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21st Century Care and the need to touch the sides
2007-10-27 22:43:00
In the developed world the constant to brand and consume generally and medicalise, diagnose and prescribe specifically means that vast quantities of food and drugs go straight down the hatch: rapid swallowed-whole without ever touching the sides. Now the effects of the wind produced is being noticed because the consequences mean a shake of the grim reaper's hand sooner than might be expected.When health care budgets are compromised it is often the public (mental) health practitioners that find their piggy-bank in pieces. Although evidence-based medicine has its roots in the POLITICAL and SCIENCES domains, its impact seems solely hemispheric - 'local' - largely restricted to the right in terms of Hodges' model. It fails to reach the INTRA - INTERPERSONAL and SOCIAL domains, the places where change really counts.Using Hodges' model can help the food and drugs to touch the sides, although actually by then of course we are too late!It's one of many ironies that we need safety net...
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Vectors Journal & links
2007-10-23 21:19:00
This link and journal came via the Humanist Discussion Group:VECTORS Journal There is always a tension between content and interface - what do you think? IMHO great delivery that has me hooked with THINKMESH and many other projects..... There are some code views in there too.Here's a different more direct approach to giving - KIVA - supporting entrepreneurs in developing countries.I'm waiting for a cloudy night to explore Stellarium - a free open source planetarium.SHIFT Happens video if your perspectives seem limited. Over the years quite a few people have highlighted the need for a simple intro to Hodges' model. I wonder if this style of presentation could do the trick? Mmmmm...Free (legal) music downloads at We7.And last but not least Me.dium.com - a further development of social networking, music and virtual groups. I'm struggling with these as it is...Thanks to David & Sue McKendrick, Danny J. and Chris Allen.Bye for now.
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"Perceptions of Nursing and of a Midwestern Associate Degree Nursing Progra
2007-10-22 21:05:00
In August I posted the news and success of Shannon Frodge's Master's study in which Hodges' model was used as a theoretical framework.I've copied the abstract, Shannon's reference to Hodges' model and her research questions below. There are some 55 pages, 9,700 words in total, if you want to the read the discussion and conclusion well according to Shannon the text is available on ProQuest.Every so often I'll bring up the matter of nurse, health and social care recruitment on W2TQ: it really is going to be critical. I do not work in HR - recruitment, but being interested in public (mental) health I am very conscious of demographic trends and be(d)sides standards of care matter too...Thanks Shannon for the copy, your specific focus on this issue and for recognising and using Hodges' model. I know evidence is important in terms of the tools we use, but you've demonstrated that tools can have a legitimate entry point in their adoption and application. You've posed many questio...
More About: Nursing , Degree , Perception , Associate , Midwest

Ruby and Expressions of Care
2007-10-20 00:27:00
What is in a health-clinical-social-nursing information system?REQUIREMENTS SPECIFICATIONS PROCESSES CODE LOGIC FUNCTIONS RULES ARRAYS DATA STRUCTURES INFORMATION KNOWLEDGE MENUS FIELDS ... ... ...Caring professionals like to reflect.When they look into the screen what do they see?How expressive can a programming language be? Ruby - could you help to teach a philosophy of care?
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Global Patient Centricity - Global Frameworks for Health Q+A c/o Ryan Rober
2007-10-19 00:08:00
In my inbox today was a question from Ryan Robertson sent through LinkedIn. Many thanks Ryan for the question and the go-ahead for the post here:Question Details:--------------------Global Patient CentricityIf we are one of the most dominant nations (UK) based on OUR ability to provide Total Patient Care, considering we run the Public Sector National Programme for IT/Connecting for Health , largest Public Sector programme in the world to be implemented, then why have we not come together as an International consortium to better enhance Global Patient Centricity?Last month I started a thread on global health, now Ryan's timely question has helped me think beyond butterflies:Hi RyanMy response would be that yes the horses are in the starting gate, but globally the gate is staggered and not just to allow for the curvature of the Earth.Much of what follows you may have figured already of course....The staggered gates is a reason to do this as much as a barrier. Initiatives-tools like GA...
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Blog Action Day: h2cm around the water whole
2007-10-15 01:09:00
Today is Blog Action Day when bloggers unite, posting on the key theme of the environment:+It is often said that the planet 'Earth' should be renamed such is the surface area covered by water. Water has long been the reason for life to congregate.H20: the planet-wide religion of life.For people water means settlement, hence the fear that in future it is water resources that will drive conflicts.As we try to get to grips with the environmental issues and their solutions conceptual frameworks like h2cm can help bring everyone and everything together.Think of Hodges' model as a watering hole.People, communities, nations arrive there. Peering into the water we see ourselves and our neighbours.TI:ME to share, if not barefoot TI:ME to kick off the shoes, touch the Earth and reflect:ONE & MANYMANY & ONEFrom the four corners of the compass some of Earth's travellers arrive together. Others approach alone. Yet others will claim their arrival is spiritual. Whichever knowledge doma...

Cognitive Therapy & Community MH Nurses - anyone for tennis?
2007-10-14 13:57:00
Last week there was quite an announcement about psychological therapies - specifically cognitive behavioural therapy, with a £170 million boost to help treat the millions of people affected by anxiety and depression. Stuck with their condition many are also stuck on waiting lists.On the media the inevitable debate followed about research, the evidence base and the possibility that perhaps nurses could undertake some of this work. You guessed it - the 'but' followed in the form of 'training'. True, training will be needed, as the conveyor belt that is the workforce takes on-board the new kids in town and seeks to squeeze the best out of its more senior clinicians. With mention of training though someone had better watch that £170 million, to ensure it really does deliver quality therapy with the required supervision. There's also an invitation here for the various schools of therapy to take up arms - and this could be a further distraction.A stock-take of EXISTING skills would...
More About: Community , Tennis , Therapy , Nurses , Unit

Drupal, Northern England CHE group
2007-10-14 00:42:00
It's been a busy week...On Wednesday night the turnout for the 1st NW England Drupal user group was excellent. A great springboard for next month. I've ordered another book! The title reflects an aspirational air. Although search inside helps, there's nothing like having chance to open the book for real and scan. Especially, when you've also been shown (thanks Chris!) some basics of installation and must-have modules. So, if this blog suffers through the Solstice well you know why ;-).Today, the Yorkshire Sculpture Park proved a great find for me; with Criggy and Andy there were just three of us for the Northern England CHE group meet. It was overcast and drizzled occasionally, but the conversation and exhibits ensured it was really warm and sunny. Walking and bike riding in the 90s around Grizedale Forest I remember Andy Goldsworthy's work: brilliant! Hope to go back before this exhibition ends in January. Strange how I'd seen it featured on the Culture Show - BBC 2 and the p...
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Drupal and 'access'
2007-10-09 23:41:00
As a mental health nurse, informatics enthusiast and website developer, I have a multi-fold appreciation of the meanings of 'access-ability':Cognitive access to buildings/facilitiesPhysical access to buildings/facilitiesUser access as per human-computer (device!) interfaceUser access to content on a website - beyond pure interface considerationsItem #4 has been at the forefront of my mind for a few days, as most serious sites/blogs require users to create an account. This can be a pain in the form of yet another log-in sequence to remember (in case the browser forgets). My fear is that visitors might reason that "I only want to see whether stag beetles are thriving where I live ...".It is possible that the future structure of the new site could hide content that visitors really wish to access. I could argue that if visitors need the text that much, then they will create an account.There must be a logical way to do this? Sketching the content and whether it is public or private is...
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Website & Content Review: Inter - Intrapersonal
2007-10-08 23:20:00
While grappling with Drupal is an opportunity to learn new skills and put the website on a more professional and potentially dynamic-database-driven footing that is just one step. The other step is the need to evaluate the content and have a right sort out!One thing that has bugged me for a long time is the name of the top left care domain - this junction of the HUMANISTIC - INDIVIDUAL axes. Being focussed on the individual - the label should read INTRAPERSONAL not INTERPERSONAL as reflected in the following definitions:INTRAPERSONAL: Existing or occurring within the individual self or mind.INTERPERSONAL:Of or relating to the interactions between individuals: interpersonal skills. Existing or occurring between individuals: interpersonal communication or conflict.Source: Answers.comThis is not a mistake as such, it merely serves to highlight the way Hodges' model relies on the underlying continua. This domain from a health, social care and family perspective can readily incorporate...
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TI:ME-2-CARE
2007-10-08 00:14:00
The developmental potential and scope of Hodges' health career model is obvious in this fusion of health and career. When using h2cm, development and to be more generic time can be found throughout.I usually try to stress that the word career in h2cm, is not intended as an invitation to search the website for jobs, but refers to an individual's life-chances throughout their life. The model can represent individual, family, community, organisational and political development as illustrated below:
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Plush HQ foyer, shame about the mannequins!
2007-10-06 14:43:00
If h2cm is about anything (or any-think) it is about locating and crossing boundaries. For health and social care organisations, their informatics staff and academic partners travel is essential. This assumes though that the organisation:a) wants to cross boundariesb) recognise the need to crossc) have the ability to crossWorking through a-c THEN1) If a) is a 'yes' - can you find your way? That's why partnerships matter!2) Is this quest important enough to be recognised? Without executive buy-in - no tickets!3) Given 1-2 as the team don their boots they will find a way using some new tools and learning new skills.Visiting a health care organisation HQ the reception area often features the latest report, plus a statistical or public (mental) health display that explains what the organisation about, what projects are ongoing and what are its future plans and aspirations (to use a word of the moment). ...One way to check where you are is to take a look at your fellow travellers and...
More About: Mannequins , Plush , Sham , The Man , Shame

Drupal NW England User Group, Podcast II? Hot Potatoes and Apple
2007-10-04 00:06:00
With apologies to readers elsewhere, but it looks like the 1st Drupal NW user group meeting scheduled for next Wednesday 10th may be in Manchester 7-9.30pm and not Preston. I'm awaiting news of the exact details. I was going to stay on at work and catch up on electronic-Care Programme Approach data entry. Also an opportunity to learn and test, but I'll reserve some other time. I'd prefer Manchester really for other reasons.Reading and searching Drupal resources this Content Management System [CMS] is really powerful - the themes, modules, and the code under the hood - CSS, PHP, Ajax. I've had two books sat on the shelf, well now the dust has gone Babin's Beginning Ajax with PHP and Darie et al Ajax and PHP are good intros.This weekend I'll draft out a structure for the first draft experimental site. A case of looking at the existing website and asking what content can readily be 'saved'. Brian's original notes will certainly have a home there, plus the h2cm and website chro...
More About: England , Apple , Podcast , Potatoes

Northern England CHE group - Oct 13 Yorkshire Sculpture Park
2007-10-01 23:49:00
There is a change of plans for the 3rd Northern England Centre for Human Ecology group on 13 October.People are struggling to get over to Rivington, Bolton; so Andy Wynne has suggested we meet at 11.00 at the main entrance of the Yorkshire Sculpture Park to see the Andy Goldsworthy exhibition. I think I saw this featured earlier in the year on the Culture Show BBC 2, it looked great on TV so...Dressed for wet weather and walking we will decide on how to play it when we meet taking the weather into account.... We won't have a meeting place as such although there is a restaurant and cafe.Speaking to David Ruaux this evening the kind offer of a room at Rivington Park Arts is still open and I hope the group can visit Rivington in the Spring sometime.Well-being is still a very worthy topic in human ecology, sustainable communities and of course health and social care. With Rivington a major water capture area that is another ecological theme.Apparently, entrance to the exhibition is f...
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Records I: Idealism, Comprehensiveness and who's that behind the tree?
2007-10-01 00:03:00
[Opening thoughts: Even in the 21st C. idealism peppers more than philosophy; influencing education, professionalism (in all fields) and much more. The comprehensive ideal is not just the preserve of education; it is spread widely...]Where does idealism lie in records?If you are a health or social care student reading this, then (hopefully) a good dose of idealism (plus your bursary and future prospects!) drives you on. This idealism, transformed into motivation, helps to ensure that your written efforts - both course work and clinical notes - are worthy of earning the ticks-in-boxes and your mentor's signature. These in turn reflect your aspirations as a professional and all that entails.Your clinical records and theoretical accounts of care (assignments, case studies...) must also play the role of a bridge facilitating travel between practice and theory. Your idealism makes you a runner, an athlete of the gaps. As a student you are still learning how to navigate the QUAD. What ...
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Music / concert visualizations
2007-09-29 13:01:00
Continuing the graphics theme, I came across this post at Josh's blog American Sector:Better living through charts and graphs, highlighting Andrew Kuo's graphics who blogs at Emo + Beer = Busted Career.The images are not dynamic and I'm not familiar with the content, but they show that in trying to push the envelope we also need to fully explore the intervening space.http://www.nytimes.com/imagepages/2 007/06/10/arts/10kuo-graphic.htmlhttp://w ww.nytimes.com/imagepages/2007/08/26/arts /26kuo-graphic.htmlhttp://www.nytimes.com /imagepages/2007/08/19/arts/music/2007082 0_Kuo.htmlUpdate on CHE Northern England group meeting October 13th soon.
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Visual Patient Drug Interactions Display (when?)
2007-09-29 00:28:00
This past week I've been reminded of the complex health and social care problems that an individual person can present. These problems with multiple pathology can mean that 2-3 clinical consultants are involved; a key focus of their input being specific advice on prescribing across neurology, mental health and physical care respectively. In between are families, care home staff, home management, acute, primary, secondary care and the care commissioners all striving to provide the best care possible amid a complex situation.In such instances of shared care I wondered about what technology can bring to bear in terms of visual tools. Polypharmacology is the permanent front page headline of our Caring Times. Is it possible to present graphically the medication list for an individual and have the latest dynamic clinical and pharmacological data presented and coded in graphical links between the drugs? As drugs are added or excluded, could the efficacy of the drug regimen be measured? Ev...
More About: Visual , Display , Drug , Patient , Interaction

Dying 47-Year-Old Professor Gives Exuberant ‘Last Lecture’
2007-09-26 00:31:00
Dying 47-Year -Old Professor Gives Exuberant ‘Last Lecture’1 hr 44 min 8 sec - 20 Sep 2007Description:Randy Pausch Almost all of us have childhood dreams: for example, being an astronaut, or making movies or video games for a living. Sadly, most people don't achieve theirs, and I think that's a shame. I had several specific childhood dreams, and I've actually achieved most of them. More importantly, I have found ways, in particular the creation (with Don Marinelli), of CMU's Entertainment Technology Center (etc.cmu.edu), of helping many young people actually *achieve* their childhood dreams. This talk will discuss how I achieved my childhood dreams (being in zero gravity, designing theme park rides for Disney, and a few others), and will contain realistic advice on how *you* can live your life so that you can make your childhood dreams come true, too.If you're having trouble watching the video, try copying the following URL into your browser:http://video.google.com/videoplay ...
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Award winning educational video, Vis Lab & Martian caves
2007-09-22 23:53:00
Here are a few links:Mars is pure enigma tainted red and placed in the sky with warm cave entrances spotted at night. Drawing the retrograde motion of Mars was a powerful early lesson on the power of manual visualization (paper and pencil).VISUALIZATION LAB UC Berkeley.Sense.us below provides a pdf and a 20MB video:Voyagers and Voyeurs: Supporting Asynchronous Collaborative Information VisualizationLooking at the potential of these tools health care managers and decision makers are going to have indigestion. Health care information departments will no longer be playing catch-up, but will be providing data and information (directly or through a clearing service of some sort). The key issues then will be analysis, interpretation-significance and action. That latter point seems a perfectly timed invitation for public engagement, engagement beyond tokenism.I found this short (award winning) film entitled TEACHING TEACHING & UNDERSTANDING UNDERSTANDING very interesting especially in ligh...
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Global Conceptual Frameworks & GANM I
2007-09-20 01:04:00
Hodges' model was created in the NW of Englandby Brian E. Hodges in the 1980s:In order to make a differenceit needs to multiply across the globeImagine thenthe cascade of changethe emotional chain reactionthe flash of lightthat will followImagine whenmore than 6 billion butterfliesflap their wings- even if only for one day.
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SCIENCES links: Holistic Bliss or Tristram Shandy ... V
2007-09-16 21:07:00
Finally: what of the content of the SCIENCES links page? Firstly, a little background -Hodges' model has a key role to play in engagement. In health this means helping people to help themselves. Assist them to use the knowledge and experience they have of their illnesses. When necessary educate them - patients, carers and the general public. Use the latest research to further health promotion and preventive measures. These efforts, these messages though must compete with an awful cacophony of noise - political and cultural in the media - that is frequently itself awful dross.Little wonder then that the science, educational and political communities are so concerned about the public switch-off, with citizens ill-equipped to critique and engage in debate on key SCIENCE issues - biotechnology, nanotech, astronautics - funding!Engagement is not for everyone of course, but surely we can do better this?Over on this right-hand MECHANISTIC side of h2cm what should political expectations (a...
More About: Links , Holistic , Sciences

Child well-being, Silver Superdreams, DEEP care and DEEPer voices
2007-09-16 00:03:00
On the website there's a small page that highlights DEEP things...That is DEEP ECOLOGY, DEEP TIME, DEEP SPACE and of course DEEP CARE. These days it seems everything is DEEP. So it isn't noise that's damaging your ear drums it's pressure.When I wrote that page deep care was left to fend for itself (there's a books worth there I bet); but then I remembered a day as a student...In those days I had a silver Honda 250 Superdream: hey don't laugh - I'd swear that bike had a built in gyro (except for the time I dropped it in the snow). The bike not only helped me with the a2b; on community experience I had to spend a day at a children's home...The day started at 2pm working through to 9-10pm. Many of the kids were not yet home from school. So I was able to chat with the house-mothers as the two female staff members were called and I do remember their names. This was a quiet interlude before the chaos ensued. It was spring and the 'instructions' were - when the children are home...
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Bottom line: The parts informatics does not reach
2007-09-15 00:04:00
Back again...I really must get on board the bus: there are many assumptions that people make, what a nurse does, the role of a social worker and such like. I'd assumed that the private health sector - in this case a provider of residential nursing care would automatically invest in administration and clinical information systems. Silly me.I don't know if the home I visited is an exception or typical of this particular group, but the staff are not only struggling to provide the best quality care for their residents, they are struggling with paper. Where's the I.T.?2007 heading fast towards 2008 why I.T.'s in plastic folders, pinned on the office walls, on the office desks, semi-scrunched into pockets.There is nothing wrong with paper and after all these staff are expert in handling several types.What I was told, is that when a home (or two) is acquired and there are examples of good practices in documentation these will be adopted by the new parent. That is good; nothing wrong w...
More About: Reach , Parts , Line , Bottom

SpacePort and Moon
2007-09-14 21:57:00
There are a series of images on TechRepublic including:The view from above is reminiscent of crop circles. Officials hope Spaceport America will be operational in late 2009 or early 2010.Apart from the little matter of punching of a big hole in the atmosphere, it is great to see another return to the moon - this time SELENE from Japan.Working on the socio-technical structures paper, I need to summarise existing socio-technical approaches in the literature. The moon will figure in this paper too - an ideal light to help explain why s-t perspectives are essential.I visited a nursing home this week (not much choice there as a Community Mental Health Nurse for Older Adults): the surprise though - no PCs.More this weekend...
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[100th post] Care Programme Approach & Drupal NW England 10 Oct 7-9 pm
2007-09-09 22:30:00
With 29 posts in 2006 (from April) + 70 posts this year makes this the 100th post. Is there another 100....?CARE PROGRAMME APPROACH [CPA] - MENTAL HEALTHWorking in mental health - policy, practice, professionalism are never far from problems. Problems that in the most extreme form can result in suicide and homicide. The costs associated with inquiries recently made the (journal) news here in the UK; despite the financial input (£80M) subsequent change is apparently very slow in mental health services if it happens at all.Through autumn:spring in a couple of posts I'll reflect on CPA with reference to Hodges' model and informatics. The magic wands will be found elsewhere; possibly when the results of a CPA review and consultation are published in November...?I notice the CPA Association website is powered by Drupal ....DRUPAL NW England user groupThe 1st Drupal User Group NW England meeting will take place:Date: Wednesday 10th October 2007Time: 7pm to 9.30pmLocation: MOKA Cafe Ba...
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Italian IBM employees on strike on Second Life & VR in Nursing: an (old
2007-09-08 09:33:00
I've been interested in Virtual Reality since TRON as this blog suggests, but just have not had the real-world time to get to grips with SECOND LIFE and other virtual worlds.I came across this post from Loïc Le Meur - serial entrepreneur & blogger. It's quite a RW - VR development:Italian IBM employees on strike on Second Life In the UK (and elsewhere) is this a way for workers especially in the public sector - prisons (which hit UK news this past week) and health to take action without as Loïc Le Meur's post explains holding anyone hostage?This seems really corny now, but back in 1991 I wrote a 'story' on VR in nursing:WHERE HAVE ALL THE NURSES GONE?A short story subtitled:"... LISTEN NURSE, I’M SEVENTY NINE, YOU’RE EIGHTEEN -YOU CAN’T SEE MY PROBLEMS"As a student on my first ward 1977-1978 I remembered what an elderly lady said to me ... wish I could remember my response...
More About: Second Life , Employees , Nursing

SOCIOLOGY links: Holistic Bliss or Tristram Shandy ... IV
2007-09-06 22:11:00
I've introduced the rationale behind the content of the INTERPERSONAL and POLITICAL links pages. Let's now look at SOCIOLOGY: Although the ticking of the clock has a mechano-quantum constancy, people are collectively nudged forward through the 7 AGES that characterise our personal and social lives. These two lives beg a question in terms of Hodges' model and its four care (knowledge) domains. From what I've already said chronological age is mechanistic; but if that is the case in which domain does pathological age reside? Perhaps it is not just one domain, but a matter of span ;-). If for you this means or includes traversing the SCIENCE and SOCIOLOGY domains; that is quite a journey, so better prepare...Following this on the SOCIOLOGY links page - can that be HEALTH PROTECTION & PROMOTION? Again!Well yes it is and this is not a mistake. Just an effort to emphasise the need to direct our attention and resources at health promotion and prevention at a community AND individual lev...
More About: Links , Holistic , Sociology

Drupal, the website, comments and Apple
2007-09-04 00:00:00
Whenever I've trained people on some IT application or other I always stress the obvious....Make sure you log-in, or use 'x' regularly otherwise you know what they say...If you don't use it - you lose it...I should learn to take my own medicine, so with Drupal and Ruby I need to immerse myself and roll around a bit at least every-other-day , if some of this is going to stick. It needs to stick because I sure don't want to touch the existing content in terms of layout, styles ... (this time of year up North in Lancashire it's getting too scary).In April on holiday in Crete I read through (a good beginners guide) David Mercer's Drupal book; well it's open again. The necessary software is in place, the only thing that troubles me are the themes and the existing home page plus getting to grips with the various WAMP components. Vital administration aside, can I create an original homepage in Drupal that reflects the model? Looking at the first database created using MySQL it rea...
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Thresholds: Bubbles and Lemon Washing-Up Liquid
2007-09-01 12:55:00
When as a student I accompanied the Community Psychiatric Nurses on my first home visits (c.1980), I remember the extent to which the basics were highlighted:you do not enter until invited;you are a guest and may be asked to leave at any time -(which was another way of saying you are not always welcome);listen, observe, accept - don't judge but do learn.don't take things personally and speaking personally look after yourself.what you see (just outside, hall, lounge) does not always reflect the true domestic picture -(which is another way of saying what's in the fridge...?);you don't venture anywhere else without a clear clinical rationale -(if in doubt seek advice, supervision, support)and so on...This mix of guidance, good manners and common sense and a return to clinical practice these past months has prompted reflection on the threshold presented at people's doors and the fact that health, social care - life no less - is full of them.Each may mean the turning of a page with...
More About: Lemon , Liquid , Bubbles , Washing , Holds

INTERPERSONAL links: Holistic Bliss or Tristram Shandy ... III
2007-08-27 21:53:00
The INTERPERSONAL domain links are to my mind (no pun intended) fairly obvious, at least that first row complements the SCIENCES top row opposite.Basically, who needs a talking therapy and who needs a drug therapy?The two uppermost care domains are intended to represent the INDIVIDUAL axis, so just as the SCIENCES [ANATOMY & PHYS] domain covers physical care; so the INTERPERSONAL domain encompasses emotional and mental health care.Hodges' model is comprised of four care domains, but it is these two [INTERPERSONAL : SCIENCES] applied to the individual that even today we struggle to balance in theory and practice.A key factor in Brian Hodges' early nursing career (and mine) has been the role of institutions, organisations and the formal policies and structures they represent. This can be depicted as:EMOTIONAL HEALTH : PHYSICAL HEALTH (both 'individual')OTHERS family, society : INSTITUTIONS (both 'group')As to the INTERPERSONAL links themselves - I arrived at mental healt...
More About: Links , Holistic , Interpersonal , Sona