Rehabilitation Matters

Posts in this category are not easily categorised! They will cover any aspect of rehabilitation and a range of topics peripheral to rehabilitation, matters that should be discussed and considered but may not be – yet.

Rehabilitation is holistic, or is it?

Rehabilitation usually promotes itself as holistic, considering the patient as a whole and being patient-centred. Using the biopsychosocial model should indeed enforce a holistic, patient-centred approach. (here) Nevertheless, there are counter-forces at play, forces that we sometimes encourage. The primary countervailing power is a desire to categorise, classify, and develop small specialise treatment programmes. For …

Rehabilitation is holistic, or is it? Read More »

Multidisciplinary, Interdisciplinary, or Transdisciplinary?

Teams use many different words to describe themselves. A team recently asked me to help them decide whether they are a multidisciplinary or an interdisciplinary team. The background information provided perfectly illustrated the difficulty in defining the team, as illustrated in this figure. (here) The question prompted me to write this blog post to show …

Multidisciplinary, Interdisciplinary, or Transdisciplinary? Read More »

Using the MCA in health services

The Mental Capacity Act (MCA) is a well designed, useful piece of legislation that governs decision-making for people who lack the mental ability to make decisions (in England and Wales). Unfortunately it has been blown right off course by well-meaning but clinically inappropriate guidance which has rendered it unused and unusable. The principles of the …

Using the MCA in health services Read More »

Pain in PDOC

PDOC stands for Prolonged Disorder of Consciousness; the term covers two previously defined states: the vegetative state, and the minimally conscious state. This post considers the question, “Does a person in a prolonged disorder of consciousness experience pain?” This question covers both pain caused by care or treatment, and also pain arising secondary to consequences …

Pain in PDOC Read More »

An impossible decision

Doctors make decisions, and are particularly used to making difficult decisions which involve not simply clinical facts, but family, ethical, legal and societal factors. Nevertheless, we are lucky to have an ultimate fall-back, the legal system, when decisions are ‘impossible’. In England and Wales, this is the Court of Protection which, fortunately, has some exceptionally …

An impossible decision Read More »

Goal attainment scaling.

One Friday 2nd July 2021 (at 05.00 hrs) I took part in a debate organised by Professor Barbara Wilson and hosted, virtually, in Melbourne, Australia. The debate concerned the use of goal attainment scaling (GAS). Two speakers supported its use clinically, in audit, and in research and two speakers opposed its use. At the outset …

Goal attainment scaling. Read More »

Do no harm

I have learned much about making decisions on 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 …

Do no harm Read More »

Social Care research

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 who wishes to see the slides can download then from this webpage here. The talks will also …

Social Care research Read More »

Humanities in rehabilitation

This post concerns training in and education about empathy 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, though academic study is also possible. The blog points out that education or training in humanity is …

Humanities in rehabilitation Read More »

Meta

Exit mobile version
%%footer%%