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

Joint Strike Fighter F-35 Lightning II

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

 

H2cm - Beauchamp and Childress (1994) four principles of healthcare ethics

I'm clearing the decks of books at the moment, one of which is McGonigle and Mastrian's Nursing Informatics and the Foundation of Knowledge, Second Edition (2012). I notice a 3rd edition is in preparation.

A review will follow, but in chapter 5 on Ethical Applications of Informatics on page 73 (pb.) the four principles healthcare ethics of Beauchamp and Childress (1994) are mentioned in a very concise, informative discussion.

Although the exercise that follows involves 'putting concepts in boxes', doing so helps us to see beyond the boxes, to see the links between.

Although harm takes several forms it is physical harm (for nonmaleficence) that is most commonly thought of. This is the ethics concerning an individual so why have I placed beneficence in the sociology domain? Justice should be straight forward, but only if reinforced by law, and then only if that law is exercised. Autonomy should be straight forward. I must have the mental capacity, the insight to have choices. In the eyes of others these choices may be rationale or irrational. Although justice is place in the political (group / population) domain, rights are ascribed to individuals. This is useful property of Hodges' model the way that the individual and their mental life are diametrically placed (opposed?) and linked. It is others who are having determine the ethics of a given case, evaluating what is in the person's best interests; also having to take into account any advanced directives, or living wills.

What do you think? If you have some comments, can improve this or feel there is a correspondence here please let me know.

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

individual

autonomy	nonmaleficence
beneficence	justice

group - population

• Respect for autonomy - the patient has the right to refuse or choose their treatment. (Voluntas aegroti suprema lex.)
• Beneficence - a practitioner should act in the best interest of the patient. (Salus aegroti suprema lex.)
• Non-maleficence - "first, do no harm" (primum non nocere).
• Justice - concerns the distribution of scarce health resources, and the decision of who gets what treatment (fairness and equality).

Above text:

http://en.wikipedia.org/wiki/Medical_ethics

66,000+1 'cultural sensitivity, political correctness', or +0 real action ?

HUMANistic -------- RIGHTS

context: eradicating female genital mutilation

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

psychological effects ...	physical effects ...
socialisation into ...? intergenerational practices expectations social change education norms need for 'cultural sensitivity' need for ACTION

group - population

Additional links:

C4 TV - The Cruel Cut: A passionate, exuberant exploration of the complex world of Female Genital Mutilation

BBC News: Health professionals must screen for genital mutilation

Image: Daughters of Eve

The Guardian: Report calls for female genital mutilation to be treated as child abuse

Symposium: Zero Tolerance: Eradicating Female Genital Mutilation
A Public Policy Exchange Symposium 13 November 2013 - Public Policy Exchange

Overview

It has been estimated that over 20,000 girls under the age of 15 are at risk of FGM in the UK each year, and that 66,000 women in the UK are living with the consequences of FGM. More than 1,700 victims were referred to specialist clinics in the last two years, with at least 70 women and girls as young as 7 seeking treatment every month. FGM has been a criminal offence in Britain since 1985; however, there has not been a single prosecution to date. Furthermore, since 2003, it has been illegal to aid or participate in arranging FGM to be performed on another person inside or outside Britain.

Blog Action Day 2013: Human Rights - Health and Disability

HUMANistic -------- RIGHTS

context: Blog Action Day 2013

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

Reflecting on Human Rights with Hodges' model

Educating health professionals about disability: A review of interventions Tom Shakespeare and Ira Kleine suggest health professionals need a better understanding of the health needs and human rights of disabled people. Read the first comprehensive review of educational interventions. (HEA)

Physical (and cognitive) access to info: Governments are legally obliged to ensure adequate access to health information The Lancet Global Health, Volume 1, Issue 3, Pages e129 - e130, September 2013 doi:10.1016/S2214-109X(13)70043-3 (HIFA2015)

-isms

Dear All, I would like to congratulate the initiative HIFA-Watch about access to health information as universal human right and use this opportunity to share with you an excellent illustration, presentation by video on the Declaration of Human Right, source of inspiration for all. http://www.youtube.com/watch?v=O9chQdZw7Bc And I use also this opportunity to share with you the Medicus Mundis International discussion paper published today which compares key elements of the concept of Universal Health Coverage as promoted by the World Health Organization http://www.medicusmundi.org/en/contributions/news/2013/mmi-uhc-discussion-paper/uhc-mmi-discussion-paper-august-2013.pdf With my warmest regards. Isabelle WACHSMUTH World Health Organization, Knowledge Management and Sharing  (HIFA2015)

group - population

Additional links:
Law in Action BBC Radio 4 (see - Interview with Attorney General Dominic Grieve 15 Oct 2013 download available for 28 days)

Conference: Human Rights in Scotland: understanding the challenges and embracing the opportunities 2014

Health and Human Rights: journal

http://hodges-model.blogspot.co.uk/2013/08/an-international-bill-of-rights-of-man.html

Political domain: links

Evidence and the increasing effect of parallax

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

from here ...	EVIDENCE
from here...	and here

group - population

Additional link: parallax

An International Bill of the Rights of Man (reissued)

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

How do we address the mental health status of our leaders?	How can science and technology work positively to assure the Rights of All, to secure evidence of war crimes? Where does the biosphere stand (side-by-side : hand-in-hand)?
Should war crimes once perpetrated be relegated to cultural memory: baggage carried forward for generations anew to avenge? How must they do this other than learning (remembering) how to hate? What are the important lessons; of what must be remembered and what we should forget?	An International Bill of the Rights of Man

group - population

50 years "I have a dream..."

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

"I have a dream!"	Do things and science and technology have to dictate humanity's dreams?
We have a dream...	A man had a dream...

group - population

Transparency

Original image: The Blue Window, Philippe Sainte-Laudy

International Women’s Day 2013 (three items)

I received three emails concerning IWD which I have reduced and edited here:


KIVA - every day we at Kiva hear stuff like this:

• 70% of the world's poorest people are women.
• Two-thirds of illiterate adults are women.
• HIV is still the leading cause of illness for women in many places.

Kiva loans help thousands of powerful, inspiring women start businesses, educate their children, and realize their dreams.
You can tip the balance!

Want to make a difference? Send a Free Trial to your friends and family so they can empower a woman on Kiva too. Just send them to kiva.org/women

<>

Miss Representation.org - Cause and Effect: Why We Need to Tell Herstory

<> 

Join Wiley in celebrating International Women’s Day on March 8^th 2013! This free compendium of thought-provoking research from Wiley's leading publications celebrates women’s accomplishments, past and present, and examines the barriers that continue to obstruct equality of the sexes.

We hope that you enjoy reading this research and wish you a happy International Women’s Day!

Read FREE Research on Gender Equality

Extrasolar planets, x-phi and The Francis report

I'm sure there is a planet out there - extrasolar - with the physical make-up such that be it an incredible water fall, tidal surge, or rolling polished mega-rocks - the noise, could we hear it, would do far more than make your ears bleed.

Today, here in England there is a legal, health and political media event of very serious import. The ruckus in health and political circles might also make for more than bleeding noses and definitely thousands of continuing broken hearts.

The Francis report will be published today. Further insights and findings will be revealed c/o the Public Inquiry with recommendations on the Mid Staffordshire NHS Foundation Trust health care debacle.

In Philosophy Now Jan/Feb 2013 Tibor Fischer's editorial mentions the need for marketing within philosophy and literature, with the suggestion of placing x-phi on a T-shirt.

'X-phi' of course reads as experimental philosophy.

In health care, nursing and social care evidence counts for everything (and for h2cm too). Evidence based practice that is founded upon research is essential. Experiments are needed that can be reproduced, extended, validated. ...

Today is a profoundly sad day for everyone in the NHS, as many commentators have already predicted. The future constantly beckons, but today reflect we must that in the clamour for evidence based care, does this mean we must don T-shirts?:

x-care

Have we forgotten the principles of what it is to care: compassion - our duty of care?

No, but amid the cacophony of technology, technical care, the targets, statistics, budget cuts, the challenges to morale and nursing's values we need to be ever more vigilant.

We must learn how to x-listen and x-shout in the 21st century health care environment(s).

But experiments in how to listen, how to blow a whistle? Surely not.

Well yes: as clearly here basic care systems did not work they failed terribly: individually, organisationally and across the FIVE care domains of h2cm.

International Day for the Elimination of Violence Against Women

The 16 days ends on International Human Rights Day (December 10).

Image source email from: http://www.usaid.gov/

SF, health, criminality and justice

"The Dehewwoff system of punishing by disease; graded capital punishment; the more serious the crime the more serious the disease the culprit is infected with. For minor crimes a mere fever, loss of livelihood and medical expenses; for more damaging misdeeds a bout of something lasting perhaps months, with pain and long convalescence, bills and no sympathy, sometimes marks to show later on. For really ghastly crimes, infections with diseases rarely survived; near certain death but possible divine intervention and miracle cure. Of course, the lower one's class, the more virulent one's punishment, to allow for the hardier constitution of the toilers. Combinations, and recurring strains, provide sophistications to the basic idea." p.181.

Use of Weapons, Iain M Banks, 1990, Orbit.

Amongst other reading and snorkeling, I read Use of Weapons on holiday. Consider Phlebas was the better read to me. I've come across this disease - justice idea before. As I read the above paragraph in the book you can see the many limitations with this, the physical, psychological and ethical dimensions. This is SF of course, but are the assumptions about the toilers accurate? As a health care professional and thus exposed to more bugs what impact would that have? You also wonder to what extent personalised medicine could physically level the sentencing field? The point about divine intervention seems to suggest a way to gauge - balance that uncertainty element. Is this left to a surface protein or something else? Are the diseases as punishments all to be physical?


My copy (see inside back cover) is now sitting on a shelf in the secondhand book section of the supermarket across from the Zante Park Hotel in Laganas, Zakynthos - the quieter end of the resort. I bought two Camus paperbacks, my book was donated - I suppose you could also say it was shop-dropped - and I'd washed my hands. ;-)

Image source: Goodreads.com

Olympic Torches, History and Nostalgia for the Light

I never got to see the Olympic torch procession,  although I crossed its path on a couple of occasions.

This for me has much significance    +

In Euxton, Lancashire and more recently I found myself ahead of the relay in Oxford.

I saw a torch at the Disability Awareness Day in Warrington.



A prized possession: a keepsake of a lifetime.


Image source: http://www.warringtonguardian.co.uk/news/9825966.Disability_Awareness_Day_marks_21st_event_with_Olympic_glow/


Over the weekend I went to see the film - Nostalgia for the Light. A documentary that is simultaneously challenging, troubling, poetic and beautiful. A journey through history in its multiple forms; astronomy, and archaeology - ancient and modern. The setting is the Atacama desert. The astronomers using various telescopes explore celestial bodies, taking advantage of the elevation and transparency of the sky. The extremely low humidity that also supports such observations also preserves human bodies. Not just those thousands of years old, but human bodies from more recent times. Those of Chile's "disappeared" those who have been found and those still lost to their families.

Skeletons abounded. Ancient mummies, more recent explorers and miners. I noticed how these skeletons can give up their secrets from belongings, clothing, identified by relatives.

How telescopes themselves are skeletized in their design to save weight, cost. Today the affluent can purchase a skeletized watch - to make a statement. Mechanism. To mark their personal history. History.

What legacy? What cost? 

Around the world : dictatorship.

The search of the few for the many against the sun and the turn of stars.

Light seeking light, seeking peace and a final release.