#hpm tweet chat 12:8:10
TRANSCRIPT
7/31/2019 #Hpm Tweet Chat 12:8:10
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#hpm transcript
Healthcare Social Media TranscriptFrom: Wed Dec 08 18:00:00 PST 2010
To: Wed Dec 08 19:15:00 PST 2010
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visitingnurse RT @NHPCO_news: RT @ctsinclair: Dont forget #hpm tweetchat tonight covering#hospice and #palliative medicine topics. 6p PT 9p ET #hpm
Wed Dec 8 18:00:33 PST 2010
Tymeyer Getting geared up! Welcome all, lets start with introductions! #hpm
Wed Dec 8 18:02:40 PST 2010
RossJeanette Jeanette Ross HPM doc @uthscsa San Antonio TX assoc fellowship director. lookinforward to @tymeyer hosting #hpm
Wed Dec 8 18:04:21 PST 2010
tymeyer I'm Ty and I'll be hosting tonight. I'm HPM doctor in Victoria, TX in #Hospice and#Palliative Care roles. All Tweets are my own! #hpm
Wed Dec 8 18:04:21 PST 2010
ctsinclair Intro for #hpm tweetchat (come on in!) Christian Sinclair,palliative MD for@kchospice, editor of @pallimed blog, #TAMO #TweetsAreMyOwn #hpm
Wed Dec 8 18:05:01 PST 2010
Tymeyer Welcome, @rossjeanette, @visitingnurse, and @lifehealthdiary #hpm
Wed Dec 8 18:05:01 PST 2010
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ctsinclair Thanks for hosting tonight @tymeyer. #hpm
Wed Dec 8 18:05:38 PST 2010
ctsinclair Hey @RossJeanette sorry we did not connect last night. #hpm
Wed Dec 8 18:05:59 PST 2010
Tymeyer Glad to do it RT @ctsinclair: Thanks for hosting tonight @tymeyer. #hpm
Wed Dec 8 18:06:13 PST 2010
ctsinclair RT @LifeHealthDiary: for the next hour Ill be on #hpm tweetchat Listen in if you arein #Hospice and #Palliative Medicine 'me too!' #hpm
Wed Dec 8 18:06:50 PST 2010
ctsinclair Would really be interested if any patients or families ever listen in or participate. If yoare please let us know you are here. #hpm
Wed Dec 8 18:07:26 PST 2010
RossJeanette @ctsinclair no problem, some other time. #hpmWed Dec 8 18:07:54 PST 2010
hollyby Holly Yang. HPM doc from @SanDiegoHospice. All tweets are my own. Runningbetween mtgs, so will be less chatty tonight. :) #hpm
Wed Dec 8 18:08:12 PST 2010
Tymeyer Getting started with Topic #1: Celebs with terminal diseases: Should it be privatematter or chance to inform about benefits of #hpm
Wed Dec 8 18:08:12 PST 2010
JoshGriffin Good evening all! Josh here, a Pastor/Chaplain and also help teach TherapeuticCommunication to Student Nurses and Med Students. #hpm
Wed Dec 8 18:08:20 PST 2010
emmabelanger Joining Hospice and Palliative Medicine Tweetchat. I'm a PhD student working ondecision-making. #hpm
Wed Dec 8 18:08:20 PST 2010
Tymeyer Good to see you @joshgriffin #hpm
Wed Dec 8 18:08:51 PST 2010
ctsinclair RT @doclake: Elizabeths Legacy-wasnt her pol. career but window she gave in2reality—and illusions—of dying. http://slate.me/ik5ORN #hpm
Wed Dec 8 18:08:54 PST 2010
donaldhtaylorjr for next hour I will be on #hpm tweetchat that discusses #hospice & #palliativemedicine issues and policy #hpm
Wed Dec 8 18:09:00 PST 2010
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ctsinclair @DONALDHTAYLORJR Hey you have a picture! Hooray! look everyone it's Donald#hpm
Wed Dec 8 18:09:24 PST 2010
hollyby Ditto. RT @DONALDHTAYLORJR: for next hour I will be on #hpm tweetchat thatdiscusses #hospice & #palliative medicine issues and policy #hpm
Wed Dec 8 18:09:35 PST 2010
ctsinclair @emmabelanger Hi emma glad you could join us. #hpm
Wed Dec 8 18:09:45 PST 2010
Tymeyer Goodbye Egg ! RT @ctsinclair: @DONALDHTAYLORJR Hey you have a picture!Hooray! look everyone its Donald! #hpm
Wed Dec 8 18:10:04 PST 2010
ctsinclair Would love to see other #hpm twitter folks at Tweetchat like @bradhstuart @doclake@johnmulder @ewidera @dianeEmeier any others? #hpm
Wed Dec 8 18:10:34 PST 2010
donaldhtaylorjr small steps... #hpm
Wed Dec 8 18:10:48 PST 2010
RossJeanette T1 celebs should be allowed some privacy, but if willing to share personal life canraise huge awareness for sharing their illness. #hpm
Wed Dec 8 18:11:18 PST 2010
ctsinclair @DONALDHTAYLORJR Glad to see it! #hpm
Wed Dec 8 18:11:31 PST 2010
joshgriffin T1: I think it's up to the celebrity but it is great chance to spread awareness. Morepowerful than changing a Facebook pic to cartoon #hpm
Wed Dec 8 18:11:31 PST 2010
ctsinclair RT @tymeyer: Topic #1: Celebs with terminal diseases: Should it be private matter ochance to inform about benefits of #hpm
Wed Dec 8 18:11:57 PST 2010
hollyby RT @tymeyer: Topic #1: Celebs with terminal diseases: Should it be private matter o
chance to inform about benefits of #hpmWed Dec 8 18:12:30 PST 2010
tymeyer T1: Many blogs/articles in recent weeks, but haven't seem much #hpm included..#hpm
Wed Dec 8 18:12:34 PST 2010
donaldhtaylorjr RT @tymeyer #1: Celebs with terminal diseases: Should it be private matter or
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chance to inform about benefits of #hpm >>> Their choice #hpm
Wed Dec 8 18:12:45 PST 2010
ctsinclair Topic #1: my thoughts from blogging last night on #edwards @Pallimed Celebrities,Illness and #Hospice http://bit.ly/hG3QKt #hpm
Wed Dec 8 18:13:20 PST 2010
ctsinclair RT @tymeyer: T1: Many blogs/articles in recent weeks, but havent seem much #hpmincluded.. 'or discussed tangentially' #hpm
Wed Dec 8 18:13:39 PST 2010
visitingnurse T1: Celebs are people first, so privacy is paramount; however, what they choose todo with their celebrity that makes them influential #hpm
Wed Dec 8 18:14:10 PST 2010
ctsinclair Celebrities should be given choice on how much they would like to reveal, but thepublic will discuss it like it or not #hpm
Wed Dec 8 18:14:29 PST 2010
Tymeyer RT Celebs are people first, so privacy is paramount; however, what they choose todo with their celebrity that makes them influential #hpm
Wed Dec 8 18:15:28 PST 2010
hollyby T1: Their choice, but if they choose to make it public, it has the potential to be trulypowerful. Silence can cause rumor & confusion. #hpm
Wed Dec 8 18:15:40 PST 2010
ctsinclair RT @visitingnurse: T1: Celebs ->people first, so privacy is paramount; however, whathey do with their celebrity -> influence #hpm
Wed Dec 8 18:15:41 PST 2010
hollyby RT @ctsinclair: T1: my thoughts from blogging last night on #edwards @PallimedCelebrities, Illness and #Hospice http://bit.ly/hG3QKt #hpm
Wed Dec 8 18:16:28 PST 2010
donaldhtaylorjr RT @visitingnurse: T1: Celebs are people first..privacy paramount; however, whatthey do with their celebrity...makes them influential #hpm
Wed Dec 8 18:16:54 PST 2010
GailZahtzHi. Sorry, got lost in cyberspace and showed up at the wrong chat. Here now, orpretty sure I am tweeting from #HPM #hpm
Wed Dec 8 18:17:01 PST 2010
Tymeyer @GailZahtz welcome #hpm
Wed Dec 8 18:17:24 PST 2010
renee_berry Hi #hpm almost abt to drive to wifi to join in
Wed Dec 8 18:17:25 PST 2010
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JoshGriffin RT @visitingnurse: T1: Celebs ->people first, so privacy is paramount; however, whathey do with their celebrity -> influence #hpm
Wed Dec 8 18:17:27 PST 2010
donaldhtaylorjr RT @ctsinclairTopic #1: my thoughts from blogging last night on #edwards@Pallimed Celebrities, Illness & #Hospice http://bit.ly/hG3QKt #hpm
Wed Dec 8 18:17:30 PST 2010
RossJeanette T1 maria shriver spoke about hospice though not terminally ill herselfhttp://tinyurl.com/28e3ony #hpm
Wed Dec 8 18:17:32 PST 2010
ctsinclair A few non celebrities become minor celebrities by writing so openly about time befordying. Blogging Til I Die http://bit.ly/afDrgv #hpm
Wed Dec 8 18:17:33 PST 2010
ctsinclair@GailZahtz Hope you were not at the Cucumber and Tomato chat, those people areBOORRR-ING #hpm
Wed Dec 8 18:18:02 PST 2010
GailZahtz Thank you Dr. Ty. Haven't had the honors yet- nice to meet you. #hpm
Wed Dec 8 18:18:29 PST 2010
donshep @ctsinclair randy pausch, author of the Last Lecture is another one #HPM
Wed Dec 8 18:18:38 PST 2010
TymeyerWill have to watch RT @RossJeanette: T1 maria shriver spoke about hospice thougnot terminally ill herselfhttp://tinyurl.com/28e3ony #hpm
Wed Dec 8 18:18:53 PST 2010
ctsinclair @RossJeanette Matt Lauer has talked about the experience with his father and#hospice and even has a hospice wing named after him in FL #hpm
Wed Dec 8 18:19:07 PST 2010
donaldhtaylorjr RT @ctsinclair:..non celebrities become minor celebrities..writing about time beforedying. Blogging Til I Die http://bit.ly/afDrgv #hpm
Wed Dec 8 18:19:16 PST 2010
GailZahtz @ctsinclair Christin- How did you know I went to the Cucumber and Tomato Chat??They're stuck on vegan for better health :)) #hpm
Wed Dec 8 18:19:18 PST 2010
Tymeyer Nice to meet you as well RT @GailZahtz: Thank you Dr. Ty. Havent had the honorsyet- nice to meet you. #hpm
Wed Dec 8 18:19:29 PST 2010
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RossJeanette @ctsinclair agreed Morry swartz too became famous #hpm
Wed Dec 8 18:19:33 PST 2010
ctsinclair RT @donshep: @ctsinclair randy pausch, author of the Last Lecture is another one."Another good one' Thinking we should compile list #hpm
Wed Dec 8 18:19:38 PST 2010
ctsinclair @RossJeanette Who is Morry Swartz? #hpmWed Dec 8 18:20:01 PST 2010
JoshGriffin My daughter, although not a celeb yet, her school had their winter concert tonightwith fundraising for the local #hospice #hpm
Wed Dec 8 18:20:01 PST 2010
rebeccacaroe RT @hollyby: T1: Their choice, but if choose to be public, has the potential to be trulpowerful. Silence can cause rumor & confusion. #hpm
Wed Dec 8 18:20:04 PST 2010
ctsinclair @RossJeanette rather have you tell me than Google. #hpm
Wed Dec 8 18:20:15 PST 2010
ctsinclair RT @joshgriffin: My daughter, although not a celeb yet, her school had winter concetonight fundraising for local #hospice 'kudos!' #hpm
Wed Dec 8 18:20:43 PST 2010
RossJeanette @ctsinclair @RossJeanette he is the one from Tuesdays with morrie, had ALS wason NBC there's 2 books, movie #hpm
Wed Dec 8 18:21:12 PST 2010
emmabelanger T1 The public is sometimes uneasy to hear about EoL care, so unfortunately theymay hesitate to speak up. #hpm
Wed Dec 8 18:21:14 PST 2010
Tymeyer Will be moving on to next topic soon... #hpm
Wed Dec 8 18:21:48 PST 2010
LifeHealthDiary RT @DONALDHTAYLORJR:.non celebrities become minor celebrities..writing aboutime before dying. Blogging Til I Die http://bit.ly/afDrgv #hpm
Wed Dec 8 18:22:20 PST 2010
GailZahtz @joshgriffin We ran a program with college students visiting weekly the same persoat a hospice center- very powerful for both. #hpm
Wed Dec 8 18:22:26 PST 2010
Tymeyer Its too bad, could ease the stigma RT @emmabelanger: T1 The public is sometimesuneasy about EoL care so they may hesitate to speak up. #hpm
Wed Dec 8 18:23:07 PST 2010
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ctsinclair Just so everyone knows E. Edwards was a powerful supporter of hospice and wasNHPCO's 2009 person of the year. #hpm
Wed Dec 8 18:23:12 PST 2010
visitingnurse T1: The non-celeb writers reached celeb status b/c their messages reaches our souland makes us profoundly glimpse at life's sacredness #hpm
Wed Dec 8 18:23:28 PST 2010
GailZahtz @LifeHealthDiary @DONALDHTAYLORJR What about the guy who made the charton YouTube taping his story at death. #hpm
Wed Dec 8 18:23:47 PST 2010
ctsinclair @GailZahtz Those LT exposure programs in hospice are really valuable. especiallywith a reflection piece towards the end. #hpm
Wed Dec 8 18:23:55 PST 2010
Tymeyer Very True RT @ctsinclair: so everyone knows E. Edwards was a powerful supporter
of hospice and was NHPCOs 2009 person of the year. #hpmWed Dec 8 18:23:57 PST 2010
LifeHealthDiary @RossJeanette thanks for reminding us about Tuesdays with Morrie. That was agood tale, well-told #hpm
Wed Dec 8 18:24:10 PST 2010
donaldhtaylorjr RT @ctsinclair: Just so everyone knows E. Edwards was a powerful supporter ofhospice and was NHPCOs 2009 person of the year. #hpm
Wed Dec 8 18:24:21 PST 2010
ctsinclair RT @visitingnurse: T1: non-celeb writers reached celeb status b/c messagesreaches our soul/we profoundly glimpse at lifes sacredness #hpm
Wed Dec 8 18:24:29 PST 2010
RossJeanette T1 heres link to Morrie http://tinyurl.com/33374j #hpm
Wed Dec 8 18:24:43 PST 2010
ctsinclair @tymeyer It does a twist to the short stay challenge of hospice referrals. #hpm
Wed Dec 8 18:24:53 PST 2010
GailZahtz RT @visitingnurse non-celeb writers reached celeb status b/c messages reach oursoul & make us profoundly glimpse at lifes sacredness #hpm
Wed Dec 8 18:24:57 PST 2010
visitingnurse T1: It would be nice for a PR firm to do a pro-bono hospice pitch to celebs to rallyaround spreading the word. #hpm
Wed Dec 8 18:24:57 PST 2010
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donshep RT @LifeHealthDiary: @RossJeanette thanks for reminding us about Tuesdays withMorrie. That was a good tale, well-told #hpm
Wed Dec 8 18:25:01 PST 2010
ctsinclair @RossJeanette Oh...Tuesdays with Morrie. Now I get it (BTW your link sent me to aPain in Hip site - trying to tell me something? #hpm
Wed Dec 8 18:26:04 PST 2010
GailZahtz @ctsinclair We did a program guide on it so that students and the center couldcontinue doing it- it ended up being replicated-powerful #hpm
Wed Dec 8 18:26:09 PST 2010
ctsinclair RT @visitingnurse: T1: It would be nice for a PR firm to do a pro-bono hospice pitchto celebs to rally around spreading the word. #hpm
Wed Dec 8 18:26:23 PST 2010
equijada Celebs and death often turn into gossip. Edwards was graceful and influential yetended up @latimes under "celebrity gossip" #hpm
Wed Dec 8 18:26:31 PST 2010
Tymeyer T2: News now discussing AND (allow natural death) vs DNR orders. How do you usethese in practice, is the name important? #hpm
Wed Dec 8 18:26:48 PST 2010
hvto RT @ctsinclair: RT @visitingnurse: T1: It would be nice for a PR firm to do a pro-bono hospice pitch to celebs to rally around spreading the word. #hpm
Wed Dec 8 18:26:56 PST 2010
GailZahtz @visitingnurse The sacredness line was beautiful! What word would you want PR to
spread about hospice? #hpmWed Dec 8 18:27:07 PST 2010
Tymeyer @equijada Hey Earl! #hpm
Wed Dec 8 18:27:17 PST 2010
joshgriffin @equijada I think it's more about the fact that papers don't know where to place theinfo, so generalize it as gossip. #hpm
Wed Dec 8 18:27:32 PST 2010
donshep RT @Tymeyer: T2: News now discussing AND (allow natural death) vs DNR orders.How do you use these in practice, is the name important? #hpm
Wed Dec 8 18:27:37 PST 2010
ctsinclair @visitingnurse You could also see a grassroots version of non-celebs National#Hospice Month Video 2010 http://bit.ly/gHBscM #hpm
Wed Dec 8 18:27:40 PST 2010
Comfort RT @GailZahtz: @visitingnurse The sacredness line was beautiful! What
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renee_berry word would you want PR to spread about hospice? #hpm
Wed Dec 8 18:27:45 PST 2010
equijada @tymeyer hi Ty. Thanks for hosting. #hpm
Wed Dec 8 18:27:52 PST 2010
RossJeanette @ctsinclair sorry it was http://www.livinglifefully.com/people/morrieschwartz.htm
#hpmWed Dec 8 18:28:09 PST 2010
DONALDHTAYLORJR Does the 'pitch' need to be for hospice or palliative care? >>>hospice and non-hospice palliative care are important. lots of confusion #hpm
Wed Dec 8 18:28:15 PST 2010
Tymeyer T2: or is the way the message conveyed more important for understanding what isbeing discussed? #hpm
Wed Dec 8 18:28:23 PST 2010
donaldhtaylorjr RT @tymeyer: T2: News now discussing AND (allow natural death) vs DNR orders.How do you use these in practice, is the name important? #hpm
Wed Dec 8 18:28:33 PST 2010
ctsinclair @RossJeanette No prob! #hpm
Wed Dec 8 18:28:41 PST 2010
ctsinclair RT @tymeyer: T2: News now discussing AND (allow natural death) vs DNR orders.How do you use these in practice, is the name important? #hpm
Wed Dec 8 18:28:59 PST 2010
equijada t2: as a talking pt re: goals of care, I don't use DNR or AND. As an order, I preferDNAR #hpm
Wed Dec 8 18:29:02 PST 2010
GailZahtz @equijada Hey you. I need to talk about something offline (not work)- but I CAN'T dmyou! @ctsinclair gave orders last chat :))) #hpm
Wed Dec 8 18:29:15 PST 2010
ctsinclair Would love to have @ewidera for Topic 2. Since he has a great post @geripalblogand was also quoted in the recent NYT piece #hpm
Wed Dec 8 18:29:39 PST 2010
visitingnurse @GailZahtz Thanks; good question--it would take some discussion to hone it, but apitch to convey the peace and comfort and allay fear #hpm
Wed Dec 8 18:30:06 PST 2010
emmabelanger T2 Great question! DNR or AND (allow natural death) Word choice matters inshaping patients' decisions #discourse #hpm
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Wed Dec 8 18:30:40 PST 2010
ctsinclair RT @equijada: t2: as talking pt re: goalsofcare, I dont use DNR or AND. As an orderI prefer DNAR 'ah touche! - DNAR is more accurate' #hpm
Wed Dec 8 18:30:47 PST 2010
GailZahtz @visitingnurse Let's talk about it later then. Free PR for health is one of my middle
names somewhere :)) #hpmWed Dec 8 18:30:48 PST 2010
Tymeyer One of our local hospitals has a committee looking into changing name oforders...Some docs just as the question w/o discussing goals #hpm
Wed Dec 8 18:30:55 PST 2010
renee_berry T1 pitch as @arrington said @ a conf in '09 to an audience member -tell us what youdo & how it will change the world in 15seconds #hpm
Wed Dec 8 18:31:17 PST 2010
ctsinclair RE: @equijada Do Not Attempt Resuscitate is more accurate than Do NotResuscitate. We only really can attempt, not get to an outcome. #hpm
Wed Dec 8 18:31:24 PST 2010
Tymeyer @ctsinclair I was hoping @ewidera would be here too in order to give personal prop#hpm
Wed Dec 8 18:31:37 PST 2010
equijada @GailZahtz try now :-) #hpm
Wed Dec 8 18:31:41 PST 2010
hvto @renee_berry What word would you want PR to spread about hospice? #hpmUnderstanding
Wed Dec 8 18:31:48 PST 2010
visitingnurse @DONALDHTAYLORJR To a non clinical market, the pitch is better focused athospice; pc is better conveyed by clinicians to pt/family. #hpm
Wed Dec 8 18:31:49 PST 2010
ctsinclair @tymeyer Would really recommended they look at POLST model and encourage'allow natural death' in conversations not orders. #hpm
Wed Dec 8 18:32:03 PST 2010
visitingnurse RT @hvto: @renee_berry What word would you want PR to spread about hospice?#hpm Understanding #hpm
Wed Dec 8 18:32:13 PST 2010
GailZahtz @equijada Yeah, TY. Right after chat. I have enough trouble keeping up with thespeed of the chat :) #hpm
Wed Dec 8 18:32:37 PST 2010
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hvto @renee_berry What word would you want PR to spread about hospice? #hpm Non- judgment
Wed Dec 8 18:32:46 PST 2010
emmabelanger RT @ctsinclair: RE: @equijada Do Not Attempt Resuscitate is more accurate thanDNR. We only really can attempt, not get to an outcome. #hpm
Wed Dec 8 18:32:50 PST 2010
ctsinclair Medical orders must be very clear & not outcome based. "Allow Natural Death' isoutcome based. It does not instruct what to do/not do #hpm
Wed Dec 8 18:32:50 PST 2010
renee_berry thx yes! RT @ctsinclair @visitingnurse could also see grassroots version/non-celebsNational #Hospice Month Video http://bit.ly/gHBscM #hpm
Wed Dec 8 18:32:52 PST 2010
RossJeanette T2 I prefer AND because we can't resucitate terminally ill. #hpm
Wed Dec 8 18:33:05 PST 2010
Tymeyer yes RT @ctsinclair: Would really recommended they look at POLST model andencourage allow natural death in conversations #hpm
Wed Dec 8 18:33:09 PST 2010
renee_berry RT @tymeyer: T2 News now discussing AND (allow natural death) vs DNR orders.How do you use these in practice, is the name important? #hpm
Wed Dec 8 18:33:35 PST 2010
equijada RT @ctsinclair: Medical orders must be very clear & not outcome based. "AllowNatural Death' is outcome based. It does not instruct what to do/not do #hpm
Wed Dec 8 18:33:36 PST 2010
visitingnurse @ctsinclair Allow Natural Death is more gentle; hospice process is of allowingnature's course; DNR sounds like we're stopping nature #hpm
Wed Dec 8 18:33:59 PST 2010
Tymeyer RE: @equijada Do Not Attempt Resuscitate is more accurate than Do NotResuscitate. We only really can attempt, not get to an outcome. #hpm
Wed Dec 8 18:34:05 PST 2010
equijada Can I double RT @ctsinclair last tweet? So true. #hpm
Wed Dec 8 18:34:19 PST 2010
rebeccacaroe RT @hvto: @renee_berry What word would you want PR to spread about hospice?#hpm Non-judgment #hpm
Wed Dec 8 18:34:47 PST 2010
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renee_berry T2 #crucial ..Though I think it's key to do #AdvanceDirectives so these conversationsare not new by the time DNR/AND need 2B discussed #hpm
Wed Dec 8 18:34:49 PST 2010
a_donna RT @ctsinclair: RE: @equijada Do Not Attempt Resuscitate is more accurate thanDo Not Resuscitate. We only really can attempt, not get to an outcome. #hpm
Wed Dec 8 18:34:55 PST 2010
ctsinclair Are people concerned when there is an order to 'amputate left leg because ofgangrene'? How should we rename that? #hpm
Wed Dec 8 18:35:17 PST 2010
renee_berry T2 (sorry I left out the word EARLY #AdvanceDirectives as a #healthy adult)! #hpm
Wed Dec 8 18:35:18 PST 2010
GailZahtz @equijada sent, now I'm behind on chat :) #hpm
Wed Dec 8 18:35:22 PST 2010
donaldhtaylorjr RT @ctsinclair:Medical orders must be very clear & not outcome based. AllowNatural Death is outcome..does not instruct what to/not do #hpm
Wed Dec 8 18:35:33 PST 2010
ctsinclair Lots of medical orders could be construed as violent/tough, and we are notconcerned about everyone's feelings. Dbl standard? #hpm
Wed Dec 8 18:35:47 PST 2010
JoshGriffin T2: Directives must be given. AND seems lacking in that. I agree with @renee_berrythat Early Advanced Directives are key. #hpm
Wed Dec 8 18:36:19 PST 2010
renee_berry @equijada I love RT RT's #double :) #hpm
Wed Dec 8 18:36:33 PST 2010
LifeHealthDiary how do you communicate the difference DNR, DNAR to patient families? #hpm
Wed Dec 8 18:36:38 PST 2010
ctsinclair @equijada You can double RT anytime. #hpm
Wed Dec 8 18:36:39 PST 2010
GailZahtz @ctsinclair Could you explain more by the medical orders being violent or tough, etc#hpm
Wed Dec 8 18:36:53 PST 2010
visitingnurse @LifeHealthDiary by saying it means to allow a natural death #hpm
Wed Dec 8 18:37:10 PST 2010
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ctsinclair @equijada Actually i use double RT to hit different time periods. Like something greaI find at 11pm. I may sched for 10am #hpm
Wed Dec 8 18:37:14 PST 2010
hollyby @Freshwidow go to tweetchat.com and follow #hpm
Wed Dec 8 18:37:16 PST 2010
renee_berry RT @joshgriffin: T2: Directives must be given. AND seems lacking in that. I agreewith @renee_berry that Early Advanced Directives are key. #hpm
Wed Dec 8 18:37:16 PST 2010
renee_berry RT @Tymeyer: yes RT @ctsinclair: Would really recommended they look at POLSTmodel and encourage allow natural death in conversations #hpm
Wed Dec 8 18:37:48 PST 2010
healthgist http://j.mp/9N4ZkP @ctsinclair Thanks for hosting tonight @tymeyer. #hpm
Wed Dec 8 18:37:48 PST 2010
visitingnurse RT @renee_berry: RT @joshgriffin: T2: Directives must be given. AND seemslacking in that. /Early Advanced Directives are key. #hpm
Wed Dec 8 18:38:12 PST 2010
ctsinclair @GailZahtz Mostly thinking surgical orders. But any IV/SQ/IM medication has theword implied 'inject' #hpm
Wed Dec 8 18:38:14 PST 2010
zacksholem RT @ctsinclair: RE: @equijada Do Not Attempt Resuscitate is more accurate thanDo Not Resuscitate. We only really can attempt, not get to an outcome. #hpm
Wed Dec 8 18:38:28 PST 2010
ctsinclair @GailZahtz If you read medical orders, they are not meant to be nice. It reads verydry and without concern to feelings. #hpm
Wed Dec 8 18:39:06 PST 2010
rebeccacaroe RT @ctsinclair: @GailZahtz Mostly thinking surgical orders. But any IV/SQ/IMmedication has the word implied inject #hpm
Wed Dec 8 18:39:11 PST 2010
rebeccacaroe @Freshwidow welcome #hpmWed Dec 8 18:39:29 PST 2010
GoddessAST_Lah @ctsinclair All the time. People have too much PC semantics & fail to understandmedical terminology #hpm
Wed Dec 8 18:39:55 PST 2010
GailZahtz @ctsinclair I've read lots of medical orders. But orders aren't really the
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communication link ever to patients and families anyway. #hpm
Wed Dec 8 18:40:06 PST 2010
Tymeyer Many conversations include what resuscitation involves, including risks/probabilitiesafter all resuscitation is an attempt not given #hpm
Wed Dec 8 18:40:48 PST 2010
renee_berry agree RT @GailZahtz @ctsinclair Ive read lots of medical orders. But orders arentthe communication link to patients and families #hpm
Wed Dec 8 18:41:33 PST 2010
ctsinclair RT @GailZahtz: . But orders arent really communication link to patients and familiesanyway. 'exactly why I think AND doesn't belong' #hpm
Wed Dec 8 18:41:43 PST 2010
GailZahtz @ctsinclair I think more than medical orders, if a family is around when a DNR isbeing applied, they need to be out of room. #hpm
Wed Dec 8 18:41:56 PST 2010
ctsinclair RT @tymeyer: Many conversations include what resuscitation involves, inclrisks/probabilities after all resuscitation is an attempt #hpm
Wed Dec 8 18:42:07 PST 2010
Tymeyer @GoddessAST_Lah problem arises with medical terms are used in speaking withpatients #hpm
Wed Dec 8 18:42:41 PST 2010
hvto Re Early Adv Directives - pt and doctor discussions r good - maybe better too inviteHC POA to be there 2. #hpm
Wed Dec 8 18:42:47 PST 2010
equijada @tymeyer I'm generally not talking about details of resuscitation. Focus on goals ->then tell pt/fam options in context of goals #hpm
Wed Dec 8 18:42:48 PST 2010
ctsinclair @GailZahtz see my long opinion: @Pallimed : DNR Orders: Wearing the bracelethttp://bit.ly/d40IhA #hpm
Wed Dec 8 18:42:54 PST 2010
TymeyerDefinitely RT @hvto: Re Early Adv Directives - pt and doctor discussions r good -maybe better too invite HC POA to be there 2. #hpm
Wed Dec 8 18:43:25 PST 2010
ctsinclair @GailZahtz At least need to be informed of the bracelet. Have not seen nurses makfamily leave the room. #hpm
Wed Dec 8 18:43:37 PST 2010
GailZahtz @tymeyer Perhaps though while docs are talking about specifics, family is really
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thinking about facing death. #hpm
Wed Dec 8 18:43:41 PST 2010
renee_berry @ctsinclair @tymeyer conversationsre resuscitation happening maybe in #eolc NOTearlier in care... which is #necessary #hpm
Wed Dec 8 18:43:43 PST 2010
GoddessAST_Lah@Tymeyer Right! Exactly... I'm not that good of a pathologist, but I know enough.Thing is some things can't be "dumb down" #hpm
Wed Dec 8 18:43:45 PST 2010
equijada A lot of palliative care is creating a framework for decision making based on ptnarrative. #hpm
Wed Dec 8 18:44:09 PST 2010
ctsinclair Honestly I find when DNAR is a value affirming decision families and patients are nohung up on discussion or applying bracelet #hpm
Wed Dec 8 18:44:13 PST 2010
Tymeyer @ctsinclair @GailZahtz I now make an attempt to warn about bracelet to makepts/fams aware #hpm
Wed Dec 8 18:44:27 PST 2010
ctsinclair @equijada Agreed not focused too much on details of resusictation #hpm
Wed Dec 8 18:44:53 PST 2010
equijada Yup RT @ctsinclair: ...when DNAR is a value affirming decision families and patientsare not hung up on discussion or applying bracelet #hpm
Wed Dec 8 18:45:01 PST 2010
emmabelanger In my research, as patients worsen they tend to be very willing to discuss DNR/ANDand the future. Have the talk! #hpm
Wed Dec 8 18:45:03 PST 2010
ctsinclair RT @tymeyer: I now make an attempt to warn about bracelet to make pts/famsaware 'great! pre-education is always best' #hpm
Wed Dec 8 18:45:28 PST 2010
renee_berry Yes, Should be replicated! RT @equijada A lot of #palliative care is creating aframework for decision making based on pt narrative #hpm
Wed Dec 8 18:45:46 PST 2010
ctsinclair RT @emmabelanger: In my research, as patients worsen they tend to be very willingto discuss DNR/AND and the future. #Havethetalk ! #hpm
Wed Dec 8 18:45:47 PST 2010
ctsinclair RT @equijada: A lot of palliative care is creating a framework for decision makingbased on pt narrative. 'Double RT!' #hpm
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JoshGriffin @hvto HC POA, patient advocate, chaplain. All good options to have at an earlyadvanced directives conversation. #hpm
Wed Dec 8 18:50:18 PST 2010
ctsinclair RT @tymeyer: @GailZahtz The (DNR) bracelet sometimes makes the reality "tooreal", so forewarning to try to ease it #hpm
Wed Dec 8 18:50:27 PST 2010
GailZahtz @ctsinclair I think the changing conversations with family move with the changingemotions of each members dealing with the death. #hpm
Wed Dec 8 18:50:43 PST 2010
renee_berry important RT @equijada @tymeyer Im not tlking abt details of resuscitation Focus ogoals then tell pt/fam options in context of goals #hpm
Wed Dec 8 18:50:46 PST 2010
equijada Down to 10% on my battery, if I don't get a chance, thanks @tymeyer for a great cha#hpm
Wed Dec 8 18:50:50 PST 2010
ctsinclair @GailZahtz Never seen a DNR sign on/near the bed. usually sticker on chart andbracelet on patient. #hpm
Wed Dec 8 18:50:51 PST 2010
tymeyer Don't seem many of those, luckily! RT @GailZahtz: @tymeyer A DNR sign on thebed makes it real too, doesnt it? #hpm
Wed Dec 8 18:51:26 PST 2010
renee_berry RT @ctsinclair: @GailZahtz like to give 'heads up' because some patients and
fmailies may feel all the decisions are made, never to be addressed again #hpmWed Dec 8 18:51:32 PST 2010
GailZahtz @equijada Thank, bye. I got the DM out. Appreciate it- you have a great head onchronic pain. #hpm
Wed Dec 8 18:51:51 PST 2010
Tymeyer @equijada thanks. #hpm
Wed Dec 8 18:52:26 PST 2010
hvto I have seen the DNR sign & I have to remind folks it doesn't mean "Do Nothing"#hpm
Wed Dec 8 18:52:45 PST 2010
GailZahtz RT @hvto: I have seen the DNR sign & I have to remind folks it doesnt mean "DoNothing" <=Thank you. #hpm
Wed Dec 8 18:53:26 PST 2010
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Wed Dec 8 18:57:04 PST 2010
ctsinclair Lady with DNR tat: "I'm Wiccan. Things happen for a reason," Whitley said. "If it's mytime to go, I don't want to be brought back." #hpm
Wed Dec 8 18:57:39 PST 2010
GailZahtz All of the talk about DNR makes me think that we don't talk enough about the face ofdeath for chronic patients where time is unknown. #hpm
Wed Dec 8 18:58:03 PST 2010
ctsinclair @tymeyer That happens sometimes! #hpm
Wed Dec 8 18:58:06 PST 2010
hvto Gave a living will presentation this week - asked audience to accept as my gift as awish for them to leave a legacy of peace. #hpm
Wed Dec 8 18:58:12 PST 2010
renee_berry RT @Tymeyer: Last topic went long... Will save T3 for later, any other thoughts for
the remaining few minutes. #hpmWed Dec 8 18:58:16 PST 2010
ctsinclair @GailZahtz Prognosis is at the heart of all these discussions and we keep ignoringthe potential to research better prognostic tools. #hpm
Wed Dec 8 18:58:47 PST 2010
pfanderson @GailZahtz Did you see the #facingdeath chat last week? I think it was last week ...#hpm
Wed Dec 8 18:59:18 PST 2010
GoddessAST_Lah @ctsinclair Is there clinical evidence for that? Like they have to hold out hope thatmagically a cure can be found? #hpm
Wed Dec 8 18:59:41 PST 2010
renee_berry #HaveTheTalk early as in ...when you turn 18 and revisit #AdvanceDirectives as youhealth changes #PARTofLife #hpm
Wed Dec 8 18:59:41 PST 2010
GailZahtz @ctsinclair I agree prognosis versus hope are good discussions. But also, if pt haschronic condition, it could be 30 yrs, different. #hpm
Wed Dec 8 19:00:03 PST 2010
ctsinclair Wise Words: Hundreds can become Thousands can become Millions with a click, alike and a share. Your click. Your like. Your share. #hpm
Wed Dec 8 19:00:13 PST 2010
ctsinclair RT @renee_berry: #HaveTheTalk early as in ...when you turn 18 and revisit#AdvanceDirectives as your health changes #PARTofLife #hpm
Wed Dec 8 19:00:24 PST 2010
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visitingnurse RT @hvto: Gave a living will presentation - asked audience to accept as my gift as awish for them to leave a legacy of peace. #hpm
Wed Dec 8 19:00:25 PST 2010
ElusiveEm RT @ctsinclair: Wise Words: Hundreds can become Thousands can become Millionwith a click, a like and a share. Your click. Your like. Your share. #hpm
Wed Dec 8 19:00:35 PST 2010
RossJeanette Great tweetchat goodnight all #Hpm
Wed Dec 8 19:00:36 PST 2010
GailZahtz @pfanderson I missed the Sunday movie chat if that's the one you mean. Sorry tohave missed it, but Sunday nights aren't great for me. #hpm
Wed Dec 8 19:00:44 PST 2010
Tymeyer Tweetchat locked up on me... Thanks for the great chat as always... as always feelfree to hang out after the hour. See you all later #hpm
Wed Dec 8 19:00:52 PST 2010
ctsinclair RT @hvto: Gave a living will presentation - asked audience to accept as my gift as awish for them to leave legacy of peace 'good one' #hpm
Wed Dec 8 19:01:02 PST 2010
ctsinclair The #hpm Daily is out! http://bit.ly/czPwM9 ▸ Top stories today by @getpalliative@deathwdignity @hcsmca @doclake @ctsinclair
Wed Dec 8 19:01:17 PST 2010
GailZahtz@tymeyer Great job moderating! It was a very lively chat this week. Don't worryabout T3, means everyone was engaged :)) #hpm
Wed Dec 8 19:01:47 PST 2010
JoshGriffin Goodnight all. Was a great chat, as always. Thanks to @tymeyer for hosting #hpm
Wed Dec 8 19:01:48 PST 2010
visitingnurse RT @ctsinclair: The #hpm Daily is out! http://bit.ly/czPwM9 ▸ #hpm
Wed Dec 8 19:02:06 PST 2010
ctsinclair@GailZahtz @pfanderson We are thinking of doing another one after the first of theyear. Video tweetchat #hpm
Wed Dec 8 19:02:24 PST 2010
hvto DNR also doesn't mean Do Not Rest....Goodnight all and I enjoyed the greatconversation. #hpm
Wed Dec 8 19:02:59 PST 2010
GailZahtz @ctsinclair It would be great to do another video/chat. I hear it went very well. And
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maybe it could become a pattern. @pfanderson #hpm
Wed Dec 8 19:03:44 PST 2010
Tymeyer @hvto thanks for joining in #hpm
Wed Dec 8 19:04:07 PST 2010
emmabelanger Thanks all! Had a great time! #hpm
Wed Dec 8 19:04:11 PST 2010
rebeccacaroe thanks #hpm
Wed Dec 8 19:04:51 PST 2010
rebeccacaroe @ctsinclair @GailZahtz @pfanderson you can multiple video on Skype version 5.0now BTW #hpm
Wed Dec 8 19:05:23 PST 2010
LifeHealthDiary good bye everyone #hpm
Wed Dec 8 19:06:04 PST 2010
ctsinclair Good night from Chicago everyone! #hpm
Wed Dec 8 19:06:30 PST 2010
hvto @renee_berry Renee, Thanks for the invite to the #hpm chat - I finally made it andreally enjoyed it.
Wed Dec 8 19:06:48 PST 2010
GailZahtz @hvto Welcome. Hope you'll be back. It's a great group! #hpm
Wed Dec 8 19:08:09 PST 2010
renee_berry RT @GetPalliative You don't have to stop #curative treatment to rcv #Palliative care#hpm #chemo #hospitalist #oncology #NoMorePain PleaseRT
Wed Dec 8 19:14:18 PST 2010