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Intro; Preface; Contents; Contributors; 1 Putting Health Back into the Healthcare System; 1.1 Exploring Our Mindsets; 1.2 Why Are Health Systems Focused on Disease?; 1.2.1 Progress at a Price; 1.3 The Need to Refocus on the Person/Patient; 1.4 The Person/Patient at the Centre: Connecting the Subjective with the Objective; 1.4.1 Complex Adaptive Health Systems; 1.4.2 Complex Adaptive ``Person-Centred'' Health Systems; 1.4.3 Connecting the Subjective with the Objective; 1.5 Conclusions; The Journey; References; Part I Patient Care
2 Healthy Smoker: An Oxymoron? Maybe, But It Is More Complicated Than That2.1 Introduction; 2.2 Methods; 2.2.1 Participant Screening; 2.2.2 Laboratory Protocol; 2.2.3 Questionnaires; 2.2.4 Glucocorticoid Receptor Sensitivity Assay; 2.2.5 Data Analysis; 2.3 Results; 2.4 Discussion; 2.4.1 Why Loneliness?; 2.4.2 Importance of an Acute to Chronic Stress Model in Humans; 2.5 Conclusions; The Journey; References; 3 From Microbes to Models: How Coping with Ear Infections Led to a New Paradigm; 3.1 Introduction; 3.2 The Body's Defenses; 3.2.1 Airways Defenses; 3.2.2 The Role of ``Ambient Humidity''
3.2.3 The Effects of Antihistamines and Decongestants3.2.4 The Role of Histamine; 3.3 Strengthening our Defenses: The Prototype Model; 3.4 Strengthening Nasal Defenses; 3.4.1 Initial Observations; 3.4.2 Xylitol Nasal Spray; 3.4.3 Bacterial Adherence in Infectious Disease; 3.5 Bacterial Adherence and Infectious Disease: A New Model that Honors Complexity and Adaptation; 3.5.1 Support from Other Areas; 3.6 Conclusion; The Journey; References; 4 Suspending Hierarchy, Liberating Innovation: Personal Reflections on the Triple Chronotherapy Journey; 4.1 Introduction; 4.2 Reflections
4.2.1 Diane Hurd, Co-principal Investigator
Triple Chronotherapy Research, Charge Nurse, Billings Clinic4.2.2 Nicholas Coombs, Data Analyst, Center for Clinical Translational Research, Billings Clinic; 4.2.3 Cara Fairbanks, Registered Nurse, Psychiatric Center, Billings Clinic; 4.2.4 Heather Landon, Nurse Clinician, Psychiatric Center, Billings Clinic; 4.2.5 Andrea Macdonald, Charge Nurse, Psychiatric Center, Billings Clinic; 4.2.6 Kyle Luraas, Mental Health Worker, Psychiatric Center, Billings Clinic; 4.2.7 Keri Cross, Nurse Manager, Psychiatric Services, Billings Clinic; Reference
5 Supporting Complex Dynamic Health Journeys Using Conversation to Avert Hospital Readmissions from the Community: An Ecological Perspective IncorporatingInteroception5.1 Background; 5.1.1 The Changing Role of Hospitals and the Health and Welfare System; 5.1.2 ED: At the Fuzzy Boundary Between ``Medical Emergency'' and ``the Need for Social Support''; 5.1.3 The Role of Primary Care; 5.2 Health Journeys, Resilience, Interoception, and Anticipatory Systems; 5.2.1 The Journey of Vulnerable People; 5.2.2 Anticipating Tipping Points in the Journeys of Vulnerable People
2 Healthy Smoker: An Oxymoron? Maybe, But It Is More Complicated Than That2.1 Introduction; 2.2 Methods; 2.2.1 Participant Screening; 2.2.2 Laboratory Protocol; 2.2.3 Questionnaires; 2.2.4 Glucocorticoid Receptor Sensitivity Assay; 2.2.5 Data Analysis; 2.3 Results; 2.4 Discussion; 2.4.1 Why Loneliness?; 2.4.2 Importance of an Acute to Chronic Stress Model in Humans; 2.5 Conclusions; The Journey; References; 3 From Microbes to Models: How Coping with Ear Infections Led to a New Paradigm; 3.1 Introduction; 3.2 The Body's Defenses; 3.2.1 Airways Defenses; 3.2.2 The Role of ``Ambient Humidity''
3.2.3 The Effects of Antihistamines and Decongestants3.2.4 The Role of Histamine; 3.3 Strengthening our Defenses: The Prototype Model; 3.4 Strengthening Nasal Defenses; 3.4.1 Initial Observations; 3.4.2 Xylitol Nasal Spray; 3.4.3 Bacterial Adherence in Infectious Disease; 3.5 Bacterial Adherence and Infectious Disease: A New Model that Honors Complexity and Adaptation; 3.5.1 Support from Other Areas; 3.6 Conclusion; The Journey; References; 4 Suspending Hierarchy, Liberating Innovation: Personal Reflections on the Triple Chronotherapy Journey; 4.1 Introduction; 4.2 Reflections
4.2.1 Diane Hurd, Co-principal Investigator
Triple Chronotherapy Research, Charge Nurse, Billings Clinic4.2.2 Nicholas Coombs, Data Analyst, Center for Clinical Translational Research, Billings Clinic; 4.2.3 Cara Fairbanks, Registered Nurse, Psychiatric Center, Billings Clinic; 4.2.4 Heather Landon, Nurse Clinician, Psychiatric Center, Billings Clinic; 4.2.5 Andrea Macdonald, Charge Nurse, Psychiatric Center, Billings Clinic; 4.2.6 Kyle Luraas, Mental Health Worker, Psychiatric Center, Billings Clinic; 4.2.7 Keri Cross, Nurse Manager, Psychiatric Services, Billings Clinic; Reference
5 Supporting Complex Dynamic Health Journeys Using Conversation to Avert Hospital Readmissions from the Community: An Ecological Perspective IncorporatingInteroception5.1 Background; 5.1.1 The Changing Role of Hospitals and the Health and Welfare System; 5.1.2 ED: At the Fuzzy Boundary Between ``Medical Emergency'' and ``the Need for Social Support''; 5.1.3 The Role of Primary Care; 5.2 Health Journeys, Resilience, Interoception, and Anticipatory Systems; 5.2.1 The Journey of Vulnerable People; 5.2.2 Anticipating Tipping Points in the Journeys of Vulnerable People