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El. knyga: Integrated Practitioner: Integrating Everything (Book 4)

  • Formatas: EPUB+DRM
  • Išleidimo metai: 31-Oct-2014
  • Leidėjas: CRC Press
  • Kalba: eng
  • ISBN-13: 9781785230295
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Integrated Practitioner: Integrating Everything (Book 4)Didesnis paveikslėlis
  • Formatas: EPUB+DRM
  • Išleidimo metai: 31-Oct-2014
  • Leidėjas: CRC Press
  • Kalba: eng
  • ISBN-13: 9781785230295
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‘Health practice has always been many things, with many constraints and pressures. These thingshave changed over time and still vary from place to place. Being a practitioner here and now is,from one perspective, no different to the way it has always been. It involves integration. It involvesweaving together many threads into one whole tapestry. It involves taking a constrained and limitedpalate and painting freely. It may be a science, it may be technical, it may be psychological, it maybe spiritual, but it is always an art, because it integrates everything in order to create. And what wecreate is better health.’Justin AmeryThis extraordinary new series fills a void in practitioner development and well-being. The bookstake a reflective step back from the tick-box, target-driven and increasingly regulated worldof 21st century health practice; and invite us to revisit what health and health practice actuallyare. Building carefully on the science and philosophy of health, each book addresses the messy,complex and often chaotic world of real-life health practice and offers an ancient but now almostrevolutionary understanding for students and experienced practitioners alike: that health practice is afundamentally creative and compassionate activity.The series as a whole helps practitioners to redefine and recreate their daily practice in waysthat are healthier for both patients and practitioners. The books provide a welcome antidote todemoralisation and burn-out amongst practitioners, reversing cynicism and reviving our feelingof pride in, and our understanding of, health practice. By observing practice life through differentlenses, they encourage the development of efficiency, effectiveness and, above all, satisfaction.The fourth book in the series, The Integrated Practitioner: Integrating Everything, considers the ‘we’,the ‘me’ and the ‘other’ perspectives of books 1-3 and integrates everything into ‘health practice’ asa single entity. It recognises the multifaceted nature of healthcare, its different constraints and variedpressures, but also views it from a new perspective, fostering a happier, healthier and more skilfulwhole within the real-life, complex and often messy world of health practice.Brilliantly written, practitioners, students and trainees and GP trainers will find the enlightening,witty, conversational style a joy to read.

'Health practice has always been many things, with many constraints and pressures. These things have changed over time and still vary from place to place. Being a practitioner here and now is, from one perspective, no different to the way it has always been. It involves integration. It involves weaving together many threads into one whole tapestry. It involves taking a constrained and limited palate and painting freely. It may be a science, it may be technical, it may be psychological, it may be spiritual, but it is always an art, because it integrates everything in order to create. And what we create is better health.' Justin Amery This extraordinary new series fills a void in practitioner development and well-being. The books take a reflective step back from the tick-box, target-driven and increasingly regulated world of 21st century health practice; and invite us to revisit what health and health practice actually are. Building carefully on the science and philosophy of health, each book addresses the messy, complex and often chaotic world of real-life health practice and offers an ancient but now almost revolutionary understanding for students and experienced practitioners alike: that health practice is a fundamentally creative and compassionate activity. The series as a whole helps practitioners to redefine and recreate their daily practice in ways that are healthier for both patients and practitioners. The books provide a welcome antidote to demoralisation and burn-out amongst practitioners, reversing cynicism and reviving our feeling of pride in, and our understanding of, health practice. By observing practice life through different lenses, they encourage the development of efficiency, effectiveness and, above all, satisfaction. The fourth book in the series, The Integrated Practitioner: Integrating Everything, considers the 'we', the 'me' and the 'other' perspectives of books 1-3 and integrates everything into 'health practice' as a single entity. It recognises the multifaceted nature of healthcare, its different constraints and varied pressures, but also views it from a new perspective, fostering a happier, healthier and more skilful whole within the real-life, complex and often messy world of health practice. Brilliantly written, practitioners, students and trainees and GP trainers will find the enlightening, witty, conversational style a joy to read.
About the author vii
Acknowledgements viii
Introduction to the series 1
o Why are these workbooks needed? 1
o Why did I write them? 2
o What will be in them? 3
o What perspectives and approaches will they use? 4
o Points and prizes: something for nothing 9
o Provisos 9
Section One: Creating in Practice
Chapter 1: The fundamental creativity of health practice 13
o The art of practice 15
o A quick recap 16
Chapter 2: Health as a creation 23
o The creation: better health 24
o Practitioners as artists 26
o Our palette: almost anything 27
Chapter 3: What is creativity? 31
o Imagination 34
o Action 35
o Can we train to be more creative? 36
o Factors that may affect the way we think 37
o The fl ow state 38
o Integrating creativity into our practice 39
Chapter 4: The infi nite world of practice (and the 'no- model model') 41
o The importance of nothing 42
o Practice as an infi nite entity 43
o Amery's (very transient) No-model Model 44
o The importance of presence 46
o Creation through imagination 47
Section Two: Having a Go
Chapter 5: This is it 53
Chapter 6: Clearing 55
o Clearing the ring 56
o Getting perspective 57
o Health practice as 'being' not 'trying' 59
Chapter 7: Awakening 63
o Committing 64
o An example 64
o Dissolving 66
o Jumping 67
o Waking up (fl ying, not falling) 68
Chapter 8: Connecting 71
o The golden minute 71
o Introducing the patient into the infi nite ring 72
o The fl ood 74
o Deep listening (and watching) 76
o Don't interrupt. Really don't. Really. Don't. 76
o The very useful miracle 77
Chapter 9: Trust your intuition
(but check it too) 79
o Thinking: fast and slow 80
o The practical application of convergent and divergent thinking 81
o Problems with divergent and convergent thinking 82
o Factors that may affect the way we think 82
o Ebbing and fl owing 84
o Integrating and harmonically balancing our thinking in practice 85
Chapter 10: Mapping 89
o What maps of health are there? 89
o Don't fall into the health beliefs trap 91
o Creating and merging different maps 92
o Consonance and dissonance in practice 94
o Integrating maps into practice 97
Chapter 11: Negotiating 99
o Co- creation can only be done in partnership 99
o Negotiating agendas 101
o Negotiating routes, waypoints and end- points 102
o A worked example 104
o The road taken 107
o A good enough journey plan 108
Chapter 12: Letting go 111
o The absolute importance of letting go 112
o (Re)Creating ourselves 113
o A brief meditation on death 114
o Health practice as self-p ractice 116
Chapter 13: Models and reality 119
o Models and reality 119
o The model as a tool 120
o The model as a tyrant 121
o Models as tools or tyrants? 122
o Integrating and balancing models and practice 123
o The realities of practice 125
Chapter 14: Creating better health 129
o Creating in your own practice 130
Chapter 15: Integrating everything 135
o Cycling on the road to nowhere 136
o The messiness of life 138
o Beginner's mind: meta-c ompetence 138
o Including but transcending our expertise 141
o Integrated practice as a 'meta-level' of refl ective practice 142
o Zen and the art of health practice 143
Conclusion: power, beauty and love 147
Notes 149
Bibliography 168
I am a full- time practising family practitioner and children's palliative care specialist doctor working in the UK. I have also spent some years working in Uganda and other sub- Saharan African countries.

I enjoy teaching, writing and mentoring. I am a medical student tutor at the University of Oxford, a trainer in general practice, and I have designed and set up children's palliative care courses for health professionals in the UK and Africa. I have worked with 'failing practices' to help them turn round; and also with health professionals who are struggling (as we all do from time to time).

I have always had an interest in philosophy and spirituality, and have studied this at postgraduate level. I have carried out some research into education and training of health professionals around the world and I continue to explore that interest. I have previously written two books: Children's Palliative Care in Africa (Oxford: Oxford University Press, 2009) and the Association for Children's Palliative Care (ACT) Handbook of Children's Palliative Care for GPs (Bristol: ACT, 2011). I particularly enjoy reading and writing poetry.

At heart, though, I am a practitioner and a generalist. What is more, as you can probably see, I am rather a jack of all trades, and a master of none.

I have been motivated to write this book as I am hoping to explore practical ways of practising health that help us all, patients and practitioners alike, to become a little more healthy, and a little more whole.
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