On Friday, 2nd July 2021 (at 05.00 hrs), I participated in a debate organised by Professor Barbara Wilson and hosted virtually in Melbourne, Australia. The discussion concerned the use of goal attainment scaling (GAS). Two speakers supported its use clinically, in audit, and in research; two opposed it. At the outset, only 4% of listeners […]
Goal attainment scaling. Read More »
Most professions initially developed based on trust. Examinations were rare. Doctors (and other professions) learn through experience. For healthcare, as science advanced and increased in importance, examinations in basic sciences were introduced. Once qualified, further advance depended upon the trust of patients and other doctors. Even when I trained, the only examination after qualification was
Entrustability – what is it? Read More »
The role of an Advanced Clinical Practitioner could be characterised as a role searching for a purpose. This post suggests a purpose, to meet the rehabilitation needs of people with Long Covid. They could, eventually, help increase and improve all rehabilitation services. This post reviews how the role emerged over the last 30 years or
Advanced Clinical Practitioners Read More »
I have learned much about making decisions about people in a prolonged disorder of consciousness from The Honourable Justice Hayden, Vice President of the Court of Protection. This post discusses a comment made at the most recent case I attended. He referred, indirectly’ to the saying in the Hippocratic corpus: “‘The physician must… have two
Today (May 26th 2021), I attended a Zoom-based seminar on Social Care research run by the Research Design Service (South Central) of the National Institute for Health Research (NIHR). It was excellent. I will discuss it here. Anyone wishing to see the slides can download them from this webpage. The talks are also available on
Social Care research Read More »
This post concerns training in and education about empathy, “the ability to understand and share the feelings of others” [OED]*, in the practice and delivery of rehabilitation. This blog suggests that education to increase empathy is needed and is possible. This education is best acquired by studying the humanities, “learning concerned with human culture, especially literature, history,
Humanities in rehabilitation Read More »
“Helping the Public Understand Adverse Events Associated With COVID-19 Vaccinations. Lessons Learned From Functional Neurological Disorder.” (here) Published today (9th April 2021), I think this viewpoint is brave; mentioning Covid-19 and functional disorders in the same title; challenging, because it suggests the bravery is warranted; and, to me, fascinating because it shows how the biomedical
Covid, FND, and models Read More »
On 7 April 2021, the National Institute for Health and Care Excellence, or NICE, published its guidelines on the diagnosis and management of chronic pain (NG193). I published the first version of this post the same day. Two years later (26 July 2023), I am revising my post because much was poorly written, and there
NICE on chronic pain Read More »
One December 18th 2020 the UK National Institute for Health and Clinical Excellence (NICE) published its guidance on managing the long-term effects of COVID-19. (here) On re-reading it, they are in reality suggesting that everyone should have access to “integrated, multidisciplinary rehabilitation services“. They also state (correctly) that one cannot know who has actually had
NICE – post-Covid guide Read More »
This post was precipitated by reading two papers and following references and links in the papers. The post draws attention to the serendipity that can occur on reading a paper, and the enormous changes that have occurred over 40 years. On a practical level, a paper on ‘gamification’ led me to social network measures, and
Reflection on progress Read More »
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