014) Francis impacts on culture and patient safety, HSJ, 7 February. 124, 6376, 4-5.

[hifa2015] Wikipedia, Medicine and a Language of Your Choice

Wikipedians and Translators Without Borders have been collaborating for more than two years in an effort to improve access to medical information. [1] Over this time we have improved more than 30 key medical articles in English and are working on translating them into around 60 languages. This effort has resulted in more than 3 million words of translated text. [2]

The work is having an impact. Wikipedia’s medical content is the single most read medical resource globally, [3] receiving about 5 billion page views in 2013 for around 180,000 articles across 286 languages. It is also often re-used by other sources including university textbooks by Boundless.com which reaches more than 3 million students, [4] Google, and many others. Additionally the Wikimedia Foundation through partnerships with cellphone companies has secured Wikipedia browsing without data charges for more than 500 million people in the developing world (currently rolling out in many regions with more carriers being added). [5]

Most of these efforts are accomplished entirely by volunteers. Volunteers who believe that all people deserve free and easy access to high quality health care information in the language of their choosing. The number of people currently working on these efforts are however small. To expand our work we need more people to join us who share our dream. For many aspects of the project there is no formal registration required. One can simply begin editing on Wikipedia.

If one is interested in translating from English to their native language they can contact enrique at proz dot com. Currently we are primarily looking for people to help in non European languages as in major languages much content already exists. Additionally we need people who can help add already translated article to Wikipedia. It requires a bit of time to figure out the Media Wiki markup but not too much. We are specifically looking for help adding articles in Arabic, Polish and Dutch right now.

Please let us know if you would be interested or wish to learn more.

James Heilman & Lori Thicke

MD, CCFP(EM), Wikipedian Founder and 
President of Wiki Project Med Foundation Translators without Borders

References

[1] https://en.wikipedia.org/wiki/Wikipedia:WikiProject_Medicine/Translation_task_force
[2] https://en.wikipedia.org/wiki/Wikipedia:WikiProject_Medicine/Translation_task_force/RTT
[3] http://www.imshealth.com/portal/site/imshealth/menuitem.c76283e8bf81e98f53c753c71ad8c22a/?vgnextoid=ebc072cc270b3410VgnVCM10000076192ca2RCRD&vgnextchannel=ba11e590cb4dc310VgnVCM100000a48d2ca2RCRD&vgnextfmt=default
[4] http://blog.boundless.com/2013/12/marching-forward-boundless-settles-lawsuit-traditional-publishers-continues-change-education/
[5] http://wikimediafoundation.org/wiki/Wikipedia_Zero
 
James Heilman
MD, CCFP-EM, Wikipedian

The Wikipedia Open Textbook of Medicine
www.opentextbookofmedicine.com
__________

From December 2013 to March 2014, mPowering Frontline Health Workers is supporting an in-depth exploration here on the HIFA forum around the information and learning needs of Community health workers (CHWs), and how we can meet those needs more effectively and efficiently over the coming years. Further information: http://tinyurl.com/hifa97

Saturday, February 01, 2014

Care pathways: 15 minutes on Monday - how far is that?

On Monday I have a quick visit for 15 minute slot on care pathways at an interprofessional study day for 2nd and 3rd year students.

After the short presentation I'll ask the question of what difference the students can make to the patient's care pathway. There may be value in continuing the 'journey' metaphor?

They can ensure the care pathway is well-documented (otherwise it doesn't exist, and travel on it never happened) they can check it is accessible (an achievable goal) and that it does not trip anyone up (we don't do - iatrogenic).

There are further tests: is it navigable, tried and tested, a safe (evidenced-based) route? As the student's contemplate a major step in their health career, we really need them to focus on the health career of the persons in their care.

[ There won't be time for this: but do we need to wait until the 'end' for the outcome and capturing that (feedback). Or can do we this verbally, incrementally (positive impact on quality)? ]

I could ask them all to stand and make like sign-posts, but for the risk of poked eyes. It's true though, sign-posting is an important job, but how we do that is another post (the value of self-discovery as learning).

Once medically fit the key thing should be checking the person's (not viewing them totally as patient) wayfaring skills.

OK, who took my care pathway?

Can they read the map (are they health literate)? Can they find a map? Do they have a stay-well, recovery and well-being ... compass (a conceptual framework, an app, care plan)? If there literally is no self-care pathway under the patient at present, then the student can help them and their carer if necessary to find or create this compass - across the required care domains.

THEN this person (potential future patient) can avoid having to step off their self-care pathway and onto the health care pathway. You see there's a risk and a cost in that particular transfer.




Image source: http://www.farlandgroup.com/customer-journey-mapping/

Wednesday, January 29, 2014

Race Yourself for Google Glass transforms exercise

From ISPR - my source:
http://ispr.info/2014/01/27/race-yourself-for-google-glass-transforms-exercise/?utm_source=rss&utm_medium=rss&utm_campaign=race-yourself-for-google-glass-transforms-exercise

Get Fit This Year by Fleeing From Augmented Reality Zombies: Race Yourself Transforms Exercise Into a Game on Google Glass

Race Yourself is a New Fitness Startup for Google Glass, Aiming to Turn Exercise Into a Game.  By Racing Against a Virtual Projection of Yourself, Attaining Personal Bests, and Burning Calories, You Can Unlock New Game Modes Such as Running Away from Giant Rolling Boulders. Race Yourself has Already Raised £200,000 from Investors Lead by DN Capital, and is Now Launching a Crowd-Funding Campaign Via Their Website, www.raceyourself.com on the 8th January.  ...


http://ispr.info/

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

individual
Am I dreaming?

http://ispr.info/2014/01/27/race-yourself-for-google-glass-transforms-exercise/?utm_source=rss&utm_medium=rss&utm_campaign=race-yourself-for-google-glass-transforms-exercise
technology    virtual reality    physical health


Dreams of Peace
group - population

Monday, January 27, 2014

'Intellectual brutalisation' and the saving grace and power of poetry

BBC Radio 4 Today: An eminent cardiologist has organised and funded a poetry competition for his medical students to stop them becoming, in his words, intellectually brutalised.
Gabrielle Gascoigne, pictured, is a previous winner.
The BBC’s Jane Dreaper discovers more.

[no longer available] Listen to ‘Poetry competition for 'intellectually brutalised' medics’ on Audioboo

PBS: For these medical students, poetry nurtures the soul

Here's (source: http://www.bbc.co.uk/programmes/b03s6mdp/live ) the full version of Mastectomy - For His Wife, by Gabrielle Ruth Gascoigne:

It will be an honour
to bathe the scars.
Don’t think my tears imply
an ounce of sorrow -
only joy
could fill my eyes.

It will be a pleasure
to hold you close.
Know this – your precious flesh
calls the bluff on gold
and silver -
makes me a king.

It will be a delight
to talk with you
into the night we thought
stolen, clean away -
until day
renews our hope.

It would be too heartless
if all this love,
these sinner’s prayers and more
should fall to nothing
more than rain
on empty streets.

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

individual
subjectivity
insight, rapport, empathy
emotional control, detachment, engagement
risk of burnout
objectivity
anatomy, physiology         
physicality, processes, mechanistic
intellectual brutalisation
humanistic
communication, relationships
(medic) poetry

funding, crowded curricula
hidden curriculum
group - population

Saturday, January 25, 2014

Syria's Trojan women

http://www.syriatrojanwomen.org/

The Syria Trojan Women project began by creating drama workshops in Amman, Jordan in autumn 2013, and put on a theatrical production of Euripides’ anti-war tragedy, 'The Trojan Women' in December with a cast and crew of Syrian refugees. The first performances were a great success, and we hope to stage further performances in and around Amman, and a tour of Jordan and the region. http://www.syriatrojanwomen.org/

My source: Charlotte Eagar, Syria's Trojan women. FT Weekend, Life&Arts, 4 - 5 January 2014. pp.1-2.

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

individual
"personal
parallels" p.2.


drama therapy


conflict
group - population

http://hodges-model.blogspot.co.uk/search/label/Jordan

Wednesday, January 22, 2014

Better information means better care

BBC Radio 4: Inside Health 21 January 2013

Margaret McCartney and Mark Porter ask whether the anonymity of patient records on a new NHS database can be guaranteed?
NHS: Your records:
Using information about the care you have received, enables those involved in providing care and health services to improve the quality of care and health services for all. The role of the Health and Social Care Information Centre (HSCIC) is to ensure that high quality information is used appropriately to improve patient care. 
NHS England has therefore commissioned a programme of work on behalf of the NHS, public health and social care services to address gaps in information. Our aim is to ensure that the best possible evidence is available to improve the quality of care for all.  ...
http://www.nhs.uk/NHSEngland/thenhs/records/healthrecords/Pages/care-data.aspx


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

individual
my interests

scientific interests


social interests

commercial interests
group - population

Monday, January 20, 2014

ERCIM News No. 96 Special theme: "Linked Open Data"

Dear ERCIM News Reader,

ERCIM News No. 96 has just been published at
http://ercim-news.ercim.eu/en96

Special Theme: "Linked Open Data"
http://ercim-news.ercim.eu/en96/special/
Guest editors
: Irini Fundulaki (Institute of Computer Science, FORTH) and Sören Auer (University of Bonn and Fraunhofer IAIS)

http://ercim-news.ercim.eu/en96
Keynote: "Linked Data: The Quiet Revolution" by Wendy Hall

This issue for download
pdf
http://ercim-news.ercim.eu/images/stories/EN96/EN96-web.pdf
epub: http://ercim-news.ercim.eu/images/stories/EN96/EN96.epub

Next issue: No. 97, April 2014 - Special Theme: "Cyber-Physical Systems"
(see the call at http://ercim-news.ercim.eu/call)

Thank you for your interest in ERCIM News.
Feel free to forward this message to others who might be interested.

Best regards,
Peter Kunz
ERCIM News central editor

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An initiative for the ERCIM members: Call for Participation - identifying the emerging grand challenges in ICST http://kwz.me/74