Monday, 10 June 2013

Eyes, prisms, data, courts and complexes [ in Hodges' model ]

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

individual



The court of public opinion

 

The military-industrial complex

Eisenhower 

group - population


Source: Luce, E. US data-intelligence complex emerges from shadow of 9/11, Financial Times. 8-9 June, 2013. p.6.

Images:
Eye: http://www.teamthinking.co.uk/self-awareness/4575076161
Prism: http://rorate-caeli.blogspot.com/2013/06/politics-papal-reminders-looking-at.html


Saturday, 8 June 2013

New Scientist: Article on Cotard's syndrome [ and Hodges' model ]

Nine years ago, Graham woke up and discovered he was dead.

He was in the grip of Cotard's syndrome. People with this rare condition believe that they, or parts of their body, no longer exist.

... more
INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

individual
Cotard's syndrome
Belief    "I am dead"   delusion (or?)
depression      self                                   suicide
 "I have no brain"    theory of mind         consc
psychotherapy           
                senses - taste smell
PET - positron emission tomography
ICD 11 - classification?
 attempts               'default network mode'
iousness          body (parts)        brain function
frontal and parietal lobes  anaesthesia
 low metabolic activity   physiology 
social impact, family, friends, carers
sense making  social understanding
stigma      interview
Jules Cotard (1840–1889), a French neurologist
media      unemployment
quality of life   autonomy   control
research funding      access to treatment
specialist services     referral processes
group - population


Source: New Scientist, 1 June 2013.
Mindscapes: First interview with a dead man

Wikipedia: Cotard delusion

Friday, 7 June 2013

Information Commissioner's Office (ICO) fines Glasgow City Council £150,000

The Information Commissioner's Office (ICO) has fined Glasgow City Council £150,000 for the loss of two unencrypted laptops, one of which contained personal details about more than 20,000 people.

...

An ICO investigation discovered that - despite previous warnings - Glasgow City Council had provided staff with unencrypted laptops after there had been problems with encryption software. At least 74 of these laptops remain unaccounted for, with at least six of them known to have been stolen.

Thursday, 6 June 2013

Government steps in to settle medical dispute over digital patient records - Canada

REGINA - The Saskatchewan government has stepped in to help three Regina doctors who were having problems getting their patients' digital medical records from the clinic where they used to work.

The office manager at the Gateway Alliance Medical Clinic says efforts to get the electronic records from the Midway Walk-in Healthcare Centre had been ongoing for two months.
Robin Anderson says Midway transferred paper files as required by Saskatchewan law, but not the digital records.

http://bit.ly/14xRYgS

My source: Peter Kurilecz - Records Management List

Information and Records Management Society

Monday, 3 June 2013

Tiles, gates, gems and beds

 

Hansje van Halem

'On a tile just by the head of my bed, I have placed a list of the ancient gates. It looks like a gold ring, with gems set into it, each a different kind of stone'.






Part of: Memory Palace exhibition at V&A 

More to follow.

Book: Thomas Keneally - The Daughters of Mars

http://www.welovethisbook.com/reviews/daughters-mars
An interesting novel in light of the military metaphor in nursing mentioned in the previous post. In February I visited Hay-on-Wye which was a great experience - book shops galore! Keneally was interviewed on Sky Arts - Hay Sessions, and by The Telegraph:
In the circumstances, he could be forgiven for turning out the odd finely wrought novella. Instead, the last six years have seen seven new Keneally books – his most recent novel weighed in at 520 pages and has a serious claim to be the best he’s ever written. The Daughters of Mars, about Australian nurses in the First World War, once again pulls off the miraculous Keneally trick of being both epic and intimate. It’s also packed with great phrase-making – an aspect of his work too often overlooked.
Hay Festival

Source: Sky Arts & The Telegraph
http://www.telegraph.co.uk/culture/hay-festival/10078501/Hay-Festival-2013-Thomas-Keneally-discusses-his-new-novel-The-Daughters-of-Mars.html

Saturday, 1 June 2013

Review: Philosophical And Theoretical Perspectives For Advanced Nursing Practice

http://www.jblearning.com/catalog/9780763765705/
If you are a miner for insight, a pearl diver for knowledge or seeking blue sky wisdom this book can deliver and sign-post in plenty through its references. In summary: this book is a history book that nods at futurology.

I had high expectations for the text, also anticipating an exacting read. After all, as a 5th edition this is a well established text. The expectations were not wholly realized, however; many of the papers are quite dated being published originally in the 1990s.

The book is an important collection and can certainly be regarded as essential reading for advanced nursing practitioners and those pursuing post-graduate nursing studies. Several chapters hail from the same journal publisher and perhaps - as a positive - this contributes to the readable and accessible style throughout the book. The text format and size are also easy to read. I found one spelling mistake within the index entry for 'diagnosis' p.387. In addition to the historical development in part 1 the book's division into five parts - 31 chapters in total - acknowledges the reliance on the past and from it appears from a previous edition the arrival of the 21st century. Apart from the current date of issue 2013 I cannot accurately place the most recent additions to the volume. The contents listing and preface are limited in this respect. Judging from the references they are not that recent. 2010 is one of the most recent references I could find, and this, the 75ed of Toby & Mariner.

Many of the papers are seminal and include an overview of particular aspects of nursing thought - analysis and synthesis. Unsurprisingly, there is philosophy and ethics in great abundance, together with ecocentricism, several forms of feminism, aboriginal peoples and their world views, evidence, health, beliefs, art, professionalism, research, patterns, advanced practice, theory and much more. The distinction between evidence based theory and evidence based practice is something of which all nurse students should be aware.

There is specific reference to Advanced Nursing Practitioners. There could obviously be some variation in how this professional group are considered as opposed to Advanced Nursing Practice. Having just returned from Belfast and the University of Ulster there is ongoing currency in McCormack's chapter 17 A Conceptual Framework for Person Centered Practice with Older People. While dated 2003 McCormack's work was emphasized at a recent conference in Ulster I was able to attend (and there are plans for another). I am sure other chapters may be enlivened by such reviewer found co-incidences as this.

I wonder if the scope of the book and acknowledgement of the passing of time seems to shout for a two-volumed approach. As suggested above, the previous acknowledgement of the future seems to have hailed from the 20th century and got lost. We are now after all more than a 1/10 of the way into the 21st century.

Having started my nursing career in the RN, chapter 22 on military metaphor in nursing and the need for another. A researcher contacted me several years ago about using Hodges' model (a conceptual framework) in a study on bullying in nursing. I've never heard anything since, but Hodges' can help in such research in two respects. The inclusion of a political domain and the organization of groups of people, emphasizes process, procedure, protocol, routine, and may proceed to regimentation, discipline, hierarchy so to a degree language games will follow. As this chapter notes, several professions, including nursing are said to eat their young. A commentary after the chapter provides a useful balance and makes this point. The chapter is nonetheless a reminder of the role of language and how professionalism arises and is sustained (disciplines too?). The proposal of frontier as a new metaphor is fitting as Hodges' model identifies five conceptual fronts - frontiers that must be integrated. 

As a frontier - Chapter 21 on rapture and suffering with technology in nursing holds many lessons and insights. Heidegger's "standing reserve", the human-technology interface, what it means to live like a human being and the distinction of being a human being. Mobile technology, m-health, e-health are making a huge contribution to global health and need a place here. I found Macurdy's four principles 326-327 on what patients need to assume power and control over their care very illuminating, especially in highlighting information access and the importance of health literacy.

In the text and the index I could not find specific reference to capacity, as in mental capacity, informatics, global health, information (access), justice, law, legal, management, human rights, literacy, mental, political, psych-, long-term medical conditions and recovery. While the book would become incoherent if a disease/diagnosis-based approach was adopted, we might ask: does dementia deserve specific inclusion? This is an interesting (and potentially vociferous) debate in itself - to what extent should such a book record change through several decades? Of course the book is not an encyclopedia and it is easy to critique according to omission. These are pressing times demographically, however; while there is a population focus: global communities and aboriginal communities in chapter 23 and 24, this merely scratches the surface of very large world.

This book is a valuable asset and has stimulated many ideas here (and potential blog posts). I am very pleased to have read it and would recommend it to students and practitioners alike. I am grateful to the publishers for the review copy.