Inconsistent appeal decisions at a hospital

Please educate yourself on what the word neurological means. You are describing psychiatric.

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This is literally taken from the website of the hospital in question.

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I think there is a difference in the understanding of what a neurology department does which is the all round functioning of nerves in the body.
These may be damaged by accident or specific diseases that cause damage to the neurons and their ability to send and receive signals.
It’s very similar to the problems of movement when the muscles themselves are damaged.
This does not cause behavioural change, which from you describe would be psychiatry which specifically relates to mental health. And most would agree that could be a sensitive issue.

It’s an interesting discussion that has developed.

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I understand the difference. Are you saying that neurological disorders do not cause brain related issues? I have had a family member suffer from neurological disorders. So, I know.

They are human and humans make mistakes. No one is infallible including all of us and also ambassadors.

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For this nomination, the plaque describes an event (dedication) for a rehabilitation center. The plaque on its own is not really interesting enough to go see. It can stand as a marker for the rehab center, but a rehab center is not a great place to socialize or explore. It is a place where some may do physical rehabilitation, which can involve exercise, but that’s not why it’s there. It’s there to treat diseases, injuries and disorders. So, I don’t think the rehab center meets any acceptance criteria, and would myself reject it.

Now, there could be things in the public areas of the facility that might be eligible, but the facility itself I think is not.

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The interesting part for me is that a super famous local person opened it, which is on the plaque. I submitted the plaque as being linked to exploration, because I learned something interesting. And if the plaque had been rejected for not being interesting enough, thats fine. It was not rejected for that reason though, it was rejected for being in a sensitive location, so thats what I am seeking clarity on - not whether the plaque itself is eligible if that makes sense?

It doesn’t necessarily make sense, but unfortunately, I doubt you’ll be successful in figuring out exactly why that selection for rejection.

Personally, and this is just my opinion I don’t expect anyone else to agree, I would choose sensitive area for any place inside a medical facility except in common areas where patients and non-patients can gather (not just walk through but intended to gather). I’ve been in medicine for 30 years and just feel as though people come to healthcare facilities when they’re sick, when they’re hurt, when they need something and that should be respected above all else. Again, just my opinion. I have no problem with statues in a cafeteria or large lobby your common area or other types of POI’s in these settings. But in the hallways, waiting rooms, in consultation rooms, etc. for me that’s just a no go because it is a sensitive area.

By the way, I recently had a foot bridge along a marked trail in a recreational forest denied on appeal because it was ā€œjust a normal foot bridge in the woods.ā€ Appeal decisions I find often don’t make sense.

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So when someone is going for a planned orthopaedic surgery, or attending physio, or diagnostics, etc, they should be prevented from engaging with game locations in order to respect them somehow? I submitted this and another PoI as I was leaving the hospital after a surgery :sweat_smile: I definitely cared about improving the game during that surgery (I noted the plaque on the way up to the ward and made a point to follow up) because its a normal interest of mine. Thats my 5th and hopefully final planned surgery there so it’s not even really for my benefit, but for others in my position because being in hospital is BORING and it’s nice to have interesting PoIs to engage with to pass the time. Engaging with Wayfarer is also a nice way to pass the time.

You also mentioned how its not realistic to expect an answer, but we do get answers on the forum sometimes and have been asked by staff to raise inconsistent appeal decisions so they can follow up and improve processes, so I’m simply doing as we’ve been asked.

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How does another patient who feels well enough to occupy themselves with a phone game disrespect other patients who don’t feel well? Do you feel the same about having TVs in hospitals? Music?

I have worked in Neurological Rehab for 16 years. We use games of all kinds, including video, as part of the patient’s therapy. It’s considered patient-centered care to help them relearn the skills that will get them reintegrated into their community and friend groups.

For going on 50 years, we have been part of a follow up study along with the top rehab hospitals in the nation where some of the questions we ask our former patients is how often they leave the house, how many hours in the day they spend working vs doing leisure activities, how much time do they spend with friends, etc. While they are with us in the rehab inpatient setting, it’s our job to get them ready to answer those questions positively. We don’t want patients going home and lying in bed, never doing anything interesting with their time. I think it’s also important to note that a person can be in an inpatient rehab program for 40 - 65 days, sometimes longer. They get incredibly bored when they are not actively in therapy. They appreciate all the extra stuff we make available for them to do, as do their families.

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I’m sorry to hear of your experience it is really tough when things like that happen and thank you for sharing. :people_hugging:

Medical conditions are complex and the severity, possible treatment and outcomes are equally complex. As individuals we all respond very differently too.

As wayfinders out there exploring we are concerned with physical objects and places and our own cultural background. It’s a challenge in a global community. The good thing about wayfarer is that it hasn’t got very many hard lines. This allows for a lot of flexibility to cope with those differences.
@frealafgb started this topic. The exact inconsistency that seems to have got a little lost is around the wording of the appeal rejection which was that it being a hospital was the grounds. I think (??) We can agree that hospitals per se are not auto reject.
The A&E department is auto reject under obstructs emergency services. Everyone is clear on that.
Defining a specific place as a sensitive location is always going to be very variable and depends on context.
This starts to get down to the type medical facility that provides that overall context. They may be very generalist ( a hospital that covers everything) or highly specialised ( a dialysis unit) a plaque at a dialysis unit which is solely for treatment for hours on end I would not consider sensitive. In a general hospital waiting area not sensitive, out side a hospital chapel, sensitive.
No hard rule, but common sense.

In this case ( and we really should keep a focus on that ) the context is a specialist hospital facility that from looking at their websites does not look like there is coverage of anything sensitive. In addition the exact location is not on a specific ward space. So the whole context of this needs to be considered.
The plaque itself? Sir Steve Redgrave is a very notable person and particularly so in the context of the area and type muscular-skeletal injuries that are concerned. So with a reasonable write up about this it would be fine. Not startlingly great but good enough.

Ooops this ended up a lot longer than intended (again ā„¢) :joy:
it’s good to discuss these circumstances as hearing the different perspectives in general is helpful as is how you then look at a specific.

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To use typical wayfarer examples for everyone, if he was on a bench plaque (hopefully not for many, many years), it would definitely be approved.

I met his rowing partner Matthew Pinsent as a teenager - he’s the the only really famous person I’ve ever met! Feels like we might be some of very few people in this thread who know who Sir Steve Redgrave is, but you’d think the ā€œSirā€ part might be a clue!

Sorry I dont know how to do the multiple quotes in 1 thing..

Its a smallish private hospital that I’ve been to for lots of scans, some specialist consultations, 5 orthopaedic surgeries and a lot of physiotherapy. The physio area looks like a really spacious gym with some private consult rooms around the edge by the way, nothing sensitive about it.

The plaque isnt even outside the physio area, its outside of a ward upstairs, which means its in the hall outside another hallway leading to a nurse’s desk then leading to some doors to private rooms. So again not a sensitive area.

Thank you for your empathy. I appreciate it. I want to let you know that I really like the way you explain things. I admire your logical approach even in diagreement.

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No, not at all, as long as the POI is in a common area for patients and visitors. The other areas are not areas where people should be gathering to do raids. For PokƩmon go, I always think about a group of 6+ folks coming together to do a raid, because that is a possibility when you submit a wayspot. The other areas in a hospital I mentioned are not appropriate for such activity.

That’s not at all what I am talking about. The argument seems to have switched from is this setting appropriate to don’t people who are immobilized have a right to play. That’s not an argument for placement of POIs or else, why can’t I have one at my house?

As I said, in my opinion, common areas meant for patients and visitors to gather (lobbies, cafeterias, courtyards) are fine, but there are many areas in a health are setting that are not. If a wayspot becomes a gym, you could get crowds hanging around blocking hallways or disrupting patient care.

It has nothing to do with who does or does not deserve to play, nor does it have to do with whether or not playing a game on your phone is beneficial to you or helps mitigate boredom. I’ve never considered those in deciding if a POI should be accepted.

Lol no one is going to this area in a group to do raids. Its a hospital next to a car sales place between a housing estate and an industrial estate. Not central, not busy, and there’s already a gym nearby which is at a little kids playground.

The hospital has an enormous open atrium downstairs containing a large seating area full of sofas, and a cafe. Those are both PoIs. PoIs on upper floors (like the plaque) would be accessible from downstairs as the plaque is directly above, and also accessible from the floor containing the plaque as it is in a large hall not inside any ward or treatment area - its by where visitors would have to wait to gain access for example. The stairs and lifts dont have access control and open onto that hall. Anywhwre sensitive inside a hospital like the surgery and recovery floor would have access restriction. I really dont see why this is such a big deal. Sure this isnt a place where anyone random will be walking in, but anyone with a reason to visit can access this plaque which easily meets access critiera

Since most hospitals in the US and UK (where this is located) have paid parking, people wandering inside to do a raid really isn’t a big concern. In the 9 years of us having stops or gyms at my hospital, we have never had a problem with randos causing problems. (We’ve had occasional issues with the unhoused hanging out at our hospital, but they aren’t playing PGO.) I think this is an unfounded fear at this point.

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Agree to disagree. Which is the point of healthy debate😊.

@frealafgb If you’ve read my whole post, I think you’ll see we are largely agreeing.