The Cost of Things: The quality of what is fixed and what is marginal

individual
INTERPERSONAL : SCIENCES

humanistic ------------------------------------------- mechanistic

SOCIOLOGY : POLITICAL

group

	Internet of Things  (IoT) The Zero Marginal Cost Society
IoT is not just an incredible prospect it is an incredible happening. Let us not forget however the Fixed Costs of Social Care

Should some of the costs that assure High Quality be fixed, or remain intangible?

Amortisation

'Intellectual brutalisation' and the saving grace and power of poetry

BBC Radio 4 Today: An eminent cardiologist has organised and funded a poetry competition for his medical students to stop them becoming, in his words, intellectually brutalised.
Gabrielle Gascoigne, pictured, is a previous winner.
The BBC’s Jane Dreaper discovers more.

Listen to ‘Poetry competition for 'intellectually brutalised' medics’ on Audioboo

PBS: For these medical students, poetry nurtures the soul

Here's (source: http://www.bbc.co.uk/programmes/b03s6mdp/live ) the full version of Mastectomy - For His Wife, by Gabrielle Ruth Gascoigne:

It will be an honour
to bathe the scars.
Don’t think my tears imply
an ounce of sorrow -
only joy
could fill my eyes.

It will be a pleasure
to hold you close.
Know this – your precious flesh
calls the bluff on gold
and silver -
makes me a king.

It will be a delight
to talk with you
into the night we thought
stolen, clean away -
until day
renews our hope.

It would be too heartless
if all this love,
these sinner’s prayers and more
should fall to nothing
more than rain
on empty streets.

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

individual

subjectivity insight, rapport, empathy emotional control, detachment, engagement risk of burnout	objectivity anatomy, physiology          physicality, processes, mechanistic intellectual brutalisation
humanistic communication, relationships (medic) poetry	funding, crowded curricula hidden curriculum

group - population

To-do list and challenges ... 2014

...in no particular order of priority or level of challenge presented...

Graduate study - distance learning, assignments, supervision, residential week
Research question
Role of simulations - games?

Hosting

E-mail address (beyond yahoo and demon)

Video and Audio skills

 Drupal 8 (stable Windows install - Linux)

the Drupal stack (still)
Abandon/transition from this blogging platform to other

Complete and format recovery, recovery model and Hodges' model paper for submission to journal
Prioritise and relate conference attendance and presentations/workshops to post-grad studies
Complete remaining three books for review

focus, focus, focus...

Happy holidays a Healthy and Prosperous New Year to All!

Health, Art and The Reith Lectures 2013 (and the search for the perpetual umbilicus)

This week sees the start of The Reith Lectures on BBC Radio 4 by Grayson Perry.

The question is: who decides on what makes art good?

Perry writes in the Financial Times Weekend:

Clement Greenberg, a famous art critic in the 1950s, said that art will always be tied to money by an umbilical cord of gold, either state money or market money. I'm pragmatic about it: one of my favourite quotes is you'll never have a good art career unless your work fits into the elevator of a New York apartment block.

Once born into the world, the umbilical cord that transfers and imbues life and sustenance no longer matters physically. It is the social ties that bind, according to the lyrics and life experience.

In health and social care we need to find a perpetual umbilical cord that makes well-being and health not just something to take for granted. Not some thing that is only noticed when the piece of art won't fit into the elevator any longer.

This is the challenge in health care. A challenge that will see art movements and markets come and go. The solutions will rely on science, technology and art.

@science @technology @art 

each brings its own engineering.

We need tools that facilitate self-care when needed. Cognitive engineering that people can call upon by virtue of the combined literacies they possess. Self-care that is delayed due to self-knowledge.

Cognitive tools people can take anywhere; from elevators in New York and doors to apartments, yurts in Mongolia, the multitude of tents in Jordan to the terraced houses near Wigan Pier ...


Financial Times, Grayson Perry’s Reith Lectures: Who decides what makes art good? October 11, 2013 7:16 pm

Evidence and the increasing effect of parallax

INTERPERSONAL : SCIENCES

SOCIOLOGY : POLITICAL

individual

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

group - population

Additional link: parallax

(Extreme) sensitivity to initial conditions: Employment - Sickness

There was an item today on BBC Radio 4's You and Yours on the government's Fit for Work tests.

The new fitness for work assessments have been under review. The discussion featured Professor Malcolm Harrington and his final report on the Work Capability Assessment Review and highlighted the humanistic and mechanistic dimensions of this very complex issue (see also the back-to-work programme?). Points raised include:

• the impact of certain medications and treatments on an individual's ability to partake in an interview;
• the meaningfulness of an appeals process that once won, then sees subsequent recalls;
• 4/10 appeals are won;
• the need to balance decision making and the computer based process, with the former utilising documentary evidence;
• people with mental health and cognitive problems may be less able to advocate for themselves.

What troubled me is (the admittedly) single example were a client attending a review was advised not to bring documentary evidence. What this does is to effectively switch OFF three of four care domains: SOCIAL, INTERPERSONAL and (remarkably) the SCIENTIFIC.

What are the purposes to which clinical assessments, tests, reviews can be put? Why do clinicians and the social care team create records?

Relying primarily upon, or being driven by a computer based algorithm makes this a POLITICAL 'exercise'.

As such it will be seen SPIRITUALLY as cold and uncaring.

POLITICAL neglect reinforcing similar neglect and disinterest in the CITIZENRY.