Hodges' Model: Welcome to the QUAD

- provides a space devoted to the conceptual framework known as Hodges' model. Read about this tool that can help integrate HEALTH, SOCIAL CARE, INFORMATICS and EDUCATION. The model can facilitate PERSON-CENTREDNESS, CURRICULUM DEVELOPMENT, HOLISTIC CARE and REFLECTION. Follow the development of a new website using Drupal (it might happen one day!!). See our bibliography, posts since 2006 and if interested please get in touch [@h2cm OR h2cmng AT yahoo.co.uk]. Welcome.

Sunday, February 19, 2017

Space, Memory, Home, Organisation I - Do Ho Soh

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"... Suh creates architecturally scaled, fabric installations informed by his personal experiences, that recreate specific domestic spaces where he has lived, including his childhood home (a traditional hanok-style Korean house), a house in Rhode Island where he lived as a student, and his apartment in New York. Suh weaves translucent structures made of monochrome polyester, at once architectural, and ephemeral, inviting viewers to wander through their dreamlike interior passageways (often complete with details such as light switches and door handles). ..." 
Rubbing/Loving Project: Apartment A, 348 West 22nd Street, New York, NY 10011, USA





Do Ho Soh

Text: http://www.lehmannmaupin.com/exhibitions/2015-09-25_museum-of-contemporary-art-cleveland

Image: TimeOut - An artist's house is not a home: It's a bunch of drawings

My source: Bloomberg - Brilliant Ideas

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Friday, February 17, 2017

Author's latest work: The list keeping dementia at bay

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Raymond Briggs
Image: Jenny Goodall/Daily Mail








Photo and story: https://www.pressreader.com/uk/daily-mail/20170117/281715499314709

My source: Whipple, T. (2017) Author reveals his latest work: the list keeping dementia at bay, The Times, January 18, p.11.


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Thursday, February 16, 2017

A Spin on Logic, Belief, Facts & Truth

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Doxastic Logic
Individual Belief


Post-truth (time)
Short : Long term
Statistics
Facts
Proton Spin Mystery

The public
The crowd
The people
The public - the politicians deserve

Post-truth (politics)
Alternative-Facts
Fake news
False promises
True Spin
The politicians - the public deserve



My original source:
Simon Kuper, (2017). The age of broken promises, FT, Magazine, 28/29 January, p.5.

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Saturday, February 11, 2017

Threshold Concepts, Professionalism & Scope of Practice

Amongst the chaos of self-directed study, vapourware, writing and starting a PhD program one writing project still in draft form concerns Hodges' model and what is termed the 'scope of practice'. As a generic and multidisciplinary conceptual framework Hodges' model can, I believe, assist in demarcating and differentiating the following:

  • knowledge - in all its forms;
  • a curriculum;
  • interprofessional working;
  • activity, tasks, actions;
  • responsibilities;
  • expected competences;
  • procedures;
  • assistant, associate, general registered, specialist - advanced practice;
  • existing policies, law, rules and standards;
  • records

Another draft paper (closer to completion I think) and which I've referred to before (see - chaos is the word!) relates Hodges' model to threshold concepts and definitely bears revisiting.

Scope of practice is different from professionalism but invites comparison. For example, the professionalism that is hopefully exercised when a practitioner recognises that their scope of practice is being called into question.

Searching the literature once again below is a new paper that combines professionalism and threshold concepts. I will see if I can add another paper of note and extend this post later in the week.

Hilary Neve, Helen Lloyd & Tracey Collett (2017) Understanding students’ experiences of professionalism learning: a ‘threshold’ approach, Teaching in Higher Education, 22:1, 92-108,
DOI: 10.1080/13562517.2016.1221810

To link to this article: http://dx.doi.org/10.1080/13562517.2016.1221810

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Wednesday, February 08, 2017

The Cost of Dementia - Total £26.2 billion

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Unpaid Care by Relatives*
£11.6 billion

psycho
Healthcare Costs
£4.3 billion
social

Publicly Funded Social Care
£4.5 billion

socio


Private Social Care
£5.8 billion

economic


*A Carer qualifies for an assessment themselves as an individual.


My source:
Whipple, T. (2017). Millions of pounds are 'wasted on poor care'. The Times, February 2. pp.20-21.

Figures: Alzheimer's Society estimate
https://www.alzheimers.org.uk/info/20091/position_statements/146/financial_cost_of_dementia

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Tuesday, February 07, 2017

Why we need a generic conceptual framework: "Universal person centered care"?

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PERSON-CENTERED CARE

PERSON-CENTERED CARE

PERSON (FAMILY)-CENTERED CARE

Universal credit...?


My source: The Guardian via Natalie Bennett


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Sunday, February 05, 2017

A Model of Nursing: According to Klein

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Monochrome vert sans titre (M 75), 1955 ca
Région de grenoble (RP 10), 1961

Monochrome rouge sans titre (M 38), 1955
"Klein's paintings take away the expected content of that form, instead focusing our attention on a direct encounter with pure colour freed from all external impurities. Created using mechanical rollers, the works emphasise a non-expressive gestureless presentation of pure pigment, affirming his refusal to 'provoke colour relations'." (TATE Liverpool, Feb 5th 2017).


In the (science and) art of nursing, however; we must provoke assessments and evaluations within these care relations and between them. 

L'infirmière est le travailleur constant, à l'intérieur, sans et entre les deux.


My source: TATE Liverpool, Yves Klein, Feb 5th 2017.

Images: Yves Klein Archives

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Saturday, February 04, 2017

Book: Sex, Lies, & Brain Scans (Empathy)...


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empathy

emotional mind ------ rational mind

moral reasoning

moral decision-making


Sex, Lies, & Brain Scans









My source:
Baggini, J. (2017). Compassion fatigue, Life&Arts, FT Weekend, 21-22 January. p.9.

Book image: OUP

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Friday, February 03, 2017

Lancet: A new Berlin Declaration for STM publishing - c/o HIFA

Dear colleagues,

This week's print issue of The Lancet (28 January 2017) carries an important article by Richard Horton, Editor-in-Chief. He has just returned from Berlin where he attended the Academic Publishing in Europe conference.

He writes:

'We talked about important issues, to be sure: our collectively poor reputation, improving peer review, gender discrimination. But we didn't talk about how we might address emerging epidemics, climate change, or conflict and war. Academic publishing has lost touch with the concerns of the very society it is supposed to serve. It has become so wrapped up in its own technical preoccupations and internecine struggles that the global predicaments that publishers should be addressing have been forgotten or ignored...'
'In 2003, the Berlin Declaration on Open Access to Knowledge in the Sciences and Humanities was published. It was a self-declared milestone in the open access movement. 2017 demands another Berlin Declaration, one directed to the crises we face today. The Declaration I offer is a proposal only, but I hope you might consider signing up to it. It says, for example: "We, the undersigned, are concerned that the potential contributions made by academic publishing to human prosperity and advance, as well as to the protection of our planet's rich but vulnerable ecological and cultural resources, have not been fully realised. In accordance with the spirit of the Sustainable Development Goals, launched on January 1, 2016, and with a target date for completion of December 31, 2030, we wish to commit ourselves to using the publishing resources at our disposal to accelerate progress towards the fulfilment of these internationally agreed goals." Academic publishers: let's do something important. Together.'

The full text of Richard's article is freely available here: http://thelancet.com/journals/lancet/article/PIIS0140-6736(17)30183-6/fulltext

And the Declaration is here: http://www.thelancet.com/BerlinDeclaration2017

I have read and signed it and invite you to do so also. The text includes the words 'We, scholarly publishers in and across Europe...' because this reflects the first signatories at the Berlin meeting. However, the Declaration can I think be signed by anyone who agrees with it, whether you describe yourself as an academic publisher or not, and wherever you happen to be based.

Best wishes, Neil

Let's build a future where people are no longer dying for lack of healthcare knowledge - Join HIFA: www.hifa.org 

HIFA profile: Neil Pakenham-Walsh is the coordinator of the HIFA campaign (Healthcare Information For All - www.hifa.org ) and current chair of the Dgroups Foundation (www.dgroups.info ), which supports 700 communities of practice for international development, social justice and global health.  Twitter: @hifa_org  FB: facebook.com/HIFAdotORG    neil AT hifa.org

__________

From 16 January to 24 February 2017 HIFA is hosting a thematic discussion on the theme: Community Health Workers. http://www.hifa.org/news/join-hifa-thematic-discussion-community-health-workers-starting-16-january-2017 With thanks to The Lancet, Reachout Project/Liverpool School of Tropical Medicine, World Vision International and USAID Assist Project.

To send a message to the HIFA forum, simply send an email to: hifa@dgroups.org

HIFA: Healthcare Information For All: www.hifa.org

HIFA Voices database: www.hifavoices.org

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Wednesday, February 01, 2017

Hodges' model: A prompt for debate in defining Health & Well-being

WHO definition of Health

"Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity."

The Definition has not been amended since 1948.

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mental

disease infirmity

physical

disease infirmity



social

disease? infirmity?


political?

disease? infirmity?

The correct bibliographic citation for the definition is: 
Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference, New York, 19-22 June, 1946; signed on 22 July 1946 by the representatives of 61 States (Official Records of the World Health Organization, no. 2, p. 100) and entered into force on 7 April 1948.
See also: Wikipedia - Health (as a human condition)

Text source: http://www.who.int/about/definition/en/print.html

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Tuesday, January 31, 2017

Plug & Play and IT Arms Races ... wither Patients, Persons...

On the internet, in journals and the conference circuit judging from various calls for papers and other announcements, you cannot move for innovation, creativity, biotech and change that is inevitably transformative. This is good don't get me wrong but in the push for plug and play ecosystems or calls for an IT arms race something(s) are repeatedly lost.

In the former its about consumers with a single diagrammatic mention of 'patient'. I looked for the person as in person-centered. I looked for the client. In the latter the arms race will be a mechanistic affair: a circuit that runs from finance to technology. I realise the agenda and audience for the articles is specific: IT is Healthcare IT News and a Consultancy Co. As previously noted here on W2tQ it's not just that I may be talking out of turn: I'm out of Continent too.

Reading these articles just convinces even more of the need for a conceptual grounding. We really should read:

 'plug and play' as mechanistic AND humanistic.

As for the IT arms race. Let's race by all means, that is what innovation and (rapid) progress is all about. But lets exercise our legs too and ensure that the data is not only stored holistically and distributed, but that this is the nature of its inclusive purpose and source.

Here and across the water they just don't get IT.

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Prompted by:

PwC Health Research Institute December 2015

HIMSS Time for a health IT arms race

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Monday, January 30, 2017

"LIV ON" Life, love, loss, hope and healing

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My source: Culture, Music, The Sunday Times. 15.01.2017, p.25.

Image and more details: prweb


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Sunday, January 29, 2017

Hodges' model: Combined Care Feature Capture - Black Box + White Box?

Nursing is, in theory and practice, far removed from multimedia; which in turn has changed markedly from when the poster quoted below was published in 1999. 

Nursing is 'multi-media' in the sense of combining several data sources across several domains of knowledge and from a range of media.

The following is from a poster at: http://www9.org/final-posters/43/poster43.html
"Feature Detectors 
Feature detectors are used to build a semantically rich index entry for the original multimedia object. They do this on two different levels:
  1. Blackbox detectors are implemented in a programming language to access the raw multimedia data and to derive the desired features from it. Example: the web_header detector sends a HTTP HEAD request to the specified HTTP server and extracts the content type from the response.
  2. Whitebox detectors consist of queries over the already collected feature values. Example: the page_type detector uses the content type to determine if an object is a page.
In the general case blackbox detectors will derive low-level feature data, e.g., the color distribution of an image. But they can also be used for more complex tasks, like finding a face in an image. The function of whitebox detectors is to relate low-level features to concepts, e.g., an image is a portrait because its color distribution classifies it as a photo and it contains exactly one face."
Hodges' model is situated and in healthcare context is everything. Behind a hospital clinic or ward door we might expect certain features to be found. Out in the community following a referral again certain features will be found. The features take on a personalised nature as key features confirming a diagnosis, problem or care issue are presented by the patient (client) or their carer. I'm not sure whether this is useful or not, but the domains of Hodges' model suggests quite a few boxes are required to tick the box that is holistic - integrated care.

And that does not take account of exactly where the knowledge resides; that is another test.


M., A. Schmidt, M. Kersten. Acoi: A System for Indexing Multimedia Objects. In International Workshop on Information Integration and Web-based Applications & Services, Yogyakarta, Indonesia, November 1999. (n.b. The link in the poster is no longer valid.)

My original source:
ERCIM News No. 59 October 2004 Grammar Enables Effective Multimedia Search Queries. pp.63-64.

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Saturday, January 28, 2017

Hodges' model: A Black Box

"Globally, every theory of systems became a graph of either a simplex or a complex, all things being first of all situated in the depths of a black box." p.3.

Genesis: Michel Serres
"Who, in the end, and from the other side of the picture can boast of having conceived a general system, of projecting or constructing a general system of communication or relation, as a universal network? What would be conveyed by it? and how? What harmony, what cacophony would come of it? Do we have any sort of an ear for hearing that kind of thing?" p.4.

Michel Serres (1995). Genesis (Studies in Literature & Science). (Trans. Genevieve James, James Nielson) Ann Arbor: The University of Michigan Press.


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Friday, January 27, 2017

1938 and counting... A Public (Mental) Health Odyssey? c/o Virginia Woolf

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"A deep concern with subjugated knowledges and with the arts of human communication expressed 50 years ago by Virginia Woolf in Three Guineas. Virginia Woolf, too, was concerned about how education contributed to ...

... the barbarity of mechanised warfare.

Since 'the old education of the old colleges breeds neither a particular respect for liberty nor a particular hatred of war', she wrote, 'it is clear that you must build your colleges differently   (Woolf, 1977, p.39). Asking 'what should be taught in the new college, the poor college?', she replied thus:


Not the arts of dominating other people; not the arts of ruling, of killing, of acquiring land and capital. . . The poor college must teach only the arts can be taught cheaply and practised by poor people; such as medicine, mathematics, music, painting and literature. ... The aim of the new college, the cheap college, should be not to segregate and specialise, but to combine. It should explore the ways in which mind and body can be made to co-operate; discover what new combinations make good wholes in human life. (Ibid. pp.39-40)" 


Virginia Woolf (1977). [1938] Three Guineas. Harmondsworth: Penguin.

Robins, K. and Webster, F. (1989). The Technical Fix: Education, Computers and Industry. Basingstoke: Macmillan. p. 275.

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Thursday, January 26, 2017

2001 and counting... A Public Health Odyssey c/o Rabbi Julia Neuberger

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Changes in the way that health professionals are being trained should help future doctors, nurses and others to think more holistically and to share more knowledge. p.77-78.
If a genuinely holistic approach is being taken, it is probable that several activities will be happening simultaneously to tackle any given problem, and that more than one measure of success would be appropriate. Collecting evidence to prove what works and what does not may also take a varied approach that mixes different methodologies and creates some new ones. p.77.



The growing understanding that health should be seen holistically - as being more about general wellbeing than the absence of disease - has not yet been equipped with evidence that policymakers and practitioners can respect.
Throughout the history of the NHS, there has been a tension between the imperative to treat disease in the individual and the need to promote general good health in the population. p.77.


Tackling health inequalities has become a cornerstone* of British government policy. From the corridors of Whitehall to the local board meetings of primary care groups and trusts, the imperative to reduce the health gap between rich and poor is ubiquitous. Yet when action is proposed to turn the rhetoric into reality, particularly when significant investments are required, the cry of "not enough evidence" is invariably heard in opposition. p.77.



*Whatever the state of current Government policy, tackling health inequalities has been a 'cornerstone' within Hodges' model since the model was created in the 1980s. It remains so today in 2017.

Rabbi Julia Neuberger. Where's the Evidence? Making the Case for Public Health.
Source: Journal of Epidemiology and Community Health (1979-), Vol. 55, No. 2 (Feb., 2001), pp.
77-78.
Published by: BMJ
Stable URL: http://www.jstor.org/stable/25569362

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Wednesday, January 25, 2017

Report: My data, my care

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My data, my care
my consent
mental capacity
mental health
self-awareness
staying-well

Personalised care
SELF-CARE
self-assessment

with (true) empowerment...



data
data gathering - sharing
information

evidence-based care, treatments
localities

place: hospital - home

Quantitative research

analysis

Long-term conditions
Asthma
Cancer
Dementia
Diabetes

Technology
Electronic Health Record
m-health, Apps

Self-monitoring

... action and change can follow



Qualitative research

Integrated care

Education Housing

The care team - Partnerships

Social Enterprise


data protection act
mental capacity act
deprivation of liberty
best interest
independent advocate

Charities

Health Services

empowerment



My source:
https://twitter.com/Mac_PolicyDept

https://richmondgroupofcharities.org.uk/

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Saturday, January 21, 2017

Life - the (pen)ultimate choreographer...?

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Tolerance: Belgium Stamp



Women

Children

Disabled

Unemployed

Healthcare for All
....

(Don't stamp here)



If the religious tolerance represented in the stamp above was the unequivocal reality across the whole of humanity that would be and will be an amazing step forward and a state of bliss.

One day. 
Progress is being made...

Looking at the stamp, we realise that to be inclusive, life - the choreographer - is far more demanding. 

The totality of equality and human rights requires the most complex of footwork and not just for the individual, but the many....




Link and image:
European Diversity Belgium follows the model of Al Andaluz announcing a three-religion stamp

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Thursday, January 19, 2017

Hodges' model: Context in a Structure [Constructivism & Constructivists]

"First, we know that human memory for isolated facts is very limited. Knowledge is retained only when embedded in some organising structure. Thus, students who learn many separate facts are unlikely to retain their knowledge beyond the current period of test-taking - a much noticed, worrisome feature of the current educational system. Second, we now recognise that skills and knowledge are not independent of the contexts - mental, physical, and social - in which they are used. Instead, they are attuned to, even part of, the environments in which they are practised. A new challenge for instruction is to develop ways organising learning that permit skills to be practised in the environments in which they will be used (i.e. outside the classroom). Such contextualised practice is needed both to tune skills and knowledge to their environments of use and to provide motivation for practising abilities that in isolation might seem pointless or meaningless." p.22

Resnick, L. (ed.) (1989). Knowing, Learning and Instruction. Pittsburgh: Laurence Erlbaum Associates. p.3.

From: Abbott, J. and Ryan, T. (2000) The Unfinished Revolution: Learning, Human Behaviour, Community and Political Paradox. Stafford: Network. p.22.

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Saturday, January 14, 2017

Framing a Life Animated


individual
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INTERPERSONAL : SCIENCES
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(mental) Life
Animated


communication  meaning

singing  dialogue

family friends relationships


documentary

activism

awareness






My source: Whitworth, D. (2016)  The autistic boy whose life was unlocked by Disney, Arts, The Times, 13 December. p.8-9.

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