#hpm tweet chat 9:7:11

7/31/2019 #Hpm Tweet Chat 9:7:11

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6/27/12 12:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Sep 07 18:00:00 PDT 2011

To: Wed Sep 07 19:15:00 PDT 2011

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KathyKastner And as the hour grows nigh, I await intros. Me, I'm an hpm devotee. IRL develop patient evids and an app for e-o-l decisions. You? #hpm

Wed Sep 7 18:00:28 PDT 2011

nursefriendly @KathyKastner Hello Everyone, Andrew Lopez, RN from New Jersey, to bedside for a lotof #hospice#patients#hpm

Wed Sep 7 18:02:08 PDT 2011

KathyKastner Welcome to tonite's flurry (may turn into a torrent). We'll start with intro's please. #hpmWed Sep 7 18:02:15 PDT 2011

authordhallman David - author of palliative care memoir "August Farewell" #hpmWed Sep 7 18:02:40 PDT 2011

JoelHigh #HPM Hi all Joel, a #ptcentcare consultant from Omaha here.Wed Sep 7 18:02:45 PDT 2011

MarksPhone Mark here medical educator, applying adult learning theory to communication andeducation and touched by good hospice #hpm

Wed Sep 7 18:02:53 PDT 2011
http://www.twitter.com/JoelHighhttp://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/ptcentcare/http://twitter.com/284885422/status/111605336359698432http://www.twitter.com/nursefriendlyhttp://www.twitter.com/KathyKastnerhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=09-07-2011&shour=18&smin=0&tdate=09-07-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://twitter.com/22063766/status/111605392513056769http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/18902713/status/111605358212026369http://www.symplur.com/healthcare-hashtags/ptcentcare/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/JoelHighhttp://twitter.com/284885422/status/111605336359698432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/205752125/status/111605232928165889http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://twitter.com/22638297/status/111605201839980544http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/patients/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/nursefriendlyhttp://twitter.com/205752125/status/111604782623498240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=09-07-2011&shour=18&smin=0&tdate=09-07-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=09-07-2011&shour=18&smin=0&tdate=09-07-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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KathyKastner Hi @nursefriendly! Thanks for many RTs and @authordhallman oh boy (congrats onreaction to book) #hpm

Wed Sep 7 18:03:15 PDT 2011

KathyKastner @MarksPhone totally wonderful to have you. #hpmWed Sep 7 18:03:35 PDT 2011

caregiving @KathyKastner I'm Denise, a life coach working with family caregivers. Glad to be heretonight! #hpm

Wed Sep 7 18:03:44 PDT 2011

hollyby Holly Yang, doc for @SanDiegoHospice. Interests in int'l HPM, communication, med ed. Atweets are my own and they're from TX tonight! #hpm

Wed Sep 7 18:03:51 PDT 2011

schwartzbrown Hi. Mindy here, Social worker from NJ #hpmWed Sep 7 18:03:57 PDT 2011

authordhallman @KathyKastner Thanks Kathy #hpmWed Sep 7 18:04:12 PDT 2011

jorunkjones Jorunkjones Hi, Thanks so much for inviting me-I'm glad to be here at #hpm#hpmWed Sep 7 18:04:21 PDT 2011

MeredithGould

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schwartzbrown Thanks for the invite! #hpmWed Sep 7 18:05:29 PDT 2011

hollyby For the next hour, I'll be tweeting as part of the #hospice and #palliative medicinetweetchat. Come join us! http://t.co/En0pURg#hpm

Wed Sep 7 18:05:36 PDT 2011

PracticalWisdom Hi Lisa Transforming the Ho-Hum into Compelling. Passionate HCSM Tweetchats, AdultEd Speaker/Trainer/Design Slide Decks/Talks #HPM

Wed Sep 7 18:05:48 PDT 2011

nursefriendly @KathyKastner@nursefriendly@authordhallman Anytime, I tend to retweet importanttopics quite a bit :) #hpm

Wed Sep 7 18:05:48 PDT 2011

PracticalWisdom Join me for a #HPM TweetChat at: http://t.co/yAYobLu#HPMWed Sep 7 18:05:53 PDT 2011

JoelHigh @KathyKastner Yes, and glad about it. #hpmWed Sep 7 18:06:02 PDT 2011

KathyKastner Yay @sheyonthebay and @jen_C_Taylor so good to have you. @Renee_Berry - waving aus all. #hpm

Wed Sep 7 18:06:23 PDT 2011

nursefriendly @hollyby Good point, I'm participating in #hpm a hospice and palliative care discussion on#twitter, feel free to join in or lurk #hpm

Wed Sep 7 18:06:41 PDT 2011

SheyontheBay @CCWNC@hollyby thanks for the link EOL in ER (retired ED nurse) #hpmWed Sep 7 18:07:14 PDT 2011

nursefriendly Is everyone using Tweetchat or Tweetdeck to follow the conversation? (much easier)http://t.co/5IJyLus#hpm

Wed Sep 7 18:07:22 PDT 2011

KathyKastner Ah Ms @practicalWisdom. Oh boy. and Hey @aliciabloom. #hpmWed Sep 7 18:07:23 PDT 2011

renee_berry RT @nursefriendly: @hollyby Good point, I'm participating in #hpm a hospice and palliativcare discussion on #twitter, feel free to join in or lurk #hpm

Wed Sep 7 18:08:07 PDT 2011

jorunkjones Thanks @kathykastner for this chat @talkabouthealth thanks you, too. #hpmWed Sep 7 18:08:08 PDT 2011
http://twitter.com/98737808/status/111606712582160385http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/talkabouthealthhttp://www.twitter.com/kathykastnerhttp://www.twitter.com/jorunkjoneshttp://twitter.com/101756517/status/111606707880329218http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/twitter/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/renee_berryhttp://twitter.com/101386174/status/111606524618616832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/practicalWisdomhttp://www.twitter.com/KathyKastnerhttp://twitter.com/22638297/status/111606518662696960http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/5IJyLushttp://www.twitter.com/nursefriendlyhttp://twitter.com/16857263/status/111606486781792257http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/CCWNChttp://www.twitter.com/SheyontheBayhttp://twitter.com/9169562/status/111606348906631169http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/twitter/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://twitter.com/101386174/status/111606270880006145http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Renee_Berryhttp://www.twitter.com/jen_C_Taylorhttp://www.twitter.com/sheyonthebayhttp://www.twitter.com/KathyKastnerhttp://twitter.com/18902713/status/111606186054402048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/JoelHighhttp://twitter.com/25428892/status/111606146707623938http://www.symplur.com/healthcare-hashtags/HPM/http://t.co/yAYobLuhttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/22638297/status/111606127040532482http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/KathyKastnerhttp://www.twitter.com/nursefriendlyhttp://twitter.com/25428892/status/111606124125495296http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/12047811/status/111606074360070144http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/En0pURghttp://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/hollybyhttp://twitter.com/273605086/status/111606045884944384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/schwartzbrown

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aliciabloom it's wednesday at 9pm. the next hour of tweets is brought to you by...#hpm!Wed Sep 7 18:08:31 PDT 2011

hollyby Sure! So important! RT @SheyontheBay: @CCWNC@hollyby thanks for the link EOL inER (retired ED nurse) http://t.co/qT18QFR#hpm

Wed Sep 7 18:08:58 PDT 2011

JoelHigh RT @aliciabloom: its wednesday at 9pm. the next hour of tweets is brought to youby...#hpm! #hpm

Wed Sep 7 18:08:58 PDT 2011

aliciabloom hi @KathyKastner! thanks for hosting. #hpmWed Sep 7 18:09:03 PDT 2011

nursefriendly RT @PracticalWisdom: Join me for a #HPM TweetChat at: http://t.co/yAYobLu#HPMWed Sep 7 18:09:11 PDT 2011

MeredithGould @KathyKastner A bit bleary-eyed. #hpmWed Sep 7 18:09:12 PDT 2011

SheyontheBay MT: For the next hour, Ill be tweeting as part of the #hospice and #palliative medicinetweetchat. Come join us! http://t.co/M8fU2Gr#hpm

Wed Sep 7 18:09:19 PDT 2011

KathyKastner Shall we just plunge right in - whethe @ctsinclair joins or not :) T1: inconsistencies. Arethere any in hpm training? #hpm

Wed Sep 7 18:09:27 PDT 2011

nursefriendly RT @hollyby: Sure! So important! RT @SheyontheBay: @CCWNC@hollyby thanks forthe link EOL in ER (retired ED nurse) http://t.co/qT18QFR#hpm

Wed Sep 7 18:09:46 PDT 2011

nursefriendly RT @SheyontheBay: MT: For the next hour, Ill be tweeting as part of the #hospice and#palliative medicine tweetchat. Come join us! http://t.co/M8fU2Gr#hpm

Wed Sep 7 18:10:09 PDT 2011

MeredithGould @KathyKastner T1: Yes. Next topic? #hpmWed Sep 7 18:10:25 PDT 2011

renee_berry RT @KathyKastner T1 inconsistencies Are there any in hpm training? #hpmWed Sep 7 18:10:27 PDT 2011

KathyKastner @MeredithGould Bleary eyed or not, you still look good in yr pic :) #hpmWed Sep 7 18:10:37 PDT 2011
http://twitter.com/101386174/status/111607338565238784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/121558178/status/111607293556174848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/renee_berryhttp://twitter.com/16733030/status/111607286849486848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/9169562/status/111607218759139328http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/M8fU2Grhttp://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/nursefriendlyhttp://twitter.com/9169562/status/111607124261470208http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/qT18QFRhttp://www.twitter.com/hollybyhttp://www.twitter.com/CCWNChttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/hollybyhttp://www.twitter.com/nursefriendlyhttp://twitter.com/101386174/status/111607045437923328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/KathyKastnerhttp://twitter.com/16857263/status/111607011111747584http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/M8fU2Grhttp://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/SheyontheBayhttp://twitter.com/16733030/status/111606980480745472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/22638297/status/111606976047362048http://www.symplur.com/healthcare-hashtags/HPM/http://t.co/yAYobLuhttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/111606944191619072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/aliciabloomhttp://twitter.com/18902713/status/111606923312377857http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/JoelHighhttp://twitter.com/32316055/status/111606921101975552http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/qT18QFRhttp://www.twitter.com/hollybyhttp://www.twitter.com/CCWNChttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/hollybyhttp://twitter.com/17634111/status/111606809718038529http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloom

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JoelHigh Yes, most definitely. Training depends on where you get it and what your discipline is.#hpm

Wed Sep 7 18:10:42 PDT 2011

nursefriendly @KathyKastner When is the best time to address advance directives, durable power ofattorney and #DNR status? #hpm

Wed Sep 7 18:10:59 PDT 2011

JoelHigh RT @MeredithGould: @KathyKastner T1: Yes. Next topic? #hpmWed Sep 7 18:11:03 PDT 2011

hollyby T1: I guess it depends on what you mean. Are you talking about docs? #hpmWed Sep 7 18:11:09 PDT 2011

KathyKastner Elaborate pls RT @JoelHigh: Yes, most definitely. Training depends on where you get itand what your discipline is. #hpm

Wed Sep 7 18:11:13 PDT 2011

MDelaCalzada Ha! RT @MeredithGould@KathyKastner T1: Yes. Next topic? #hpm#hpmWed Sep 7 18:11:18 PDT 2011

MeredithGould @KathyKastner But I'm not all friendly waving like some people! #hpmWed Sep 7 18:11:18 PDT 2011

PracticalWisdom Does HPM Training include Emotional Intelligence assessment or training? EI?MTT1:inconsistencies. Are there any in hpm training? #HPM

Wed Sep 7 18:11:28 PDT 2011

jorunkjones RT @JoelHigh: Yes, most definitely. Training depends on where you get it and what yourdiscipline is. I agree. #hpm

Wed Sep 7 18:11:30 PDT 2011

MeredithGould @hollyby Sure, get all nuanced! #hpmWed Sep 7 18:11:32 PDT 2011

ctsinclair Hi all sorry I'm late. Getting kids to bed, then booting up a very sluggish computer.Christian Sinclair palliative doc @KChospice#hpm

Wed Sep 7 18:11:33 PDT 2011

renee_berry T1 I think there is a lot of inconsistency. Not consistency across institutions, nor acrossdisciplines. #hpm

Wed Sep 7 18:11:38 PDT 2011

MarksPhone I would imagine all training is consistent but hospital/corp systems varry application mayvarry. #hpm

Wed Sep 7 18:11:44 PDT 2011
http://twitter.com/22063766/status/111607620195975169http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/121558178/status/111607592261922816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/2326862/status/111607570485096448http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KChospicehttp://www.twitter.com/ctsinclairhttp://twitter.com/16733030/status/111607570313117696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/MeredithGouldhttp://twitter.com/98737808/status/111607561718988801http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoelHighhttp://www.twitter.com/jorunkjoneshttp://twitter.com/25428892/status/111607552877400064http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/1972230/status/111607508405190657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://twitter.com/15834285/status/111607508069662720http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/MDelaCalzadahttp://twitter.com/101386174/status/111607488587120640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoelHighhttp://www.twitter.com/KathyKastnerhttp://twitter.com/32316055/status/111607471327555584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/18902713/status/111607445473857536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/JoelHighhttp://twitter.com/22638297/status/111607428033945601http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/DNR/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/nursefriendlyhttp://twitter.com/18902713/status/111607357099872257http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoelHigh

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hollyby @renee_berry can never change her avatar now! RT @MeredithGould: @KathyKastnerBut Im not all friendly waving like some people! #hpm

Wed Sep 7 18:11:56 PDT 2011

renee_berry @MeredithGould@KathyKastner wave wave wave, yes I do :) #hpmWed Sep 7 18:11:58 PDT 2011

nursefriendly Think it is a disservice to the #patients, that their code status, end of life wishes and #eoloptions are not addressed early #hpm

Wed Sep 7 18:12:07 PDT 2011

MeredithGould @ctsinclair Better than being late for booting sluggish children #hpmWed Sep 7 18:12:18 PDT 2011

ctsinclair RT @KathyKastner: T1:inconsistencies. Are there any in hpm training? #hpmWed Sep 7 18:12:34 PDT 2011

MeredithGould @renee_berry You're making me woozy, on top of bleary-eyed. #hpmWed Sep 7 18:12:44 PDT 2011

SheyontheBay RT @MarksPhone: I would imagine all training is consistent but hospital/corp systemsvarry application may vary

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nursefriendly RT @KathyKastner: Shall we just plunge right in - whethe @ctsinclair joins or not :) T1:inconsistencies. Are there any in hpm training? #hpm

Wed Sep 7 18:13:22 PDT 2011

KathyKastner RT @MarksPhone: also consider the pateint/family enters at one point on a continuumeach touch point may not be consistent w/next #hpm

Wed Sep 7 18:13:25 PDT 2011

renee_berry @nursefriendly it's so important to have options addressed early & often. #hpmWed Sep 7 18:13:31 PDT 2011

jorunkjones RT @nursefriendly: Especially in #oncology or #copd, #diagnoses that are likely terminal,code status should be addressed early on #hpm

Wed Sep 7 18:13:39 PDT 2011

JoelHigh #HPM training is more like apprenticeship than anything else #hpmWed Sep 7 18:13:42 PDT 2011

PracticalWisdom @PracticalWisdom Does HPM Training Emotional Intelligence assessment or training? EIMTT1:inconsistencies. R there hpm training? #HPM

Wed Sep 7 18:13:43 PDT 2011

ctsinclair (note to Twitter followers lots of #HPM tweets coming for the next 50 minutes) be patient,or even better join in! ) #hpm

Wed Sep 7 18:13:45 PDT 2011

renee_berry RT @nursefriendly: Think it is a disservice to the #patients, that their code status, end oflife wishes and #eol options are not addressed early #hpm

Wed Sep 7 18:13:46 PDT 2011

renee_berry What is patient centered care w/o consistent goals of care discussions? #hpmWed Sep 7 18:13:54 PDT 2011

drseisenberg #hpm hey gang!Wed Sep 7 18:13:56 PDT 2011

aliciabloom inconsistencies exist in training. varying disciplines, philosophies & cultures among themand between institutions/systems. #hpm

Wed Sep 7 18:13:57 PDT 2011

nursefriendly @JoelHigh Like it or not, we #nurses can't leave code status up to #doctors, they haveplenty on their plate #hpm

Wed Sep 7 18:14:02 PDT 2011

renee_berry RT @aliciabloom: inconsistencies exist in training. varying disciplines, philosophies &cultures among them and between institutions/systems. #hpm

Wed Sep 7 18:14:29 PDT 2011
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ctsinclair T1: starting to see change in oncology and geriatric fellowships (docs) giving fellows moretime with palliative care teams #cancer#hpm

Wed Sep 7 18:14:34 PDT 2011

caregiving Training also can vary from trainer to trainer. #hpmWed Sep 7 18:15:06 PDT 2011

nursefriendly Usually a patient is at their #deathbed or has had a catastrophic "turn for the worse" beforthe issue of code status comes up #hpm

Wed Sep 7 18:15:10 PDT 2011

SheyontheBay RT @ctsinclair: (note to Twitter followers lots of #HPM tweets coming for the next 50minutes) be patient, or even better join in! ) #hpm

Wed Sep 7 18:15:14 PDT 2011

ctsinclair T1: used to be no onc fellows seen on the palliative care service/hospice, then one halfday, then one week, now a month! Fantastic! #hpm

Wed Sep 7 18:15:14 PDT 2011

nursefriendly RT @PracticalWisdom: Does HPM Training include Emotional Intelligence assessment ortraining? EI?MTT1:inconsistencies. Are there any in hpm training? #HPM

Wed Sep 7 18:15:31 PDT 2011

KathyKastner @drseisenberg hoped to see you here tonite! #hpmWed Sep 7 18:15:45 PDT 2011

PracticalWisdom T1: Are we talking about Formal In class Training? Clinicals? Training is a General term.

@marksphone Agree? #HPMWed Sep 7 18:15:52 PDT 2011

ctsinclair I find we often get good feedback from the geriatrics/oncology fellows on the palliative caretopics we cover, spec pain/communication #hpm

Wed Sep 7 18:15:52 PDT 2011

MeredithGould Even if training is consistent (which it is not) the way people assimilate information varieswidely...and wildly. #hpm

Wed Sep 7 18:15:53 PDT 2011

aliciabloom @renee_berry agree! how can we be patient centered without knowing values &preferences? goals of care discussions early & often. #hpm

Wed Sep 7 18:15:57 PDT 2011

JoelHigh @renee_berry That discussion is very much a part of #ptcentcare. Pts need to know theiroptions #hpm

Wed Sep 7 18:16:00 PDT 2011
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hollyby HPM docs are currently able to be boarded after fellowship training or for a little whilelonger (2012) through a grandfathering period #hpm

Wed Sep 7 18:16:02 PDT 2011

SheyontheBay @renee_berry hate to sound ageist, but also see inconsitencies between older docs andyounger ones #hpm

Wed Sep 7 18:16:05 PDT 2011

nursefriendly @PracticalWisdom That's all #greek to me . . . . and I'm not ashamed to admit it. #hospice#HPM

Wed Sep 7 18:16:05 PDT 2011

MarksPhone Maybe we should asking where is consistency most valuable to the patient and family not it exists. Focus on problem #hpm

Wed Sep 7 18:16:10 PDT 2011

nursefriendly RT @ctsinclair: Hi all sorry I'm late. Getting kids to bed, then booting up a very sluggishcomputer. Christian Sinclair palliative doc @KChospice#hpm

Wed Sep 7 18:16:31 PDT 2011

PracticalWisdom RT @MarksPhone: Maybe we should asking where is consistency most valuable to thepatient and family not if it exists. Focus on problem #HPM

Wed Sep 7 18:16:35 PDT 2011

KathyKastner How RT @SheyontheBay: @renee_berry hate to sound ageist, but also see inconsitenciebetween older docs and younger ones #hpm

Wed Sep 7 18:16:36 PDT 2011

ctsinclair @PracticalWisdom No formal Emotional Intelligence training required, but is often

assessed informally with fellows in many programs #hpmWed Sep 7 18:16:43 PDT 2011

MeredithGould @SheyontheBay That's not ageist, that's noting a sociological variable that becomes moreand more important #hpm

Wed Sep 7 18:16:53 PDT 2011

SheyontheBay (cont) you'd not believe some ofmthe myths I've heard old docs proclaim as truth #hpmWed Sep 7 18:16:53 PDT 2011

renee_berry RT @MeredithGould: Even if training is consistent (which it is not) the way peopleassimilate information varies widely...and wildly. #hpmWed Sep 7 18:16:55 PDT 2011

caregiving @MarksPhone I like that! And, how does the inconsistency create confusion for patient anfamily. #hpm

Wed Sep 7 18:17:25 PDT 2011

@MarksPhone I like that! And, how does the inconsistency create confusion for patient an
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caregiving family. #hpmWed Sep 7 18:17:25 PDT 2011

MarksPhone Class training is consistent. Applying training in practice may varry do to systems corps.etc. Hard to screw up a sub Q injection. #hpm

Wed Sep 7 18:17:31 PDT 2011

MarksPhone Class training is consistent. Applying training in practice may varry do to systems corps.etc. Hard to screw up a sub Q injection. #hpm

Wed Sep 7 18:17:31 PDT 2011

jorunkjones Wouldn't it be great to have palliative care teams? #hpmWed Sep 7 18:17:38 PDT 2011

ctsinclair RT @SheyontheBay: hate to sound ageist, but also see inconsitencies btw older/youngerdocs 'not a problem of age, but of training era' #hpm

Wed Sep 7 18:17:38 PDT 2011

nursefriendly @renee_berry Think the training we get depends a lot on our #educators, don't imaginethere is standardization #hpm

Wed Sep 7 18:17:39 PDT 2011

hollyby RT @ctsinclair: T1: used 2 be no onc fellows seen on palliative care service/hospice, thena half day, then a wk, now a mo! Fantastic! #hpm

Wed Sep 7 18:17:52 PDT 2011

hollyby RT @ctsinclair: T1: used 2 be no onc fellows seen on palliative care service/hospice, thena half day, then a wk, now a mo! Fantastic! #hpm

Wed Sep 7 18:17:52 PDT 2011

PracticalWisdom @MarksPhone Maybe focus on the Organizational Systems. #HPMWed Sep 7 18:17:54 PDT 2011

PracticalWisdom @MarksPhone Maybe focus on the Organizational Systems. #HPMWed Sep 7 18:17:54 PDT 2011

MarksPhone Very easy and critical to screw up DNR in the chart #hpmWed Sep 7 18:17:57 PDT 2011

MarksPhone Very easy and critical to screw up DNR in the chart #hpmWed Sep 7 18:17:57 PDT 2011

KathyKastner IsnRT @jorunkjones: Wouldn't it be great to have palliative care teams? #hpmWed Sep 7 18:17:59 PDT 2011
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SheyontheBay @MeredithGould O-KAY! Call it whatever you want !!! #hpmWed Sep 7 18:18:03 PDT 2011

ctsinclair T1 more and more med students coming in to hospice rotation with at least basicknowledge #meded#hpm

Wed Sep 7 18:18:07 PDT 2011

nursefriendly @renee_berry Would be very helpful if standards could be issued by #hospital or #medicaor #nursing associations #hpmWed Sep 7 18:18:20 PDT 2011

renee_berry question for those that have had formal training: How common/extensive is formal clinicaltraining on goals of care discussions? #hpm

Wed Sep 7 18:18:29 PDT 2011

ctsinclair T1: as far as nurses go, used to be common (false) wisdom that onlyseasoned/experienced RN's should do hospice, not new grads #hpm

Wed Sep 7 18:18:43 PDT 2011

hollyby Agree! RT @ctsinclair: T1 more and more med students coming in to hospice rotation withat least basic knowledge #meded#hpm

Wed Sep 7 18:18:44 PDT 2011

PracticalWisdom G8 What has changed?RT @ctsinclair: T1 more and more med students coming in tohospice rotation with at least basic knowledge #meded#HPM

Wed Sep 7 18:18:49 PDT 2011

MarksPhone @PracticalWisdom dive deeper ... DNR should be consistent at least w/in each state. Oneset of language as an e.g. #hpm

Wed Sep 7 18:18:51 PDT 2011

KathyKastner Oops meant to say: isn't that how it works? RT @jorunkjones: Wouldnt it be great to havepalliative care teams? #hpm

Wed Sep 7 18:18:59 PDT 2011

renee_berry new! ...RT @nursefriendly Would be very helpful if standards could be issued by #hospitaor #medical or #nursing associations #hpm

Wed Sep 7 18:19:06 PDT 2011

JoelHigh@ctsinclair What about other disciplines many have very little #HPM training. #hpm

Wed Sep 7 18:19:12 PDT 2011

SheyontheBay @ctsinclair@SheyontheBay and going back to a previous chat, lack of mandatorycontinuing education #hpm

Wed Sep 7 18:19:14 PDT 2011

schwartzbrown Don't know if you deal with F(I)MGs, but their views on pain mgmnt/eol issues may differtoo #hpm
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Wed Sep 7 18:19:14 PDT 2011

nursefriendly RT @jfclearywisc: Jim Cleary joining Hospice & Palliative Med tweetchat for the next 45minutes #hpm

Wed Sep 7 18:19:19 PDT 2011

jfclearywiscRT @hollyby: Agree! RT @ctsinclair: T1 more and more med students coming in tohospice rotation with at least basic knowledge #meded#hpm

Wed Sep 7 18:19:24 PDT 2011

ctsinclair T1: In past year, more RN/LPN new grads actively choosing hospice/palliative career path(need advancement opportunities though) #hpm

Wed Sep 7 18:19:44 PDT 2011

jen_c_taylor I'm very happy about this development. Not training but mandate: http://t.co/KgAL9Ah#hpm

Wed Sep 7 18:19:54 PDT 2011

PracticalWisdom Plain Speak2MT @MarksPhone:@PracticalWisdom dive deeper DNR should be consistenleast w/in each state. One set of language as an e.g. #HPM

Wed Sep 7 18:19:55 PDT 2011

nursefriendly @KathyKastner Many patients go through needless tests, resuscitations, mechanicalventilation when family is unaware of wishes #hpm

Wed Sep 7 18:20:20 PDT 2011

JoelHigh @ctsinclair I think that 4 many it's a passion for caregiving that gets them into #HPM andthat carries through until they learn skills #hpm

Wed Sep 7 18:20:27 PDT 2011

ctsinclair T1: obviously with all of my tweets I am talking about what I am seeing in the local#KansasCity metro area, not natl trends necc. #hpm

Wed Sep 7 18:20:38 PDT 2011

KathyKastner @jfclearywisc Welcome. Hold onto your seat. #hpmWed Sep 7 18:20:42 PDT 2011

jfclearywisc @schwartzbrown Re IMGs and Pain: Views on pain management vary greatly by medicalschool and residency for US graduates. #hpm

Wed Sep 7 18:20:42 PDT 2011

renee_berry @nursefriendly New release from @TJCommission Advanced Palliative Care Certificationhttp://t.co/4zL335p#hpm

Wed Sep 7 18:21:10 PDT 2011

nursefriendly Would save #families a lot of #grief RT @renee_berry: @nursefriendly it's so important tohave options addressed early & often. #hpm
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Wed Sep 7 18:21:13 PDT 2011

PracticalWisdom @jfclearywisc@hollyby@ctsinclair Good news increasing time basic Knowledge. Whatchanged? How Can we continue 2 help with the change #HPM

Wed Sep 7 18:21:19 PDT 2011

hollyby Need for global HPM meded MT @schwartzbrown: Dont know if u deal with F(I)MGs, but

their views on pain mgmnt/eol issues may differ too #hpmWed Sep 7 18:21:22 PDT 2011

SheyontheBay @ctsinclair maybe it depends on the age of the new grad. Young nurses often have atough time with death, more suited to ED/ save/cure #hpm

Wed Sep 7 18:21:24 PDT 2011

jorunkjones RT @nursefriendly: @KathyKastner pts go through needless tests, resuscitations,mechanical ventilation & family is unaware of wishes #hpm

Wed Sep 7 18:21:26 PDT 2011

ctsinclair RT @JoelHigh: I think that 4 many passion for caregiving gets them into #HPM and thatcarries through until they learn skills "YES!" #hpm

Wed Sep 7 18:21:27 PDT 2011

nursefriendly RT @ctsinclair: (note to Twitter followers lots of #HPM tweets coming for the next 50minutes) be patient, or even better join in! ) #hpm

Wed Sep 7 18:21:39 PDT 2011

nursefriendly RT @renee_berry: What is patient centered care w/o consistent goals of care discussions#hpm

Wed Sep 7 18:21:58 PDT 2011

MarksPhone @ctsinclair excellent point all come in with basic training: procedual knowledge is added athe site how does one affect the other? #hpm

Wed Sep 7 18:22:03 PDT 2011

KathyKastner RT @ctsinclair: RT @JoelHigh: I think that 4 many passion 4 caregiving gets them intoandthat carries through until learn skills "YES!" #hpm

Wed Sep 7 18:22:14 PDT 2011

SheyontheBay Also, i think strong med/ surg background essential before entering any specialty #hpmWed Sep 7 18:22:17 PDT 2011

PracticalWisdom @MarksPhone Mark do you think Plain Speak should also be a factor in DNA Documents#HPM

Wed Sep 7 18:22:22 PDT 2011

jfclearywisc @PracticalWisdom@hollyby@ctsinclair Ripple effect: formalizing fellowships, improvesresidency experience which impacts students #hpm

Wed Sep 7 18:22:26 PDT 2011
http://twitter.com/27231379/status/111610312469397504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/jfclearywischttp://twitter.com/25428892/status/111610294786199552http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MarksPhonehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16857263/status/111610271600087041http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/101386174/status/111610259503710208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/JoelHighhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/KathyKastnerhttp://twitter.com/22063766/status/111610214700163072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MarksPhonehttp://twitter.com/22638297/status/111610193900609538http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/nursefriendlyhttp://twitter.com/22638297/status/111610112430452737http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/111610062497263617http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/JoelHighhttp://www.twitter.com/ctsinclairhttp://twitter.com/98737808/status/111610058185506817http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/nursefriendlyhttp://www.twitter.com/jorunkjoneshttp://twitter.com/16857263/status/111610052300910592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/SheyontheBayhttp://twitter.com/32316055/status/111610044667269120http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/schwartzbrownhttp://www.twitter.com/hollybyhttp://twitter.com/25428892/status/111610032356986880http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://www.twitter.com/jfclearywischttp://www.twitter.com/PracticalWisdomhttp://twitter.com/9169562/status/111610006801096704

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DrBeckerSchutte Followers: I'll be participating in #hpm chat for the next 40 minutes. So the tweets will becoming fast and furious!

Wed Sep 7 18:22:36 PDT 2011

equijada RT @jfclearywisc: @schwartzbrown Re IMGs and Pain: Views on pain management varygreatly by medical school and residency for US graduates. #hpm

Wed Sep 7 18:22:38 PDT 2011

ctsinclair @PracticalWisdom more training programs now have access to more palliative care teamand expertise. #hpm

Wed Sep 7 18:22:44 PDT 2011

renee_berry @SheyontheBay I'm young, started w/hospice, moved to ED, then geriatrics, all the whilemissed hospice #hpm

Wed Sep 7 18:22:49 PDT 2011

nursefriendly If death is a reasonable possibility . . . RT @renee_berry: What is patient centered carew/o consistent goals of care discussions? #hpmWed Sep 7 18:22:54 PDT 2011

KathyKastner Oh boy. gr8 to see you @equijada and @DrBeckerSchutte#hpmWed Sep 7 18:23:15 PDT 2011

jorunkjones Or family doesn't honor pts wishes RT @nursefriendly: @KathyKastner pts have needlesstests, resuscitations, mech. ventilation. #hpm

Wed Sep 7 18:23:21 PDT 2011

ctsinclair Gotta take a break...be back later... #hpmWed Sep 7 18:23:24 PDT 2011

DrBeckerSchutte Hi all, I'm Ann a psychologist from Kansas City. I'm a bit late, but excited to participate inchat. #hpm

Wed Sep 7 18:23:25 PDT 2011

PracticalWisdom @jfclearywisc Thank you for info why achieving success. Perhaps better mentors Too!@PracticalWisdom@hollyby@ctsinclair#HPM

Wed Sep 7 18:23:41 PDT 2011

MarksPhone @ctsinclair how do u reinforce passion as knowledge changes? Medicine is life longlearning consistency is part of new knowledge #hpm

Wed Sep 7 18:23:45 PDT 2011

nursefriendly @renee_berry If death within six months to a year is foreseeable, the #doctor, #nurse andstaff need to bring it up #hpm

Wed Sep 7 18:23:47 PDT 2011
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7/31/2019 #Hpm Tweet Chat 9:7:11

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schwartzbrown Pal care not going to be available all over. All clinicians need to learn to deal with eolissues #hpm

Wed Sep 7 18:23:51 PDT 2011

PracticalWisdom @equijada Hey Earl. G8 to see you. #HPMWed Sep 7 18:24:03 PDT 2011

BodyAwareGrief RT @ctsinclair: T1: In past year, more RN/LPN new grads actively choosinghospice/palliative career paths (need advancement opportunities though) #hpm

Wed Sep 7 18:24:07 PDT 2011

DrBeckerSchutte @KathyKastner Hi Kathy! How is the moderating queen doign tonight! #hpmWed Sep 7 18:24:10 PDT 2011

KathyKastner RT @schwartzbrown: Pal care not going to be available all over. All clinicians need to learto deal with eol issues #hpm

Wed Sep 7 18:24:26 PDT 2011

KathyKastner hehehe tequila awaits :)RT @DrBeckerSchutte: @KathyKastner Hi Kathy! How is themoderating queen doign tonight! #hpm

Wed Sep 7 18:24:45 PDT 2011

MarksPhone @PracticalWisdom I think it needs to be clear for staff no if ands or buts. DNR or DR a fouyo should understand #hpm

Wed Sep 7 18:25:16 PDT 2011

DrBeckerSchutte In many areas! RT @schwartzbrown: Pal care not going to be available all over. Allclinicians need to learn to deal with eol issues #hpm

Wed Sep 7 18:25:16 PDT 2011

nursefriendly It's a fact, in their last six months, many #patients see #specialists, have #tests that do notprolong life #nurses#doctors#hpm

Wed Sep 7 18:25:17 PDT 2011

PracticalWisdom MT @MarksPhone: @ctsinclair how do u reinforce passion as know changes? Med.lifelong learning consistency is part of new knowledge #HPM

Wed Sep 7 18:25:18 PDT 2011

SheyontheBay@renee_berry@SheyontheBay ahhh, suspected you were an old soul! :) #hpm

Wed Sep 7 18:25:19 PDT 2011

hollyby MT @jfclearywisc: @PracticalWisdom@ctsinclair Ripple effect: formalizing fellowshipsimproves residency experience -> impacts students #hpm

Wed Sep 7 18:25:20 PDT 2011

renee_berry @nursefriendly agree, though often think people don't take ownership over who shouldhave straightforward goals of care discussions #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/renee_berryhttp://twitter.com/32316055/status/111611039686205440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/jfclearywischttp://www.twitter.com/hollybyhttp://twitter.com/16857263/status/111611036397862912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/renee_berryhttp://www.twitter.com/SheyontheBayhttp://twitter.com/25428892/status/111611031331147776http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MarksPhonehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/9169562/status/111611027354951680http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/doctors/http://www.symplur.com/healthcare-hashtags/nurses/http://www.symplur.com/healthcare-hashtags/tests/http://www.symplur.com/healthcare-hashtags/specialists/http://www.symplur.com/healthcare-hashtags/patients/http://www.twitter.com/nursefriendlyhttp://twitter.com/126842522/status/111611024322465793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/schwartzbrownhttp://www.twitter.com/DrBeckerSchuttehttp://twitter.com/22063766/status/111611023802372096http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/MarksPhonehttp://twitter.com/101386174/status/111610893191741440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/DrBeckerSchuttehttp://www.twitter.com/KathyKastnerhttp://twitter.com/101386174/status/111610813583859712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/schwartzbrownhttp://www.twitter.com/KathyKastnerhttp://twitter.com/126842522/status/111610747167051778http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/DrBeckerSchuttehttp://twitter.com/191201125/status/111610735548833792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/BodyAwareGriefhttp://twitter.com/25428892/status/111610717098094593http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/equijadahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/273605086/status/111610666560921600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/schwartzbrown

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Wed Sep 7 18:25:22 PDT 2011

renee_berry RT @nursefriendly: @renee_berry If death within six months to a year is foreseeable, the#doctor, #nurse and staff need to bring it up #hpm

Wed Sep 7 18:25:25 PDT 2011

KathyKastner Shoulder tap T2 a-coming: Not all medical persons are created equal, what makes youstand out? (just giving you-all time to think) #hpmWed Sep 7 18:25:53 PDT 2011

caregiving @schwartzbrown I think that would be great. Do you think other clinicians are open tolearning and training? #hpm

Wed Sep 7 18:26:15 PDT 2011

JoelHigh @renee_berry You are so right. As a chaplain many times it was pawned off on me. #hpmWed Sep 7 18:26:23 PDT 2011

nursefriendly If a #patient has a choice between multiple #hospitalizations, #resuscitations (#cpr),poking/prodding or #death with #dignity . . #hpmWed Sep 7 18:26:28 PDT 2011

PracticalWisdom T1: Thought I heard Emotional Intelligence Might be a factor in Med. School Admission.Should be part of the training? Good4 #HPM MD's #HPM

Wed Sep 7 18:26:28 PDT 2011

JoelHigh @renee_berry Lack of solid training leaves caregivers fearful of those conversations. #hpmWed Sep 7 18:26:58 PDT 2011

MeredithGould @JoelHigh What was pawned off on you? #hpmWed Sep 7 18:27:00 PDT 2011

nursefriendly Overwhelmingly #patients would prefer to #die at home, in their own beds. Not in the #icuof a #hospital#hpm

Wed Sep 7 18:27:20 PDT 2011

DrBeckerSchutte Ouch. That's something to change.RT @JoelHigh: You are so right. As a chaplain manytimes it was pawned off on me. #hpm

Wed Sep 7 18:27:23 PDT 2011

renee_berry have been told that before :) RT @SheyontheBay: @renee_berry@SheyontheBay ahhh,suspected you were an old soul! :) #hpm

Wed Sep 7 18:27:48 PDT 2011

PracticalWisdom ED Dept. Chaplains critical b/c no TimeRT @JoelHigh: @renee_berry You are so right. Asa chaplain many times it was pawned off on me. #HPM

Wed Sep 7 18:27:50 PDT 2011
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KathyKastner Also my Q: RT @MeredithGould: @JoelHigh What was pawned off on you? #hpmWed Sep 7 18:27:50 PDT 2011

renee_berry there's a large opportunity to educate young #meded students about #palliative care wouldhelp curb fear about serious illness #hpm

Wed Sep 7 18:27:57 PDT 2011

DrBeckerSchutte Families (and caregivers) need HCPs who are trained, capable and willing to have end oflife conversations. #hpm

Wed Sep 7 18:28:13 PDT 2011

jorunkjones RT @renee_berry: @nursefriendly agree, often people dont take ownership abt whoshould have straightforward goals of care discussions #hpm

Wed Sep 7 18:28:14 PDT 2011

JoelHigh @MeredithGould Advanced directives, etc. I never minded though. Those conversationsoften led to deep insights #hpm

Wed Sep 7 18:28:15 PDT 2011

KathyKastner RT @renee_berry: theres a large opp to ed young #meded students about #palliative carewould help curb fear about serious illness #hpm

Wed Sep 7 18:28:33 PDT 2011

nursefriendly Who wants to #die in a #hospital with tubes running out of every orifice and aggressive,painful therapies or on a #ventilator#hpm

Wed Sep 7 18:28:39 PDT 2011

MeredithGould @JoelHigh Frankly, I'd rather have a chaplain handling the AD & DNR convos #hpmWed Sep 7 18:28:39 PDT 2011

schwartzbrown I think clins have to meet families who have had members treated "successfully" by h/pcare teams to learn the diff it makes #hpm

Wed Sep 7 18:28:41 PDT 2011

PracticalWisdom Could also be a MBTI Preference diff?RT @JoelHigh: @renee_berry Lack solid trainingleaves caregivers fearful of those conversations. #HPM

Wed Sep 7 18:28:53 PDT 2011

KathyKastner @practicalWisdom MBTI? #hpmWed Sep 7 18:29:28 PDT 2011

nursefriendly RT @aliciabloom: inconsistencies exist in training. varying disciplines, philosophies &cultures among them and between institutions/systems. #hpm

Wed Sep 7 18:29:33 PDT 2011

schwartzbrown It's treatment as much as bone marrow transplant, damn it! #hpmWed Sep 7 18:29:39 PDT 2011
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nursefriendly RT @ctsinclair: T1: starting to see change in oncology and geriatric fellowships (docs)giving fellows more time with palliative care teams #cancer#hpm

Wed Sep 7 18:29:55 PDT 2011

MarksPhone @caregiving a great point what are the metrics of HPM? Death That is not a good outcomso how to we measure training w/that outcome? #hpm

Wed Sep 7 18:30:05 PDT 2011

drseisenberg RT @nursefriendly: Who wants to #die in a #hospital with tubes running out of every orificand aggressive painful therapies or on vent #hpm

Wed Sep 7 18:30:07 PDT 2011

KathyKastner RT @schwartzbrown: I think clins have to meet fam who have had members treated"successfully" by hp care teams 2 learn diff it makes #hpm

Wed Sep 7 18:30:12 PDT 2011

SheyontheBay @nursefriendly UGH, just inherited a 98-yr old, demented, nonverbal, reactive to painfulstimuli pt witha brand new PEG #hpmWed Sep 7 18:30:17 PDT 2011

PracticalWisdom Sorry Myers-Briggs Type Indicator. Thinking vs. Feeling! Occupational Hazard I fell into!SorryRT @KathyKastner: @practicalWisdom MBTI? #HPM

Wed Sep 7 18:30:19 PDT 2011

renee_berry me too but wish they were there in primary care! :) RT @MeredithGould: @JoelHighFrankly, Id rather have a chaplain handling AD convos #hpm

Wed Sep 7 18:30:29 PDT 2011

nursefriendly @ctsinclair would be so much better for #patients if #eol care was addressed routinely,instead of emergently #cancer#hpm

Wed Sep 7 18:30:36 PDT 2011

aliciabloom RT @MeredithGould: @JoelHigh Frankly, Id rather have a chaplain handling the AD &DNR convos

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DrBeckerSchutte @PracticalWisdom I was with ya--behavioral health folks in the house! :) #hpmWed Sep 7 18:31:03 PDT 2011

PracticalWisdom @MarksPhone Families and Friends could help be a measuring indication of whether theycomforted, educated, gave choice @caregiving#HPM

Wed Sep 7 18:31:15 PDT 2011

renee_berry @MarksPhone@CAPCPalliative has great research on those hospital metrics, BrianCassel, Phd has conducted great research #hpm

Wed Sep 7 18:31:22 PDT 2011

nursefriendly RT @ctsinclair: I find we often get good feedback from the geriatrics/oncology fellows onthe palliative care topics we cover, spec pain/communication #hpm

Wed Sep 7 18:31:23 PDT 2011

JoelHigh @renee_berry@MeredithGould Now that would be great. Maybe with PCMH? #hpmWed Sep 7 18:31:32 PDT 2011

renee_berry RT @MarksPhone: a great point what are the metrics of HPM? Death That is not a goodoutcome so how DO we measure training w/that outcome? #hpm

Wed Sep 7 18:31:33 PDT 2011

nursefriendly RT @aliciabloom: @renee_berry agree! how can we be patient centered without knowingvalues & preferences? goals of care discussions early & often. #hpm

Wed Sep 7 18:31:50 PDT 2011

caregiving @MarksPhone Hmm... How the family feels about the dying process? Do they havepeace? regrets? guilt? #hpm

Wed Sep 7 18:31:53 PDT 2011

SheyontheBay RT @nursefriendly: @ctsinclair would be so much better for #patients if #eol care wasaddressed routinely, instead of emergently #hpm

Wed Sep 7 18:32:02 PDT 2011

drseisenberg Every oncology fellowship should have mandatory hospice and palliative care rotations.#hpm

Wed Sep 7 18:32:03 PDT 2011

schwartzbrown Docs and nurses have to get comfortable with death and dying. Not leave it to "non-med"people #hpm

Wed Sep 7 18:32:16 PDT 2011

KathyKastner RT @SheyontheBay: RT @nursefriendly: @ctsinclair would be so much better for#patients if #eol care was addressed routinely, instead of emergently #hpm

Wed Sep 7 18:32:18 PDT 2011
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jorunkjones RT @drseisenberg: RT @nursefriendly: Who wants to #die in a #hospital with tubesrunning out of every orifice & aggressive painful tx #hpm

Wed Sep 7 18:32:24 PDT 2011

KathyKastner AMENRT @drseisenberg: Every oncology fellowship should have mandatory hospice andpalliative care rotations. #hpm

Wed Sep 7 18:32:29 PDT 2011

JoelHigh @PracticalWisdom@MarksPhone@caregiving Why not it's as much an experience asanything HCAHPS measures. #hpm

Wed Sep 7 18:32:33 PDT 2011

PracticalWisdom Thanks. We are muti-disc so language imptRT @DrBeckerSchutte: @PracticalWisdom Iwas with ya--behavioral health folks in the house! :) #HPM

Wed Sep 7 18:32:40 PDT 2011

nursefriendly @aliciabloom Cultures will play into the discussion of #eol care, a #hispanic will need adifferent approach than a #japanese#hpm

Wed Sep 7 18:32:45 PDT 2011

PracticalWisdom RT @KathyKastner: AMENRT @drseisenberg: Every oncology fellowship should havemandatory hospice and palliative care rotations. #HPM

Wed Sep 7 18:32:51 PDT 2011

jorunkjones Excellent thought RT @drseisenberg: Every oncology fellowship should have mandatoryhospice and palliative care rotations. #hpm

Wed Sep 7 18:32:54 PDT 2011

MeredithGould @KathyKastner When is T2? I have a smart answer already lined up!!! #hpmWed Sep 7 18:32:54 PDT 2011

KathyKastner RT @nursefriendly: @aliciabloom Cultures will play into the discussion of #eol care, a#hispanic need a diff approach than a #japanese#hpm

Wed Sep 7 18:33:19 PDT 2011

nursefriendly @MeredithGould#cultures and how they deal with #death as a society will affect how thediscussion is approached #hpm

Wed Sep 7 18:33:27 PDT 2011

schwartzbrown RT @nursefriendly: @aliciabloom Cultures will play into the discussion of #eol care, a

#hisp will need a diff approach than a #japanese#hpmWed Sep 7 18:33:34 PDT 2011

nursefriendly RT @JoelHigh: @renee_berry That discussion is very much a part of #ptcentcare. Ptsneed to know their options #hpm

Wed Sep 7 18:33:38 PDT 2011

MarksPhone So maybe we are saying all clinical training is the same & in house training is done agains
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needs assessment gap anaylsis & metrics #hpm

Wed Sep 7 18:33:47 PDT 2011

equijada @drseisenberg: Every oncology fellowship should have mandatory hospice and palliativecare rotations. #hpm Agree

Wed Sep 7 18:33:47 PDT 2011

DrBeckerSchutteGreat question.MT @MarksPhone: What are the metrics of HPM? Death That is not agood outcome-how DO we measure training w/that outcome? #hpm

Wed Sep 7 18:34:01 PDT 2011

nursefriendly RT @SheyontheBay: @renee_berry hate to sound ageist, but also see inconsitenciesbetween older docs and younger ones #hpm

Wed Sep 7 18:34:05 PDT 2011

PracticalWisdom @JoelHigh Do believe some folks are simply naturally better with these tough topics. Noheros saving the day! @MarksPhone@caregiving#HPM

Wed Sep 7 18:34:07 PDT 2011

KathyKastner @MeredithGould is ready for T2 Not all medical persons are created equal, what makesyou stand out? #hpm

Wed Sep 7 18:34:08 PDT 2011

renee_berry RT @jorunkjones: Excellent thought RT @drseisenberg: Every oncology fellowship shouldhave mandatory hospice and palliative care rotations. #hpm

Wed Sep 7 18:34:08 PDT 2011

drseisenberg we should also institute specialty coaching with oncology fellows regarding end of lifecommunication with families. #hpm

Wed Sep 7 18:34:16 PDT 2011

jorunkjones RT @nursefriendly: @aliciabloom Cultures will play into the disc. of #eol care, a #hispanicwill need a diff. approach than a #japanese#hpm

Wed Sep 7 18:34:19 PDT 2011

hollyby Symptom control, patient & family quality of life, location of care, etcMT @MarksPhone:...what are the metrics of HPM? #hpm

Wed Sep 7 18:34:26 PDT 2011

equijada Every #hpm fellow should also go through oncology rotation #hpmWed Sep 7 18:34:27 PDT 2011

nursefriendly @SheyontheBay Think that plays into the different training they receive #hpmWed Sep 7 18:34:29 PDT 2011

MeredithGould @KathyKastner #hpmWed Sep 7 18:34:33 PDT 2011
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PracticalWisdom RT @drseisenberg: we should also institute specialty coaching with oncology fellowsregarding end of life communication with families. #HPM

Wed Sep 7 18:34:40 PDT 2011

KathyKastner RT @hollyby: Symptom control, patient & family quality of life, location of care, etcMT@MarksPhone: ...what are the metrics of HPM? #hpm

Wed Sep 7 18:34:41 PDT 2011

jfclearywisc RT @drseisenberg: Our oncology fellowship has had "compulsory elective" in Hospice &palliative care since 1996 #hpm

Wed Sep 7 18:34:49 PDT 2011

JoelHigh @DrBeckerSchutte@MarksPhone No but what about a "good death"? #hpmWed Sep 7 18:34:51 PDT 2011

PracticalWisdom RT @hollyby: Symptom control, patient & family quality of life,