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Lifeworld's approach to providing care has been developed through a 10-year research project focused on Interpreting the Meaning of Existence for a Person with Motor Neurone Disease and their Family Carer(s).

The Temporal Model of Care has been developed to understand a person in a wider temporal frame, and beyond the context of their life-changing illness or injury.


This is my Poster of the designed Temporal Model of Care


Picture of Denise Andrea Harris

I am a consultant occupational therapist, researcher, publisher, and educator. I have twenty-one years of experience assessing and treating clients across the NHS, Social Services, and Private Sector companies.

I have developed my knowledge and skills in the NHS, Social Services, and Private Sector. The specialist areas I have worked in include trauma and orthopaedics, community rehabilitation, rapid response, falls, palliative and end-of-life care, housing, aids and adaptations, case management,  brain injuries, and healthcare education.


After completing my PhD by publication, I conceptualised and launched my independent practice to provide care and education for people with motor neurone disease (MND). Independent practice has offered me various opportunities to work as an associate occupational therapist, educator, and expert witness.  In 2023, I published a book chapter exploring my research journey, published papers, and developed a person-centred care model in MND. This person-centred care model focuses on individuality, which includes three significant elements: 1. presuppositions, 2. acceptance, and 3. temporality.


I prepare Civil Procedure Compliant Occupational Therapy and Care Reports for the Court covering various complex injuries. The types of injuries/conditions I can report on include:


  • Brain Injury

  • Orthopaedic Injury

  • Progressive Neurological Disease

  • Palliative and End of Life Care


As an Independent Expert Witness, I aim to interpret the impact of the negligence that has occurred. I use my knowledge and skills to learn about a person in their world, their losses and potential for future rehabilitation. I make the necessary recommendations to enable a person to live life as they did before the index incident.



Patient and Occupational Therapist

Our practice is based on a developed person-centred care model that focuses on understanding (interpreting) a person in a wider temporal frame, and beyond the context of their illness.


Student learning about MND end of life care

The research findings can inform education in health and social care at all levels, as there are calls for more holistic, person-centred approaches to care and research.


Student learning online about qualitative research

The insights could support developments in nursing, and other health and social care professional education to navigate their way through the distinct methodological research approaches, and to develop their own unique research studies.

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