The idea that people should take more personal responsibility for their health is nothing new. For more than 40 years now, we have been promoting the belief that self-care is obviously good and necessary, and that people should be less passive and less dependent. This view has been particularly prevalent in physiotherapy, where the shift away from so called 'passive' modalities has been accompanied by an equally powerful set of discourses pushing behaviour change and an activity-is-best agenda. We've written about some of the dangers of this approach elsewhere (Nicholls et al, 2018), but a recent paper published in the journal Sociology of Health and Illness adds weight to the belief … [Read more...] about A more complex view of patient self-management
Today's image was suggested by Jenny Setchell. Click on the image to open it to full size. You can then save it and turn it into a desktop background by following these brief instructions. … [Read more...] about 30 Days of September: Day 12
English law once included a principal that the thing that had caused accidental death or injury - the carving knife that had accidentally chopped off the finger, or the carriage that trampled the person's leg - should be surrendered to God in recognition of its part in causing harm or suffering. This 'thing' was called a deodand and it existed in law from around 1200AD until it was abolished in 1846. The object would be surrendered to the crown and used or sold to compensate for the harm done. William Pietz said that 'any culture must establish some procedure of compensation, expiation, or punishment to settle the debt created by unintended human deaths whose direct cause is not a … [Read more...] about Physiotherapy is part of the debt we pay when things go wrong
This post from our CPN Exec member Barbara Gibson just appeared on The AMS Phoenix Project site (link) and is cross-posted here. I recently attended my first AMS Phoenix Project Conference as a new grant recipient. It was a treat to be amongst a talented group of people who are collectively dedicated to infusing compassionate care into healthcare, and who are doing so from diverse perspectives. As someone who identifies as a critical researcher I was especially intrigued by some of the comments provided by speaker Arno Kumagai related to the problem of evaluating compassion. Dr Kumagai mentioned a somewhat disturbing trend in healthcare towards measuring compassionate care utilizing … [Read more...] about Wither ‘Quality of Life’?
Physiotherapists, like all orthodox western health professionals, love endings. Think about it. Every time we begin a new patient assessment, we have got one eye on the patient's discharge. We love goals and outcome measures so that we can measure when milestones have been reached and end-points achieved. It seems every opening to a new episode of care comes with an implicit expiration date. Naturally, funders are eager that packages of care are limited and treatments don't extend on into days, weeks and months, and we seem to have accepted the inherent logic that care must have term limits. Time-limited care suits acute illnesses and injuries that are, by definition, … [Read more...] about New: Openings
This image is free for you to print or download. It is formatted in A4 landscape. Please share with colleagues: other physiotherapists, doctors, nurses, occupational therapists, etc...whomever you think might find it useful. … [Read more...] about 10 critical suggestions for new graduates
There are many things I love about William Morris, the 19th century textile designer, poet, novelist, translator, and socialist activist (see profile here). I've always had a passion for the Arts and Crafts movement that he contributed so much to. I love the idea that things should be done once and done well. I love his socialism and belief in the struggles of people less well off than us. But it was his belief in the need to do the best one could, and to be satisfied with one's achievement - no matter how modest - that has always drawn me to him. Late last week, I posted a blog about how I didn't think that physiotherapy could claim to be patient-centred. Thank you to the people … [Read more...] about If I can