Lancaster University studies - residential past week

It's not listed in the sidebar, but by far the most significant h2cm related event I've attended in the almost eight years of Welcome to the QUAD has been the residential week up at Lancaster. I had just 41 miles to travel; fellow students in cohort 7 came from much further afield: UAE, Egypt, German, Japan, Canada, Saudi Arabia, Oman, Singapore and Isle of Man (Yo! there used to be users of h2cm there!) ....

I was late on the first day.

It was 0930 start last Monday, I arrived 1015. There was an accident at Preston on the M6.

It was great to meet people, fellow students and staff that I'd shared online learning tasks with since January. Strange to think - hope! - that we'd all be meeting again in a year. Meeting cohort 6, the group 12 months ahead of us was very informative. Also exciting that the group are considering an extramural residential in other climes: I hope this happens.

The presentations were a great help and included guest speakers - Prof. Charles Crook and Dr Debbie Prescott (cohort 1).

Now I've a research study to complete and Hodges' model is (will be) a key part of this. It's looking like there will be a literature search to follow.

Yesterday 0930 I thought the day was going to be wasted. It wasn't. I settled on Zotero now and it's a boon (at least I hope I don't have to start afresh!). There are other productivity tools to find, select and master into a workflow.

I hope to hear next week about a research conference in September that will further h2cm studies.

The study double bind is always an interesting one, being scared out your pants ... the 60+ mark: but also reassured - "You wouldn't be here if....".

I'd applied before for other programmes (Netherlands and thought about Italy), drafting a proposal and with subsequent efforts amazed at the demonstrated ineptitude. I think there's progress.

At the reception the progression of studies was stressed. The way, if we get beyond part one, we will be learning more and more about less and less.

How does that sit with Hodges' model and all it entails?

• A generic conceptual framework?
• A series of conceptual spaces?
• Is there such a thing as 'holistic bandwidth'?
• Can Hodges' model serve as the universal conceptual framework for health care, nursing and social care?

As the birthday of W2tQ beckons later this month there's no escape. Drupal 8 is going to throttle me soon as the pressure to introduce TEL technology enhanced learning to my studies takes hold.

Speaker's corner

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

individual

canto do orador Le coin de l'auditeur, Rincón del oyente الزاوية المستمع 听者的角落, Canto do ouvinte, Listener's corner	音箱的边角 Le coin des haut-parleurs
الزاوية المتكلم esquina del orador	Speaker's corner

group - population

Image source: http://rebbls.dk/rebblog/speakers-corner/

A *prospective* journal issue devoted to the "Health Career - Care Domains - Model"

Last month I was contacted regards the possibility of acting as associate editor for a journal issue devoted to Hodges' model, or a related theme.

At present with part-time studies having started in January and a residential week to following at the end of March I have rather got my hands full. I hope to post in the near future on how these studies are helping to shape my ideas.

One clear 'result' is the prompt to engage with residential and nursing homes in preparation for a 'small research study' I have to complete this northern Spring. I've two meetings organised thus far with home managers.

A journal issue is a great prospect however, a giant step in fact - for the conceptual framework and myself (I'd also contribute an editorial). Perhaps I could share this project with someone similarly minded regards the potential of Hodges' model in health and social care and without in education and informatics? It seems that this invitation will stand even if I can only pick it up in the future, end of 2015-2016...

In the sidebar, below the bibliography I've listed a publications to-do list that could be extended:

• Hodges' model, structure, content and applications 
• taking the 'career' out of Hodges' model and putting it back;
• curriculum development;
• reflective practice;
• case formulation;
• holistic care (and related perspectives, but in informatics, SOCIO-TECHNICAL);
• the theory - practice gap;
• threshold concepts;
• and conceptual spaces;
• integrated care; 
• Nursing theory: future history - why they still matter;
• quality assurance and care values;
• multidisciplinary care and interprofessional education;
• diagrams that care;
• student contribution;
• patient, service user contribution;
• .... ?

The distance learning Technology Enhanced Learning course is stimulating many other insights. The learning is very collaborative and a great demonstrator in so many ways. The recent trip to London and meeting at London South Bank University also stressed the need for publishing in the 'popular' nursing press. Recent writing (recovery, recovery model) and studies also points to not being tied to original purposes of Hodges' model - but going beyond this ... far beyond: global health integration, health literacy, self-care, methodological approaches to critique and investigate Hodges' model. ...

The limitations of the healthcare sector

4

many

decades there 

have been recurring 

issues, austerity measures, 

requirements, policy challenges, 

policy initiatives, gaps between theory 

and practice, a crisis in compassionate care, 

rising waiting times and a plethora of other concerns.

All these then and much more 

affect the

 healthcare

 sector

Clearly, there is no 'magic wand', but there must be a way to address some of the difficulties? 

Within health and social care, locally, nationally and globally we need a tool to help improve interprofessional reflective practice, to support person-centered, holistic care across physical, emotional, social, political and spiritual domains of care. 

The future demands a resource (free, open, easy to learn) that can also facilitate self-care, health literacy and the many carers within families and communities.

 

So, how big is your picture?

Man Runs a Loop-the-Loop (in Hodges' model - discuss?)

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

individual

group - population

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

 

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

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

individual

PRIMARY CARE	ACUTE CARE
CARE HOMES	DEMENTIA (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.

moon, resources and Materialism

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

individual

group - population

Republic of the Moon
http://southbanklondon.com/republic-of-the-moon
(I missed this when it was in Liverpool!)

Additional links:

NASA Releases New Earthrise Simulation Video

UNODA: Treaty on Principles Governing the Activities of States in the Exploration and Use of Outer Space, including the Moon and Other Celestial Bodies
http://disarmament.un.org/treaties/t/outer_space/text

UNOOSA: 34/68. Agreement Governing the Activities of States on the Moon and Other Celestial Bodies
http://www.oosa.unvienna.org/oosa/SpaceLaw/gares/html/gares_34_0068.html

Images:
Leonid Tishkov, Personal Moon - Republic of the Moon
http://www.artscatalyst.org/projects/detail/republic_of_the_moon_Liverpool/

Omega Speedmaster Moonwatch -
http://www.omegawatches.com/collection/speedmaster/moonwatch/anniversary-limited-series/31130423099002

Resistence is futile: give in to the obvious need for the 'nhm'

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

individual

nhm	ohm + nhm
nhm	nhm (+ ohm!)

group - population

ohm: The ohm (symbol: Ω) is the SI derived unit of electrical resistance, named after German physicist Georg Simon Ohm. (Wikipedia)


nhm: The nhm (symbol: +).

However, the principles do not extend to problems posed by cognitive impairment as a result of the illness and the ever present danger of wandering, seeking old and familiar surroundings, or acting on memories from years gone by. Some patients become aggressive at times; the service must have mechanisms for managing patients effectively in ways that recognise their inherent worth and humanity. The stigma and abbreviated autonomy that is implied in managing people with dementia requires a new holistic method of managing their care that relates the care to the patients'/service users' values. p.80. [my emphasis]

Heginbotham, C. (2012) Values-Based Commissioning of Health and Social Care, Cambridge, CUP. (Review to follow).

Papers, *actual* post-grad studies and a visit to Brian Hodges

Early last month I posted about planned trips to Sheffield and Lancaster Universities.

On the 4th I visited Paula Procter at Sheffield Hallam University, spending two hours there. Paula and I have known each other through informatics conferences since the late 1980s or early 90s and the British Computer Society Nursing Specialist Group. (Sadly this group and its publications are not as active as they used to be.) I really appreciate Paula's time and her key conclusion that rather than thinking about Hodges' model I need to apply my knowledge and experience with the model and DO something with it. In doing something with the model in a certain community - most likely residential care and nursing homes - I would also have a potential community of users for the new website. This was quite something to hear as I'm at that stage of my career when, shall we say - other possibilities beckon.

In the afternoon I travelled the short distance to meet Brian Hodges at his home. It was great to meet with Brian again and his wife. It was a lovely sunny afternoon as per the welcome and some cake! We reflected on the respective changes over the past five years and current events. Hot-off-the-press of course was my sharing the discussion with Paula and the planned visit to Lancaster University.

We agreed to meet again and not leave it so long next time. Brian has a desire to write again and and a prospective topic in dependence - independence. I hope this is something Brian can do and forward a photo for the (still) promised site. Brian now has copies of the most recent papers and the latest draft on recovery in mental health and the model.

On the Wednesday, after work I drove to Lancaster to discuss their PhD E-Research and Technology Enhanced Learning (thesis and coursework) distance learning.

At the start of last week a reserve place - for January 2015 became an offer of a place next month.

So, as of next month I will make a start. There is a residential week to look forward to at the end of March. Three second hand books from the reading list are ordered. There is a recommended video link too that invites repeat viewing, Etienne Wenger on Communities of Practice:

http://www.239productions.co.uk/wenger/

- and in the Nursing Informatics book I'm reading for review, on page 189 box 11.1 is on the same topic and referenced source Wenger, E..

I predicted quite some time ago about the post count decreasing here ... now I have an excuse and I plan on this including Drupal.

Cognitive Informatics and other forms?

Over the past couple of months I've posted on topics that include an example of Hodges' model related to the post's particular theme. In McGonigle and Mastrian's Nursing Informatics and the Foundation of Knowledge, Second Edition (2012) on page 63 the editors cite Wang (2003):

Cognitive informatics attempts to solve problems in two connected areas in a bidirectional and multidisciplinary approach. In one direction, CI uses informatics and computing techniques to investigate cognitive science problems, such as memory, learning and reasoning; in the other direction, CI uses cognitive theories to investigate problems in informatics, computing and software engineering (p.120). 

I will leave it to you to consider the INTRA-INTERPERSONAL and SCIENCES domains, and not (just) how Wang's cognitive informatics 'fits' within Hodges' model, but what of the many other informatics fields. Here they seem like stepping stones, but taken together where do they lead to, from, ... about ...?


Wang, Y. (2003), Cognitive Informatics: A New Transdisciplinary Research Field, Brain and Mind: A Transdisciplinary Journal of Neuroscience and Neurophilosophy, Vol.4, No.2. pp.115-127.  

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

Critical Thinking - Gaining knowledge: Beginners + Experts = audience?

Clearing through books last month with several bound for the charity shops I came across Critical Thinking in Nursing: An Interactive Approach, by Rubenfeld & Sheffer, with the following table (p.30):

	BEGINNERS	EXPERTS
Ways of:
Gaining Knowledge	Assigned readings and asking authorities	Multiple written and verbal sources, and experience
Thinking	Dualistic	Relativistic
Using rules	Context free	Situation dependent
Looking at situations	Narrow	Broad

The table is not remarkable in its theme, but it is a useful prompt for Hodges' model and future studies. The concepts listed might help illustrate how Hodges' model can support learning. In addition to having an individual focus the model can consider any situation, hence the claim that the model is 'situated'. As stated previously person centeredness is not a given. It does not follow, nor is it achieved just because 'person centered' features several times in care philosophies and policies. The person must be put at the center of the model and then each of the domains considered together with the spiritual dimensions.

I'm also reading a nursing informatics book (posts and review to follow) that discusses casuistic ethics, that is case-based reasoning. While the utility of casuistry is debated in nursing, the need to consider the individual is always paramount. A prime example of the focus on the individual is the programme Inside the Ethics Committee on BBC Radio 4. Central to ethics are the frequent dilemmas that arise in health and social care, the difficult moral choices and dichotomies that must be faced. The model can be used in a context free way, that is considering rules in general; and also employed in specific contexts, such as a best interest meeting for a person recently moved into a residential care facility and distressed by the experience.

There are many dichotomies that can be identified in the basic model, and to a certain extent they reflect the dualistic thinking of the beginner as they build an understanding of particular fields of health care. As learners progress they integrate the concepts they encounter and are then able to associate these and relate them to prior learning, the current case and generate hypotheses that may also be predictive. Hodges’ model can frame and help represent student encounters be they narrow or broadening (recognising patterns). Gaining knowledge may need particular attention by the student (mentor and lecturer) in terms of the student's strategies for creating and protecting opportunities as a beginner and competent practitioner.

As a sign-off mentor I’ve become acutely aware – as required - of a learner’s level of skills and knowledge. What is their level of competence? What is their level of situational awareness? How are they progressing through their learning according to previous mentors and their own goals, learning objectives and evaluation? The concept of emotional intelligence is not new and still has the attention of researchers. Perhaps this could also inform questions for research into Hodges’ model as students elaborate their initial representations of nursing care, skills and knowledge through their course and ongoing as experts. Is emotional intelligence central to compassion in nursing? Encompassing all of these ‘ways’ in the table is reflection. This is not just for reflective practice but an ability to critique one's own practice and that of others.

The table is also helpful at this time considering future content and content types and the potential audience of a new website. The challenge is to emulate the table above in the way it reduces, simplifies very complex educational matters. Yesterday afternoon I was able to attend a very helpful two hour research clinic in Lancaster, following this I must (still) reduce the above questions and also recognise my own biases.

Rubenfeld & Sheffer (1994) Critical Thinking in Nursing: An Interactive Approach. 1st Edition, Lippincott Williams and Wilkins.

Papers, possible post-grad studies, conferences and a visit to Brian Hodges

This coming Monday and Wednesday I'm investigating post graduate study options with visits to Sheffield and Lancaster Universities.

Heading to Sheffield on Monday I'm also looking forward to catching up with Brian Hodges the creator of Hodges' model in the 1980s. It has been a long time since Brian and I met. I'll see if there is anything I can feedback here.

There is one conference abstract submitted for a presentation next year and another abstract almost completed. This for a workshop which I'm structuring such that it might also inform possible future studies. With these two abstracts for UK based events, I'm also looking at conferences abroad in the latter half of 2014 and 2015. So if anyone has any suggestions please let me know.

The paper on recovery in mental health and Hodges' model is not too far from a complete first draft. It runs to 5,000 words now. I had a great start with the help of two people. Twitter can be a great help in garnering assistance and with a quick response.

There is some feedback and contacts to follow up on the service-user research side (see references below). One research project to cite is True Colours an online self-management system. The advice over the past few weeks is also quite illuminating in evidencing Hodges' model. Another draft paper on case formulation, diagrams and h2cm is well advanced, but on hold at present.

Rose, D., Sweeney, A., Leese, M., Clement, S, Burns, T, Catty, J & Wykes, T. (2009) Developing a user-generated measure of continuity of care: Brief report. Acta Psychiatrica Scandinavica.: 119: 320–324.

 

Rose, D. Fleischmann, P and Wykes, P. (2008) What are mental health service users’ priorities for research in the UK? Journal of Mental Health, 17 (3): 520-530.

H2CM new website - A short-form project brief

In Dani Nordin’s Drupal for Designers, chapter 4 is includes a short-form project brief.

As I pack for Prague and another Drupalcon (my 6th!) and with PHPNW conference fast approaching it's time I re-visited my project brief:

1 Identify the Project Goals

According to Nordin a good list of project goals should be no more than about three bullet points.

1. To provide a new archive for Brian Hodges’ lecture notes and make these accessible and multilingual
2. To share / signpost papers to date and invite others to collaborate and share work
3. To highlight why Hodges’ model matters

Then Dani moved to personas and here I'll extend the above goals.

2 Identify the Audience

I am looking for student nurses, that is under graduates and post grad, indeed life-long learners within the field of health and social care. In seeking students the natural progression of this is to connect if possible with lecturers and faculty. Nordin lists several ways to characterise the personas through common aspects:

• Who they are
• What will win them
• What I need them to know
• Content focus

So immediately I can broadly identify and develop two personas:

Learners

Who they are: Student nurses, social work students including medicine and other health and social care disciplines. They will be seeking evidence in theory and practice, with sources and resources to apply to assigned work. They will also be open to ideas and techniques that can help them to structure and recall their learning.
What will win them: Make it easy for them to see what is offered, find what they seek, Brian Hodges' lecture notes, provide feedback on learning if students are willing to register and invest their time. Provide a responsive contact form to answer questions promptly. Link the content to evidence if, or as soon as possible. Make content relevant by allowing users to contribute to website's development and direction.
What I need them to know: I want to convey to them an understanding of Hodges’ model its purposes, structure, content and how the model might be applied in theory and practice.
Content focus: Lecture notes text and video; Quiz; Test; Certificate; h2cm grid; Case study template; Presentations; FAQ; Registration; Contact form; Polls; Bibliography; Biographies; Timeline; Photos.

Lecturers

Who are they: Health and social care related faculty, teaching on nursing, social work, learning disability and other programmes. A diverse range of subjects and disciplines could be included from mental health, acute care, community and across the life course.
What will win them: Illustrate the ways h2cm can facilitate learning the aspects of (for example) nursing, not only reinforcing the key concepts of nursing (care) but why they care.
What I need them to know: Understanding how h2cm fits within their respective curriculum. Gaining awareness of how can the model can potentially stimulate and challenge their students and complement assignments. Why Hodges' model is relevant at this particular time.
Content focus: Brian Hodges' lecture notes; Outstanding questions; Research directions; Blog; Contact form; Registration; h2cm examples.

On the old website I possibly over-egged the pudding in terms of 'audiences'. There is an introductory page for -

• students and lecturer; 
• patients and carers;
• the public (citizens);
• and managers with policy makers.

Nordin has a persona for The Sharer. There are people for whom this is their forte. Here though I would try to include sharing tools that might be utilised by specific audiences. So for lecturers ways sharing might be Academia.edu, ResearchGate and LinkedIn. Likewise there are student (social media oriented) communities.The content of the old was fixed - by me. This needs to change, so polls and discussion may help define what the students / lecturers would like to see, hear ...

3 Focus on Information Architecture and Content Strategy

Nordin is describing a website re-design and so am I with some simplifications. Taking step 3 literally and from reading having an information architecture is very important to me. Its importance is not just in earning a scout badge, but it may need to vary slightly across the site. Nordin's step three seems to emphasize content. I'm wondering about headings, subtitles and other structural and aesthetic points. How might these work and hopefully cohere across the archive and rest of the site? It is also the case of separating (in my head) information architecture and styling.

As to content strategy I've played and doodled with this on several occasions. There's even an A, B, C, ... about it if you check above.

4 Identify New Features or Technologies You Want to Include

Responsive design is as Nordin also indicates a must have for me. In successive Drupalcon keynotes Dries Buytaert has stressed the rise of mobile devices. It would be a major gain to have the archive readable by mobile and tablet users.

Thus far I've not made full use of video, Skype and even audio for delivering content. At Drupalcon Prague there's a session media management and the Scald module. I'm hardly a radio or TV station but as people say DO consider those things that you are not skilled at, or naturally drawn to. Slides and presentations both existing and contributions (or links) would also be a key content feature.

If a community can emerge this might also be that as Nordin suggests users can share internally within the site using (unconsciously) specific structures within Drupal. The latest means of classifying and searching a site will also be essential. Seeking to share h2cm with the world I've scheduled some sessions on leveraging the multilingual capabilities of Drupal 8.

Accessibility is another essential feature.

5 Upgrade, or Start from Scratch

This, thankfully, is not an upgrade. To the list in #4 I could have added database - a dynamic website because this is the primary need, the enabler. With that though comes complexity and responsibility. Website management then demands data be protected, secure, backed up, and this involves migration and upgrades. So, starting from scratch - yes, but with an eye to upgrading.

The NW Drupal meetings in Manchester and Drupalcon Prague program bring the news of the many new tools and changes in Drupal 8:

• Views in core;
• New configurable fields e.g. entity reference, date, e-mail and others;
• Multilingual changes;
• Blocks & Layouts;
• Responsive images and breakpoints.
  
  From Drupalcon Prague "Drupal 8 for Site Builders" session

In addition there is Symfony, the loss of some hooks, Twig a templating engine.

6 Figure Out Theming and CSS Issues

If .Net and Web Designer magazines inform us of two things it's the pace of change in tools and the range of tools. It's helpful then when those choices are reduced. This may be the case with CSS within Drupal and adopting a grid system, a point made by Todd Nienkerk (p.79).

There are some excellent themes and sub-themes within Drupal 7. Drupal 8 extends this potential. I posted previously about Omega.

To conclude:
I think there is an interesting project here, but thinking alone isn't going to get this done!

Hodges' model - Website, Blog and the UK Web Archive

Early this morning the blog threw a wobbly, at least on Firefox. The sidebar was being displayed below the main content. I take this as a sign that it's time to move on digitally. This evening the problem seems to have corrected itself, but time is pressing.

Returning from holiday there was another sign, a tap on the shoulder. This was positive in that as I left for Italy (minus laptop) I had submitted the old website, first published online in 1998 to the UK web archive.

Well, they have accepted the proposal and would like to archive the website. I really appreciate this. I've to fill in a form and will also use this as an opportunity to do some Northerly autumnal cleaning. There may be some broken links and other edits to make.

This is quite apt then given the long winter of the website and this blog, especially as I prepare for Drupalcon Prague on the 22 September. As I've written here before one of the first 'menu options' of any new site will be to provide a new archive for Brian Hodges' original lecture notes.

If you are new to nursing, health and social care and reflection and are interested in using Hodges' model please let me know. There are contact options in that sidebar - if it's behaving itself...

Papers in progress, book reviews and volcanoes

There are three papers currently in process. There is some good and bad news; plus some similarity with volcanoes. This is in the sense of active, dormant and extinct.

The papers are - with no prizes for guessing the common feature:

1. The Scope of Nursing and Hodges' model
2. Case Formulation (Conceptualization), Diagrams and Hodges' model
3. Recovery and Hodges' model

Two papers are active, that's Case Formulation and Recovery. On the stove is Recovery and it's cookin. I've two co-authors providing invaluable input.

I've just read Terry Marks-Tarlow's Clinical Intuition in Psychotherapy The Neurobiology of Embodied Response and a review will follow my recommending this book right now.

There's a review copy of another book in the post that I believe can inform the recovery paper:

Values-Based Commissioning of Health and Social Care (thanks CUP)

I'm sure the concept of values-based commissioning is a gift to Hodges' model and the recovery paper. A theme to return to on W2tQ. The paper includes the Recovery STAR and relates this to Hodges' model.

The case formulation effort is with my co-author, and after a meeting in Manchester one early evening may incorporate risk formulation too.

The good news is none of these projects are extinct. The first nursing scope paper was rejected. The nursing scope paper is dormant, but is stirring following the symposium on person centredness in nursing early in May 2013.

There are two other books to get to grips with and a project that is in danger of extinction. The sight of Vesuvius next month may help: shift matters.

Listening to Jay-Z

Listen to Jay-Z's Magna Carta Holy Grail:

- but if it is care fundamentals you seek ...

Hodges' model - DSM V: the Politics of (Well-being (Health [Mental Health])) salience, books and domains

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

individual

Diagnostic and Statistical Manual of Mental Disorders (DSM-5) 'salience'  ‘Salience syndrome’ replaces ‘schizophrenia’ in DSM-V and ICD-11: psychiatry’s evidence-based entry into the 21st century? J. Van Os bereavement medical, bio-psycho-social, recovery model self-efficacy self-stigma DSM5 and Ethical Relativism Ultimate terminology:  self, person, patient, service user, client,  Mr, Miss .....	Diagnostic process 'Evidence', objectivity,  repeatability, validity, treatment, drugs Credit Heidi Cartwright, Wellcome Images
The history of DSM: APA : Wikipedia stigma social services social network (size, quality) anti-psychiatry social norms? Media: Books review - essay; Stevenson, T. (2013) Mind field, FT Weekend, May 25-26. p.8.	American Psychiatric Association APA dx revision watch Opinion - commentary: DSM-5: Caught between Mental Illness Stigma and Anti-Psychiatry Prejudice Is Criticism of DSM-5 'Anti-psychiatry'? Goldacre: Bad Pharma .... and much more...!

group - population

Image: http://wellcomeimages.org/

Opaque

INTERPERSONAL : SCIENCES
SOCIOLOGY : POLITICAL

individual

anxiety, mood, anger, frustration, coping abilities, vulnerability, personal communication - masks, poor sleep, helplessness, apathy, personal memory, personal ethics	'Blaze season' - June to September, Smog - duration?, geography, fires, public health, asthma, respiration, bronchitis, conjunctivitis, vision, eye care, cardiovascular system, weather, create rain, environment, daily physical activities of living, ecosystem impact, elderly, young, measures, monitoring, pollution standard index: 400 1100hrs, stay indoors, building workers, Loss of Habitat
public opinion, quality of life, media, social media, public perception, communication - advice to population,  (public anger in China over that country's appalling environmental record)	Illegal forest fires, Indonesia, Singapore, Politics, Commerce, Globalization, Governments, Governance, Diplomacy, Corporations, Regulation, Law, Enforcement, Tourism, Employment, Economic impact, Health Care System Burden, Political Tension, Accountability, Trust, Companies involved? Ecocide (not in Europe)

group - population

Additional source: The Independent Friday 21 June 2013