hello so the chances are that in all of our lifetimes at some point we will be
our lifetimes at some point we will be
our lifetimes at some point we will be admitted to hospital we will all become
admitted to hospital we will all become
admitted to hospital we will all become patients and as healthcare systems have
patients and as healthcare systems have
patients and as healthcare systems have grown in size and complexity whilst
grown in size and complexity whilst
grown in size and complexity whilst being financially squeezed they can
being financially squeezed they can
being financially squeezed they can become very focused on targets and when
become very focused on targets and when
become very focused on targets and when this happens the way in which patients
this happens the way in which patients
this happens the way in which patients are seen changes so people can feel
are seen changes so people can feel
are seen changes so people can feel dehumanized that are being impersonally
dehumanized that are being impersonally
dehumanized that are being impersonally processed along a sort of production
processed along a sort of production
processed along a sort of production line of Health now this might seem like
line of Health now this might seem like
line of Health now this might seem like the most effective way of doing things
the most effective way of doing things
the most effective way of doing things but in actual fact when we do this we
but in actual fact when we do this we
but in actual fact when we do this we waste some very valuable resources the
waste some very valuable resources the
waste some very valuable resources the same resources that could be used to
same resources that could be used to
same resources that could be used to provide much more engaging potentially
provide much more engaging potentially
provide much more engaging potentially enjoyable and holistic care so what
enjoyable and holistic care so what
enjoyable and holistic care so what happens at the moment is you know
happens at the moment is you know
happens at the moment is you know someone gets sick they go to the
someone gets sick they go to the
someone gets sick they go to the hospital they will see a doctor such as
hospital they will see a doctor such as
hospital they will see a doctor such as myself and I’ll take a medical history
myself and I’ll take a medical history
myself and I’ll take a medical history this is a story which culminates and why
this is a story which culminates and why
this is a story which culminates and why that person has come to hospital from
that person has come to hospital from
that person has come to hospital from that history
that history
that history I will distill it down to a problems
I will distill it down to a problems
I will distill it down to a problems list which might look something like
list which might look something like
list which might look something like this bed 5 78 year-old male presenting
this bed 5 78 year-old male presenting
this bed 5 78 year-old male presenting complaint full problems hip fracture
complaint full problems hip fracture
complaint full problems hip fracture confusion urinary tract infection pain
confusion urinary tract infection pain
confusion urinary tract infection pain and nausea
and nausea
and nausea so this problems list will go on to
so this problems list will go on to
so this problems list will go on to define that person’s admission and to
define that person’s admission and to
define that person’s admission and to find that person to some extent meaning
find that person to some extent meaning
find that person to some extent meaning the rest of the team will go about
the rest of the team will go about
the rest of the team will go about systematically addressing each one of
systematically addressing each one of
systematically addressing each one of these problems so bed 5 will be moved
these problems so bed 5 will be moved
these problems so bed 5 will be moved from the ward to the scanner to the
from the ward to the scanner to the
from the ward to the scanner to the operating theater back to the ward again
operating theater back to the ward again
operating theater back to the ward again reviewed by doctors physios and
reviewed by doctors physios and
reviewed by doctors physios and nutritionists etc let me introduce you
nutritionists etc let me introduce you
nutritionists etc let me introduce you to somebody else
to somebody else
to somebody else this is Grundy this is my granddad he’s
this is Grundy this is my granddad he’s
this is Grundy this is my granddad he’s an amazing man and by the time that this
an amazing man and by the time that this
an amazing man and by the time that this photo was taken he was also a 78 year
photo was taken he was also a 78 year
photo was taken he was also a 78 year old male admitted to hospital with a
old male admitted to hospital with a
old male admitted to hospital with a fool now in this photo he’s actually
fool now in this photo he’s actually
fool now in this photo he’s actually holding a number of things which he
holding a number of things which he
holding a number of things which he failed to find himself he’s holding his
failed to find himself he’s holding his
failed to find himself he’s holding his books about politics philosophy
books about politics philosophy
books about politics philosophy his music this is his story this is his
his music this is his story this is his
his music this is his story this is his history
history
history I often whales he said to find him and
I often whales he said to find him and
I often whales he said to find him and he said his family his friends his
he said his family his friends his
he said his family his friends his allotment his garden shed now these are
allotment his garden shed now these are
allotment his garden shed now these are two quite different ways of seeing the
two quite different ways of seeing the
two quite different ways of seeing the same person though it’s a very valid and
same person though it’s a very valid and
same person though it’s a very valid and both do serve a purpose but they are
both do serve a purpose but they are
both do serve a purpose but they are very different we would love for
very different we would love for
very different we would love for everybody to live it to be living and
everybody to live it to be living and
everybody to live it to be living and defined in the way that they see
defined in the way that they see
defined in the way that they see themselves as my granddad is here but
themselves as my granddad is here but
themselves as my granddad is here but clearly when people are admitted to an
clearly when people are admitted to an
clearly when people are admitted to an acute hospital setting these are the
acute hospital setting these are the
acute hospital setting these are the things which are standing in the way of
things which are standing in the way of
things which are standing in the way of them living how they want to live but to
them living how they want to live but to
them living how they want to live but to see things that simplistically mrs.
see things that simplistically mrs.
see things that simplistically mrs. something only is this way we would like
something only is this way we would like
something only is this way we would like to be having everybody living like this
to be having everybody living like this
to be having everybody living like this but it also contains a wealth of
but it also contains a wealth of
but it also contains a wealth of resources which could be used in his
resources which could be used in his
resources which could be used in his journey as a patient to facilitate much
journey as a patient to facilitate much
journey as a patient to facilitate much more engaging and enjoyable human care
more engaging and enjoyable human care
more engaging and enjoyable human care as well so as well as a doctor I’m a
as well so as well as a doctor I’m a
as well so as well as a doctor I’m a dancer and as a dancer I’ve had the
dancer and as a dancer I’ve had the
dancer and as a dancer I’ve had the honor and the privilege to work with the
honor and the privilege to work with the
honor and the privilege to work with the number of people using dance in the
number of people using dance in the
number of people using dance in the community setting like dance therapists
community setting like dance therapists
community setting like dance therapists music therapists physios OTS and I’ve
music therapists physios OTS and I’ve
music therapists physios OTS and I’ve seen the biological psychological and
seen the biological psychological and
seen the biological psychological and social impacts that dance can have in
social impacts that dance can have in
social impacts that dance can have in this context what I wanted to do those
this context what I wanted to do those
this context what I wanted to do those to see could we use dance in the acute
to see could we use dance in the acute
to see could we use dance in the acute hospital setting with people who are
hospital setting with people who are
hospital setting with people who are really quite sick to utilize some of
really quite sick to utilize some of
really quite sick to utilize some of those resources which I talked about to
those resources which I talked about to
those resources which I talked about to actually improve the delivery of their
actually improve the delivery of their
actually improve the delivery of their care so I previously was a doctor for
care so I previously was a doctor for
care so I previously was a doctor for Award for patients with multi
Award for patients with multi
Award for patients with multi drug-resistant tuberculosis in South
drug-resistant tuberculosis in South
drug-resistant tuberculosis in South Africa as MDR TB tuberculosis that’s
Africa as MDR TB tuberculosis that’s
Africa as MDR TB tuberculosis that’s resistant to multiple drugs normal jokes
resistant to multiple drugs normal jokes
resistant to multiple drugs normal jokes but most of our most effective ones
but most of our most effective ones
but most of our most effective ones drug-resistant organisms on a global
drug-resistant organisms on a global
drug-resistant organisms on a global scale are one of the biggest threats to
scale are one of the biggest threats to
scale are one of the biggest threats to global health but on an individual scale
global health but on an individual scale
global health but on an individual scale MDR TB is holistically detrimental to
MDR TB is holistically detrimental to
MDR TB is holistically detrimental to health and what I mean by that is it
health and what I mean by that is it
health and what I mean by that is it affects people biologically
affects people biologically
affects people biologically psychologically and socially so
psychologically and socially so
psychologically and socially so biologically or physically MDR TB
biologically or physically MDR TB
biologically or physically MDR TB destroys bodily tissues particularly
destroys bodily tissues particularly
destroys bodily tissues particularly affecting the lungs the spine and the
affecting the lungs the spine and the
affecting the lungs the spine and the brain that can affect pretty
brain that can affect pretty
brain that can affect pretty anywhere socially it’s very stigmatizing
anywhere socially it’s very stigmatizing
anywhere socially it’s very stigmatizing people don’t really want to hang along
people don’t really want to hang along
people don’t really want to hang along with the person who’s got a
with the person who’s got a
with the person who’s got a multidrug-resistant potentially
multidrug-resistant potentially
multidrug-resistant potentially contagious potentially fatal disease and
contagious potentially fatal disease and
contagious potentially fatal disease and then psychologically as people are
then psychologically as people are
then psychologically as people are stigmatized socially isolates it they
stigmatized socially isolates it they
stigmatized socially isolates it they can physically they can physically be
can physically they can physically be
can physically they can physically be conditioning they can psychologically be
conditioning they can psychologically be
conditioning they can psychologically be conditioned to so what is holistic does
conditioned to so what is holistic does
conditioned to so what is holistic does e holistic ly detrimental disease so
e holistic ly detrimental disease so
e holistic ly detrimental disease so going to work on this water thought we
going to work on this water thought we
going to work on this water thought we need a holistically positive solution or
need a holistically positive solution or
need a holistically positive solution or approach at least and so I thought this
approach at least and so I thought this
approach at least and so I thought this would be a great place for a dance
would be a great place for a dance
would be a great place for a dance session not everyone would be one of the
session not everyone would be one of the
session not everyone would be one of the biggest oh you can do those people are
biggest oh you can do those people are
biggest oh you can do those people are really sick they’re not gonna want to be
really sick they’re not gonna want to be
really sick they’re not gonna want to be dancing and I thought I actually
dancing and I thought I actually
dancing and I thought I actually probably right probably right then I saw
probably right probably right then I saw
probably right probably right then I saw actually when we asked the patients why
actually when we asked the patients why
actually when we asked the patients why don’t we ask these people who happen to
don’t we ask these people who happen to
don’t we ask these people who happen to be ill with this disease if this is
be ill with this disease if this is
be ill with this disease if this is something that they want to do and they
something that they want to do and they
something that they want to do and they were really keen I thought you know what
were really keen I thought you know what
were really keen I thought you know what we’ve got everything we need we’ve got a
we’ve got everything we need we’ve got a
we’ve got everything we need we’ve got a dance floor we got a sound system and
dance floor we got a sound system and
dance floor we got a sound system and we’ve got a crew of highly funky
we’ve got a crew of highly funky
we’ve got a crew of highly funky individuals ready to deliver these
individuals ready to deliver these
individuals ready to deliver these sessions so that’s what we did twice a
sessions so that’s what we did twice a
sessions so that’s what we did twice a week everyone out on the dance floor
week everyone out on the dance floor
week everyone out on the dance floor whether that was rolled out in a
whether that was rolled out in a
whether that was rolled out in a wheelchair with crutches or help by
wheelchair with crutches or help by
wheelchair with crutches or help by someone else if they couldn’t get out
someone else if they couldn’t get out
someone else if they couldn’t get out then we would do own little personal
then we would do own little personal
then we would do own little personal sessions with them in their beds and
what we the way that we thought that we
what we the way that we thought that we built it was it was very much a
built it was it was very much a
built it was it was very much a collaborative work so the music selected
collaborative work so the music selected
collaborative work so the music selected would be their favorite shoes that they
would be their favorite shoes that they
would be their favorite shoes that they used to dance during night clubs it bars
used to dance during night clubs it bars
used to dance during night clubs it bars at home with their families the
at home with their families the
at home with their families the movements which would be selected would
movements which would be selected would
movements which would be selected would be everyone teaching each other so I
be everyone teaching each other so I
be everyone teaching each other so I didn’t teach a dance lesson I ran a
didn’t teach a dance lesson I ran a
didn’t teach a dance lesson I ran a dance session people went from being
dance session people went from being
dance session people went from being passive recipients to care it’s being
passive recipients to care it’s being
passive recipients to care it’s being active collaborators in their own
active collaborators in their own
active collaborators in their own recovery with the movements they would
recovery with the movements they would
recovery with the movements they would teach each other and we would all just
teach each other and we would all just
teach each other and we would all just say well you know what’s your favorite
say well you know what’s your favorite
say well you know what’s your favorite dances yeah cool and then we would make
dances yeah cool and then we would make
dances yeah cool and then we would make up routines we’ve developed these on so
up routines we’ve developed these on so
up routines we’ve developed these on so we might have a step like this and what
we might have a step like this and what
we might have a step like this and what I might do is add in an extra sort of
I might do is add in an extra sort of
I might do is add in an extra sort of adding some arms
because being able to lift up your arms
because being able to lift up your arms around your head is actually really
around your head is actually really
around your head is actually really important for activities of daily living
important for activities of daily living
important for activities of daily living like washing feeding herself and you
like washing feeding herself and you
like washing feeding herself and you know obviously we had lots and lots of
know obviously we had lots and lots of
know obviously we had lots and lots of fun but also the patient said that it
fun but also the patient said that it
fun but also the patient said that it really affected them
really affected them
really affected them they said that physically they felt
they said that physically they felt
they said that physically they felt stronger and that their breathing was
stronger and that their breathing was
stronger and that their breathing was easier they felt psychologically more in
easier they felt psychologically more in
easier they felt psychologically more in control and happier and socially the
control and happier and socially the
control and happier and socially the atmosphere on ward changed the way in
atmosphere on ward changed the way in
atmosphere on ward changed the way in which patients and staff patients and
which patients and staff patients and
which patients and staff patients and other patients patients and family all
other patients patients and family all
other patients patients and family all interrelated with each other was quite
interrelated with each other was quite
interrelated with each other was quite different they were talking together as
different they were talking together as
different they were talking together as people with other people which is really
people with other people which is really
people with other people which is really important and as I said the patient’s
important and as I said the patient’s
important and as I said the patient’s felt really engaged with their care and
felt really engaged with their care and
felt really engaged with their care and since then where I can remember being
since then where I can remember being
since then where I can remember being stuck in a Andy because I it was busy
stuck in a Andy because I it was busy
stuck in a Andy because I it was busy and I was delayed and I came back to the
and I was delayed and I came back to the
and I was delayed and I came back to the ward and everyone was already on the
ward and everyone was already on the
ward and everyone was already on the dance floor this is amazing said yeah
dance floor this is amazing said yeah
dance floor this is amazing said yeah afternoons doesn’t dance then
afternoons doesn’t dance then
afternoons doesn’t dance then you know not today you know we’ve
you know not today you know we’ve
you know not today you know we’ve already done an hour because you were
already done an hour because you were
already done an hour because you were late all right cool and then even after
late all right cool and then even after
late all right cool and then even after I left the physiotherapist the
I left the physiotherapist the
I left the physiotherapist the physiotherapist carried on using dance
physiotherapist carried on using dance
physiotherapist carried on using dance on the ward to deliver their sessions
on the ward to deliver their sessions
on the ward to deliver their sessions even independently of my sessions I also
even independently of my sessions I also
even independently of my sessions I also came across another hospital which have
came across another hospital which have
came across another hospital which have been using music with their exercise
been using music with their exercise
been using music with their exercise classes because they thought engage
classes because they thought engage
classes because they thought engage their patients again with
their patients again with
their patients again with multidrug-resistant tuberculosis in a
multidrug-resistant tuberculosis in a
multidrug-resistant tuberculosis in a better way so you know going back to
better way so you know going back to
better way so you know going back to London and I said to some people about
London and I said to some people about
London and I said to some people about this and they said well you know that
this and they said well you know that
this and they said well you know that was South Africa it’s not gonna work
was South Africa it’s not gonna work
was South Africa it’s not gonna work here but should I completely disagree
here but should I completely disagree
here but should I completely disagree with this I think that dance is actually
with this I think that dance is actually
with this I think that dance is actually something that’s very core to being
something that’s very core to being
something that’s very core to being human it’s been present in cultures
human it’s been present in cultures
human it’s been present in cultures throughout the world throughout history
throughout the world throughout history
throughout the world throughout history it’s only in Western cultures in recent
it’s only in Western cultures in recent
it’s only in Western cultures in recent decades that dancers become something
decades that dancers become something
decades that dancers become something more often observed than participated in
more often observed than participated in
more often observed than participated in so let me give you another contrasting
so let me give you another contrasting
so let me give you another contrasting example to highlight this point in the
example to highlight this point in the
example to highlight this point in the UK a holistically detrimental condition
UK a holistically detrimental condition
UK a holistically detrimental condition is hip fractures in older people so
is hip fractures in older people so
is hip fractures in older people so physically causes pain reduction in
physically causes pain reduction in
physically causes pain reduction in mobility psychologically people also
mobility psychologically people also
mobility psychologically people also socially as people can’t get up
socially as people can’t get up
socially as people can’t get up about as much they can’t get out the
about as much they can’t get out the
about as much they can’t get out the house they get socially isolated and
house they get socially isolated and
house they get socially isolated and then psychologically once they’re
then psychologically once they’re
then psychologically once they’re socially isolated do they get lonely and
socially isolated do they get lonely and
socially isolated do they get lonely and they can get depressed and other people
they can get depressed and other people
they can get depressed and other people are already a potentially vulnerable
are already a potentially vulnerable
are already a potentially vulnerable group they might have multiple other
group they might have multiple other
group they might have multiple other medical problems they might have social
medical problems they might have social
medical problems they might have social and psychological vulnerability anyway
and psychological vulnerability anyway
and psychological vulnerability anyway so these combined factors mean that in
so these combined factors mean that in
so these combined factors mean that in the year following a hip fracture and
the year following a hip fracture and
the year following a hip fracture and all the person’s got up to a 30 percent
all the person’s got up to a 30 percent
all the person’s got up to a 30 percent chance of dying there’s not just the hip
chance of dying there’s not just the hip
chance of dying there’s not just the hip fracture it’s all these other problems
fracture it’s all these other problems
fracture it’s all these other problems combined so again I thought you know
combined so again I thought you know
combined so again I thought you know what this severe an amazing place or a
what this severe an amazing place or a
what this severe an amazing place or a dance session and again why everyone
dance session and again why everyone
dance session and again why everyone thought I was particularly good idea the
thought I was particularly good idea the
thought I was particularly good idea the main objection in this situation being
main objection in this situation being
main objection in this situation being you do know that they’ve just fractured
you do know that they’ve just fractured
you do know that they’ve just fractured their hip and it’s been cemented
their hip and it’s been cemented
their hip and it’s been cemented stitched and glued back together I said
stitched and glued back together I said
stitched and glued back together I said yeah yeah but again I’m not talking
yeah yeah but again I’m not talking
yeah yeah but again I’m not talking about getting people dancing on their
about getting people dancing on their
about getting people dancing on their bedside tables I’m talking about people
bedside tables I’m talking about people
bedside tables I’m talking about people dancing in whatever way they can we
dancing in whatever way they can we
dancing in whatever way they can we stuck strictly within the
stuck strictly within the
stuck strictly within the recommendations of the physiotherapist
recommendations of the physiotherapist
recommendations of the physiotherapist the evidence-based guidelines on what
the evidence-based guidelines on what
the evidence-based guidelines on what movements are appropriate and we danced
movements are appropriate and we danced
movements are appropriate and we danced the music was selected from their
the music was selected from their
the music was selected from their favorite music the music they first
favorite music the music they first
favorite music the music they first dance to with their you know the husband
dance to with their you know the husband
dance to with their you know the husband before the war started
before the war started
before the war started music they just danced at wedding with
music they just danced at wedding with
music they just danced at wedding with their granddaughter if it was the music
their granddaughter if it was the music
their granddaughter if it was the music that really engage them in their
that really engage them in their
that really engage them in their memories their feeling of being
memories their feeling of being
memories their feeling of being themselves and again the movements we
themselves and again the movements we
themselves and again the movements we selected we were just they would teach
selected we were just they would teach
selected we were just they would teach me their favorite moves and then we
me their favorite moves and then we
me their favorite moves and then we developed them on so does someone having
developed them on so does someone having
developed them on so does someone having a great time what we do is when you take
a great time what we do is when you take
a great time what we do is when you take the movement and I develop them to make
the movement and I develop them to make
the movement and I develop them to make more more sort of related to activities
more more sort of related to activities
more more sort of related to activities of daily living so you might have a
of daily living so you might have a
of daily living so you might have a movement like this so I’m adding clicks
because pizza strength is extremely
because pizza strength is extremely important if you wanna be able to feed
important if you wanna be able to feed
important if you wanna be able to feed yourself wash yourself just yourself and
yourself wash yourself just yourself and
yourself wash yourself just yourself and again we had a great time and the
again we had a great time and the
again we had a great time and the patient said they would effected them
patient said they would effected them
patient said they would effected them they said that physically they felt
they said that physically they felt
they said that physically they felt stronger and more mobile that
stronger and more mobile that
stronger and more mobile that psychologically they were happier and
psychologically they were happier and
psychologically they were happier and one person summed up really nicely when
one person summed up really nicely when
one person summed up really nicely when she said that she remembered what it was
she said that she remembered what it was
she said that she remembered what it was to be herself again and socially the
to be herself again and socially the
to be herself again and socially the atmosphere on the ward changed in the
atmosphere on the ward changed in the
atmosphere on the ward changed in the way that staff and patients related to
way that staff and patients related to
way that staff and patients related to each other staff and other other
each other staff and other other
each other staff and other other patients and other patients family
patients and other patients family
patients and other patients family members who would come in to join in and
members who would come in to join in and
members who would come in to join in and you know the way in which people talk to
you know the way in which people talk to
you know the way in which people talk to each other wasn’t just this problems
each other wasn’t just this problems
each other wasn’t just this problems list the problems list was getting
list the problems list was getting
list the problems list was getting addressed just as efficiently but whose
addressed just as efficiently but whose
addressed just as efficiently but whose being done by people looking after other
being done by people looking after other
being done by people looking after other people because we don’t people who work
people because we don’t people who work
people because we don’t people who work in house don’t do so because they really
in house don’t do so because they really
in house don’t do so because they really passionate about chasing figures and
passionate about chasing figures and
passionate about chasing figures and targets figures and targets are very
targets figures and targets are very
targets figures and targets are very important but people work in health
important but people work in health
important but people work in health because they enjoy helping people
because they enjoy helping people
because they enjoy helping people although the figures in targets are very
although the figures in targets are very
although the figures in targets are very important the figures should not be the
important the figures should not be the
important the figures should not be the focus people should be the focus and
focus people should be the focus and
focus people should be the focus and appropriately placed targets and figures
appropriately placed targets and figures
appropriately placed targets and figures will follow now I’m not suggesting for
will follow now I’m not suggesting for
will follow now I’m not suggesting for one second during their cure MDR TB or
one second during their cure MDR TB or
one second during their cure MDR TB or fix hip fractures we’re just dancing of
fix hip fractures we’re just dancing of
fix hip fractures we’re just dancing of course you’re not I’d be ridiculous be
course you’re not I’d be ridiculous be
course you’re not I’d be ridiculous be amazing be ridiculous what I’m
amazing be ridiculous what I’m
amazing be ridiculous what I’m suggesting is that the medicine is vital
suggesting is that the medicine is vital
suggesting is that the medicine is vital the operations are vital the
the operations are vital the
the operations are vital the physiotherapist is vital the
physiotherapist is vital the
physiotherapist is vital the nutritionist is vital but treating
nutritionist is vital but treating
nutritionist is vital but treating people as people and not just patients
people as people and not just patients
people as people and not just patients in a way that engages them an injury and
in a way that engages them an injury and
in a way that engages them an injury and they enjoy is also vital because we
they enjoy is also vital because we
they enjoy is also vital because we don’t see ourselves as just a problems
don’t see ourselves as just a problems
don’t see ourselves as just a problems list and a bed number we see ourselves
list and a bed number we see ourselves
list and a bed number we see ourselves as much more than that we see ourselves
as much more than that we see ourselves
as much more than that we see ourselves as complex and creative individuals
as complex and creative individuals
as complex and creative individuals who’ve been built from our histories our
who’ve been built from our histories our
who’ve been built from our histories our interests our cultures so let the
interests our cultures so let the
interests our cultures so let the blueprint for the future of hospital
blueprint for the future of hospital
blueprint for the future of hospital medicine be one that acknowledges values
medicine be one that acknowledges values
medicine be one that acknowledges values and even utilizes these very precious
and even utilizes these very precious
and even utilizes these very precious personal resources thank you
personal resources thank you
personal resources thank you [Applause]
”
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