Personal realities and in the media

Ordinarily I would be completely lost in tonight's Horizon - What Is Reality? at 9pm BBC2. I will be watching, but I won't be as lost as I have been.

Today I took a big step forward - sorting 'issues' that will allow me to purchase a new home. I ('we') also resolved the post-marital issue of pensions. This has proved a major reality re-orientation factor since July 2008. There is the old house to sell, but nonetheless real progress.

I am really looking forward to the NW England Drupal meet in Manchester on Friday. That's another reality to immerse oneself in - especially Drupal 7!

Hodges model: The realm of the Centaur...?

I've rather messed about here before with ideas for the new website, banners and graphics. In reading I've switched from SF to Ken Wilber, who with David Bohm I have intended to read for many years.

In Wilber's book No Boundary I found a gift of an iconic image, as in health and social care we constantly strive to achieve integrated and holistic care.


Much of my day-to-day work involves mind-body : body-mind and the suffering between.

In No Boundary we read about the Centaur:

Let us return to the level of the total organism and continue with the story of the growth of the spectrum. At this level, the individual is identified solely with her organism, existing in time, in flight from death. Nevertheless, she is at least still in touch with her entire psychophysical being. This is why we usually refer to the level of the total organism by a simpler name: the centaur. A centaur is a legendary animal, half human and half horse, and so it well represents a perfect union and harmony of mental and physical. A centaur is not a horse rider in control of her horse, but a rider who is one with her horse. Not a psyche divorced from and in control of a soma, but a self-controlling, self-governing, psychosomatic unity. p.72

Related posts:

Holistic care and 'where' it means....

20/20 vision minus 1, 2, or 4 blind spots....

Physio-Political ... musings, songs and dances...

Additional links:

Philosophy, Ideas, Creativity links: Interpersonal domain

"The constant rain of time that is life peppers space with relevance." *

*In reading Wilber it looks like I will have come up with something else...?

Ken Wilber (2000) No Boundary: Eastern and Western Approaches to Personal Growth. Paperback / Shambhala Publications, ISBN 978-1-57062-743-9.

Image source:
http://ancientcoinsforeducation.org/gallery2/d/3116-1/CentaurGreekPotteryRed.jpg

Global Pulse 2010 March 29th - 31st #gp2010

I have just registered for:


From March 29^th through March 31^st you will have the chance to participate in something truly exciting. Inspired by President Obama’s “New Beginnings” speech to Cairo University, the U.S. Government is hosting Global Pulse 2010, an innovative, online brainstorming discussion.

During this unique event, individuals throughout the world will have a chance to participate in and influence a global conversation centered on 10 hot-button social issues facing the global community within the fields of science and technology, entrepreneurship, and human development.

MARK YOUR CALENDARS!

GANM's - Dr. Patricia Abbott will be a featured expert during the event. She will host a discussion on E-Health from 11:00am-noon (eastern time) on March 30, 2010.

Why is Global Pulse 2010 important?

Global Pulse 2010 will offer a unique way for community members to connect and engage, build new relationships and share their ideas on how we can strengthen our global partnerships to better address our shared global challenges.

Global Pulse 2010 is an open forum that will highlight ten broad topics:

• Empowering Women and Girls
• Enabling Essential Education
• Building Stronger Partnerships
• Exercising Political and Civil Rights
• Inspiring a New Generation
• Promoting Global Health
• Advancing Entrepreneurship, Trade & Economic Opportunity
• Fostering Science, Technology & Innovation
• Supporting a Sustainable Planet
• Pursuing Grand Challenges

How to Register for Global Pulse 2010?

To register please visit:https://www.collaborationjam.com/minijam3/globalpulse2010/registration/
For more information, please visit us at www.GlobalPulse2010.gov

You may also join us on Facebook, Twitter, Orkut, and LinkedIn to stay up to date on key Global Pulse 2010 activities. Stay tuned for more information on Global Pulse 2010!

PLEASE NOTE: We want to hear from your network. If you know of others who would be interested in participating in this event, please feel free to forward this email. As there are a limited number of virtual seats in Global Pulse 2010, we ask that these individuals complete and submit this brief form available at www.GlobalPulse2010.gov/registration Pending the number of available seats, slotted individuals will be notified so that they may then formally register to participate in Global Pulse 2010.

My source:
GANM (Global Alliance for Nursing and Midwifery)

RCN member's survey on spirituality & H2CM

Originally published - 10 March 2010
Source: http://www.rcn.org.uk/newsevents/news/article/uk/rcn_seeks_members_views_on_spirituality

The Royal College of Nursing has launched a survey to improve its understanding of nurses’ views on spirituality.

RCN members are invited to submit their thoughts on what they understand by the concepts of spirituality and spiritual care and whether they consider these to be legitimate areas of nursing practice. Specific questions will ask what level of training and support should be given to nurses to deal with spiritual issues.

RCN Executive Director of Nursing and Service Delivery Janet Davies says:

“The RCN is committed to the promotion of holistic care*, but we recognise that spirituality is a complex area. Although understood as an area of human life that applies to all, spirituality can also be subject to taboo and misunderstanding. We are committed to understanding nurses’ views on spirituality and to explore this issue further.”

The results of the survey will shape the RCN’s work in this area and will be presented at a fringe event at RCN Congress in April.

RCN members: Complete the spirituality survey by 31 March 2010.

* My emphasis.

Thoughts from Hodges' model (PJ):

Nurses most definitely need to be aware of and have due regard to care management theory and practice associated with spirituality. That is - how individuals, families, communities (and the State) express belief or non-belief concerning self, others, humanity, their environment, and their relationship with all that is, has been and will be. They need to discern when spiritual matters enter into religious affairs and the customs and rituals that exist ancient and modern. Nurses need to recognise when and where to seek guidance in how to proceed. Legislation, human rights, professional codes of conduct, local and national policies are also critical to a nurse's understanding and attainment of spiritual literacy.

This is an area were confusion can arise over terminology. What is the difference between spirituality, religion and beliefs (mine, yours)? In their training and ongoing careers students need to demonstrate an openness to spirituality in the sense of being neutral with regards to their own beliefs. In specific situations and medical procedures again professional advice may be needed.

Hodges' model is an ideal tool to support nurses in their appreciation of spiritual (and pastoral) aspects of care. The model is ethnoculturally neutral. This neutrality serves as a reservoir of deep respect, rapport and empathy and provides a foundation, a space upon which all spiritual elements of care can be written.

The spiritual is represented in h2cm as a whole.

The model's four care domains collectively represent a 5th domain - the spiritual. Strangely, as per the use of the term in technology circles, the model can be described as 'agnostic'. Not in the religious sense, but due to the fact that h2cm does not demand knowledge of, nor ascribe to any particular spiritual, religious or belief stance.

The Communication Initiative Network and holistic bandwidth

In 2004 I attended a day at a community informatics conference in Brighton, UK (see the side bar for details). My interest in that event stems from recognising the different schools of informatics and the multidisciplinary potential for Hodges' model that extends beyond health and social care. The model provides a cognitive gymnasium for us to test and exercise our holistic bandwidth.

The notion of 'holistic bandwidth' really comes into its own within global development and communication. In 2004, or soon after I discovered The Communication Initiative Network. They kindly posted the Brighton position paper on their site and were very encouraging regards the model. Now they are developing a new Communication Initiative Social Networking Platform - http://groups.comminit.com/

There are many groups including:

• The Future of ICTs and Development
• Communication and Climate Change Adaptation

In the above group I learned of the following initiative :

There is an interesting initiative in Africa called AfricaAdapt. It is a network that works to facilitate the flow of climate change adaptation knowledge for sustainable livelihoods between researchers, policy makers, civil society organisations, and communities who are vulnerable to climate variability and change across Africa. There is a whole section on their website that allows for communities to upload their own information on how they are adapting to climate change. The initiative also offers an award for best community project which helps elicit contributions. See http://www.africa-adapt.net/AA/

Africa: never far from the news. Lets hope this next week there is some +ve news from COP15 Copenhagen.

• Students - Communication for Development
• HIV/AIDS Strategy: Future Directions
• Polio Communication Consultation Group

There are diseases lost to the developed nations and with diseases like polio and leprosy communication and education are central to those who are ill and their families. Even as a nurse there is a stark reminder in the need for an International Leprosy Day.

• Gender, Education, and HIV/AIDS

On the teaching psychology list someone asked this past week about alternatives to structure a student's lifespan assignment. I suggested Hodges' model an approach that can also be adapted to educate people about disease ....

SCIENCES: aetiology, prevention, transmission, hygiene, diagnosis, prognosis, evidence, research, physical resources, drugs, nutrition, age, weight...
INTRAPERSONAL: attitudes, beliefs, education, literacy, personal responsibility, mood...
SOCIOLOGY: social networks, cultural beliefs, gender expectations, community, family, friends, trust...
POLITICAL: policy, leadership, funding, activism, infrastructure: housing heating..., access to services, media, employment, governance...

• Ethics in Communication for Development
• Gathering Theories and Models

This group only has 5 members and is of obvious interest to me. I can't recall whether I signed up: must check! Planning and development in this context covers topics and issues I know nothing of and yet I am sure that dressed in its socio-technical guise Hodges' model can contribute to the theoretical development here. It could be that there are other perspectives, models and conceptual frameworks to be found that can inform the global health agenda?

• DRAFT: Technical Update on Social Change Communication and HIV/AIDS
• Human Rights and Technology
• Web Site Directors

So, do visit the Communication Initiative both the new groups above and the general website.

World Mental Health 'Day' - what about the night shift?

For convenience sake our lives usually follow the sun's traverse. The majority of events associated with World Mental Health Day will take place during office hours and early evening.


I am looking forward to a local event in Leyland, Lancashire on Monday, which includes speed dating. This will provide that 10-15 minute opportunity to share and obtain information about other services and people involved in local mental health care. The agenda looks excellent and includes the active participation of carers and service users.

So, what of World Mental Health 'Day'?

Mental health - like all health and social care is a 24 hour affair. How often do we forget this? Of all the care (knowledge) domains I write about here, mental health remains the 'silent one'. If you have had worries, anxiety and much more besides you know full well there are actually 24 hours in a day and the silence is not because 'mental health' sleeps. So 'Day' is quite apposite in shedding light on what remains a poorly understood and  stigmatised aspect of health care and our lives. 

Comprising all four declared domains and uncertainty - the spiritual domain is not referred to in Hodges' model explicitly and yet in our day-to-day existence spiritual matters figure in lives just begun, journeys ongoing and lives at an end and people remembered. Whether we practice a religion, follow a belief there is no escape from news that relates to religion. Strange then: not listed in Hodges' model and yet more evident and prevalent than mental health it seems. In my career I have noticed how religion and mental health can be very uncomfortable companions for some individuals. One exacerbating or being the cause of problems in the other. By the same, or maybe a different token, religion is also a great source of comfort, solace, affirmation, peace and reconciliation for many and a crucial resource through the many people who work under the auspices of the World's religions.

I have tried to catch this 'relationship' in my categorization of links in the INTER - INTRAPERSONAL domain which includes:

Psychology, Mental Health, Therapies, with Philosophy, Ethics, Ideas, Context, Creativity, Theology and Inter-Transdisciplinary resources.

So wherever you are, I hope you find peace especially through this day and night, whether or however you illuminate your mind, heart and soul.

Image source: http://www.daily-tangents.com/ImageCat/ErthMoon/
and NHS various.

A techno-spiritual world with agnostic needs

Whatever our own personal beliefs
we live in spiritual times.

Agnosticism
is a frequent and ongoing subject of debate in
the philosophy of religion, science and ideas.

It also features - duly tempered for purpose -
in other fields notably technology.

In the early days of IT and ICT those buying information systems grew tired and wary of being locked-in to particular platforms, with consequent dependency upon vendors. This also put the technology to the fore, with the risk of relegating business requirements to 'out of hours'. While many business relationships did undoubtedly prosper, the market soon recognized the need for standards and the need for technology to be agnostic, increasing freedom and choice in the marketplace.

Among the retinue of central tenets in medicine, health, social care and nursing is the need for unconditional positive regard and a non-judgemental approach. So caring is most definitely not without beliefs and values. In the same way that vendors to companies and academia want to be free and determine their requirements around their business and needs, so too there is a perceived need for the health care 'industry' to be agnostic. Re-framing a bullet list in the post: ''Increase knowledge innovation and manage technology change' c/o http://lucasmcdonnell.com/ agnostic in a health context becomes:

1. As per the need for evidence-based x, y, z... fully research your status, direction and tools not only before you adopt them, but also while you’re using them*;
2. Don’t get emotionally attached to a particular assessment, planning, intervention (therapy) or evaluation toolset;
3. Continuously research (horizon scan* - look over the fence) at other research possibilities and alternatives;
4. And as Lucas McDonnell make clear: Don’t build yourself into a corner*.

*Of course, that last point is hypercritical - since there are at least four corners!

This is where Hodges' model comes into play, (not quite with underpants on the outside, but certainly with utility belt firmly in-situ).

Hodges' model - as a model to support and integrate care - is agnostic in the following ways:

DISCIPLINE: unless its origins prejudices its case, Hodges' model can be applied by any and all disciplines. This is crucial in times when multidisciplinary and even transdisciplinary team work is needed.
THERAPEUTICS: whether physical, social or biopsychosocial - Hodges' model is agnostic regards particular therapy interventions. It is not married to gene therapy, cognitive therapy, primary nursing, family therapy, gestalt therapy.
PHILOSOPHY: 'care- nursing- ward- philosophy' is probably a much misused term, but once again Hodges model is philosophically neutral - unless it is deemed that its generality - pantological aspirations - is itself a philosophical stance?
SUBJECT: in being person-centered the model is agnostic in respect of the individual using the model or who happens to be the focus of the model. This is quite critical at present with the engagement of patients in education, self-care and individual budgets in cases of long-term medical conditions.
AUTHORITY: Although disciplines with their professional legacies and politics can and do (justifiably) lay claim to authority and legitimacy Hodges' model can negotiate this divide.
SOCIO-TECHNICAL: this form of agnosticism for Hodges' model is not given the credence it should be afforded. Being context sensitive and situated the model can perform a definitional volte face appealing to a socially or technically oriented user-base, or both.
CULTURAL: Finally, it is essential that our tools are not 'tainted' from the perspective of a particular community or ethnic group. Apart from the structure of the model with its historical (mythic) iconographic associations, the model is open and not directly allied to any specific ethnic group, set of cultural or religious beliefs. Ideologically AND practically then the model provides a neutral ground upon which values and beliefs can be shared.

Additional links:

Becoming a Technology Agnostic, by davidleeking (My primary source through twitter)

Increase knowledge innovation and manage technology change.

AAPT: a technology agnostic strategy - interview with Dave Marsh, Director of Infrastructure Solutions - Interview.

Technology-agnostic approach to Service Oriented Architecture: back to the essence of SOA?

Death in Birth By Vivienne Walt/Freetown Thursday, Sep. 18, 2008

An excerpt from an article in TIME magazine is posted below by Patti Abbott, Co-Director of the PAHO/WHO Collaborating Center for Nursing Knowledge, Information Management and Sharing (KIMS), Johns Hopkins University School of Nursing.

The entire article can be found at: http://www.time.com/time/magazine/article/0,9171,1842278,00.html

“In a hospital ward in Freetown, the capital of Sierra Leone, Fatmata Conteh, 26, lay on a bed, having just given birth to her second child. She had started bleeding from a tear in her cervix, the blood forming a pool on the floor below. Two doctors ran in and stitched her up, relatives found blood supplies, and nurses struggled to connect a generator to the oxygen tank. One nurse jammed an intravenous needle into Conteh's arm, while another hooked a bag of blood to a rusted stand, and a third slapped an oxygen mask over her face. In the corner of the room, a tiny baby--3 hours old--lay on a bed, wailing, swaddled in bright-colored African fabric. "Listen! You must feel happy to hear your baby cry," said a nurse, pleading with Conteh to find strength. Three visiting members of a neighborhood church began chanting over Conteh: "Jesus, put blood into this woman! Thank you, Lord!" But as their chants grew louder, the nurses stepped back from the bed. Conteh was dead.

Some version of that scene is repeated around the world about once a minute. Death in childbirth is not just something you find in a Victorian novel. Every year, about 536,000 women die giving birth. In some poor nations, dying in childbirth is so common that almost everyone has known a victim. Take Sierra Leone, a West African nation with just 6.3 million people: women there have a 1 in 8 chance of dying in childbirth during their lifetime. The same miserable odds apply in Afghanistan. In the U.S., by contrast, the lifetime chance that a woman will die in childbirth is about 1 in 4,800; in Britain, 1 in 8,200; and in Sweden, 1 in 17,400. Deaths are heavily weighted to the poorest and most isolated in each country, which means that many politicians remain largely ignorant of the scale of the tragedy. "Often the people in the cities do not know what is happening in their own rural areas," says Sarah Brown, wife of British Prime Minister Gordon Brown and patron of the White Ribbon Alliance, a global advocacy organization that works with governments to lower maternal mortality rates. Brown--who lost a baby 10 days after giving birth in 2001--says that when she tells heads of state and their spouses how many women die in childbirth, "they are aghast."

The Gains Not Made
They have reason to be. For here is the truly ghastly reality of maternal mortality: in 20 years--two decades that have seen spectacular medical breakthroughs--the ratio of maternal deaths to babies born has barely budged in poor countries. To be sure, maternal health has seen advances, with new drugs to treat deadly postpartum bleeding and pregnancy-related anemia. But in many places, such gains are dwarfed by a multitude of problems: scattershot care, low pay for health workers and a scarcity of midwives and doctors. In Mozambique, where women have a 1 in 45 lifetime chance of dying in childbirth, there are just 3 doctors per 100,000 people; in all of Sierra Leone, there are 64 government doctors, only five of whom are gynecologists. Millions of families have never seen a doctor or nurse and give birth at home with traditional birthing helpers, while those who make it to a clinic--some being carried on bicycles or in hammocks--often find patchy electricity, dirty water and few drugs or nurses. Explaining the task of reducing maternal deaths, Sierra Leone's Minister of Health, Saccoh Alex Kabia, who returned home last year after decades of working as a surgeon in Atlanta, says, "The whole health sector is in a shambles."

The article goes on to say:

“When world leaders gather in New York City this month to take stock of the MDGS, their speeches are likely to tout the many achievements since 2000: millions more African children now attend school and sleep under mosquito nets; thousands of new water wells have been dug. Yet though maternal health care underpins many other development goals (healthy mothers are more likely to ensure that their children are well fed and educated), the total number of women dying in childbirth has remained virtually unchanged in eight years. Why? Health officials are clear in their answers. Aside from lack of money and political will, they also face entrenched traditions and fatalistic attitudes to maternal mortality, especially in very poor communities. "People think that dying in childbirth is not preventable," says Nadira Hayat, Afghanistan's Deputy Minister of Health. "They say it is up to God."

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

I think they need knowledge, a nurse, a midwife.

Patti
Patricia A. Abbott, PhD, RN, FAAN
Co-Director of the PAHO/WHO Collaborating Center for Nursing Knowledge, Information Management and Sharing (KIMS), Johns Hopkins University School of Nursing
___________________
Visit web site:
http://my.ibpinitiative.org/GANM/NMmakingpregnancysafer/

My source: posted by Jody Lori: [Nursing and Midwifery for Making Pregnancy Safer: Discussion] link to article in Time Magazine.

Additional links:

http://www.unicef.org/infobycountry/sierraleone.html

http://www.unicef.org/infobycountry/sierraleone_statistics.html