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From Looking for Missing Pieces to
Recognizing the Bigger Picture: What
Health Workers can Learn from Art
Olaf Kraus de Ca...
Curing x Curating
• Same Latin origin: curare = to take care
 Understanding cure as elimination of illness makes
us focus...
The Power of Diagnosis
• Power to the diagnostician:
 Ability of prognosis (knowing before) (chance of
dying, years of li...
The Power of Diagnosis
• Power to the therapy provider:
 Select access to care
 Specialize treatment
 Fend off competit...
The Power of Diagnosis
• Hope to the “patient”
 Get rid of the disease (be “cured”)
The Process of Diagnosis
• “Looking for missing pieces” – a process of ruling out
 Did the child meet all the development...
The Art Institute of Chicago Gift of Frank B. Hubachek
© Salvador Dalí, Fundació Gala-Salvador Dalí / Artists Rights So...
Meet Lars*
• Boy, 4 years old
Ex-preemie of 32 weeks, birth weight 1665g (ICD10: P07.12)
Double-outlet-right-ventricle (IC...
The Missing Pieces
The Missing Pieces
The Missing Pieces
The Missing Pieces
The Big Picture
Far from the Tree*
*Solomon A. Far From the Tree: Parents,
Children and the Search for Identity,
Scribner; 2012
Meet Lars*
• Boy, 4 years old
 Father is in jail
 Custody disputes between parents and CAS is involved
 Disagreements b...
Appreciating People with Health Problems
• What is the first thing you see and hear?
• Boy, 4 years old
 Father is in jail
Appreciating People with Health Problems
• Where do your eyes and your mind go next?
• Who takes care of this kid?
 Custo...
Appreciating People with Health Problems
• Consider how life set up this person in front of you: her family, work, living
...
Appreciating People with Health Problems
• Look again – what does it mean to you?
 A 4 year old boy in need - How can I h...
Health Professionals as Curators
• Appreciate persons beyond their diagnosis
• See persons in the context of their life si...
Thank you!
“Everlast” Part of “Tensor Teddy”
by Michelle Bellemare, 2002
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From Looking for Missing Pieces to Recognizing the Bigger Picture: What Health Workers can learn from Art

Presentation at the "Picturing Wellness" Conference in Hamilton, ON, Canada, March 3rd, 2016 #picturingwellness

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From Looking for Missing Pieces to Recognizing the Bigger Picture: What Health Workers can learn from Art

  1. 1. From Looking for Missing Pieces to Recognizing the Bigger Picture: What Health Workers can Learn from Art Olaf Kraus de Camargo @DevPeds March 3rd – 5th 2016, Hamilton Convention Centre http://tinyurl.com/pickwell
  2. 2. Curing x Curating • Same Latin origin: curare = to take care  Understanding cure as elimination of illness makes us focus more on the diagnosis than on the person  Curating: selecting and exposing pieces of art – putting them in context  What could be the role of “curating” in health care?
  3. 3. The Power of Diagnosis • Power to the diagnostician:  Ability of prognosis (knowing before) (chance of dying, years of life left, ability to reach milestones, future opportunities on the job market)
  4. 4. The Power of Diagnosis • Power to the therapy provider:  Select access to care  Specialize treatment  Fend off competition (”not qualified”)
  5. 5. The Power of Diagnosis • Hope to the “patient”  Get rid of the disease (be “cured”)
  6. 6. The Process of Diagnosis • “Looking for missing pieces” – a process of ruling out  Did the child meet all the developmental milestones?  Did the child grow within the normal range?  Has the child presented with other health problems?  Does the child have an abnormal physical exam?  Is there a family history for a specific diagnosis?
  7. 7. The Art Institute of Chicago Gift of Frank B. Hubachek © Salvador Dalí, Fundació Gala-Salvador Dalí / Artists Rights Society (ARS), New York, 2014 Appreciating Art • What is the first thing you see? • Where do your eyes go next? • Consider how the artist uses the elements: colour, texture, shape/form, line, and space • Consider how the artist uses the following principles: balance, emphasis, and movement. • Keep in mind how the medium/media, size, and style of art affect how you see it. • Look again – what does it mean to you?
  8. 8. Meet Lars* • Boy, 4 years old Ex-preemie of 32 weeks, birth weight 1665g (ICD10: P07.12) Double-outlet-right-ventricle (ICD10: Q20.2) Valvular and infundibular pulmonary stenosis (ICD10: Q24.4) Global developmental delay (ICD10: F70.0) *Kraus de Camargo O, Simon L. Die ICF-CY in der Praxis. Bern: Verlag Hans Huber; 2013
  9. 9. The Missing Pieces
  10. 10. The Missing Pieces
  11. 11. The Missing Pieces
  12. 12. The Missing Pieces
  13. 13. The Big Picture
  14. 14. Far from the Tree* *Solomon A. Far From the Tree: Parents, Children and the Search for Identity, Scribner; 2012
  15. 15. Meet Lars* • Boy, 4 years old  Father is in jail  Custody disputes between parents and CAS is involved  Disagreements between professionals if Lars should be allowed to visit his dad  Required multiple hospitalizations  Has difficulty to establish trusting relationships, shy, withdrawn  Gets easily stressed in Kindergarten, educators are not sure what to expect from him and how to support him *Kraus de Camargo O, Simon L. Die ICF-CY in der Praxis. Bern: Verlag Hans Huber; 2013
  16. 16. Appreciating People with Health Problems • What is the first thing you see and hear? • Boy, 4 years old  Father is in jail
  17. 17. Appreciating People with Health Problems • Where do your eyes and your mind go next? • Who takes care of this kid?  Custody disputes between parents and CAS is involved
  18. 18. Appreciating People with Health Problems • Consider how life set up this person in front of you: her family, work, living environment  Gets easily stressed in Kindergarten, educators are not sure what to expect from him and how to support him • Consider how life presents: balance, emphasis, and trajectory.  Disagreements between professionals if Lars should be allowed to visit his dad  Required multiple hospitalizations  Has difficulty to establish trusting relationships, shy, withdrawn
  19. 19. Appreciating People with Health Problems • Look again – what does it mean to you?  A 4 year old boy in need - How can I help?  Importance of getting all professionals on the same page – interprofessional collaboration  Importance of identifying facilitators, strengths and resilience in the family and the support system  Importance of stable and trusting relationships
  20. 20. Health Professionals as Curators • Appreciate persons beyond their diagnosis • See persons in the context of their life situation • Take care of persons by looking at the big picture
  21. 21. Thank you! “Everlast” Part of “Tensor Teddy” by Michelle Bellemare, 2002

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