tag:blogger.com,1999:blog-10246967.post114506254283175032..comments2024-02-22T04:07:33.179-05:00Comments on Nurse Keith's Digital Doorway: Truth and Consequences and Boerhaave'sKeith "Nurse Keith" Carlson, RN, BSN, NC-BChttp://www.blogger.com/profile/03581947410641941224noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-10246967.post-1145135706339992882006-04-15T17:15:00.000-04:002006-04-15T17:15:00.000-04:00I am not familiar with Gladwell and it seems I sho...I am not familiar with Gladwell and it seems I should be. In terms of "power-law distribution", that term is also unfamiliar to me. My ignorance is less than blissful at the moment, but I will try to get up to snuff and check the links which you provided. Thanks. <BR/><BR/>In terms of interventions with such individuals, our position is that we create meaningful therapeutic relationships over time and slowly begin to offer services and connections to lead the person out of their current state. Some people take the bait and others simply do not. Others may get on our wagon for a while and then fall back into old habits. <BR/><BR/>Unfortunately, the gentleman of whom I write here has generally eschewed our help and only surfaced when it was crisis time. His excesses took him to where he is now and although I would have liked to see a different deneoument, this was of his own making. It's the old adage of leading a horse to water.....Keith "Nurse Keith" Carlson, RN, BSN, NC-BChttps://www.blogger.com/profile/03581947410641941224noreply@blogger.comtag:blogger.com,1999:blog-10246967.post-1145120230991967052006-04-15T12:57:00.000-04:002006-04-15T12:57:00.000-04:00Keith, did you read Gladwell's extraordinary extra...Keith, did you read Gladwell's extraordinary extraordinary piece entitled <I>Million Dollar Murray: Why problems like homelessness may be easier to solve than to manage</I>? <BR/>http://www.gladwell.com/2006/2006_02_13_a_murray.html<BR/><BR/>Although Gladwell discusses some ideas for programmes concerned with "chronically homeless inebriates", I assume that many of the issues would be familiar to you from your client caseload.<BR/><BR/>I discuss the ideas in the context of non-formal carers<BR/>http://www.unltd.org.uk/blogs/tonyplant/174<BR/>I wondered what your experience was of any programmes in the US that have been implemented using the power-law distribution ideas. And what do you think of the possibility of making any helpful interventions in the case of someone who presented the adverse life circumstances and lifestyle choices that you describe so movingly.<BR/><BR/>Take Care - TonyAnonymousnoreply@blogger.com