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8/15/12

#hpm Healthcare Social Media Transcript

#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Aug 08 18:00:00 PDT 2012 Wed Aug 08 19:15:00 PDT 2012 change time period

New ! Explore analytics for this time period: #hpm analytics Explore the world of healthcare social media: Healthcare Conferences - Healthcare Tweet Chats - Disease Hashtags

Learn more about #hpm at The Healthcare Hashtag Project

aliciabloom

let's get started with introductions. . . #hpm


Wed Aug 8 18:01:01 PDT 2012

best_endings

#hpm Evening all @KathyKastner (reporting live from new avatar!) Gr8 topic gr8 host @aliciabloom
Wed Aug 8 18:03:42 PDT 2012

kilani19

@aliciabloom hey! #hpm


Wed Aug 8 18:04:50 PDT 2012

aliciabloom

@best_endings hi kathy! thanks for joining. who else do we have here tonight? #hpm
Wed Aug 8 18:05:01 PDT 2012

aliciabloom

@kilani19 hello! glad you're here. #hpm


Wed Aug 8 18:05:44 PDT 2012

aliciabloom

reading for Topic 1: "At the end of life, talk helps bridge a racial divide" (http://t.co/aUJcKkfx) #hpm
Wed Aug 8 18:06:53 PDT 2012

hollyby

Hi there! Holly Yang, #hospice and #palliative medicine doc with @SanDiegoHospice. All tweets are my own #hpm
Wed Aug 8 18:07:08 PDT 2012

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#hpm Healthcare Social Media Transcript

_lizzy_

Hi all! I'm here but sleepy so I'll be in & out. Lizzy Miles, researcher, social worker, writer & passionate advocate for #hpm
Wed Aug 8 18:07:32 PDT 2012

hollyby

For the next hour I am tweeting from the #hospice and #palliative medicine tweetchat. Feel free to join in! #hpm
Wed Aug 8 18:07:58 PDT 2012

aliciabloom

hi @_lizzy_ & @hollyby. so glad you're both here! #hpm


Wed Aug 8 18:09:05 PDT 2012

anetto

I'm here and interested to see what the differences are #hpm
Wed Aug 8 18:09:16 PDT 2012

nursefriendly

RT @aliciabloom: welcome to #hpm chat! i'll be your host tonight & we will talk about the role of race & religion in end of life decision making.
Wed Aug 8 18:09:21 PDT 2012

nursefriendly

Wednesday, August 8,2012: #Healthcare #Tweetchats (all EDT): 9p #dsma 9p #hpm 9p #mhealth 9p #premeded - #nurseup #nursefriendly #s4pm
Wed Aug 8 18:09:55 PDT 2012

aliciabloom

welcome @anetto! glad you're joining us. #hpm


Wed Aug 8 18:10:12 PDT 2012

aliciabloom

here is our reading for T1: "At the end of life, talk helps bridge a racial divide" (http://t.co/aUJcKkfx) #hpm
Wed Aug 8 18:10:44 PDT 2012

nursefriendly

RT @aliciabloom: reading for Topic 1: "At the end of life, talk helps bridge a racial divide" (http://t.co/aUJcKkfx) #hpm
Wed Aug 8 18:11:46 PDT 2012

nursefriendly

Hello Everyone, Andrew Lopez, RN from #newJersey, winding down from #s4pm :) #hpm
Wed Aug 8 18:12:19 PDT 2012

Kamiyamay

RT @aliciabloom: here is our reading for T1: "At the end of life, talk helps bridge a racial divide" (http://t.co/aUJcKkfx) #hpm
Wed Aug 8 18:12:25 PDT 2012

best_endings

Greetings!#hpm-ers! @hollyby @_lizzy_ @anetto @nursefriendly @kilani19


Wed Aug 8 18:12:32 PDT 2012

aliciabloom

T1 (part 1): please share initial thoughts from the @nytimes piece. . . #hpm
Wed Aug 8 18:13:16 PDT 2012

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_lizzy_

T1: I enjoyed that article and I found that it paralleled my personal SW experience #hpm
Wed Aug 8 18:13:34 PDT 2012

hollyby

I'm having tweetchat issues. It won't let me retweet. I know @ctsinclair told me how to fix this once... Sigh! #hpm
Wed Aug 8 18:14:05 PDT 2012

aliciabloom

@_lizzy_ you've seen this in your work? #hpm


Wed Aug 8 18:14:27 PDT 2012

aliciabloom

@hollyby i think you have to refresh. . .? #hpm


Wed Aug 8 18:14:44 PDT 2012

Kamiyamay

#hpm T1-Excellent observation - pertinent topic!


Wed Aug 8 18:14:51 PDT 2012

_lizzy_

T1: To clarify, when I say "enjoy" I mean that I felt the subject was well-reported #hpm
Wed Aug 8 18:14:57 PDT 2012

hollyby

You are right. Thx. :) RT @aliciabloom: @hollyby i think you have to refresh. . .? #hpm
Wed Aug 8 18:15:38 PDT 2012

anetto

It sounds as though the difference is in the information provided more than the background of the patient #hpm
Wed Aug 8 18:15:41 PDT 2012

aliciabloom

how to always frame decision making: "Living or dying is not at issue. The question this family confronts is how the patient will die." #hpm
Wed Aug 8 18:16:02 PDT 2012

aliciabloom

@anetto how the information is provided is critically important, but more than that, it's about being aware of the patient framework #hpm
Wed Aug 8 18:16:54 PDT 2012

anetto

@hollyby If you find out I have had the same problem w Retweets #hpm
Wed Aug 8 18:17:15 PDT 2012

_lizzy_

@aliciabloom Yes - especially the point about the shared decision making. #hpm
Wed Aug 8 18:17:40 PDT 2012

aliciabloom

refresh the page & it should work. RT @anetto: If you find out I have had the same problem w Retweets #hpm
Wed Aug 8 18:18:07 PDT 2012

hollyby

T1: I think it is important to recognize that some concerns are specific to particular

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groups, so they can be asked about & addressed #hpm


Wed Aug 8 18:18:16 PDT 2012

aliciabloom

@_lizzy_ and understanding that the shared decision making may include extended family members, clergy and others. #hpm
Wed Aug 8 18:19:00 PDT 2012

_lizzy_

T1 In a few cases, we had to do a lot of work to determine the decision-maker because of the family dynamics and deferences #hpm
Wed Aug 8 18:19:44 PDT 2012

aliciabloom

we should be reminded not to make assumptions about patient/family preferences & always engage in honest, compassionate discussion #hpm
Wed Aug 8 18:19:57 PDT 2012

nursefriendly

@aliciabloom T1 They make very valid points on how #patients have come to distrust the sytem that has discriminated in the past #hpm
Wed Aug 8 18:20:06 PDT 2012

Kamiyamay

#hpm @aliciabloom hpm message needs to be shared - we have large multicultural diversity -some large populations are non-numbers or outliers
Wed Aug 8 18:20:43 PDT 2012

nursefriendly

@aliciabloom T1 Old habits, traditions, cultural beliefs die hard, change slowly. Is a daunting task to convince #patients, #families #hpm
Wed Aug 8 18:21:01 PDT 2012

_lizzy_

@aliciabloom Yes! That's just what I was trying to say... the "official" decision-maker may defer to othr fam members w/diff opinions #hpm
Wed Aug 8 18:21:02 PDT 2012

aliciabloom

legal/ethical issues--> MT @_lizzy_: in cases, had to do work to determine the decision-maker because of family dynamics & deferences #hpm
Wed Aug 8 18:21:22 PDT 2012

hollyby

MT @aliciabloom: we should be reminded not to make assumptions abt pt/family prefs & always engage in honest, compassionate discussion #hpm
Wed Aug 8 18:21:23 PDT 2012

kilani19

@aliciabloom keeping the focus on the individual & not the cultural background is what's important. Also start the conversation early #hpm
Wed Aug 8 18:21:24 PDT 2012

aliciabloom

@_lizzy_ i thought so :) #hpm


Wed Aug 8 18:21:53 PDT 2012

aliciabloom

!!RT @kilani19: keeping the focus on the individual & not the cultural background is whats important. Also start the conversation early #hpm
Wed Aug 8 18:22:18 PDT 2012

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_lizzy_

@aliciabloom If I have learned anything its that I know nothing. Always start from scratch. #hpm
Wed Aug 8 18:22:52 PDT 2012

nursefriendly

Yes, some cultures are very resistant to #EOL options, #hospice RT @aliciabloom: @_lizzy_ you've seen this in your work? #hpm
Wed Aug 8 18:23:16 PDT 2012

aliciabloom

T1 (part 2): #hpm intervention impacts EoL decision making in minority patients. what can we teach the greater health care community?
Wed Aug 8 18:23:41 PDT 2012

Kamiyamay

RT @_lizzy_: @aliciabloom If I have learned anything its that I know nothing. Always start from scratch. #hpm
Wed Aug 8 18:23:46 PDT 2012

hollyby

Beginner's mind. :) RT @_lizzy_: @aliciabloom If I have learned anything its that I know nothing. Always start from scratch. #hpm
Wed Aug 8 18:23:57 PDT 2012

kilani19

@aliciabloom @_lizzy_ with icu pts it's important to jump on board for support early so if things don't improve, u have been there #hpm
Wed Aug 8 18:24:14 PDT 2012

nursefriendly

T1 I'm not shy about bringing up Code status, #DNRs, #ComfortCare or #Hospice. Some discussions much more difficult to start. #hpm
Wed Aug 8 18:24:29 PDT 2012

aliciabloom

yes! patients & families are experts, too RT @_lizzy_: If I have learned anything its that I know nothing. Always start from scratch. #hpm
Wed Aug 8 18:24:32 PDT 2012

kilani19

@nursefriendly @aliciabloom @_lizzy_ a lot of cultures that way - Asian cultures like Korean or Filipino #hpm Hispanic to some degree.
Wed Aug 8 18:25:20 PDT 2012

aliciabloom

@kilani19 building rapport, offering continuity. both lead to trust. it definitely matters. #hpm
Wed Aug 8 18:25:22 PDT 2012

hollyby

@_lizzy_ I mean that in a good "keeping a beginner's mind" kind of way. I totally agree with you. #hpm
Wed Aug 8 18:25:28 PDT 2012

nursefriendly

@_lizzy_ T1 The article spelled out why a culture of #distrust and #suspicion has persisted and can make #EOL decisions difficult #hpm
Wed Aug 8 18:26:01 PDT 2012

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kilani19

@aliciabloom yes. It really doesn't matter which culture. Start afresh each pt and family and be sincere. That's what works. #hpm
Wed Aug 8 18:26:36 PDT 2012

_lizzy_

T2 It is helpful to know why 'no' to hospice. I was surprised once 2 hear man say fam did not want extra people in HH. valid concern. #hpm
Wed Aug 8 18:26:51 PDT 2012

Kamiyamay

@kilani19 @nursefriendly @aliciabloom @_lizzy_ #hpm and some must only speak to head of house for all decisions and sometimes gender matters
Wed Aug 8 18:27:14 PDT 2012

aliciabloom

the article reminds us of the historical context & it's impact on the patient/family experience in the health care system #hpm
Wed Aug 8 18:27:23 PDT 2012

_lizzy_

@hollyby No worries. I started thinking I knew everything. Now the more I learn, the more I know I do no know. Every family is differnt #hpm
Wed Aug 8 18:27:46 PDT 2012

Kamiyamay

@kilani19 @aliciabloom #hpm Excellent and never assume!


Wed Aug 8 18:28:07 PDT 2012

aliciabloom

key component of #hpm intervention: meet patient/family where they are. understand concerns, barriers & address through supportive education
Wed Aug 8 18:28:59 PDT 2012

H_O_G_

@nursefriendly @aliciabloom @_lizzy_ I agree. Many people are unable to discuss EOL options,feeling as if its somehow disrespectful #hpm
Wed Aug 8 18:29:01 PDT 2012

nursefriendly

RT @kilani19: @nursefriendly @aliciabloom @_lizzy_ a lot of cultures that way Asian cultures like Korean or Filipino #hpm Hispanic to ...
Wed Aug 8 18:29:36 PDT 2012

Kamiyamay

RT @aliciabloom: key component of #hpm intervention: meet patient/family where they are. understand concerns, barriers & address thr ...
Wed Aug 8 18:29:44 PDT 2012

aliciabloom

lots of great thoughts and ideas coming from the @nytimes article and our T1. please share closing thoughts & we'll move to T2. #hpm
Wed Aug 8 18:29:58 PDT 2012

nursefriendly

@kilani19 T1 You need to feel each person, family out in having the discussion, understand but do not assume there is Bias #hpm
Wed Aug 8 18:30:22 PDT 2012

nursefriendly

RT @Kamiyamay: @kilani19 @nursefriendly @aliciabloom @_lizzy_ #hpm and some must only speak to head of house for all decisions and somet ...

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Wed Aug 8 18:30:37 PDT 2012

kilani19

@nursefriendly yup! Each experience is a rewarding one! #hpm


Wed Aug 8 18:31:18 PDT 2012

nursefriendly

Feeling out who is the decision maker is a challenge :( @Kamiyamay: @kilani19 @nursefriendly @aliciabloom @_lizzy_ #hpm
Wed Aug 8 18:31:20 PDT 2012

_lizzy_

T1 As SW, my biggest challenge is when official decision mkr is not the real decision mkr & fam disagrees...helping them to sort out #hpm
Wed Aug 8 18:31:30 PDT 2012

Kamiyamay

@H_O_G_ @nursefriendly @aliciabloom @_lizzy_ #hpm You are right, happens, again as was mentioned must be aware of who & how to communicate
Wed Aug 8 18:32:04 PDT 2012

aliciabloom

my final thought- we can bridge gaps with honest, compassionate communication about the reality of the disease process & options #hpm
Wed Aug 8 18:32:16 PDT 2012

nursefriendly

@H_O_G_ T1 That is one of the points made in the article, discussing #DNR or #hospice can be equated to witholding needed care #hpm
Wed Aug 8 18:33:04 PDT 2012

Kamiyamay

@_lizzy_ #hpm Would love to discuss that as #hpm topic! Firetrucks to firearms family not in agreement while patient in middle!
Wed Aug 8 18:33:40 PDT 2012

aliciabloom

reading for T2, courtesy of @GeriPalBlog: When religious beliefs are at odds with a natural death (http://t.co/tF6Js1Ic) #hpm
Wed Aug 8 18:34:29 PDT 2012

nursefriendly

RT @Kamiyamay: #hpm @aliciabloom hpm message needs to be shared - we have large multicultural diversity -some large populations are non- ...
Wed Aug 8 18:35:03 PDT 2012

_lizzy_

@Kamiyamay I would love to hear ideas of how to bring people together. I've been witness to screaming. It can get ugly. #hpm
Wed Aug 8 18:35:41 PDT 2012

timbigfish

I'm lurking as @nursefriendly @kilani19 @kamiyamay tweet & RT #hpm chat. I'm learning from smart ppl who share my values #hcsm #ff them
Wed Aug 8 18:36:12 PDT 2012

Kamiyamay

@nursefriendly @H_O_G_ #hpm or the opposite, that we are on scene to rush things.
Wed Aug 8 18:36:19 PDT 2012

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RannPatterson

RT @nursefriendly: Wednesday, August 8,2012: #Healthcare #Tweetchats (all EDT): 9p #dsma 9p #hpm 9p #mhealth 9p #premeded - #nurseup #nu ...
Wed Aug 8 18:36:23 PDT 2012

DeathwDignity

End of day reminder: #DWDchat tomorrow w/guest @MarksPhone - How can we use experiences w/#hospice to educate others? Tell us 6p ET. #hpm
Wed Aug 8 18:37:01 PDT 2012

nursefriendly

RT @aliciabloom: T1 (part 2): #hpm intervention impacts EoL decision making in minority patients. what can we teach the greater health c ...
Wed Aug 8 18:37:11 PDT 2012

aliciabloom

@_lizzy_ @Kamiyamay i think it's critically important to keep the patient at the center. remind family why we are all around the table. #hpm
Wed Aug 8 18:37:15 PDT 2012

EWidera

Talking about the OncoTalk Legacy: IntensiveTalk and GeriTalk http://t.co/NWnnnlFJ #hpm
Wed Aug 8 18:37:21 PDT 2012

_lizzy_

@timbigfish join us - we don't bite : ) #hpm


Wed Aug 8 18:38:02 PDT 2012

aliciabloom

T1 has run a little longer than expected, but i definitely think the discussion has been great. please share final thoughts before T2. #hpm
Wed Aug 8 18:38:20 PDT 2012

nursefriendly

@aliciabloom T1 Normalize the conversation, have #doctors, #nurses #HCPS discuss #EOL, Living Wills long before a crisis emerges #hpm
Wed Aug 8 18:38:28 PDT 2012

kilani19

@timbigfish @nursefriendly @kamiyamay hi Tim! #hpm


Wed Aug 8 18:38:30 PDT 2012

Kamiyamay

#hpm T2 Very important topic - we spent half IDT time today talking about religious, ethical, what is quality
Wed Aug 8 18:38:52 PDT 2012

aliciabloom

it's true. we don't. AND we like making new friends :) RT @_lizzy_: @timbigfish join us - we dont bite : ) #hpm
Wed Aug 8 18:38:57 PDT 2012

WaywardChad

I'm here, too....better late than never. G'evening, wonderful tweeps! :) #hpm
Wed Aug 8 18:39:04 PDT 2012

aliciabloom

welcome back! RT @WaywardChad: Im here, too....better late than never. Gevening, wonderful tweeps! :) #hpm
Wed Aug 8 18:39:32 PDT 2012

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nursefriendly

T1 We need to make #EOL part of the normal #healthcare #discussion, not only bring it up when #patients take a turn for the worst #hpm
Wed Aug 8 18:39:32 PDT 2012

hollyby

MT @aliciabloom: reading for T2, via @GeriPalBlog: When religious beliefs are at odds with a natural death http://t.co/qgCP4TmK #hpm
Wed Aug 8 18:39:44 PDT 2012

nursefriendly

RT @timbigfish: I'm lurking as @nursefriendly @kilani19 @kamiyamay tweet & RT #hpm chat. I'm learning from smart ppl who share my values #hcsm #ff them
Wed Aug 8 18:39:50 PDT 2012

aliciabloom

T2: When religious beliefs are at odds with a natural death (http://t.co/tF6Js1Ic) <-initial thoughts & emotions after reading? #hpm
Wed Aug 8 18:40:01 PDT 2012

_lizzy_

T2 I had many discussions with CG who was Atheist and refused 2 sign DNR. I'm not sure "religion" as reason for choice is relevant?? #hpm
Wed Aug 8 18:41:09 PDT 2012

WaywardChad

MT @aliciabloom: T2: When religious beliefs are at odds with a natural death <-initial thoughts & emotions after reading? #hpm
Wed Aug 8 18:41:58 PDT 2012

nursefriendly

@aliciabloom T1 The #Historical perspective can answer a lot of questions when we start to encounter resistance and wonder why #hpm
Wed Aug 8 18:42:39 PDT 2012

aliciabloom

@_lizzy_ interesting. we often see religion "justify" a medical decision, especially at EoL...but you present a different scenario. #hpm
Wed Aug 8 18:43:09 PDT 2012

H_O_G_

@Kamiyamay @nursefriendly death, as in life, is individual. We need to be factual,w/out losing compassion. #hpm
Wed Aug 8 18:43:34 PDT 2012

hollyby

T2: It highlights the tension btwn 'do no harm'... you are not obligated to offer care that is futile vs. full code is always a choice #hpm
Wed Aug 8 18:43:53 PDT 2012

nursefriendly

RT @aliciabloom: key component of #hpm intervention: meet patient/family where they are. understand concerns, barriers & address thr ...
Wed Aug 8 18:43:56 PDT 2012

aliciabloom

MT @hollyby: highlights tension btwn do no harm... you are not obligated to offer care that is futile vs. full code is always a choice #hpm
Wed Aug 8 18:44:47 PDT 2012

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_lizzy_

@aliciabloom Curious where the law stands and if it will change with all of the initiatives. Can fam request support they cannot pay 4? #hpm
Wed Aug 8 18:45:07 PDT 2012

aliciabloom

@hollyby such a delicate balance. at what point can/should we say, this is not going to be helpful so we are not going to do it? #hpm
Wed Aug 8 18:45:18 PDT 2012

nursefriendly

RT @Kamiyamay: @H_O_G_ @nursefriendly @aliciabloom @_lizzy_ #hpm You are right, happens, again as was mentioned must be aware of who &am ...
Wed Aug 8 18:45:25 PDT 2012

WaywardChad

RT @aliciabloom: key of #hpm intervention: meet patient/fam where they are. understand concerns, barriers & address w/ supportive educ #hpm
Wed Aug 8 18:46:03 PDT 2012

Kamiyamay

#hpm T2 who determines qualify of life, who decides- enough is enough, life/death weighty matter some fear eternal consequence.
Wed Aug 8 18:46:26 PDT 2012

_lizzy_

@aliciabloom It's all so politically charged right now and gets reframed in the worst ways... #hpm
Wed Aug 8 18:46:51 PDT 2012

Kamiyamay

@_lizzy_ @aliciabloom #hpm Yes but non-insured on rise for some reason!
Wed Aug 8 18:47:25 PDT 2012

aliciabloom

@_lizzy_ financial implications are real, plus the ethics...non-maleficence (do no harm), social justice (resource utilization) #hpm
Wed Aug 8 18:47:55 PDT 2012

anetto

MT@Kamiyamay:T2 who determines qualify of life, who decides- enough . life/death weighty matter some fear eternal consequence. #hpm
Wed Aug 8 18:48:14 PDT 2012

aliciabloom

important to remember that a natural, peaceful death is uniquely defined by each individual & impacted by many factors #hpm
Wed Aug 8 18:48:59 PDT 2012

_lizzy_

I expect there will be another situation like Terri Schiavo/Nancy Cruzan that will force the issue into lawmaking #hpm
Wed Aug 8 18:49:21 PDT 2012

aliciabloom

struggle sometimes with the incongruence of leaving things "in God's hands" but wanting all of the man made medical intervention. . . #hpm
Wed Aug 8 18:49:53 PDT 2012

kilani19

@anetto @Kamiyamay only the individual can determine what is qol #hpm mix of ethics and understanding who your pt is.

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Wed Aug 8 18:50:17 PDT 2012

hollyby

@aliciabloom It is rare that people go against family wishes. In extreme cases, ethics consultation is usually involved. #hpm
Wed Aug 8 18:50:57 PDT 2012

aliciabloom

great point --> RT @kilani19: only the individual can determine what is qol, mix of ethics and understanding who your pt is #hpm
Wed Aug 8 18:51:21 PDT 2012

aliciabloom

@hollyby it's true. i feel that clinicians are often challenged, feeling they're doing more harm than good. difficult situations. #hpm
Wed Aug 8 18:52:24 PDT 2012

WaywardChad

Excellent point! RT @kilani19: only the individual can determine what is qol #hpm mix of ethics and understanding who your pt is. #hpm
Wed Aug 8 18:52:31 PDT 2012

Kamiyamay

@aliciabloom @_lizzy_ #hpm #hpm has diverse team, all R needed, #eol very intimate, raw subject, that touches the core of humanity.
Wed Aug 8 18:52:39 PDT 2012

_lizzy_

@hollyby But seriously, does that mean hospital or insurance company eats cost? People can b sustained on equip indefinitely right? #hpm
Wed Aug 8 18:53:00 PDT 2012

hollyby

@aliciabloom re: feeling like they're doing more harm than good -> source of health care provider moral distress and burnout #hpm
Wed Aug 8 18:55:12 PDT 2012

nursefriendly

RT @_lizzy_: @Kamiyamay I would love to hear ideas of how to bring people together. I've been witness to screaming. It can get ugly. #hpm
Wed Aug 8 18:55:16 PDT 2012

_lizzy_

T2 This is why I would be challenged to work in a hospital environment. I admire those of you who do. I have had few clients on equip. #hpm
Wed Aug 8 18:55:53 PDT 2012

Kamiyamay

@kilani19 @anetto #hpm U R right :-) There is no specific answer. Needs, cultures, beliefs, families vary, past experience matters too!
Wed Aug 8 18:55:54 PDT 2012

nursefriendly

@_lizzy_ It can literally tear families apart when they cannot agree on end of life decisions #hpm
Wed Aug 8 18:55:59 PDT 2012

aliciabloom

T2: in the case presented in the @GeriPalBlog piece, what do you think is the best way to honor this familys religious beliefs? #hpm
Wed Aug 8 18:56:12 PDT 2012

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nursefriendly

It is easy for they to think that RT @Kamiyamay: @nursefriendly @H_O_G_ #hpm or the opposite, that we are on scene to rush things.
Wed Aug 8 18:56:39 PDT 2012

WaywardChad

MT @aliciabloom: T2: in the case presented, what do you think is the best way to honor this familys religious beliefs? #hpm
Wed Aug 8 18:57:15 PDT 2012

nursefriendly

RT @Kamiyamay: #hpm T2 Very important topic - we spent half IDT time today talking about religious, ethical, what is quality
Wed Aug 8 18:58:05 PDT 2012

_lizzy_

@nursefriendly True! And sadly, some families r already torn *before* they face eol of a loved one (& of course some come together). #hpm
Wed Aug 8 18:58:13 PDT 2012

nursefriendly

RT @aliciabloom: it's true. we don't. AND we like making new friends :) RT @_lizzy_: @timbigfish join us - we dont bite : ) #hpm
Wed Aug 8 18:58:17 PDT 2012

ggramels

"The goal of a peaceful death should be as much a part of the purpose of medicine as the promotion of good health." D. Callahan #hpm
Wed Aug 8 18:59:13 PDT 2012

Kamiyamay

@nursefriendly @H_O_G_ #hpm Them (sorry tired & slow tonight)!


Wed Aug 8 18:59:15 PDT 2012

nursefriendly

RT @H_O_G_: @Kamiyamay @nursefriendly death, as in life, is individual. We need to be factual,w/out losing compassion. #hpm
Wed Aug 8 18:59:26 PDT 2012

nursefriendly

No biggie, I'm not spell checking :) RT @Kamiyamay: @nursefriendly @H_O_G_ #hpm Them (sorry tired & slow tonight)!
Wed Aug 8 19:00:06 PDT 2012

aliciabloom

we're in the final few minutes of #hpm chat! please share final thoughts....
Wed Aug 8 19:00:08 PDT 2012

RannPatterson

RT @aliciabloom: key component of #hpm intervention: meet patient/family where they are. understand concerns, barriers & address thr ...
Wed Aug 8 19:00:34 PDT 2012

aliciabloom

sorry if the topics weren't flowing as well tonight. my tweetchat was being a little slow, cumbersome. so glad you all joined in! #hpm
Wed Aug 8 19:01:17 PDT 2012

hollyby

@_lizzy_ Not indefinitely. Yes, insurance, the patient, and the hospital in some combination pays for the care. #hpm
Wed Aug 8 19:01:24 PDT 2012

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ggramels

"....disease and death will have their day." D. Callahan in The Troubled Dream of Life #hpm
Wed Aug 8 19:01:47 PDT 2012

nursefriendly

@aliciabloom Depends on the attitude of the doctor, the hospital, the insurance, very difficult to abruptly halt care #hpm
Wed Aug 8 19:02:39 PDT 2012

hollyby

It is one thing to address the information need of patients, but it is just as important to address the emotional and spiritual needs. #hpm
Wed Aug 8 19:02:50 PDT 2012

WaywardChad

Anytime we get to share even a bit of dialogue, wld call that success, regardless of technical limitations.Taking away good things! :) #hpm
Wed Aug 8 19:03:30 PDT 2012

nursefriendly

@aliciabloom The question comes up often in #oncology, with expensive #chemotherapy, little chance of success, no ability to pay #hpm
Wed Aug 8 19:03:43 PDT 2012

nursefriendly

RT @Kamiyamay: #hpm T2 who determines qualify of life, who decides- enough is enough, life/death weighty matter some fear eternal conseq ...
Wed Aug 8 19:03:55 PDT 2012

aliciabloom

important for patients to understand it isn't about the cost or withholding care, it's about providing appropriate, supportive care #hpm
Wed Aug 8 19:05:15 PDT 2012

nursefriendly

RT @_lizzy_: I expect there will be another situation like Terri Schiavo/Nancy Cruzan that will force the issue into lawmaking #hpm
Wed Aug 8 19:05:49 PDT 2012

Kamiyamay

#hpm LT:Race, gender, color, creed, religion/lack of, family differences, past experience, geography. B aware! - Give all kindness & respect
Wed Aug 8 19:05:53 PDT 2012

nursefriendly

RT @kilani19: @anetto @Kamiyamay only the individual can determine what is qol #hpm mix of ethics and understanding who your pt is.
Wed Aug 8 19:06:12 PDT 2012

nursefriendly

RT @hollyby: @aliciabloom It is rare that people go against family wishes. In extreme cases, ethics consultation is usually involved. #hpm
Wed Aug 8 19:06:22 PDT 2012

hollyby

Thanks so much, @aliciabloom for moderating the chat! See you all next week! #hpm
Wed Aug 8 19:06:38 PDT 2012

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nursefriendly

RT @Kamiyamay: @aliciabloom @_lizzy_ #hpm #hpm has diverse team, all R needed, #eol very intimate, raw subject, that touches the core o ...
Wed Aug 8 19:06:57 PDT 2012

_lizzy_

MT @aliciabloom: impt for pts 2 understand it isnt about the cost or withholding care, its about providing appropriate, supportive care #hpm
Wed Aug 8 19:06:57 PDT 2012

aliciabloom

thanks for joining @hollyby! looking forward to you running the show next week :) #hpm
Wed Aug 8 19:07:35 PDT 2012

nursefriendly

RT @hollyby: @_lizzy_ Not indefinitely. Yes, insurance, the patient, and the hospital in some combination pays for the care. #hpm
Wed Aug 8 19:08:41 PDT 2012

aliciabloom

@WaywardChad thank you & glad you joined again. it's great to have new voices in the conversation. #hpm
Wed Aug 8 19:08:54 PDT 2012

WaywardChad

Last thought: Strive to meet patients/families where they are. We may be HCP, but not experts of getting where people are w/o asking. #hpm
Wed Aug 8 19:08:55 PDT 2012

produceconsume

RT @DeathwDignity: RT @schwartzbrown: Check out the #AssistedDeath in US timeline on @timetoast http://t.co/oy7hn3oQ #eolchat #dwdchat #hpm
Wed Aug 8 19:09:53 PDT 2012

nursefriendly

RT @Kamiyamay: #hpm LT:Race, gender, color, creed, religion/lack of, family differences, past experience, geography. B aware! - Give all ...
Wed Aug 8 19:10:11 PDT 2012

nursefriendly

RT @hollyby: Thanks so much, @aliciabloom for moderating the chat! See you all next week! #hpm
Wed Aug 8 19:10:25 PDT 2012

WaywardChad

@aliciabloom Thank you! I'll try to be here on time next week. Must remember....9...not 9:30. Gah! #hpm
Wed Aug 8 19:11:46 PDT 2012

kilani19

@aliciabloom @hollyby @_lizzy_ @Kamiyamay thx again! #hpm


Wed Aug 8 19:13:40 PDT 2012

aliciabloom

@kilani19 @_lizzy_ thanks for joining...see you next week! #hpm


Wed Aug 8 19:14:42 PDT 2012

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