#HPM TweetChat 2/6/13

2/7/13
#hpm - Healthcare Social Media Transcript
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Feb 06 18:00:00 PST 2013 Wed Feb 06 19:15:00 PST 2013 change time period
Who were the influencers during this time period? #hpm analytics Connecting the dots in healthcare social media: Healthcare Conference - Tweet Chats - Healthcare Analytics What is #hpm?
fischmd
RT @health_affairs: Shared Decision Making: Key Elements & Barriers to Adoption into Routine Clinical Practice http://t.co/Wzaa5kNF #hpm
Wed Feb 6 18:01:07 PST 2013
cvdavies
Welcome to tonight's HPM chat. I'm honored to be hosting for the first time! #hpm
Wed Feb 6 18:01:12 PST 2013
aliciabloom
it's just about that time-- #hpm chat! expect a flurry of tweets about #hospice & #palliative care for the next hour. join us!
Wed Feb 6 18:01:13 PST 2013
cvdavies
RT @aliciabloom: its just about that time- #hpm chat! expect a flurry of tweets about #hospice & #palliative care for the next hour. #hpm
Wed Feb 6 18:01:58 PST 2013
WaywardChad
Folks, pls forgive the higher volume of tweets while I take part in chat about #hospice and #palliative care with #HPM. http://t.co/zYvbHP2l
Wed Feb 6 18:02:02 PST 2013
aliciabloom
@WaywardChad hey! #hpm

Wed Feb 6 18:02:42 PST 2013
WaywardChad
Howdy! Glad to be here! And g'evening, @cvdavies! :) RT @aliciabloom: @WaywardChad hey! #hpm
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Wed Feb 6 18:03:29 PST 2013
aliciabloom
@KnowYourWishes are you joining us for #hpm tonight?

Wed Feb 6 18:04:38 PST 2013
cvdavies
Let's start with introductions. I'm Christine, a hospital chaplain in NYC. #hpm
Wed Feb 6 18:04:39 PST 2013
nursefriendly
Wednesday #Healthcare #Tweetchats (ET) 9p #premeded #hpm #dsma #addictionchat #DPTStudent - #nurseup #rnchat http://t.co/omhhurig
Wed Feb 6 18:05:26 PST 2013
SWChelsea06
This is my first #HPM Chat! Hello!

Wed Feb 6 18:05:41 PST 2013
nursefriendly
RT @aliciabloom: it's just about that time-- #hpm chat! expect a flurry of tweets about #hospice & #palliative care for the next hour. join us!
Wed Feb 6 18:06:21 PST 2013
KnowYourWishes
Hi all! LJ Van Scoy, pulmonary critical care doc, author of book about personal stories and #eol, from Philly #hpm
Wed Feb 6 18:06:26 PST 2013
nursefriendly
RT @cvdavies: Welcome to tonight's HPM chat. I'm honored to be hosting for the first time! #hpm
Wed Feb 6 18:06:27 PST 2013
WaywardChad
Hi, all! I'm Chad, a social worker and a grad student in #thanatology from Maryland...and possibly more to add soon. We'll see. :) #hpm
Wed Feb 6 18:06:30 PST 2013
cvdavies
@SWChelsea06 Welcome! Glad you're here. #hpm

Wed Feb 6 18:06:48 PST 2013
aliciabloom
MSW, LSW practicing in #hpm for over 6 years. passionate about improving patient access to hospice/palliative care & clinical education.
Wed Feb 6 18:06:55 PST 2013
WaywardChad
G'evening, @SWChelsea06, welcome to #hpm

Wed Feb 6 18:06:59 PST 2013
jfclearywisc
Jim Cleary @UWhealth Palliative care & DIrector, PPSG (@painpolicy) joining #hpm chat for next hr.
Wed Feb 6 18:07:35 PST 2013
aliciabloom
@SWChelsea06 awesome! welcome & so glad you're joining us. hopefully it will be your first of many chats. #hpm
Wed Feb 6 18:07:40 PST 2013
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SWChelsea06
. Hi @cvdavies .@cvdavies I am Chelsea- a social worker in Ohio-Liaison SW with @eFuneral and I am also an oncology SW, as well #hpm
Wed Feb 6 18:07:50 PST 2013
aliciabloom
@jfclearywisc good morning (right?), glad you made it. #hpm

Wed Feb 6 18:08:37 PST 2013
KathyKastner
Good evening #hpm-ers - so pleased at opp to learn from a chaplain @cvdavies As for me: developed bestendings .com - born of an hpm chat!
Wed Feb 6 18:09:02 PST 2013
nursefriendly
RT @WaywardChad: Folks, pls forgive the higher volume of tweets while I take part in chat about #hospice and #palliative care with #HPM. ...
Wed Feb 6 18:09:30 PST 2013
WaywardChad
Hiya, @KathyKastner! :) Always good to see ya. #hpm

Wed Feb 6 18:09:43 PST 2013
KnowYourWishes
@KathyKastner hi there! #hpm

Wed Feb 6 18:09:43 PST 2013
jfclearywisc
@aliciabloom Yes. 740 here in India. Spent yesterday meeting w @palliumindia Drs Raj & Nandini at MOH meetings. V productive #Hpm
Wed Feb 6 18:10:08 PST 2013
aliciabloom
hi @KathyKastner #hpm
Wed Feb 6 18:10:23 PST 2013
KathyKastner
Wowie zowie to all! Oh boy@aliciabloom @WaywardChad @KnowYourWishes @nursefriendly #hpm

Wed Feb 6 18:10:26 PST 2013
nursefriendly
Hello Everyone, Andrew Lopez, RN from #NewJersey :) Probably lurking for the most part :) #hpm #addictionchat
Wed Feb 6 18:10:28 PST 2013
KathyKastner
@aliciabloom Greetings! #hpm

Wed Feb 6 18:10:55 PST 2013
aliciabloom
@jfclearywisc that's great. sounds very interesting. #hpm

Wed Feb 6 18:11:26 PST 2013
WaywardChad
Oh, and @SWChelsea06 , hi from a former Ohioan -- spent 2 happy years in Cleveland. :) #hpm
Wed Feb 6 18:11:36 PST 2013
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cvdavies
Thanks all for joining and welcome to those who come in late or are lurking, jump in anytime. #hpm
Wed Feb 6 18:11:59 PST 2013
nursefriendly
@cvdavies Hello Christine, glad you decided to venture out from #SocMedChap :) #hpm
Wed Feb 6 18:12:48 PST 2013
KathyKastner
@jfclearywisc very cool ! #Hpm

Wed Feb 6 18:13:11 PST 2013
cvdavies
@nursefriendly It's new for me, but @aliciabloom is good at asking! #hpm
Wed Feb 6 18:13:45 PST 2013
nursefriendly
RT @KathyKastner: Good evening #hpm-ers - so pleased at opp to learn from a chaplain @cvdavies As for me: developed bestendings .com - ...
Wed Feb 6 18:14:17 PST 2013
cvdavies
So, in the chaplaincy world we talk about all staff being pastoral/spiritual care generalists (w/ chaplains being specialists). #hpm
Wed Feb 6 18:14:33 PST 2013
KathyKastner
@cvdavies I've learned lots from lurking on #socmedchap #hpm

Wed Feb 6 18:14:33 PST 2013
aliciabloom
i'm glad you said yes! RT @cvdavies: @nursefriendly Its new for me, but @aliciabloom is good at asking! #hpm
Wed Feb 6 18:14:37 PST 2013
nursefriendly
#socmedchap #eolchat #dwdchat RT @cvdavies Thanks all for joining and welcome to those who come in late or are lurking, jump in anytime #hpm
Wed Feb 6 18:15:12 PST 2013
cvdavies
With that in mind, T1:How do you, as generalists address spiritual issues with patients? #hpm
Wed Feb 6 18:15:23 PST 2013
aliciabloom
RT @cvdavies: With that in mind, T1:How do you, as generalists address spiritual issues with patients? #hpm
Wed Feb 6 18:15:46 PST 2013
WaywardChad
MT @cvdavies In the chaplaincy world we talk about all staff being pastoral/spiritual care generalists (w/ chaplains being specialists) #hpm
Wed Feb 6 18:15:50 PST 2013
WaywardChad
Wed Feb 6 18:15:56 PST 2013
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cvdavies
Glad to hear it! RT @KathyKastner: Ive learned lots from lurking on #socmedchap #hpm
Wed Feb 6 18:16:45 PST 2013
Kamiyamay
slipping in the back of the class room...been on phone with pt. solving pain issues..Hi all!! #hpm
Wed Feb 6 18:17:00 PST 2013
nursefriendly
Wed Feb 6 18:17:04 PST 2013
KnowYourWishes
I would wager a guess that most would say: avoidance, avoidance, avoidance :( #hpm
Wed Feb 6 18:17:05 PST 2013
KathyKastner
#hpm T1 great question.. wonder if the generalists feel they're worthy of that description
Wed Feb 6 18:17:24 PST 2013
aliciabloom
T1- i ask all of my patients what's important to them & meaningful in their lives. opens up opportunity for dialogue about anything. #hpm
Wed Feb 6 18:17:42 PST 2013
nursefriendly
@cvdavies T1 First step is to explore how the #patient #family feel about issues, find out their frame of reference #socmedchap #hpm
Wed Feb 6 18:17:57 PST 2013
cvdavies
@KnowYourWishes Yes, I would imagine you're not alone in that. #hpm

Wed Feb 6 18:18:08 PST 2013
aliciabloom
i think that's often true --> RT @KnowYourWishes: I would wager a guess that most would say: avoidance, avoidance, avoidance :( #hpm
Wed Feb 6 18:18:32 PST 2013
Kamiyamay
MT @aliciabloom: T1- i ask all of my patients whats important to them & meaningful in their lives. opens up dialogue about anything. #hpm
Wed Feb 6 18:18:39 PST 2013
nursefriendly
@cvdavies T1 For some, it is a very private thing, others are more open to discussion, family involvement, outreach #hpm
Wed Feb 6 18:18:41 PST 2013
KnowYourWishes
I suspect personal biases of 'generalists' get in way of high quality spiritual counseling #hpm
Wed Feb 6 18:18:58 PST 2013
KnowYourWishes
RT @nursefriendly: @cvdavies T1 For some, it is a very private thing, others are more open to discussion, family involvement, outreach #hpm
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Wed Feb 6 18:19:28 PST 2013
WaywardChad
Very much me, too. MT @aliciabloom: T1- i ask whats important to them & meaningful in their lives. opens up opportunity for dialogue #hpm
Wed Feb 6 18:19:29 PST 2013
Kamiyamay
T1 - "tell me about your involvement in community, do you have faith group, belong to organizations or have friends that visit?" #hpm
Wed Feb 6 18:19:41 PST 2013
aliciabloom
T1- many patients, as they approach EoL, feel compelled to explore more existential issues-- like their faith, spirituality. #hpm
Wed Feb 6 18:19:49 PST 2013
SWChelsea06
. @cvdavies A great place to start is to ask, "where do you find comfort and/or strength" and go from there #hpm
Wed Feb 6 18:19:56 PST 2013
KathyKastner
RT @SWChelsea06: . @cvdavies A great place to start is to ask, "where do you find comfort and/or strength" and go from there #hpm
Wed Feb 6 18:20:22 PST 2013
Kamiyamay
MT @aliciabloom: T1- many patients,approach EoL, feel compelled to explore more existential issues,like their faith, spirituality. #hpm
Wed Feb 6 18:20:44 PST 2013
KathyKastner
+1 RT @KnowYourWishes: I suspect personal biases of 'generalists' get in way of high quality spiritual counseling #hpm
Wed Feb 6 18:20:52 PST 2013
nursefriendly
RT @SWChelsea06: . @cvdavies A great place to start is to ask, "where do you find comfort and/or strength" and go from there #hpm
Wed Feb 6 18:21:09 PST 2013
cvdavies
@aliciabloom Absolutely - a lot of meaning making questioning happens at EOL #hpm

Wed Feb 6 18:21:17 PST 2013
Kamiyamay
This is excellent topic..this weekend family guarded..declined all but nursing support..tough job! #hpm
Wed Feb 6 18:21:42 PST 2013
Kamiyamay
RT @cvdavies: @aliciabloom Absolutely - a lot of meaning making questioning happens at EOL #hpm
Wed Feb 6 18:21:53 PST 2013
aliciabloom
T1- we can't be afraid to explore spiritual issues with our patients. i'm not an expert, but i am a good active listener. #hpm
Wed Feb 6 18:22:01 PST 2013
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WaywardChad
MT @aliciabloom: Many patients, as they approach EoL, feel compelled to explore more existential issues-- like faith, spirituality. #hpm
Wed Feb 6 18:22:16 PST 2013
WaywardChad
RT @cvdavies: @aliciabloom Absolutely - a lot of meaning making questioning happens at EOL #hpm
Wed Feb 6 18:22:36 PST 2013
nursefriendly
RT @Kamiyamay: This is excellent topic..this weekend family guarded..declined all but nursing support..tough job! #hpm
Wed Feb 6 18:22:44 PST 2013
cvdavies
@SWChelsea06 That's one of my favorite questions to ask - really opens it up. #hpm
Wed Feb 6 18:22:50 PST 2013
WaywardChad
MT @aliciabloom: T1- we cant be afraid to explore spiritual issues with our patients. im not an expert, but am a good active listener. #hpm
Wed Feb 6 18:22:54 PST 2013
Kamiyamay
@aliciabloom I agree, I tell them no matter what belief or culture we are all human and I am willing to listen...learn so much! #hpm
Wed Feb 6 18:23:10 PST 2013
cvdavies
@aliciabloom Do you think folks are afraid to explore this with pts? #hpm
Wed Feb 6 18:23:36 PST 2013
KathyKastner
#hpm one of the learnings from #socmedchap is that even we athiests can benefit from spiritual support at #EOL I loved that!
Wed Feb 6 18:23:45 PST 2013
aliciabloom
T1- this discussion really highlights the benefits of an IDT. we can all assess needs & then engage the appropriate colleague. #hpm
Wed Feb 6 18:23:56 PST 2013
aliciabloom
RT @cvdavies: @aliciabloom Do you think folks are afraid to explore this with pts? <sometimes, as they're afraid where it might lead. #hpm
Wed Feb 6 18:24:30 PST 2013
WaywardChad
MT @KathyKastner: one of the learnings from #socmedchap is that even we athiests can benefit from spiritual support at #EOL Loved that! #hpm
Wed Feb 6 18:24:40 PST 2013
jfclearywisc
@aliciabloom I think many physicians feel they must have answers. Cecil Saunders said "listen to your patients, they have answers" #hpm
Wed Feb 6 18:24:40 PST 2013
cvdavies
Great segue for T2 RT@Kamiyamay I tell them no matter what belief or culture we are all human and I am willing to listen.learn so much! #hpm
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Wed Feb 6 18:24:52 PST 2013
aliciabloom
@cvdavies i think people are afraid they'll be asked a question that they can't answer. #hpm
Wed Feb 6 18:25:14 PST 2013
WaywardChad
MT @aliciabloom this discussion highlights the benefits of an IDT. we can all assess needs & then engage the appropriate colleague. #hpm
Wed Feb 6 18:25:16 PST 2013
KathyKastner
#hpm what's an IDT?

Wed Feb 6 18:25:35 PST 2013
aliciabloom
@jfclearywisc we were tweeting a similar thing at about the same time. . . #hpm
Wed Feb 6 18:25:38 PST 2013
nursefriendly
Can be highly charged emotionally, some hesitate RT @cvdavies: @aliciabloom Do you think folks are afraid to explore this with pts? #hpm
Wed Feb 6 18:25:46 PST 2013
KathyKastner
YesssRT @aliciabloom: @cvdavies i think people are afraid they'll be asked a question that they can't answer. #hpm
Wed Feb 6 18:25:52 PST 2013
KnowYourWishes
Interdisciplinary team = IDT :) #hpm

Wed Feb 6 18:26:20 PST 2013
Kamiyamay
@aliciabloom I agree, some so fearful like facing that step may be the final breath. #hpm
Wed Feb 6 18:26:23 PST 2013
aliciabloom
@KathyKastner IDT = interdisciplinary team #hpm

Wed Feb 6 18:26:25 PST 2013
cvdavies
I tell my chaplain interns that it's not about answering the question - but being with the patient in the asking of it. #hpm
Wed Feb 6 18:26:32 PST 2013
jfclearywisc
RT @ehospicenews: India: Welcome to Bangalore. http://t.co/lZdKtLS2 #ehospice #hpm #hpmglobal

Wed Feb 6 18:26:36 PST 2013
nursefriendly
@cvdavies In the same way some #doctors #nurses #healthcareprofessionals hesitate to discuss #DNRs #CodeStatus, highly charged #hpm
Wed Feb 6 18:26:38 PST 2013
aliciabloom
RT @jfclearywisc I think many physicians feel they must have answers. Cecily Saunders said "listen to your patients, they have answers" #hpm
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Wed Feb 6 18:26:53 PST 2013
KathyKastner
Ah! TY RT @KnowYourWishes: Interdisciplinary team = IDT :) #hpm

Wed Feb 6 18:27:12 PST 2013
KathyKastner
RT @cvdavies: I tell my chaplain interns that it's not about answering the question but being with the patient in the asking of it. #hpm
Wed Feb 6 18:27:39 PST 2013
Kamiyamay
@nursefriendly Yes charged but experienced kind hospice listening ear and know when to hold words and when to speak #hpm
Wed Feb 6 18:27:51 PST 2013
SWChelsea06
. Just being present- agreed @cvdavies- great advice #hpm

Wed Feb 6 18:28:06 PST 2013
nursefriendly
@cvdavies Some have a hard time finding the right "time" to address, truth is there usually isn't a good time :( #hpm
Wed Feb 6 18:28:07 PST 2013
WaywardChad
Taught early on to know what I don't know & be ok w/ that MT @aliciabloom think people are afraid being asked question they cant answer #hpm
Wed Feb 6 18:28:17 PST 2013
KathyKastner
RT @nursefriendly: @cvdavies Some have a hard time finding the right "time" to address, truth is there usually isn't a good time :( #hpm
Wed Feb 6 18:28:19 PST 2013
nursefriendly
RT @KathyKastner: #hpm one of the learnings from #socmedchap is that even we athiests can benefit from spiritual support at #EOL I loved ...
Wed Feb 6 18:28:20 PST 2013
WaywardChad
RT @cvdavies: I tell my chaplain interns that its not about answering the question but being with the patient in the asking of it. #hpm
Wed Feb 6 18:28:38 PST 2013
aliciabloom
@Kamiyamay @nursefriendly agree...it's only charged if the clinician doesn't engage appropriately with the patient/family. #hpm
Wed Feb 6 18:28:52 PST 2013
cvdavies
T2: What have your patients' taught you about spiritual issues at EOL? #hpm
Wed Feb 6 18:29:08 PST 2013
Kamiyamay
@nursefriendly sometimes guidance and as a clinician in the field I ask the difficult questions, break the unbearable news #hpm
Wed Feb 6 18:29:20 PST 2013
KathyKastner
ooo great QRT @cvdavies: T2: What have your patients' taught you about spiritual
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issues at EOL? #hpm

Wed Feb 6 18:29:29 PST 2013
aliciabloom
RT @cvdavies: T2: What have your patients taught you about spiritual issues at EOL? #hpm
Wed Feb 6 18:29:39 PST 2013
WaywardChad
RT @cvdavies: T2: What have your patients taught you about spiritual issues at EOL? #hpm
Wed Feb 6 18:29:44 PST 2013
equijada
@cvdavies t2 sometimes love is love. #hpm

Wed Feb 6 18:30:13 PST 2013
Kamiyamay
@cvdavies Oh wow, I have learned rights of so many different cultures and ethnicities. Some cultures -spiritual patriarch #hpm
Wed Feb 6 18:30:40 PST 2013
KathyKastner
Dare I say , I love that :)RT @equijada: @cvdavies t2 sometimes love is love. #hpm
Wed Feb 6 18:30:45 PST 2013
Kamiyamay
RT @equijada: @cvdavies t2 sometimes love is love. #hpm

Wed Feb 6 18:30:55 PST 2013
nursefriendly
@jfclearywisc When we as #nurses, HCPs don't have the answers, we can feel at a loss. Need to be able to "FIXIT :( #hpm
Wed Feb 6 18:31:06 PST 2013
SWChelsea06
. @cvdavies my patients confirmed my belief in existence of a higher powervisioning, quiet moments, peace #hpm
Wed Feb 6 18:31:13 PST 2013
aliciabloom
T2: having been present at many deaths, i've certainly witnessed some amazing things that cannot always be explained by science. #hpm
Wed Feb 6 18:31:15 PST 2013
KathyKastner
RT @nursefriendly: @jfclearywisc When we as #nurses, HCPs don't have the answers, we can feel at a loss. Need to be able to "FIXIT :( #hpm
Wed Feb 6 18:31:20 PST 2013
cvdavies
I'm intrigued, say more! RT @equijada: t2 sometimes love is love. #hpm

Wed Feb 6 18:31:35 PST 2013
Kamiyamay
Spiritual can mean religion, spiritual can mean the flutter of butterflies in the wind carrying the spirit away....many many beliefs! #hpm
Wed Feb 6 18:31:50 PST 2013
WaywardChad
T2: There is so much we don't know as we face the end of life, so we just need to be
hashtags.symplur.com/healthcare-hashtag-transcript.php?hashtag=hpm&fdate=02-06-2013&shour=18&smin=0&tdate=02-06-2013&thour=19&tmin=15&ssec=
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open to what others may be feeling & experiencing. #hpm

Wed Feb 6 18:31:55 PST 2013
nursefriendly
With time we realize, we don't need to know it all. MT @aliciabloom: @cvdavies i think people are afraid they'll be asked a question th #hpm
Wed Feb 6 18:32:11 PST 2013
WaywardChad
T2: And that also means for us, at our own #EOL, we need to be open to whatever we experience or feel. #hpm
Wed Feb 6 18:32:48 PST 2013
rfberry
Joining late, hi #hpm

Wed Feb 6 18:33:00 PST 2013
equijada
@cvdavies hmm...in 140 char..let me think #hpm

Wed Feb 6 18:33:03 PST 2013
ravipm2000
MT @aliciabloom:having been present at many deaths, I've witnessed some amazing things that cannot always be explained by science. #hpm
Wed Feb 6 18:33:04 PST 2013
nursefriendly
Interdisciplinary Team, #Doctors, #Nurses #SocialWorkers #CaseManagement, etc. RT @KathyKastner: #hpm what's an IDT?
Wed Feb 6 18:33:06 PST 2013
Kamiyamay
@aliciabloom Wow me too, I never believed until my mom's death & her experience now I see.......what an amazing work we r involved with #hpm
Wed Feb 6 18:33:08 PST 2013
rfberry
RT @cvdavies: T2: What have your patients' taught you about spiritual issues at EOL? #hpm
Wed Feb 6 18:33:21 PST 2013
ggramels
@aliciabloom @cvdavies In addition 2 listening, sitting in silence often meaningful. "so...the stillness the dancing" TS Eliot again. #hpm
Wed Feb 6 18:33:24 PST 2013
aliciabloom
T2- i've also seen families struggle unnecessarily with medical decision making due to their religious beliefs. #hpm
Wed Feb 6 18:33:37 PST 2013
Kamiyamay
@nursefriendly Well that's a relief, tell peeps when I know it all I must be dead :-) #hpm
Wed Feb 6 18:34:00 PST 2013
nursefriendly
RT @Kamiyamay: @aliciabloom I agree, some so fearful like facing that step may be the final breath. #hpm
Wed Feb 6 18:34:14 PST 2013
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KathyKastner
@rfberry How totally lovely to see you ! #hpm

Wed Feb 6 18:34:16 PST 2013
rfberry
T2 being present is the best gift you can give a patient, their family, & yourself #hpm
Wed Feb 6 18:34:22 PST 2013
nursefriendly
RT @cvdavies: I tell my chaplain interns that it's not about answering the question but being with the patient in the asking of it. #hpm
Wed Feb 6 18:34:25 PST 2013
aliciabloom
@ggramels i love that. when i'm teaching about how to effective goals of care discussions, i often say: "silence is golden" #hpm
Wed Feb 6 18:34:27 PST 2013
pamressler
Hi all, sorry to drop in late to the chat tonight #hpm

Wed Feb 6 18:34:29 PST 2013
WaywardChad
Sadly this too. MT @aliciabloom: Also seen families struggle unnecessarily with medical decision making due to their religious beliefs. #hpm
Wed Feb 6 18:34:31 PST 2013
nursefriendly
RT @Kamiyamay: @nursefriendly Yes charged but experienced kind hospice listening ear and know when to hold words and when to speak #hpm
Wed Feb 6 18:34:44 PST 2013
aliciabloom
better late than never! RT @rfberry: Joining late, hi #hpm

Wed Feb 6 18:34:44 PST 2013
KathyKastner
Hi Pam!! RT @pamressler: Hi all, sorry to drop in late to the chat tonight #hpm
Wed Feb 6 18:35:07 PST 2013
Kamiyamay
@aliciabloom Alicia me too, sometime it is so heart breaking to watch...but cultural beliefs are a persons right. Time for quiet #hpm
Wed Feb 6 18:35:08 PST 2013
ggramels
@aliciabloom as well as doctors although perhaps less "spiritual" more scientific than patients and families. #hpm
Wed Feb 6 18:35:16 PST 2013
KathyKastner
RT @ggramels: @aliciabloom as well as doctors although perhaps less "spiritual" more scientific than patients and families. #hpm
Wed Feb 6 18:35:18 PST 2013
rfberry
RT @KathyKastner: Hi Pam!! RT @pamressler: Hi all, sorry to drop in late to the chat tonight #hpm
Wed Feb 6 18:35:31 PST 2013
ReginaHolliday
RT @rfberry: T2 being present is the best gift you can give a patient, their family, &
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yourself #hpm
Wed Feb 6 18:35:33 PST 2013
ravipm2000
T2: Met a 91yr old man w a prognosis of wks. His wife privately reported that his childhood religious advisor predicted he'd die at 91. #hpm
Wed Feb 6 18:35:50 PST 2013
aliciabloom
better late than never! RT @pamressler: Hi all, sorry to drop in late to the chat tonight #hpm
Wed Feb 6 18:36:01 PST 2013
nursefriendly
RT @cvdavies: T2: What have your patients' taught you about spiritual issues at EOL? #hpm
Wed Feb 6 18:36:03 PST 2013
equijada
@cvdavies in presence of death, facades stripped away. When I see action of pure love, it's so pure that I feel the source is Love. #hpm
Wed Feb 6 18:36:09 PST 2013
ReginaHolliday
RT @KnowYourWishes: Hi all! LJ Van Scoy, pulmonary critical care doc, author of book about personal stories and #eol, from Philly #hpm
Wed Feb 6 18:36:20 PST 2013
pamressler
:-) RT @rfberry: RT @KathyKastner: Hi Pam!! RT @pamressler: Hi all, sorry to drop in late to the chat tonight #hpm
Wed Feb 6 18:36:23 PST 2013
KnowYourWishes
Agree!! RT @ReginaHolliday: RT @rfberry: T2 being present is the best gift you can give a patient, their family, & yourself #hpm
Wed Feb 6 18:36:28 PST 2013
cvdavies
How do you deal with pts. whose religious beliefs impact their care & struggle w/decision making? #hpm
Wed Feb 6 18:36:37 PST 2013
beautifulxfeet
@cvdavies what is #hpm?

Wed Feb 6 18:36:40 PST 2013
KathyKastner
@beautifulxfeet hospice and palliative medicine :) #hpm

Wed Feb 6 18:37:03 PST 2013
nursefriendly
Some are far more at ease, accepting than expected RT @cvdavies: T2: What have your patients' taught you about spiritual issues at EOL? #hpm
Wed Feb 6 18:37:09 PST 2013
Kamiyamay
Whendad dying CA one friend/pastor that knew family sat down beside him and asked quietly so how does it feel, what would you like? #hpm
Wed Feb 6 18:37:13 PST 2013
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KnowYourWishes
Regardless of your religious/spiritual beliefs and/or comfort level, being present is easy to do and goes long way #hpm
Wed Feb 6 18:37:22 PST 2013
rfberry
RT @equijada: @cvdavies in presence of death, facades stripped away. When I see action of pure love. #hpm
Wed Feb 6 18:37:45 PST 2013
nursefriendly
@cvdavies T2 You never know how they will feel, react to "the talk" at #eol till you sit down and discuss it. #hpm
Wed Feb 6 18:37:49 PST 2013
aliciabloom
RT @KnowYourWishes: Regardless of your religious/spiritual beliefs and/or comfort level, being present is easy to do and goes long way #hpm
Wed Feb 6 18:37:54 PST 2013
cvdavies
@beautifulxfeet hospice and palliative med - join us! You've surely got experience in that now! #hpm
Wed Feb 6 18:37:55 PST 2013
aliciabloom
RT @cvdavies: How do you deal with pts. whose religious beliefs impact their care & struggle w/decision making? #hpm
Wed Feb 6 18:38:01 PST 2013
Kamiyamay
Wed Feb 6 18:38:09 PST 2013
ReginaHolliday
@ravipm2000 Yeah, I met my husband Fred when he was 22 and he told me he would die before he was 40. And he did. #hpm
Wed Feb 6 18:38:11 PST 2013
WaywardChad
Wow...thoughtful Q...Hm RT @cvdavies: How do you deal with pts. whose religious beliefs impact their care & struggle w/decision making? #hpm
Wed Feb 6 18:38:18 PST 2013
jfclearywisc
@KnowYourWishes "being present" is not that easy for many physicians. No trained & often don't get to observe it for modeling. #hpm
Wed Feb 6 18:38:30 PST 2013
Kamiyamay
@KnowYourWishes not sure if it is that easy...sometimes hard to be just present and quiet....but honorable! #hpm
Wed Feb 6 18:38:42 PST 2013
aliciabloom
it's important to explore religious beliefs through open dialogue & non-judgement. understand the root of the barrier or fear. #hpm
Wed Feb 6 18:38:56 PST 2013
KathyKastner
Greetings @ReginaHolliday! Hope your shorty noms are adding up #hpm

Wed Feb 6 18:39:16 PST 2013
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aliciabloom
wow RT @ReginaHolliday: Yeah, I met my husband Fred when he was 22 and he told me he would die before he was 40. And he did. #hpm
Wed Feb 6 18:39:33 PST 2013
WaywardChad
MT @aliciabloom: important to explore religious beliefs through open dialogue & non-judgement. understand root of the barrier or fear. #hpm
Wed Feb 6 18:39:46 PST 2013
Kamiyamay
MT @ReginaHolliday: @ravipm2000 met husband Fred when 22, he told me he would die before 40. he did. (Regina I believe in premonition) #hpm
Wed Feb 6 18:40:12 PST 2013
nursefriendly
RT @SWChelsea06: . @cvdavies my patients confirmed my belief in existence of a higher powervisioning, quiet moments, peace #hpm
Wed Feb 6 18:40:17 PST 2013
cvdavies
Indeed, being present can be tough, when we're not used to being present to ourselves, let alone others... #hpm
Wed Feb 6 18:40:32 PST 2013
ravipm2000
@ReginaHolliday There is so much we don't know about spiritual life. It is humbling for me. #hpm
Wed Feb 6 18:40:35 PST 2013
nursefriendly
RT @WaywardChad: T2: And that also means for us, at our own #EOL, we need to be open to whatever we experience or feel. #hpm
Wed Feb 6 18:41:09 PST 2013
KathyKastner
RT @ravipm2000: @ReginaHolliday There is so much we don't know about spiritual life. It is humbling for me. #hpm
Wed Feb 6 18:41:29 PST 2013
ReginaHolliday
@aliciabloom I always said please do not ill wish... most males in his family died early. #hpm
Wed Feb 6 18:41:36 PST 2013
ravipm2000
RT @nursefriendly: @WaywardChad: T2: And that also means for us, at our own #EOL, we need to be open to whatever we experience or feel. #hpm
Wed Feb 6 18:41:41 PST 2013
Kamiyamay
@cvdavies Doing this work....I find I must have time alone....self presence..tonight I hear the chimes outside and the train #hpm
Wed Feb 6 18:41:42 PST 2013
equijada
Bingo RT @cvdavies: Indeed, being present can be tough, when were not used to being present to ourselves, let alone others... #hpm
Wed Feb 6 18:41:42 PST 2013
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cvdavies
I just have to say y'all are great spiritual care generalists! #hpm
Wed Feb 6 18:42:06 PST 2013
wendywilliams58
@wendywilliams58: @aliciabloom are you familiar with the FICA spiritual assessment for providers? Two minutes-4 questions? #hpm
Wed Feb 6 18:42:08 PST 2013
rfberry
@cvdavies I just find my strongest sense of spirituality is in genuine presence, it's very humbling in #hpm
Wed Feb 6 18:42:21 PST 2013
Kamiyamay
RT @ravipm2000: @ReginaHolliday There is so much we dont know about spiritual life. It is humbling for me. (me too Ravi!) #hpm
Wed Feb 6 18:42:22 PST 2013
KathyKastner
Amen ! RT @cvdavies: I just have to say y'all are great spiritual care generalists! #hpm
Wed Feb 6 18:42:46 PST 2013
aliciabloom
@ReginaHolliday speaks to the physical - emotional - existential reality of life & death. #hpm
Wed Feb 6 18:43:04 PST 2013
SWChelsea06
.Absolutely @cvdavies- difficult with pts who decline pain meds- they believe that going thru pain is something they need to experience #hpm
Wed Feb 6 18:43:07 PST 2013
pamressler
@jfclearywisc Very true, perhaps with interdisciplinary training may help with skills of presence and listening? #hpm
Wed Feb 6 18:43:14 PST 2013
ReginaHolliday
@Kamiyamay @ravipm2000 You should hear some of the things that have happened to me at conferences. There is more to us then this flesh. #hpm
Wed Feb 6 18:43:20 PST 2013
ReginaHolliday
RT @rfberry: @cvdavies I just find my strongest sense of spirituality is in genuine presence, it's very humbling in #hpm
Wed Feb 6 18:43:36 PST 2013
PracticalWisdom
RT @pamressler: @jfclearywisc Very true, perhaps with interdisciplinary training may help with skills of presence and listening? #HPM
Wed Feb 6 18:43:41 PST 2013
cvdavies
FICA's great - anyone do it?RT @wendywilliams58: are you familiar with the FICA spiritual assessment for providers? #hpm
Wed Feb 6 18:43:45 PST 2013
ReginaHolliday
RT @pamressler: @jfclearywisc Very true, perhaps with interdisciplinary training may help with skills of presence and listening? #hpm
Wed Feb 6 18:43:50 PST 2013
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ravipm2000
@Kamiyamay Yup. Sometimes you just have to accept the unknown and be present and supportive. #hpm
Wed Feb 6 18:43:54 PST 2013
equijada
@cvdavies i'd like to run some ideas by you one day. i'm doing a talk regarding spirituality in April. #hpm
Wed Feb 6 18:44:04 PST 2013
nursefriendly
RT @aliciabloom: T2- i've also seen families struggle unnecessarily with medical decision making due to their religious beliefs. #hpm
Wed Feb 6 18:44:05 PST 2013
ravipm2000
@ReginaHolliday Agreed. #hpm

Wed Feb 6 18:44:12 PST 2013
Kamiyamay
@ravipm2000 I wonder if any of us truly understand spiritual things..we think we do....I think only scratched surface #hpm
Wed Feb 6 18:44:22 PST 2013
cvdavies
@equijada Of course, anytime! #hpm

Wed Feb 6 18:44:41 PST 2013
WaywardChad
RT @Kamiyamay: @ravipm2000 I wonder if any of us truly understand spiritual things..we think we do....I think only scratched surface #hpm
Wed Feb 6 18:44:54 PST 2013
cvdavies
T3: This is hard work. How do you support fellow staff members? How do you wish your colleagues would support you? #hpm
Wed Feb 6 18:45:04 PST 2013
aliciabloom
@cvdavies can you share more about FICA? #hpm

Wed Feb 6 18:45:11 PST 2013
nursefriendly
Heartbreaking when #patients die alone :( RT @rfberry T2 being present is the best gift you can give a patient, their family & yourself #hpm
Wed Feb 6 18:45:20 PST 2013
rfberry
@jfclearywisc harder to be preset when you have to be responsive to clinical needsadds an agenda. Presence does best w/no agenda #hpm
Wed Feb 6 18:45:31 PST 2013
aliciabloom
RT @cvdavies: T3: This is hard work. How do you support fellow staff members? How do you wish your colleagues would support you? #hpm
Wed Feb 6 18:45:37 PST 2013
cvdavies
(This question is self-serving, as a chaplain, I'm always looking for ways to support staff more) #hpm
Wed Feb 6 18:45:48 PST 2013
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ravipm2000
@Kamiyamay Hmm..the "spiritual iceberg." #hpm

Wed Feb 6 18:45:57 PST 2013
pamressler
@aliciabloom We also need to understand that we are looking through the lens of a culture of western medicine, in a way our "religion" #hpm
Wed Feb 6 18:46:01 PST 2013
PracticalWisdom
Great Question: Do we have opportunities to share how we liked to be supported. Need an opening. @cvdavies #HPM
Wed Feb 6 18:46:13 PST 2013
WaywardChad
RT @cvdavies: T3: This is hard work. How do you support fellow staff members? How do you wish your colleagues would support you? #hpm
Wed Feb 6 18:46:23 PST 2013
Kamiyamay
@cvdavies T3 - Seems many think not cool to show emotion, i often slip into hall or other room and quietly offer support/comfort #hpm
Wed Feb 6 18:46:24 PST 2013
cvdavies
More info on FICA here - http://t.co/11nARkQT #hpm

Wed Feb 6 18:46:39 PST 2013
SWChelsea06
. Good question @cvdavies listening, humor & shared experiences #hpm

Wed Feb 6 18:46:47 PST 2013
PracticalWisdom
Have you used the 5 Love Languages? HI I"m Lisa~ Great topic Great Guest Thanks @cvdavies #HPM
Wed Feb 6 18:46:52 PST 2013
rfberry
@nursefriendly to me - more heartbreaking when people die in discomfort. Some people want to be alone, important to know what pt wants #hpm
Wed Feb 6 18:47:31 PST 2013
aliciabloom
@pamressler that's a good point. although, it's important to explore, especially when things are incongruent. #hpm
Wed Feb 6 18:47:33 PST 2013
WaywardChad
T3: Lots of decompressing together. Lunches. Coffee. I just try to be present....just like I want my colleagues to be for me. #hpm
Wed Feb 6 18:47:38 PST 2013
ravipm2000
T3: Debriefing definitely helps! Humor also. #hpm

Wed Feb 6 18:47:41 PST 2013
equijada
@cvdavies I feels supported when I'm connected. Connectedness requires listening, understanding, and vision. #hpm
Wed Feb 6 18:47:47 PST 2013
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WaywardChad
RT @cvdavies: More info on FICA here - http://t.co/poVwfaKl #hpm

Wed Feb 6 18:48:03 PST 2013
equijada
@PracticalWisdom tell me about it. #hpm

Wed Feb 6 18:48:05 PST 2013
wendywilliams58
@PracticalWisdom @pamressler @jfclearywisc http://t.co/y665NkD1 on spiritual matters http://t.co/EcNZ1nNa #hpm

Wed Feb 6 18:48:08 PST 2013
ReginaHolliday
@Kamiyamay @cvdavies this is a problem throughout healthcare, why not cry? Much of what we do involves sadness #hpm
Wed Feb 6 18:48:15 PST 2013
PracticalWisdom
MT @Kamiyamay: @cvdavies T3 - many think not cool 2 show emotion/ i often slip into hall other room & quietly offer support/comfort #HPM
Wed Feb 6 18:48:17 PST 2013
pamressler
Agree! RT @aliciabloom: @pamressler thats a good point. although, its important to explore, especially when things are incongruent. #hpm
Wed Feb 6 18:48:17 PST 2013
Kamiyamay
RT @equijada: @cvdavies I feels supported when Im connected. Connectedness requires listening, understanding, and vision. #hpm
Wed Feb 6 18:48:18 PST 2013
rfberry
Wed Feb 6 18:48:31 PST 2013
ctsinclair
RT @equijada @cvdavies I feels supported when I'm connected. Connectedness requires listening, understanding, and vision. #hpm
Wed Feb 6 18:48:31 PST 2013
Pallimed
RT @cvdavies More info on FICA here - http://t.co/PkrdJCDC #hpm

Wed Feb 6 18:48:44 PST 2013
KathyKastner
ThanksRT @WaywardChad: RT @cvdavies: More info on FICA here http://t.co/ZTZx0MTK #hpm

Wed Feb 6 18:49:07 PST 2013
dlschermd
@JoanneKenen @ctacorg Hospice has to CHANGE the system not vice versa. #hpm
Wed Feb 6 18:49:10 PST 2013
ravipm2000
RT @Pallimed: RT @cvdavies More info on FICA here - http://t.co/t9ViPhJx #hpm

Wed Feb 6 18:49:13 PST 2013
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rfberry
@wendywilliams58 just use the #hpm hashtag. http://t.co/JeJgwM4m is a great resource.

Wed Feb 6 18:49:20 PST 2013
KathyKastner
RT @equijada: @cvdavies I feels supported when I'm connected. Connectedness requires listening, understanding, and vision. #hpm
Wed Feb 6 18:49:20 PST 2013
cvdavies
Seems like a societal issue too RT @ReginaHolliday: this is a problem throughout healthcare, why not cry? #hpm
Wed Feb 6 18:49:22 PST 2013
KathyKastner
RT @ravipm2000: T3: Debriefing definitely helps! Humor also. #hpm

Wed Feb 6 18:49:31 PST 2013
pamressler
+1 RT @ctsinclair: RT @equijada @cvdavies I feels supported when Im connected. Connectedness requires listening, understanding,vision. #hpm
Wed Feb 6 18:49:40 PST 2013
Kamiyamay
@ctsinclair It is amazing that the support I receive here is non-judgemental and lifts me up many a day...on connecting #hpm
Wed Feb 6 18:49:47 PST 2013
PracticalWisdom
Quality time, Words of Affirmation, Physical Touch not just intimacy RT @equijada: @PracticalWisdom tell me about it. #HPM
Wed Feb 6 18:49:57 PST 2013
aliciabloom
T3: i like to debrief with my colleagues after a difficult visit or challenging family meeting. we also try to laugh a lot :) #hpm
Wed Feb 6 18:50:40 PST 2013
WaywardChad
MT @Kamiyamay: It is amazing that the support I receive here is non-judgemental and lifts me up many a day...on connecting #hpm
Wed Feb 6 18:50:58 PST 2013
ctsinclair
T3 self-care takes many forms. Important to help people identify multiple ways in which they reenergize. #hpm
Wed Feb 6 18:51:01 PST 2013
ReginaHolliday
@cvdavies I wonder though, no one batts an eye over a tear shed during a hallmark commercial, but real sorrow is verboten #hpm
Wed Feb 6 18:51:01 PST 2013
PracticalWisdom
@equijada 5 Love Languages: Gift Giving Acts of Service EX. car maintenance, Taking care of Wills, Insurance. #HPM
Wed Feb 6 18:51:04 PST 2013
rfberry
RT @ReginaHolliday: @Kamiyamay @cvdavies this is a problem throughout
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healthcare, why not cry? Much of what we do involves sadness #hpm

Wed Feb 6 18:51:05 PST 2013
nursefriendly
@rfberry See way too much of that. Goes to the problem of late admissions to #hospice, no discussion of #ComfortCare till late in game #hpm
Wed Feb 6 18:51:09 PST 2013
cvdavies
@PracticalWisdom Yes, I do use the love languages, I think it's helpful to know how we need to be cared for, & how we care for others #hpm
Wed Feb 6 18:51:16 PST 2013
KathyKastner
#hpm is there ever room for humour with patients/families at #EOL?

Wed Feb 6 18:51:30 PST 2013
Kamiyamay
Seems in office and corp culture we are all rushing around..here is a nice time to take pause..perhaps why epatient communities growing #hpm
Wed Feb 6 18:51:34 PST 2013
PracticalWisdom
AGREE. RT @cvdavies: Seems like a societal issue too RT @ReginaHolliday: this is a problem throughout healthcare, why not cry? #HPM
Wed Feb 6 18:51:34 PST 2013
aliciabloom
RT @ctsinclair: T3 self-care takes many forms. Important to help people identify multiple ways in which they reenergize. #hpm
Wed Feb 6 18:51:40 PST 2013
dlschermd
@aliciabloom Yes. Decompression decreases burnout. Not enough physicians do as much as others in healthcare. #hpm
Wed Feb 6 18:51:53 PST 2013
pamressler
Great point RT @ctsinclair: T3 self-care takes many forms. Important to help people identify multiple ways in which they reenergize. #hpm
Wed Feb 6 18:51:56 PST 2013
rfberry
@aliciabloom support from colleagues is crucial. Important to find what restores your energy #hpm
Wed Feb 6 18:52:03 PST 2013
cvdavies
RT @KathyKastner: is there ever room for humour with patients/families at #EOL? #hpm
Wed Feb 6 18:52:17 PST 2013
rfberry
RT @Kamiyamay: @ctsinclair It is amazing that the support I receive here is nonjudgemental and lifts me up many a day...on connecting #hpm
Wed Feb 6 18:52:22 PST 2013
nursefriendly
RT @cvdavies: How do you deal with pts. whose religious beliefs impact their care & struggle w/decision making? #hpm
Wed Feb 6 18:52:22 PST 2013
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WaywardChad
Wed Feb 6 18:52:38 PST 2013
aliciabloom
@nursefriendly i struggle with the term "comfort care"-- it assumes a certain plan of care. need to be patient centered & individual. #hpm
Wed Feb 6 18:52:45 PST 2013
gendeville
RT @SWChelsea06: . @cvdavies my patients confirmed my belief in existence of a higher powervisioning, quiet moments, peace #hpm
Wed Feb 6 18:52:52 PST 2013
PracticalWisdom
@cvdavies How about Self-Care=Mental Health Days. I remember when ti was the NORM in non-profit~No longer. #HPM
Wed Feb 6 18:52:58 PST 2013
rfberry
RT @dlschermd: @aliciabloom Yes. Decompression decreases burnout. Not enough physicians do as much as others in healthcare. #hpm
Wed Feb 6 18:53:05 PST 2013
aliciabloom
it depends upon the patient/family & situation --> RT @KathyKastner: is there ever room for humour with patients/families at #EOL? #hpm
Wed Feb 6 18:53:18 PST 2013
ctsinclair
T3 good to ask others how they 'refuel'. I like to use different terms than just 'self-care' as some people find it to touchy Feely #hpm
Wed Feb 6 18:53:27 PST 2013
rfberry
Wed Feb 6 18:53:31 PST 2013
SWChelsea06
. Absolutely @KathyKastner- been with families and given them the "permission" to laugh in a difficult situation- we all feel relief #hpm
Wed Feb 6 18:53:56 PST 2013
dlschermd
@rfberry @aliciabloom Sharing stress with colleagues sometimes more meaningful than spouse because of sharing experiences 1st hand. #hpm
Wed Feb 6 18:53:56 PST 2013
nursefriendly
#healthcare #tweetchat Hospice & Palliative Care Medicine Chat :) http://t.co/8LrhYDkC @beautifulxfeet: @cvdavies what is #hpm?
Wed Feb 6 18:54:01 PST 2013
Kamiyamay
@KathyKastner Absolutely .ex: come to pronounce thirty people all holding breath dead silence. I give time &say, now all take a breath #hpm
Wed Feb 6 18:54:05 PST 2013
WaywardChad
@PracticalWisdom I'm a firm believer in mental-health days. I've been lucky to have
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supervisors who have understood that. #hpm

Wed Feb 6 18:54:06 PST 2013
pamressler
T3 I find that mindfulness matters -- our default is mindlessness and it leads to burnout in health care and life #hpm
Wed Feb 6 18:54:20 PST 2013
KathyKastner
@ctsinclair As I live and breathe! It's Christian Sinclair! #hpm

Wed Feb 6 18:54:25 PST 2013
cvdavies
RT @pamressler: T3 I find that mindfulness matters -- our default is mindlessness and it leads to burnout in health care and life #hpm
Wed Feb 6 18:55:07 PST 2013
dlschermd
@aliciabloom @kathykastner Humor definitely has its place as therapy both during and #EOL. #hpm
Wed Feb 6 18:55:09 PST 2013
nursefriendly
@aliciabloom Terminology is always tricky for some. Not many on the same page with semantics. #hpm
Wed Feb 6 18:55:17 PST 2013
PracticalWisdom
T3: @ctsinclair Great point Word: Self Care~Might Sound Selfish but Totally it is not. @Reginaholliday What term do you like? #HPM
Wed Feb 6 18:55:25 PST 2013
Kamiyamay
MT @PracticalWisdom: @cvdavies Need Self-Care=Mental Health Days. We sure do..instead informed short staffing no days period! #hpm
Wed Feb 6 18:55:34 PST 2013
KathyKastner
MT @Kamiyamay: Absolutely .ex: come to pronounce thirty people all holding breath dead silence I give time &say, now all take breath #hpm
Wed Feb 6 18:55:37 PST 2013
nursefriendly
Wed Feb 6 18:55:47 PST 2013
PracticalWisdom
Yup, Different Brand #EOL RT @dlschermd: @aliciabloom @kathykastner Humor definitely has its place as therapy both during and #EOL. #HPM
Wed Feb 6 18:55:49 PST 2013
KathyKastner
RT @dlschermd: @aliciabloom @kathykastner Humor definitely has its place as therapy both during and #EOL. #hpm
Wed Feb 6 18:55:52 PST 2013
rfberry
I think yes. Depends on family. RT @cvdavies: RT @KathyKastner: is there ever room for humour with patients/families at #EOL? #hpm
Wed Feb 6 18:55:57 PST 2013
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Kamiyamay
RT @dlschermd: @aliciabloom @kathykastner Humor definitely has its place as therapy both during and #EOL. #hpm
Wed Feb 6 18:55:59 PST 2013
PracticalWisdom
Agree RT @Kamiyamay: RT @dlschermd: @aliciabloom @kathykastner Humor definitely has its place as therapy both during and #EOL. #HPM
Wed Feb 6 18:56:32 PST 2013
Kamiyamay
@KathyKastner Kind of breaks the ice allows everyone to reframe some give a giggle and gets them moving on to complete next step #hpm
Wed Feb 6 18:56:52 PST 2013
rfberry
Wed Feb 6 18:57:03 PST 2013
nursefriendly
RT @ReginaHolliday: @ravipm2000 Yeah, I met my husband Fred when he was 22 and he told me he would die before he was 40. And he did. #hpm
Wed Feb 6 18:57:04 PST 2013
dlschermd
@PracticalWisdom @aliciabloom @kathykastner Humor about life's little experiences not illness is responded to best in my experience. #hpm
Wed Feb 6 18:57:18 PST 2013
KnowYourWishes
Goodnight, #hpm. Time for me to turn in...g'night! #hpm

Wed Feb 6 18:57:37 PST 2013
PracticalWisdom
RT @pamressler: T3 I find that mindfulness matters -- our default is mindlessness and it leads to burnout in health care and life #HPM
Wed Feb 6 18:57:39 PST 2013
SWChelsea06
. Agreed @Kamiyamay #hpm

Wed Feb 6 18:57:56 PST 2013
cvdavies
So as we move toward the end of the hour (self care=boundaries, sometimes) I want to thank everyone for such a fruit filled convo #hpm
Wed Feb 6 18:57:57 PST 2013
Kamiyamay
MT @rfberry: RT @pamressler: T3 I find mindfulness matters -our default is mindlessness and it leads to burnout in health care and life #hpm
Wed Feb 6 18:58:10 PST 2013
nursefriendly
RT @cvdavies: Indeed, being present can be tough, when we're not used to being present to ourselves, let alone others... #hpm
Wed Feb 6 18:58:28 PST 2013
PracticalWisdom
Yup, Death is not Funny~ MT @dlschermd: @PracticalWisdom @aliciabloom @kathykastner Humor=lifes little experiences not illness best. #HPM
Wed Feb 6 18:58:38 PST 2013
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nursefriendly
RT @ReginaHolliday: @aliciabloom I always said please do not ill wish... most males in his family died early. #hpm
Wed Feb 6 18:58:49 PST 2013
rfberry
@cvdavies fantastic hosting!!!! Thank you so much for leading the #hpm discussion tonight.
Wed Feb 6 18:58:52 PST 2013
Kamiyamay
@rfberry Well stated....we need to remember to be present, make eye contact and allow ourselves time to destress..mindfulness! #hpm
Wed Feb 6 18:59:00 PST 2013
cvdavies
er, that would be fruitful - can you tell i'm hungry and tired? #hpm
Wed Feb 6 18:59:00 PST 2013
Kamiyamay
RT @rfberry: @cvdavies fantastic hosting!!!! Thank you so much for leading the #hpm discussion tonight. #hpm
Wed Feb 6 18:59:17 PST 2013
SWChelsea06
. Great chat! Thank you for moderating @cvdavies! Nice to meet you all #hpm
Wed Feb 6 18:59:20 PST 2013
KathyKastner
So good to know: there is a place for giggles (if approptiate) @dlschermd @Kamiyamay #@PracticalWisdom @rfberry #hpm
Wed Feb 6 18:59:25 PST 2013
PracticalWisdom
The Work Clergy does in #EOL is CRITICAL. How is the Funding outlook in your Discipline? @cvdavies #HPM
Wed Feb 6 18:59:35 PST 2013
nursefriendly
RT @rfberry: @cvdavies I just find my strongest sense of spirituality is in genuine presence, it's very humbling in #hpm
Wed Feb 6 18:59:43 PST 2013
PracticalWisdom
RT @KathyKastner: So good to know: there is a place for giggles (if approptiate) @dlschermd @Kamiyamay #@PracticalWisdom @rfberry #HPM
Wed Feb 6 18:59:57 PST 2013
aliciabloom
what a great discussion tonight! many thanks to @cvdavies for hosting! #hpm
Wed Feb 6 18:59:59 PST 2013
KathyKastner
Wonderrful convo RT @rfberry: @cvdavies fantastic hosting!!!! Thank you so much for leading the #hpm discussion tonight.
Wed Feb 6 19:00:13 PST 2013
nursefriendly
Wed Feb 6 19:00:18 PST 2013
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cvdavies
I wish it was better....RT @PracticalWisdom: The Work Clergy does in #EOL is CRITICAL. How is the Funding outlook in your Discipline? #hpm
Wed Feb 6 19:00:26 PST 2013
Kamiyamay
@KathyKastner You would be surprised some have asked me to take a shot of tequilla over deceased and some have lavish party music #hpm
Wed Feb 6 19:00:29 PST 2013
PracticalWisdom
Excellent Choice. RT @aliciabloom: what a great discussion tonight! many thanks to @cvdavies for hosting! #HPM
Wed Feb 6 19:00:35 PST 2013
KathyKastner
RT @aliciabloom: what a great discussion tonight! many thanks to @cvdavies for hosting! #hpm
Wed Feb 6 19:00:37 PST 2013
WaywardChad
Absolutely! +100 :) RT @aliciabloom: what a great discussion tonight! many thanks to @cvdavies for hosting! #hpm
Wed Feb 6 19:00:39 PST 2013
ctsinclair
T3 ironically I am recharging tonight watching 'hair' the Broadway musical #hpm

Wed Feb 6 19:00:41 PST 2013
ReginaHolliday
@PracticalWisdom @ctsinclair I like the word center. We often need to stop reset the moral compass and center. #hpm
Wed Feb 6 19:00:47 PST 2013
Kamiyamay
RT @WaywardChad: Absolutely! +100 :) RT @aliciabloom: what a great discussion tonight! many thanks to @cvdavies for hosting! #hpm
Wed Feb 6 19:01:14 PST 2013
pamressler
@cvdavies Thanks for hosting...and thanks everyone for a great conversation tonight. #hpm
Wed Feb 6 19:01:14 PST 2013
KathyKastner
@Kamiyamay tequlla! My drink of preference! Will you have a shot with me somtime (while we're still alive) #hpm
Wed Feb 6 19:01:25 PST 2013
PracticalWisdom
@cvdavies Family Friend ED Physician. Always said he could not do his work without Clergy to take care of Families. #HPM
Wed Feb 6 19:01:39 PST 2013
Kamiyamay
RT @ReginaHolliday: @PracticalWisdom @ctsinclair I like word center. We often need to stop reset the moral compass and center. (yes) #hpm
Wed Feb 6 19:01:40 PST 2013
26/28
2/7/13
PracticalWisdom
RT @ReginaHolliday: @PracticalWisdom @ctsinclair I like the word center. We often need to stop reset the moral compass and center. #HPM
Wed Feb 6 19:01:54 PST 2013
Kamiyamay
@KathyKastner as long as I'm not on call - sure thing!! #hpm

Wed Feb 6 19:02:12 PST 2013
WaywardChad
Can I join? :) RT @KathyKastner: @Kamiyamay tequlla! My drink of preference! Will you have a shot with me somtime (while still alive) #hpm
Wed Feb 6 19:02:28 PST 2013
aliciabloom
hope to see you all next week-- same time, same place! #hpm
Wed Feb 6 19:02:40 PST 2013
PracticalWisdom
Regina As Quakers We talk about getting ready for Meeting (Church) Getting Centered=Calming down Same? @ReginaHolliday #HPM
Wed Feb 6 19:02:45 PST 2013
cvdavies
@PracticalWisdom Yes, it's an unfortunate reality that chaplain depts get cut in budget crunches or have to rely on volunteers or PT #hpm
Wed Feb 6 19:03:17 PST 2013
PracticalWisdom
I knew Adult Beverages were Coming Right up. Love you Guys! RT @Kamiyamay: @KathyKastner as long as Im not on call - sure thing!! #HPM
Wed Feb 6 19:03:22 PST 2013
KathyKastner
Of course you must join @WaywardChad RT @Kamiyamay: @KathyKastner as long as I'm not on call - sure thing!! #hpm
Wed Feb 6 19:03:29 PST 2013
Kamiyamay
@WaywardChad @KathyKastner: have to play the song all my rowdy friends..love y'all....i have to remember to be present tonight #hpm
Wed Feb 6 19:03:40 PST 2013
cvdavies
Good night all, thanks for sharing your wisdom! #hpm

Wed Feb 6 19:03:52 PST 2013
PracticalWisdom
MT @cvdavies: @PracticalWisdom Yes, unfortunate reality chaplain depts get cut in budget crunches or have to rely on volunteers or PT #HPM
Wed Feb 6 19:03:59 PST 2013
Kamiyamay
@PracticalWisdom Awe come join......Love you more (always told my kids)!! #hpm
Wed Feb 6 19:04:21 PST 2013
KathyKastner
@PracticalWisdom Ha! What's an end of life chat without an adult beverage to celebrate #HPM
Wed Feb 6 19:04:31 PST 2013
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2/7/13
WaywardChad
Exactly....decompressing! :) RT @KathyKastner: @PracticalWisdom Ha! Whats an end of life chat without an adult beverage to celebrate #hpm
Wed Feb 6 19:05:12 PST 2013
Kamiyamay
@cvdavies Sincere Gratitude ...this subject is often avoided but an major dimension in our care...Blessing have a good night! #hpm
Wed Feb 6 19:05:40 PST 2013
PracticalWisdom
Enjoying Nostalgia RT @KathyKastner: @PracticalWisdom Ha! Whats an end of life chat without an adult beverage to celebrate #HPM
Wed Feb 6 19:05:57 PST 2013
rfberry
RT @cvdavies: Good night all, thanks for sharing your wisdom! #hpm
Wed Feb 6 19:06:14 PST 2013
KathyKastner
#hpm gr8 boost of energy as I prepare for 2morrow's @TEDMED on #EOL and my own @TEDxYorkU on dying n death
Wed Feb 6 19:06:16 PST 2013
Kamiyamay
@WaywardChad Chad are you in a chamber, LOL.....oh must say good night to all the HPM Sweet Peeps,.....You inspire me! #hpm
Wed Feb 6 19:06:56 PST 2013
Kamiyamay
RT @rfberry: RT @cvdavies: Good night all, thanks for sharing your wisdom! #hpm
Wed Feb 6 19:07:09 PST 2013
PracticalWisdom
@pamressler Pam Great To see you. Mindfulness So Important. @joelhigh is doing great work in this area~Bet you already knew. @planetree #HPM
Wed Feb 6 19:07:11 PST 2013
PracticalWisdom
@KathyKastner Are you a speaker @TEDXYorkU? How Grand #HPM

Wed Feb 6 19:07:58 PST 2013
Kamiyamay
RT @ravipm2000: @Kamiyamay Hmm..the "spiritual iceberg." #hpm

Wed Feb 6 19:08:38 PST 2013
WaywardChad
Hope to see many of you tomorrow for @TEDMED on #EOL! Have a grand night n' be well, all! :) #hpm
Wed Feb 6 19:11:59 PST 2013
wendywilliams58
Wed Feb 6 19:12:21 PST 2013
KathyKastner
I am - and trying to work in all influencers :)RT @PracticalWisdom: @KathyKastner Are you a speaker @TEDXYorkU? How Grand #HPM
Wed Feb 6 19:14:10 PST 2013
28/28

#HPM TweetChat 2/6/13

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#HPM TweetChat 2/6/13

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2/7/13

#hpm - Healthcare Social Media Transcript

@WaywardChad hey! #hpm

#hpm - Healthcare Social Media Transcript

@KnowYourWishes are you joining us for #hpm tonight?

This is my first #HPM Chat! Hello!

@SWChelsea06 Welcome! Glad you're here. #hpm

G'evening, @SWChelsea06, welcome to #hpm

#hpm - Healthcare Social Media Transcript

@jfclearywisc good morning (right?), glad you made it. #hpm

Hiya, @KathyKastner! :) Always good to see ya. #hpm

@KathyKastner hi there! #hpm

Wowie zowie to all! Oh boy@aliciabloom @WaywardChad @KnowYourWishes @nursefriendly #hpm

@aliciabloom Greetings! #hpm

@jfclearywisc that's great. sounds very interesting. #hpm

#hpm - Healthcare Social Media Transcript

@jfclearywisc very cool ! #Hpm

@cvdavies I've learned lots from lurking on #socmedchap #hpm

#hpm - Healthcare Social Media Transcript

@KnowYourWishes Yes, I would imagine you're not alone in that. #hpm

#hpm - Healthcare Social Media Transcript

@aliciabloom Absolutely - a lot of meaning making questioning happens at EOL #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

#hpm what's an IDT?

Interdisciplinary team = IDT :) #hpm

@KathyKastner IDT = interdisciplinary team #hpm

RT @ehospicenews: India: Welcome to Bangalore. http://t.co/lZdKtLS2 #ehospice #hpm #hpmglobal

#hpm - Healthcare Social Media Transcript

Ah! TY RT @KnowYourWishes: Interdisciplinary team = IDT :) #hpm

. Just being present- agreed @cvdavies- great advice #hpm

#hpm - Healthcare Social Media Transcript

issues at EOL? #hpm

@cvdavies t2 sometimes love is love. #hpm

RT @equijada: @cvdavies t2 sometimes love is love. #hpm

I'm intrigued, say more! RT @equijada: t2 sometimes love is love. #hpm

#hpm - Healthcare Social Media Transcript

open to what others may be feeling & experiencing. #hpm

Joining late, hi #hpm

@cvdavies hmm...in 140 char..let me think #hpm

#hpm - Healthcare Social Media Transcript

@rfberry How totally lovely to see you ! #hpm

Hi all, sorry to drop in late to the chat tonight #hpm

better late than never! RT @rfberry: Joining late, hi #hpm

#hpm - Healthcare Social Media Transcript

@cvdavies what is #hpm?

@beautifulxfeet hospice and palliative medicine :) #hpm

#hpm - Healthcare Social Media Transcript

Greetings @ReginaHolliday! Hope your shorty noms are adding up #hpm

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

#hpm - Healthcare Social Media Transcript

@ReginaHolliday Agreed. #hpm

@equijada Of course, anytime! #hpm

@cvdavies can you share more about FICA? #hpm

#hpm - Healthcare Social Media Transcript

@Kamiyamay Hmm..the "spiritual iceberg." #hpm

More info on FICA here - http://t.co/11nARkQT #hpm

. Good question @cvdavies listening, humor & shared experiences #hpm

T3: Debriefing definitely helps! Humor also. #hpm

#hpm - Healthcare Social Media Transcript

RT @cvdavies: More info on FICA here - http://t.co/poVwfaKl #hpm

@PracticalWisdom tell me about it. #hpm