This conversation is closed.

Is it possible to screen patients for their own obstacles to wellness?

I sat on this idea for about a year now and have let the many things I have read and listened to on various subjects including motivation, behavioral change, wellness, compiance and the state of the health of the nation and have come up with the beginning of an idea for a way to engage patients and develop personalized healthcare. I have made the mistake time and time again to want to plant a tree rather than a seed so I took the time to let the thoughts marinate to a seed and am ok that I do not have the full blossomed tree yet. I am a believer in transdiciplinary collaboration, this is the best place for that- this I know for sure!

What I would like to see is a tool developed to help a patient identify their needs then allow them to see where they are and where they are going in what I would call their Wellness Story. I would call this a Wellness Mapping tool to allow patients to show us where they are in wellness according to their personal goal of what wellness is to them. This tool would allow the nurse to understand the patients perspective of wellness, not what we value, but what the patient values.

The tool would allow us to advocate for the patient in developing a plan the patient felt they had the capacity to continue. "People are not motivated by fear; yet something tangible in their life" (Thomas Goetz). The purpose of the tool would be to give the patient a sense of empowerment, "And the day came when the risk it took to remain tight in the bud was more painful than the risk it took to blossom" (Anais Nin) .

People are highly intelligent and highly individual. We can not expect to tell a person what they need to do to gain health rather be a resource- a light in their darkness, "And so, I give this spark of what is light to me, To guide you through the dark but not tell you what to see" (Unknown Author).

Because we have to change the way medical care is implemented.

Closing Statement from Autumn Frisco

I believe I needed to identify what wellness is to me to guide the conversation the direction I was looking for. Wellness and Illness not being opposites on the same linear path. In the absence of illness a person would not be labeled well. What the patient Wellness Story would do is expose vulnerabilities of the patient, the way Brene Brown discusses vulnerability in her talk "The Power of Vulnerability". Exposing patients vulnerability will expel the human tendency to numb instead of experience vulnerability, the numbing is an obstacle to wellness. . . perhaps the most important obstacle.

I am glad that yesterday by recommendation on another conversation I re-watched her talk because new neurons connected for me while I listened. I will bring this question up again in a different way.

  • Jul 27 2011: More research into maping of the human genome and deciphering what genes cause certain illnesses.(just my opinions)
    • Jul 28 2011: I'm not looking so much into diagnosing or curing patients medical problems with this- What my hopes are for is to work with [instead of against] the healthcare model to improve patient outcomes by engaging and empowering patients. Develop the tools to include the patient fully in their assessment and therefore fully in the planning of their care/treatment.
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    Aug 22 2011: Is it possible? Yes, anything is possible. This idea is akin to artificial intelligence for the Health & Wellness industry. People are like snowflakes - no two are 100% alike - so the solution would have to be customizable and highly adaptable to the changing needs of the body. I agree with Nick Edward regarding "human genome mapping."
  • Jul 28 2011: Daniel, have you looked at self-management models, eg Flinders model? http://www.flinders.edu.au/medicine/sites/fhbhru/self-management.cfm