Showing posts with label observation. Show all posts
Showing posts with label observation. Show all posts

Sunday, 15 June 2014

Blood: A Biography of the Stuff of Life

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

Blood, blood cells, functions, blood pressure, blood gases, haemoglobin, Hb - Hgb, bruising, circulation, pulse, time, events, measures, observations, processes, systems, chaos ...

http://www.waterstones.com/waterstonesweb/products/lawrence+hill/blood/10208678/


emphasis here on *biography*

Image: Waterstones

My source:
The Times, June 7, 2014.

Sunday, 25 May 2014

Contextual annealing: Research rolling - hotter, colder, hotter

In conducting research you focus on the question, then the method follows. You may have to go back to the question (in truth) as the methods available to you present their own opportunities and constraints.

Over the past two months this has been a questionnaire within residential care facilities.

Sometimes a confounding factor is to how to describe the study. It's a bit like the figure-ground illusion. One minute you are thinking of the individual, the care worker; the next moment the organisation.

Perspectives shift all the time. This is one of the roles of Hodges' model. The ability to switch from individual to group (population) and various other perspectives and contexts.

I’ve an image of an iceberg. At any one time the questionnaire study’s above the water, the institutional case study under: but then it rolls.


Sunday, 10 March 2013

Space to reflect

2013 could be quite a year for comets, at least in the northern hemisphere.

As we reflect in our studies and at work it is vital to take a breathe and reflect when we can on things otherwordly - Comet PanSTARRS:


Weather permitting after work  I will visit Parbold Hill to get a good view of the western horizon.

I've tried on two evenings - 12th - 13th - to spot PanSTARRS without success. There's still time as it moves north. The new moon was quite a sight last evening. Through the binoculars a jet very low down looked like a rocket - the shuttle taking off. Between the low clouds I watched the sun set: cue reflection

APOD archive southern appearance: comets Lemmon & PanSTARRS

Image source: NASA.

Wednesday, 23 January 2013

In orbit*: Where a model of global health care should be


What platform are you using 
to monitor and positively impact 
the minutiae of care 
and the whole picture?

* and in mind.

On 25 May, NASA's Phoenix lander was 10 kilometres above the surface of Mars and less than three minutes from landing when it was captured passing in front of Heimdall crater by the HiRISE camera on the Mars Reconnaissance Orbiter (MRO).

http://www.nature.com/news/2008/080604/full/453712a/box/1.html
Published online 4 June 2008 | Nature 453, 712-713 (2008) Eric Hand

Additional link:
Phoenix: A tribute

Saturday, 11 August 2012

New patient chart to save 6,000 lives a year in the UK


The purpose of NEWS - National Early Warning Score is to standardise the assessment of acute-illness severity in the NHS and in doing so: save lives.

For me in the late 70s early 80s there was great emphasis placed on doing the charts, on 'obs' and the art and skill of observation. As a student nurse, you were finally nursing. From my mental health base, I've noticed new students today retain this enthusiasm to do the TPR and BP. To sign-off this essential competency. I mentioned art and skill above to highlight the intuitive side, not to diminish the underlying knowledge. Recognition is essential to prompt action, critical in acute-illness.

I notice some comments in response to NEWS express concern about finding agreements on units and how standards might stifle innovation. Against this though, Nursing Times reported an acute problem with the quality of nursing observation skills in 2009.

It goes without saying that the elements in NEWS are physical: respiratory rate, blood oxygen level, temperature, blood pressure, heart rate and level of consciousness. It will be fascinating to follow the results and not just in England.

In terms of integrated and holistic care - other measures will be needed.

My source: The Independent (27 July 2012).
Laurence, J. (2012, July 27). New patient chart to save 6,000 lives a year in the UK, The Independent. p.12

Monday, 30 January 2012

A Bigger Picture: David Hockney RA



The same year [2007], he continues, "the RA offered me this whole space, all 10 rooms, for 2011. I took a couple of days to say yes but I said it had to be 2012 - because I needed four springs: first to observe and prepare, then to paint. ..."



My source: Wullschlager, J. Blue-sky painting. FTWeekend, Life & Arts, January 14-15, 2012.  pp. 1-2.