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2011 05 18 hpm tweetchat transcript

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  • 1. #hpmHealthcare Hashtag Twitter Transcript From: Wed May 18 18:00:00 PDT 2011 To: Wed May 18 19:00:00 PDT 2011 Customize transcript dates and layoutLearn more about #hpm at The Healthcare Hashtag Projectctsinclair RT @hollyby: RT @RossJeanette: Hi #HCSM and #HPM crowd please join me today for HPM tweetchat at 9:00 ET 8:00 CST 6:00 PST #hpm Wed May 18 18:00:15 PDT 2011GailZahtz Dont think I can make it tonight, but sending my love and support to all at the #HPM amazing group! Wed May 18 18:00:35 PDT 2011RossJeanette @ctsinclair thanks #HPM Wed May 18 18:01:20 PDT 2011ctsinclair @HumpbacksRule Glad you could make it. Now if we could only find @EOLNavigator @DianeEMeier @Ewidera @rabob @dweissma for tweetchat! #hpm Wed May 18 18:01:43 PDT 2011KathyKastner Good evening all fab #hpm-ers. Finalizing post on what Im learning about process of dying. So may b largely lurking (+ learning as always) Wed May 18 18:01:48 PDT 2011RossJeanette Welcome to HPM tweet chat Im your host. Lets start with some introductions #HPM Wed May 18 18:02:26 PDT 2011inhousehospice Hi, all! Im Ash, work in marketing @inhousehospice of MI and OH. #hpm Wed May 18 18:03:36 PDT 2011PracticalWisdom @KathyKastner; Cant wait to read. Hope you can join us~water feels fine. #HPm Wed May 18 18:03:39 PDT 2011hollyby Ill be tweeting for the next hour from the #hospice and #palliative medicine tweetchat. #hpm Wed May 18 18:03:40 PDT 2011
  • 2. KathyKastner Ah intro. Health blogger, focus on adult children caring for aging parents. Hence love of #hpm Wed May 18 18:03:43 PDT 2011doctatum Hi. Paul Tatum, MIZZOU. #hpm Wed May 18 18:03:44 PDT 2011ctsinclair Hi @KathyKastner @RossJeanette Looking forward to a good chat tonight. Followers the next hour I will be active in the tweetchat for #hpm Wed May 18 18:03:56 PDT 2011HumpbacksRule Ro, research RN. Volunteer in Hospice. Happy to be here. #hpm Wed May 18 18:04:05 PDT 2011drpippa Hello @RossJeanette & tweet chatters! Pippa here--> family doc, hpm enthusiast, currently trying to dry off after days of rain #Hpm Wed May 18 18:04:20 PDT 2011RossJeanette @doctatum welcome glad you can join #HPM Wed May 18 18:04:30 PDT 2011PracticalWisdom @doctatum; HI Paul from the great State of Mo and the great Tatum Family! #HPm Wed May 18 18:04:40 PDT 2011drpippa Me too! RT @hollyby: Ill be tweeting for the next hour from the #hospice and #palliative medicine tweetchat. #Hpm Wed May 18 18:04:43 PDT 2011KathyKastner Ah Lisa! spreading yr wonderfulness again RT @PracticalWisdom: @KathyKastner; Cant wait to read. Hope u can join us~water feels fine. #HPm Wed May 18 18:05:07 PDT 2011MarksPhone Ill be lurking but I imagine I will jump in #hpm Wed May 18 18:05:11 PDT 2011hollyby Hi there! Holly Yang, doc from @SanDiegoHospice Surfer, med ed enthusiast, international traveler. All tweets are my own. #hpm Wed May 18 18:05:17 PDT 2011ctsinclair Introductions: Christian Sinclair, @KCHospice doc, @KLXmedia founder, @Pallimed Editor, Collector of Board games - any guess how many? #hpm Wed May 18 18:05:21 PDT 2011ctsinclair @HumpbacksRule Hey Ro, have you joined us before? #hpm Wed May 18 18:05:38 PDT 2011RossJeanette Hi @drpippa @ctsinclair @hollyby@humpbacksrule #HPM Wed May 18 18:05:38 PDT 2011
  • 3. hollyby @ctsinclair 157? #hpm Wed May 18 18:05:50 PDT 2011drpippa @ctsinclair 112 #Hpm Wed May 18 18:05:53 PDT 2011PracticalWisdom Hi, Im LIsa Professional Speaker/Trainer: Topics : Leadership/MBTI/SoMe/Commun. Morph the ho-hum into compelling. Rascal. #HPm Wed May 18 18:05:58 PDT 2011ctsinclair @MarksPhone Ill imagine you will jump in too if that helps. #hpm Wed May 18 18:06:01 PDT 2011HumpbacksRule @ctsinclair I think once maybe....its been awhile. Life is crazy :) #hpm Wed May 18 18:06:21 PDT 2011doctatum 312? RT @ctsinclair: Introductions: Christian SinclairCollector of Board games - any guess how many? #hpm Wed May 18 18:06:22 PDT 2011PracticalWisdom Jump, Jump You never need a net. RT @MarksPhone: Ill be lurking but I imagine I will jump in #HPm Wed May 18 18:06:24 PDT 2011jen_c_taylor Hello from rainy Arizona! (we cant use that sentence often) Jen_c_taylor here: MSW and author. Likes: orchids, harps, travel, wine.. #hpm Wed May 18 18:06:31 PDT 2011aliciabloom @CompAndChoices increasingly frustrated by 1 sided pieces re: for profit. lets be honest, in non-profit world: no margin, no mission. #hpm Wed May 18 18:06:35 PDT 2011RossJeanette @PracticalWisdom @marksphone Welcome #HPM Wed May 18 18:06:38 PDT 2011PracticalWisdom @drpippa so Glad youve come. #HPm Wed May 18 18:06:50 PDT 2011RossJeanette Im an HPM doc associate director palliative medicine fellowship @UTHSCSA passionate about teaching #HPM Wed May 18 18:07:12 PDT 2011PracticalWisdom @hollyby @ctsinclair Two of the Classic Folks. @Rossjeanette cant wait got great folks. #HPm Wed May 18 18:07:32 PDT 2011aliciabloom MSW, LSW @VITASHospice & Palliative Care. clinical educator. Philadelphia, PA. #hpm Wed May 18 18:07:37 PDT 2011
  • 4. ctsinclair @Doctatum is the winner! My Boardgame Collection is at 337: http://boardgamegeek.com/collection/user/ctskas #hpm Wed May 18 18:07:44 PDT 2011RossJeanette T1 Do terminally ill persons who are Full Code get treated differently from those who are DNR? #HPM Wed May 18 18:08:13 PDT 2011equijada @RossJeanette Hi all. Thx for hosting Jeanette. Great seeing folks tonight #hpm Wed May 18 18:08:35 PDT 2011ctsinclair @jen_c_taylor Hi Jen good to see you! @PracticalWisdom thanks for the props. I owe you a phone call. #hpm Wed May 18 18:08:36 PDT 2011doctatum RT @ctsinclair: @Doctatum is the winner! Hurray! Grand prize = tailgate at US Mens Soccer game KC #hpm Wed May 18 18:08:47 PDT 2011PracticalWisdom @jen_c_taylor: Glad you are here too! Are you live or auto posted? #HPm Wed May 18 18:08:48 PDT 2011hollyby Its more serious than I thought... RT @ctsinclair: @Doctatum is the winner! My Boardgame Collection is at 337 #hpm Wed May 18 18:08:54 PDT 2011ctsinclair RT @RossJeanette: T1 Do terminally ill persons who are Full Code get treated differently from those who are DNR? "Excellent question" #hpm Wed May 18 18:09:06 PDT 2011hollyby RT @RossJeanette: T1 Do terminally ill persons who are Full Code get treated differently from those who are DNR? #hpm Wed May 18 18:09:08 PDT 2011KathyKastner Nice New pic @equijada #hpm Wed May 18 18:09:16 PDT 2011PracticalWisdom @hollyby @ctsinclair @Doctatum: Game of LIfe? O.K. Ill get serious. #HPm Wed May 18 18:09:35 PDT 2011ctsinclair T1: I think the perception from the public is dont get a DNR they (medical staff) will give up on you. #hpm Wed May 18 18:09:39 PDT 2011PracticalWisdom Agree, noticed Handsome. RT @KathyKastner: Nice New pic @equijada #HPm Wed May 18 18:09:50 PDT 2011drpippa T1 - great question. Sometimes I feel like folks are somewhat impatient with pts who are full code #Hpm
  • 5. are full code #Hpm Wed May 18 18:10:10 PDT 2011PracticalWisdom RT @RossJeanette: T1 Do terminally ill persons who are Full Code get treated differently from those who are DNR? #HPm Wed May 18 18:10:23 PDT 2011aliciabloom fear among patients & families that DNR = do not treat. #hpm Wed May 18 18:10:27 PDT 2011KathyKastner Please excuse my total ignorance. What dif bet code and full code? #hpm Wed May 18 18:10:29 PDT 2011hollyby T1: Some medical professionals dont know the difference btwn DNR and no life prolongation. Big difference. #hpm Wed May 18 18:10:30 PDT 2011jen_c_taylor @PracticalWisdom: Im alive! #hpm Wed May 18 18:10:36 PDT 2011drpippa RT @ctsinclair: T1: I think the perception from the public is dont get a DNR they (medical staff) will give up on you. #Hpm Wed May 18 18:10:50 PDT 2011ctsinclair T1: Care from the system can change when a DNR is in place. Goals assumed to be comfort only. Code status and goals are different! #hpm Wed May 18 18:11:02 PDT 2011drpippa Absolutely. RT @hollyby: T1: Some medical professionals dont know the difference btwn DNR and no life prolongation. Big difference. #Hpm Wed May 18 18:11:04 PDT 2011PracticalWisdom Indeed you are~glad. RT @jen_c_taylor: @PracticalWisdom: Im alive! #HPm Wed May 18 18:11:11 PDT 2011hollyby T1: I love the variety of answers. I agree with both @ctsinclair and @drpippa! #hpm Wed May 18 18:11:21 PDT 2011MarksPhone Since Im the guy with the GED I cant address the medical side but from a caregiver I wonder if this knowledge is shared w/the family? #hpm Wed May 18 18:11:38 PDT 2011PracticalWisdom RT @drpippa: Absolutely. RT @hollyby: T1: Some med. profess.dont know the difference btwn DNR & no life prolongation. Big difference. #HPm Wed May 18 18:11:48 PDT 2011drpippa I am totally using this line (with credit to you of course) RT @ctsinclair: T1: Code status and goals are different! #Hpm Wed May 18 18:12:02 PDT 2011
  • 6. ctsinclair RT @aliciabloom: fear that DNR = do not treat. "Sometimes I have to advocate for more curative interventions for patient w/ DNR." #hpm Wed May 18 18:12:04 PDT 2011equijada “@drpippa: T1 - great question. Sometimes I feel like folks are somewhat impatient with pts who are full code #Hpm” Agree Wed May 18 18:12:05 PDT 2011RossJeanette @KathyKastner Full code means if your heart stops and u die we will try to bring you back resuscitate DNR means natural death allowed #HPM Wed May 18 18:12:20 PDT 2011HumpbacksRule T1 depends on what treated means; obviously comfort measures vs a code, but by staff in general? Hope not but think family fear it. #hpm Wed May 18 18:12:29 PDT 2011aliciabloom @ctsinclair true. just explained to Cardiologist that DNR status didnt meant patient could have his pacemaker repaired! #hpm Wed May 18 18:12:54 PDT 2011ctsinclair @MarksPhone I really like input from non-medical people here! Would love to have more family/patient voices here (if youre lurking!) #hpm Wed May 18 18:13:20 PDT 2011ctsinclair RT @aliciabloom: Just explained to Cardiologist that DNR status didnt meant patient could have his pacemaker repaired! "yup!" #hpm Wed May 18 18:13:34 PDT 2011hollyby RT @drpippa: I am totally using this line (with credit to you of course) RT @ctsinclair: T1: Code status and goals are different! #hpm Wed May 18 18:13:34 PDT 2011PracticalWisdom RT @aliciabloom: @ctsinclair true. just explained 2 Cardiologist DNR status didnt meant patient could have his pacemaker repaired! #HPm Wed May 18 18:13:40 PDT 2011KathyKastner Why?RT @equijada: “@drpippa: T1 - great question. Sometimes I feel like folks are somewhat impatient with pts who are full code #Hpm” Agree Wed May 18 18:13:46 PDT 2011ctsinclair @KathyKastner Glad you asked. I am sure other people had similar question re: code status! #hpm Wed May 18 18:14:14 PDT 2011equijada “@aliciabloom: fear among patients & families that DNR = do not treat. #hpm” agree Wed May 18 18:14:14 PDT 2011aliciabloom the language we use when discussing code status is critically important. "restart your heart" & "bring you back" are not often reality. #hpm Wed May 18 18:14:23 PDT 2011EOLnavigator @ctsinclair will be right with u! Leaving a meeting. #hpm Wed May 18 18:14:25 PDT 2011
  • 7. ctsinclair @drpippa Be my guest! #hpm Wed May 18 18:14:35 PDT 2011drpippa Impatience comes from people making choices you dont understand or agree with instead of trying to understand why. @KathyKastner #Hpm Wed May 18 18:15:04 PDT 2011ctsinclair RT @aliciabloom: the language we use is critically important. "restart your heart" & "bring you back" are not often reality. #hpm Wed May 18 18:15:05 PDT 2011PracticalWisdom So much Fear= Still dont talk about. RT @equijada: “@aliciabloom: fear among patients & families that DNR = do not treat. #hpm” agree #HPm Wed May 18 18:15:09 PDT 2011KathyKastner Do you think tv versions of CPR = unrealiistice expectations? #hpm Wed May 18 18:15:33 PDT 2011jen_c_taylor T1: Education, communication, understanding, listening, re-addressing, re- evaluating, compassion is essential. #hpm Wed May 18 18:15:34 PDT 2011ctsinclair @aliciabloom Excellent point about language. I sometimes refer to a DNR as Do Not Attempt Resuscitation #hpm Wed May 18 18:15:35 PDT 2011PracticalWisdom RT @aliciabloom: language we use discussing code status critically important. "restart heart" & bring you back" R not often reality. #HPm Wed May 18 18:16:07 PDT 2011doctatum T1, Slightly off subject, but I like the new Heart Rhythm Society patient handout on Defibrillators/Pacemakers http://bit.ly/koeWfF #hpm Wed May 18 18:16:31 PDT 2011ctsinclair T1 I think there are biases built into the system that help propagate code status as a surrogate for actual discussion of goals of care #hpm Wed May 18 18:16:32 PDT 2011PracticalWisdom Plain Speak~YESRT @ctsinclair: @aliciabloom Excellent point about language. I sometimes refer to a DNR as Do Not Attempt Resuscitation #HPm Wed May 18 18:16:39 PDT 2011aliciabloom @ctsinclair absolutely. i often talk about resuscitative efforts. #hpm Wed May 18 18:16:39 PDT 2011drpippa Yes! People are shocked when they hear real survivor #s RT @KathyKastner: Do you think tv versions of CPR = unrealiistice expectations? #Hpm Wed May 18 18:16:54 PDT 2011
  • 8. ctsinclair RT @KathyKastner: Do you think tv versions of CPR = unrealiistice expectations? "Yes...looking it up now. Research has been done" #hpm Wed May 18 18:17:06 PDT 2011doctatum I like the new Heart Rhythm Society patient handout on Defibrillators/Pacemakers at end of life, http://bit.ly/koeWfF #hpm Wed May 18 18:17:18 PDT 2011MarksPhone this is a great what strikes me is that the skill level to discuss &present this 2patients &families is huge. R HCP trained? #hpm Wed May 18 18:17:19 PDT 2011inhousehospice RT @aliciabloom:language we use when discussing code status is important. "restart your heart" & "bring you back" arent often reality. #hpm Wed May 18 18:17:19 PDT 2011equijada @KathyKastner odds of successful resuscitation for terminally ill patient pretty much approaches zero. Caregivers dont want to code. #HPm Wed May 18 18:17:21 PDT 2011HumpbacksRule @KathyKastner #hpm I think a lot of the medical dramas are unrealistic, but its on TV, so easy for families to believe and relate to. Wed May 18 18:17:44 PDT 2011hollyby Key for all to understand: DNR only means that when you die, it will be allowed to happen naturally. Everything else is fair game. #hpm Wed May 18 18:17:54 PDT 2011ctsinclair Resuscitation on television: realistic or ridiculous? for @KathyKastner #hpm http://hpm.md/lAL4WY Wed May 18 18:18:21 PDT 2011Pallimed Resuscitation on television: realistic or ridiculous? for @KathyKastner #hpm http://hpm.md/lAL4WY Wed May 18 18:18:21 PDT 2011drpippa People dont want CPR, they want the outcome. When they learn true outcome, most make different decision. #Hpm Wed May 18 18:18:23 PDT 2011equijada “@ctsinclair: Do you think tv versions of CPR = unrealiistice expectations? "Yes...looking it up now. Research has been done" #hpm” thanks Wed May 18 18:18:27 PDT 2011PracticalWisdom T1: So when Patience are under Hospice Care dont some Patients have signs/ info in case EMS is called? would it say: No DNR? #HPm Wed May 18 18:18:30 PDT 2011hollyby @MarksPhone Training is improving, but not consistent. Thats why this field puts so much emphasis on communication and pts goals. #hpm Wed May 18 18:18:42 PDT 2011Pallimed Cardiopulmonary resuscitation on television. MiraMiracles and Misinformation in
  • 9. @NEJM http://hpm.md/ivWWSA #HPM #OA Wed May 18 18:19:09 PDT 2011drpippa RT @hollyby: Key for all: DNR only means that when you die, it will be allowed to happen naturally. Everything else is fair game. #Hpm Wed May 18 18:19:12 PDT 2011MarksPhone @hollyby as a care giver at home die naturally is not the same as peacefully and with respect, but that might be me #hpm Wed May 18 18:19:23 PDT 2011hollyby Agreed. RT @drpippa: People dont want CPR, they want the outcome. When they learn true outcome, most make different decision. #hpm Wed May 18 18:19:32 PDT 2011ctsinclair RT @hollyby: Key: DNR only means that when you die, it will be allowed to happen naturally. Everything else is fair game. #hpm Wed May 18 18:19:33 PDT 2011KathyKastner TY!! RT @ctsinclair: Resuscitation on television: realistic or ridiculous? for @KathyKastner #hpm http://hpm.md/lAL4WY Wed May 18 18:19:34 PDT 2011doctatum I like Quills line. We dont do appendectomies if u dont need. OR we dont Induce delivery because you want it IF NOT med indicated #hpm Wed May 18 18:19:39 PDT 2011PracticalWisdom @hollyby @MarksPhone: So is there a General Body that helps make sure the same and accurate information is shared by all. #HPm Wed May 18 18:19:45 PDT 2011equijada @kathykastner rather than saying caregivers, I should say healthcare provider dont want to code -> impatiently waiting for DNR #hpm Wed May 18 18:19:55 PDT 2011PracticalWisdom RT @MarksPhone: @hollyby as a care giver at home die naturally is not the same as peacefully and with respect, but that might be me #HPm Wed May 18 18:20:02 PDT 2011revdoc Pam Harris, MD with KC Hospice #hpm Wed May 18 18:20:05 PDT 2011RossJeanette Great comments all. I agree many inferences about code status to goals of care which are not the same. #HPM Wed May 18 18:20:05 PDT 2011ctsinclair @PracticalWisdom It would just say DNR meaning "No CPR" Fun with negatives! Glad there are no double negatives! #hpm Wed May 18 18:20:10 PDT 2011HumpbacksRule @hollyby @MarksPhone #hpm Training is improving, but not consistent.<< Ive worked w docs who are very uncomfortable talking about options. Wed May 18 18:20:10 PDT 2011
  • 10. ctsinclair @MarksPhone The training to do good informed consent is not strong enough in many medical training programs IMHO. See @FIMDM #hpm Wed May 18 18:21:08 PDT 2011aliciabloom surviving a code: on TV, 66% . . . actual in-hospital survival rate, 15% . . . with advanced chronic illness, <1% #hpm Wed May 18 18:21:14 PDT 2011KathyKastner RT @HumpbacksRule: @KathyKastner #hpm I think a lot of the medical dramas are unrealistic, but its on TV, so easy for families to believe and relate to. Wed May 18 18:21:22 PDT 2011HumpbacksRule RT @ctsinclair: @MarksPhone The training to do good informed consent is not strong enough in many medical training programs IMHO. See @FIMDM #hpm Wed May 18 18:21:36 PDT 2011ctsinclair @doctatum It is hard to use that line once someone has already laid the choice out there. #hpm Wed May 18 18:21:40 PDT 2011KathyKastner TY RT @Pallimed: Resuscitation on television: realistic or ridiculous? for @KathyKastner #hpm http://hpm.md/lAL4WY Wed May 18 18:21:40 PDT 2011drpippa RT @ctsinclair: The training to do good informed consent is not strong enough in many medical training programs IMHO. See @FIMDM #Hpm Wed May 18 18:22:09 PDT 2011RossJeanette T2 starting soon #HPM Wed May 18 18:22:16 PDT 2011HumpbacksRule Sobering! @aliciabloom surviving a code: on TV, 66% . .. actual in-hospital survival rate, 15% . . . with advanced chronic illness, <1% #hpm Wed May 18 18:22:32 PDT 2011doctatum @ctsinclair @doctatum agree, but for talking with residents lightbulbs someitimes go on. #hpm Wed May 18 18:22:34 PDT 2011ctsinclair @MarksPhone Had a ICU doc consider "Do you want to die?" Informed consent for code status. #hpm Wed May 18 18:22:39 PDT 2011PracticalWisdom T1: I"m seeing HUGE need for more clear Language. No wonder General Public would be confused. Great opportunity for Community. #HPm Wed May 18 18:22:42 PDT 2011EldrcareConsult Hello all....sorry I am late to the #hpm chat tonight! #hpm Wed May 18 18:22:53 PDT 2011
  • 11. revdoc Dying people also do not pronounce extended soliloquies and then die looking beautiful, with make-up on and hair perfectly quaffed... #hpm Wed May 18 18:22:58 PDT 2011doctatum We need to give scripts to trainees. They lack the language and not enough good teachers out there. #hpm Wed May 18 18:23:11 PDT 2011aliciabloom i like the "AND" movement-- allow natural death. with DNR, theres too much focus on the "not." #hpm Wed May 18 18:23:13 PDT 2011RossJeanette RT @doctatum: We need to give scripts to trainees. They lack the language and not enough good teachers out there. #HPM Wed May 18 18:23:52 PDT 2011MarksPhone if training is lacking to a point do we know if MDs want CME on this? And has a edu needs assessment been done? #hpm Wed May 18 18:23:54 PDT 2011KathyKastner RT @revdoc: Dying people also do not pronounce extended soliloquies and then die looking beautiful, with make-up on and hair perfectly quaffed... #hpm Wed May 18 18:23:55 PDT 2011ctsinclair RT @doctatum: We need to give scripts to trainees. They lack the language and not enough good teachers out there. #hpm Wed May 18 18:23:57 PDT 2011ctsinclair @doctatum Yes that line is good for talking to residents #hpm Wed May 18 18:24:14 PDT 2011MatthewsMichele Same here; mostly lurking tonight RT @EldrcareConsult: Hello all....sorry I am late to the #hpm chat tonight! #hpm Wed May 18 18:24:20 PDT 2011PracticalWisdom @EldrcareConsult: Shon, Glad you are here. Welcome. #HPm Wed May 18 18:24:30 PDT 2011RossJeanette T2 some family members have webcams so the can monitor their loved one what are the implications of this for healthcare? #HPM Wed May 18 18:24:33 PDT 2011PracticalWisdom RT @ctsinclair: RT @doctatum: We need to give scripts to trainees. They lack the language and not enough good teachers out there. #HPm Wed May 18 18:24:41 PDT 2011ctsinclair @MarksPhone The HCP who need the most communication help, may not actively seek out help with communication. #hpm Wed May 18 18:24:54 PDT 2011KathyKastner My interpret of AND = no comfort care RT @aliciabloom: allow natural death. with
  • 12. KathyKastner DNR, theres too much focus on the "not." #hpm Wed May 18 18:25:13 PDT 2011EOLnavigator Just arrived. Hey everyone. #hpm Wed May 18 18:25:22 PDT 2011equijada I wonder if there is an "goals of care" app. #hpm Wed May 18 18:25:26 PDT 2011ctsinclair RT @RossJeanette: T2 some family have webcams so they can monitor their loved one. Implications of this for healthcare? #hpm Wed May 18 18:25:29 PDT 2011MarksPhone @ctsinclair that fits with the fact physicians dont know what they dont know #hpm Wed May 18 18:25:40 PDT 2011revdoc @equijada LOL! #hpm Wed May 18 18:25:54 PDT 2011PracticalWisdom Hospital/Home? RT @RossJeanette: T2 family mem. have webcams 2 monitor loved one what are the implications of this for healthcare? #HPm Wed May 18 18:25:57 PDT 2011RossJeanette Welcome @ eldercare never too late to jump in #HPM Wed May 18 18:25:58 PDT 2011KathyKastner Im working on something like that: educate/help choose eol options. RT @equijada: I wonder if there is an "goals of care" app. #hpm Wed May 18 18:26:04 PDT 2011ctsinclair RT @equijada: I wonder if there is an "goals of care" app. "Yep I already trademarked it "Goals of Care TM" Scoopd ya!" #hpm Wed May 18 18:26:14 PDT 2011drpippa Anyone know? Should we make one? RT @equijada: I wonder if there is an "goals of care" app. #Hpm Wed May 18 18:26:16 PDT 2011aliciabloom @KathyKastner really? tell me more about your interpretation... #hpm Wed May 18 18:26:18 PDT 2011PracticalWisdom Great Idea from the think outside Doc. G8 one. RT @equijada: I wonder if there is an "goals of care" app. #HPm Wed May 18 18:26:30 PDT 2011ctsinclair @EOLnavigator Hello! You made it right before halftime! #hpm Wed May 18 18:26:38 PDT 2011RossJeanette @PracticalWisdom hospital or home no matter #HPM Wed May 18 18:26:41 PDT 2011
  • 13. RossJeanette Wed May 18 18:26:41 PDT 2011drpippa Nice! RT @KathyKastner: Im working on something like that: educate/help choose eol options. #Hpm Wed May 18 18:26:43 PDT 2011doctatum Right or wrong but never uncertain! RT @ctsinclair that fits with the fact physicians dont know what they dont know #hpm Wed May 18 18:26:46 PDT 2011MarksPhone A really well structured needs assessment on this topic among HCP would go a long way to identify gaps in knowledge and edu strategies #hpm Wed May 18 18:26:49 PDT 2011mpalko T2 Family may recognize that something is wrong before caregivers do #hpm Wed May 18 18:26:49 PDT 2011MatthewsMichele @RossJeanette Do you mean when theyre caretakers away from home (say at work) or those who live far and use web cams to communicate? #hpm Wed May 18 18:26:49 PDT 2011KathyKastner Natural = no pain meds, no symptom management RT @aliciabloom: @KathyKastner really? tell me more about your interpretation... #hpm Wed May 18 18:26:57 PDT 2011ctsinclair T2: I have seen webcams in rooms. It tends to make the nursing staff a little apprehensive. Privacy for patient concerns me. #hpm Wed May 18 18:27:10 PDT 2011equijada @ctsinclair can i download it? Ill call it myChoice #hpm Wed May 18 18:27:36 PDT 2011EOLnavigator Hard to have a discussion without letting personal view intervene. #hpm Wed May 18 18:27:45 PDT 2011PracticalWisdom Nice one from the NC Gentleman! Hey, RT @mpalko: T2 Family may recognize that something is wrong before caregivers do #HPm Wed May 18 18:27:49 PDT 2011aliciabloom @KathyKastner natural = no machines, no shocks, no death prolonging interventions. #hpm Wed May 18 18:27:56 PDT 2011ctsinclair T2: I have seen webcams in the hospital and the hospice house. I have also had my visit audio and video taped. Felt awkward. #hpm Wed May 18 18:28:07 PDT 2011RossJeanette @MatthewsMichele yes there are people who monitor their loved ones via webcam #HPM Wed May 18 18:28:23 PDT 2011
  • 14. ctsinclair RT @equijada: @ctsinclair can i download it? Ill call it myChoice "You can call it whatever you want" #hpm Wed May 18 18:28:41 PDT 2011revdoc T2 better to have family fly back and forth across the country/around the world when a patients prognosis isnt very clear? #hpm Wed May 18 18:28:43 PDT 2011EOLnavigator Telemedicine is only going to get bigger. #hpm Wed May 18 18:28:54 PDT 2011HumpbacksRule T2 #hpm As nurse, I wouldnt mind for care, but I would worry about privacy for pt and visitors who need/want to talk. Wed May 18 18:29:16 PDT 2011MarksPhone Learning there are webcams before you need one and being given that option at end of life are two different exercises #hpm Wed May 18 18:29:18 PDT 2011PracticalWisdom T2: We have Webcams for children so those who are not able to take care of themselves or have limitations might make sense. #HPm Wed May 18 18:29:21 PDT 2011RossJeanette @ctsinclair any concerns with liability? #HPM Wed May 18 18:29:34 PDT 2011ctsinclair T2: Institutions need policies for inpatient audio/video taping by family/patient just like in labor/delivery. Balance privacy/freedom #hpm Wed May 18 18:29:44 PDT 2011pallisurg RT @doctatum: I like the new Heart Rhythm Society patient handout on Defibrillators/Pacemakers at end of life, http://bit.ly/koeWfF #hpm Wed May 18 18:29:47 PDT 2011RossJeanette RT @HumpbacksRule: T2 #hpm As nurse, I wouldnt mind for care, but I would worry about privacy for pt and visitors who need/want to talk #HPM Wed May 18 18:30:09 PDT 2011HumpbacksRule RT @ctsinclair: T2: Institutions need policies for inpatient audio/video taping by family/patient just like in labor/delivery. Balance privacy/freedom #hpm Wed May 18 18:30:10 PDT 2011ctsinclair @RossJeanette That is why I think orgs need some policies, because one staff might say no way another say OK #hpm Wed May 18 18:30:45 PDT 2011doctatum Debbie Parker Oliver MU studying use of webcams to bring family to hospice IDT! #hpm Wed May 18 18:31:16 PDT 2011ctsinclair T2: With some webcams/computers it may be difficult to tell if video and or audio is on. #hpm
  • 15. on. #hpm Wed May 18 18:31:19 PDT 2011EOLnavigator Cant help but feel that with policies, best practices, laws, regs, everything is so complicated. Need to get back to common sense #hpm Wed May 18 18:31:24 PDT 2011HumpbacksRule @RossJeanette @ctsinclair any concerns with liability? #HPM<< Isnt there always? :S Wed May 18 18:31:32 PDT 2011ctsinclair RT @doctatum: Debbie Parker Oliver MU studying use of webcams to bring family to hospice IDT! "now that is innovative" #hpm Wed May 18 18:31:42 PDT 2011PracticalWisdom T2: Could be a great point for Quality Facilities to help Potential Residents/Families have Trust & peace of mind/Private Facilities. #HPm Wed May 18 18:31:57 PDT 2011equijada “@doctatum: Debbie Parker Oliver MU studying use of webcams to bring family to hospice IDT! #hpm” Nice. Id love that. Wed May 18 18:32:02 PDT 2011revdoc T2 Privacy could be obtained by letting the watcher know that the patient has requested audio off. Family could leave room 2 talk #hpm Wed May 18 18:32:06 PDT 2011ctsinclair @EOLnavigator agree policy must allow for a heaping dose of common sense #hpm Wed May 18 18:32:06 PDT 2011JohnGirdwood I really love reading the #hpm chat! #hospice #palliative #healthcare #Homecare I work @McLarenHealth (tweets are my own not employers) Wed May 18 18:32:17 PDT 2011aliciabloom patient would need to be in control of when audio/video were on. important to respect privacy & self-determination. #hpm Wed May 18 18:32:23 PDT 2011PracticalWisdom Skype 2?RT @ctsinclair: RT @doctatum:Debbie Parker Oliver MU studying use webcams 2bring family 2 hospice IDT! "now that is innovative" #HPm Wed May 18 18:32:37 PDT 2011ctsinclair @PracticalWisdom Come to Smiths Nursing Home where you can record your loved ones care! You can trust us! #hpm Wed May 18 18:32:50 PDT 2011drpippa Oh if only all policies could be written like this. RT @ctsinclair: @EOLnavigator policy must allow for a heaping dose of common sense #Hpm Wed May 18 18:33:16 PDT 2011ctsinclair @equijada @doctatum Might slow IDT down a lot, change whole tenor of meeting. #hpm Wed May 18 18:33:31 PDT 2011
  • 16. Wed May 18 18:33:31 PDT 2011MDTalk “ Debbie Parker Oliver MU studying use of webcams to bring family to hospice IDT! #hpm” Nice. Id love that. http://bit.ly/mLODwx Wed May 18 18:33:38 PDT 2011PracticalWisdom @ctsinclair:Invite 2 next chat Debbie Parker Oliver MU studying use webcams to bring family to hospice IDT! "now that is innovative" #HPm Wed May 18 18:33:44 PDT 2011MarksPhone IDT means? #hpm Wed May 18 18:33:56 PDT 2011ctsinclair @drpippa Maybe create a policy that says all future policies must include common sense. cc @EOLnavigator #hpm Wed May 18 18:34:10 PDT 2011KathyKastner RT @ctsinclair: @drpippa Maybe create a policy that says all future policies must include common sense. cc @EOLnavigator #hpm Wed May 18 18:34:19 PDT 2011revdoc Did you really try to use the words "common sense" and "policy" in the same sentence? #hpm Wed May 18 18:34:20 PDT 2011aliciabloom @ctsinclair @equijada @doctatum opportunities for IDT to talk together as a team, without patients/families present, is important. #hpm Wed May 18 18:34:25 PDT 2011doctatum @PracticalWisdom @ctsinclair @doctatum cant recall plat form. not skype #hpm Wed May 18 18:34:34 PDT 2011PracticalWisdom T2: Once again SoMe Policies help everyone get on board and understand. #HPm Wed May 18 18:34:38 PDT 2011aliciabloom @MarksPhone interdisciplinary team #hpm Wed May 18 18:34:40 PDT 2011RossJeanette RT @doctatum: Debbie Parker Oliver MU studying use of webcams to bring family to hospice IDT! #HPM Wed May 18 18:34:42 PDT 2011revdoc @MarksPhone Interdisciplinary team--the members Medicare mandates to "do hospice" #hpm Wed May 18 18:34:43 PDT 2011drpippa Yes! RT @ctsinclair: @drpippa Maybe create a policy that says all future policies must include common sense. cc @EOLnavigator #Hpm Wed May 18 18:34:47 PDT 2011 HA!RT @revdoc: Did you really try to use the words "common sense" and "policy" in
  • 17. HA!RT @revdoc: Did you really try to use the words "common sense" and "policy" inKathyKastner the same sentence? #hpm Wed May 18 18:34:47 PDT 2011ctsinclair @MarksPhone IDT or IDG Interdisciplinary Group/Team. Term for hospice team meetings where patient care is discussed #hpm Wed May 18 18:34:54 PDT 2011RossJeanette @MarksPhone IDT means interdisciplinary team #HPM Wed May 18 18:35:01 PDT 2011equijada @MarksPhone interdisciplinary team meeting #hpm Wed May 18 18:35:08 PDT 2011HumpbacksRule @revdoc Did you really try to use the words "common sense" and "policy" in the same sentence? #hpm << try is probably key word. :) Wed May 18 18:35:10 PDT 2011EOLnavigator @MarksPhone Interdisciplinary team (meeting..MD, RN, SW, Chaplain Health aide & anyone involved in the care) a hospice requirement #hpm Wed May 18 18:35:16 PDT 2011ctsinclair @MarksPhone IDT is a Medicare requirement too. At least every two weeks, most hospice do weekly. #hpm Wed May 18 18:35:23 PDT 2011drpippa *laughing* RT @revdoc: Did you really try to use the words "common sense" and "policy" in the same sentence? #Hpm Wed May 18 18:35:24 PDT 2011ctsinclair @MarksPhone I am SO glad you are asking these questions. you are helping out more people than you know. #hpm Wed May 18 18:35:45 PDT 2011PracticalWisdom Would Skype have Priv. Concerns. Free 4 now?RT @doctatum: @PracticalWisdom @ctsinclair @doctatum cant recall plat form. not skype #HPm Wed May 18 18:35:49 PDT 2011hollyby @JohnGirdwood Hi there! Welcome! #hpm Wed May 18 18:35:50 PDT 2011aliciabloom AMEN! RT @ctsinclair: @drpippa Maybe create a policy that says all future policies must include common sense. cc @EOLnavigator #hpm Wed May 18 18:36:04 PDT 2011HumpbacksRule Common sense is not that common..unfortunately. #hpm Wed May 18 18:36:08 PDT 2011ctsinclair RT @revdoc: Did you really try to use the words "common sense" and "policy" in the same sentence? "Im using a sarcasm keyboard" #hpm Wed May 18 18:36:13 PDT 2011
  • 18. drpippa Hear! Hear!RT @ctsinclair: @MarksPhone I am SO glad you are asking these questions. you are helping out more people than you know. #Hpm Wed May 18 18:36:26 PDT 2011omiafoundation @EOLnavigator and volunteers! At IDG #hpm Wed May 18 18:36:26 PDT 2011doctatum with all on focus, can do IDT efficiently with family, but yes at times IDT to talk without patients/families is important. #hpm Wed May 18 18:36:46 PDT 2011EOLnavigator @drpippa @revdoc I want to know what happened.....Im grieving for the simple life! #hpm Wed May 18 18:36:46 PDT 2011ctsinclair T2: If family is perceived to be using webcam out of suspicion of the staff, that could create unnecessary tension. #hpm Wed May 18 18:37:09 PDT 2011PracticalWisdom @EldrcareConsult: Are Facilities in TN near you using Webcam technology. What do you think? #HPm Wed May 18 18:37:12 PDT 2011EOLnavigator @omiafoundation So sorry! Apologies. #hpm Wed May 18 18:37:20 PDT 2011renee_berry Hi all, tweeting from a local city commission meeting, joining late #hpm Wed May 18 18:37:39 PDT 2011mpalko @ctsinclair if nothing inappropriate is going on, then why would it create tension? #hpm Wed May 18 18:37:56 PDT 2011equijada Family in IDT would reduce gallows humor. I actually need some of that humor. #hpm Wed May 18 18:38:15 PDT 2011RossJeanette T2 it would make me uncomfortable to think webcam is on all the time #HPM Wed May 18 18:38:18 PDT 2011EOLnavigator Really a symptom of their distress / anxiety / coping style RT @ctsinclair: T2: If family is perceived ....... #hpm Wed May 18 18:38:20 PDT 2011renee_berry RT @JohnGirdwood: I really love reading the #hpm chat! #hospice #palliative #healthcare #Homecare I work @McLarenHealth (tweets are my o ... Wed May 18 18:38:30 PDT 2011EOLnavigator @renee_berry Hey there. #hpm Wed May 18 18:38:42 PDT 2011
  • 19. RossJeanette @kathykastner you would hope patients best interest is in mind by family when deciding to use webcam #HPM Wed May 18 18:39:15 PDT 2011revdoc @mpalko @ctsinclair Your every move under a microscope--lawyers are very imaginative in interpreting videos... #hpm Wed May 18 18:39:22 PDT 2011hollyby Perception of "fishing" for a law suit RT @mpalko: @ctsinclair if nothing inappropriate is going on, then why would it create tension? #hpm Wed May 18 18:39:30 PDT 2011JohnGirdwood Huge point where i am at RT @equijada: _____ would reduce gallows humor. I actually need some of that humor. #hpm Wed May 18 18:39:38 PDT 2011doctatum I wonder what Ob docs and videos of birth can teach us re: webcam in room? #hpm Wed May 18 18:39:39 PDT 2011ctsinclair @mpalko Heath care staff work under stress that family patients will critique and potentially sue/get angry. Webcam might inflame. #hpm Wed May 18 18:39:51 PDT 2011PracticalWisdom Not enough Quality Facilities! RT @mpalko: @ctsinclair if nothing inappropriate is going on, then why would it create tension? #HPm Wed May 18 18:40:21 PDT 2011ctsinclair @mpalko If you are not ready for a webcam in your patients room the subtext may be "Am I not trustworthy?" #hpm Wed May 18 18:40:43 PDT 2011RossJeanette RT @doctatum: I wonder what Ob docs and videos of birth can teach us re: webcam in room? #HPM Wed May 18 18:40:46 PDT 2011renee_berry RT @ctsinclair: @mpalko Heath care staff work under stress that family patients will critique and potentially sue/get angry. Webcam might inflame. #hpm Wed May 18 18:40:55 PDT 2011ctsinclair RT @doctatum: I wonder what Ob docs and videos of birth can teach us re: webcam in room? "Must learn from their success and challenge" #hpm Wed May 18 18:41:02 PDT 2011PracticalWisdom When Daughter born Res. Ther said turn off VCR.RT @doctatum: I wonder what Ob docs and videos of birth can teach us re: webcam in room? #HPm Wed May 18 18:41:26 PDT 2011hollyby T2: I have seen family members use fancy camera baby monitors to keep track of the pts in the same house but different room. #hpm Wed May 18 18:41:43 PDT 2011
  • 20. MarksPhone there is a three leg stool here that is disjointed at times, family, patient, and HCP (IDT) how can all be put on the same page? #hpm Wed May 18 18:41:47 PDT 2011renee_berry @ctsinclair @mpalko true, but could also be an opportunity for service excellence? (with the right admin team & fostered learning) #hpm Wed May 18 18:41:50 PDT 2011equijada @ctsinclair @mpalko when families ask if they can record, I invariably always say yes. #hpm Wed May 18 18:41:50 PDT 2011PracticalWisdom @ctsinclair @doctatum: Read recent article Hospital said no filming. #HPm Wed May 18 18:41:52 PDT 2011ctsinclair RT @equijada: Family in IDT would reduce gallows humor. I actually need some of that humor. "Good point-families use gallows humor too. #hpm Wed May 18 18:42:01 PDT 2011HumpbacksRule T2 #hpm I think there are many health care workers who do great job but wouldnt want to be on camera. Fear is a driver for many. Wed May 18 18:42:30 PDT 2011ctsinclair @hollyby I have seen that much more common. But in past year have seen a handful of nearly always on cams in inpatient rooms #hpm Wed May 18 18:42:43 PDT 2011renee_berry thats because youre good at your job :) RT @equijada when families ask if they can record, I invariably always say yes #hpm Wed May 18 18:42:48 PDT 2011mpalko @revdoc @hollyby Oops. My naievete is showing ;) #hpm Wed May 18 18:42:49 PDT 2011KathyKastner RT @ctsinclair: RT @equijada: Family in IDT would reduce gallows humor. I actually need some of that humor. "Good point-families use gallows humor too. #hpm Wed May 18 18:43:04 PDT 2011aliciabloom @MarksPhone good communication. in-home family meetings with members of the #hospice IDT present for one visit are often effective. #hpm Wed May 18 18:43:06 PDT 2011PracticalWisdom When Team is good could comfort. RT @equijada: @ctsinclair @mpalko when families ask if they can record, I invariably always say yes. #HPm Wed May 18 18:43:08 PDT 2011renee_berry RT @HumpbacksRule: T2 #hpm I think there are many health care workers who do great job but wouldnt want to be on camera. Fear is a driver for many. Wed May 18 18:43:08 PDT 2011ctsinclair @renee_berry Yes, service excellence was mentioned by someone else a bit earlier.. forgetting who said it. #hpm
  • 21. earlier.. forgetting who said it. #hpm Wed May 18 18:43:19 PDT 2011RossJeanette @HumpbacksRule Yes being on camera makes some people unsecure #HPM Wed May 18 18:43:25 PDT 2011RossJeanette T3 will start soon #HPM Wed May 18 18:43:39 PDT 2011hollyby T2: Issue with any remote watching is that pt no longer has the freedom of privacy. No ability to speak/act #hpm Wed May 18 18:43:46 PDT 2011ctsinclair RT @HumpbacksRule: T2 #hpm Many health care workers who do great job but wouldnt want to be on camera. Fear is a driver for many. #hpm Wed May 18 18:43:54 PDT 2011revdoc @mpalko @revdoc @hollyby Ive done a lot of medicolegal work and have slept with an attorney for nearly a quarter century. Im jaded! #hpm Wed May 18 18:44:09 PDT 2011drpippa In this day & age dont know where film ends up. RT @RossJeanette: @HumpbacksRule Yes being on camera makes some people unsecure #Hpm Wed May 18 18:44:12 PDT 2011omiafoundation Like! RT @renee_berry: thats because youre good at your job :) RT @equijada when families ask if they can record, I always say yes #hpm Wed May 18 18:44:21 PDT 2011EOLnavigator @ctsinclair @revdoc I want one of those keyboards....could do alot of damage with that! #hpm Wed May 18 18:44:29 PDT 2011ctsinclair RT @RossJeanette: Yes being on camera makes some people unsecure "http://en.wikipedia.org/wiki/Observer-expectancy_effect" #hpm Wed May 18 18:44:32 PDT 2011equijada @ctsinclair good point. Im going to have to ask families if I can record them after I leave. #hpm Wed May 18 18:44:32 PDT 2011PracticalWisdom T2: When we went to a Family empowerment model and included Families in Conferences the Respect and Dignity of Client increased #HPm Wed May 18 18:45:05 PDT 2011hollyby I have had families try to listen in to my convos w/ pts w/o their permission even on baby monitors. Had to remind them it was private #hpm Wed May 18 18:45:17 PDT 2011revdoc @EOLnavigator @ctsinclair @revdoc English is my second language...sarcasm is my first! #hpm Wed May 18 18:45:24 PDT 2011
  • 22. ctsinclair @hollyby I have experienced that as well. #hpm Wed May 18 18:45:48 PDT 2011PracticalWisdom @drpippa @RossJeanette @HumpbacksRule; Do you have folks sign a release for cameras/Webcam? #HPm Wed May 18 18:46:00 PDT 2011RossJeanette T3 how can social media facilitate teaching the next generation of healthcare professionals the millennium learner? #HPM Wed May 18 18:46:03 PDT 2011ctsinclair RT @drpippa: In this day and age you dont know where film ends up. RT @RossJeanette: Yes being on camera makes some people unsecure #hpm Wed May 18 18:46:13 PDT 2011mpalko T2 Does having a camera = recording? Maybe it should be just for monitoring #hpm Wed May 18 18:46:45 PDT 2011equijada @RossJeanette Jeanette, thanks for hosting. Incredible topics. Cutting loose early...good night all #hpm Wed May 18 18:47:06 PDT 2011hollyby RT @RossJeanette: T3 how can social media facilitate teaching the next generation of healthcare professionals the millennium learner? #hpm Wed May 18 18:47:12 PDT 2011MatthewsMichele RT @RossJeanette: T3 how can social media facilitate teaching the next generation of healthcare professionals the millennium learner? #hpm Wed May 18 18:47:18 PDT 2011PracticalWisdom T3: I would hope Professors might look at TweetChat Transcripts like this. #HPm Wed May 18 18:47:23 PDT 2011HumpbacksRule @revdoc @EOLnavigator @ctsinclair #hpm English is my second language...sarcasm is my first!<< Has something to do w sleeping with atty? :D Wed May 18 18:47:26 PDT 2011EOLnavigator To be real & genuine across all facets of their life.....cant separate public, professional and private any more #hpm Wed May 18 18:47:30 PDT 2011RossJeanette @equijada goodnight #HPM Wed May 18 18:47:35 PDT 2011hollyby @equijada Gnight Earl! #hpm Wed May 18 18:47:53 PDT 2011renee_berry RT @RossJeanette: T3 how can social media facilitate teaching the next generation of healthcare professionals the millennium learner? #HPM Wed May 18 18:47:57 PDT 2011
  • 23. inhousehospice RT @RossJeanette: T3 how can social media facilitate teaching the next generation of healthcare professionals the millennium learner? #hpm Wed May 18 18:48:01 PDT 2011revdoc T3 Well-done training apps re: palliative care issues would appeal to young learners- -can do on own time and at own pace #hpm Wed May 18 18:48:10 PDT 2011MarksPhone SM is a tactic a tool. make it part of a well structured edu strategy. ID the strategy and c if sm fits #hpm Wed May 18 18:48:11 PDT 2011JohnGirdwood We are... RT @PracticalWisdom: T3: I would hope Professors might look at TweetChat Transcripts like this. #HPm Wed May 18 18:48:16 PDT 2011doctatum I hope to learn that from @RossJeanette @ctsinclair @hollyby: T3 how can social media teach millennium learner? #hpm Wed May 18 18:48:27 PDT 2011revdoc Good night, Earl! #hpm Wed May 18 18:48:40 PDT 2011RossJeanette T3 ie those healthcare Learners who are digital natives #HPM Wed May 18 18:48:53 PDT 2011drpippa T3 - providing safe space for inquiry and learning. Doesnt happen much in medical education. #Hpm Wed May 18 18:48:55 PDT 2011EOLnavigator Teaching learners to be teachers & thought leaders in their community #hpm Wed May 18 18:49:06 PDT 2011HumpbacksRule @mpalko T2 Does having a camera = recording? Maybe it should be.. #hpm< Like the concept, but I would fear if its monitored, its recorded. Wed May 18 18:49:16 PDT 2011aliciabloom without social media, we wouldnt be able to have thought provoking dialogues like this every week! #hpm Wed May 18 18:49:25 PDT 2011KathyKastner T3 Isnt the good thing about up and comers that they/you have already gone digital #hpm Wed May 18 18:49:29 PDT 2011jen_c_taylor T2 and T3 are deeply entwined: EOL care will adapt, evolve, and serve with intelligent compassion. #hpm Wed May 18 18:49:29 PDT 2011
  • 24. drpippa @equijada night! #Hpm Wed May 18 18:49:35 PDT 2011ctsinclair T3: I hope the next generation might teach us how they want to use social media in education! #hpm Wed May 18 18:49:43 PDT 2011EOLnavigator presenting information in new & enjoyable ways....shout out to my innovative friend @zdoggmd #hpm Wed May 18 18:49:52 PDT 2011RossJeanette RT @jen_c_taylor: T2 and T3 are deeply entwined: EOL care will adapt, evolve, and serve with intelligent compassion. #HPM Wed May 18 18:50:03 PDT 2011MatthewsMichele RT @aliciabloom: without social media, we wouldnt be able to have thought provoking dialogues like this every week! #hpm Wed May 18 18:50:07 PDT 2011HumpbacksRule RT @ctsinclair: T3: I hope the next generation might teach us how they want to use social media in education! #hpm Wed May 18 18:50:10 PDT 2011KathyKastner OK, better add my goodnight too you Earl..@equijada #hpm Wed May 18 18:50:11 PDT 2011drpippa RT @ctsinclair: T3: I hope the next generation might teach us how they want to use social media in education! #Hpm Wed May 18 18:50:11 PDT 2011KathyKastner RT @drpippa: RT @ctsinclair: T3: I hope the next generation might teach us how they want to use social media in education! #Hpm Wed May 18 18:50:22 PDT 2011renee_berry T3 social media can help engage young adults to be interested in studying #palliative care at an earlier place in their career #hpm Wed May 18 18:50:35 PDT 2011StudySports_net Ha yes! RT @aliciabloom: without social media, we wouldnt be able to have thought provoking dialogues like this every week! #hpm Wed May 18 18:50:52 PDT 2011renee_berry great point RT @drpippa T3 - providing safe space for inquiry and learning. Doesnt happen much in medical education #meded #hpm Wed May 18 18:51:04 PDT 2011EOLnavigator @jen_c_taylor Hey Jen! #hpm Wed May 18 18:51:10 PDT 2011RossJeanette RT @renee_berry: T3 social media can help engage young adults to be interested in studying #palliative care at an earlier #HPM Wed May 18 18:51:13 PDT 2011
  • 25. Wed May 18 18:51:13 PDT 2011PracticalWisdom T3: Suzana Makowski created one of the best pieces of SoMe Learning Ive ever seen: http://slidesha.re/ezipSM #HPm Wed May 18 18:51:18 PDT 2011MatthewsMichele @KathyKastner I agree; up and coming professionals in all fields dont have to go digital, they are digital from a young age... #hpm Wed May 18 18:51:26 PDT 2011hollyby RT @renee_berry: T3 social media can help engage young adults to be interested in studying #palliative care earlier in their career #hpm Wed May 18 18:51:27 PDT 2011ctsinclair @renee_berry And not only might they find palliative care but they may find any other niche in medicine that interests them! #hpm Wed May 18 18:51:40 PDT 2011drpippa Yes! @renee_berry: T3 sm can help engage young adults to be interested in studying #palliative care earlier in their career #Hpm Wed May 18 18:51:53 PDT 2011aliciabloom social media can connect clinicians directly with the community they care for, which can lead to educational initiatives, like @NHDD. #hpm Wed May 18 18:51:54 PDT 2011renee_berry T3 social media allows for an international interdisciplinary conversation, the inclusiveness allows for open learning, open innovation #hpm Wed May 18 18:52:03 PDT 2011EOLnavigator RT @renee_berry: T3 so me can help engage young adults 2b interested in studying #palliative care at an earlier place in their career #hpm Wed May 18 18:52:14 PDT 2011KathyKastner RT @MatthewsMichele: @KathyKastner I agree; up and coming professionals in all fields dont have to go digital, they are digital from a young age... #hpm Wed May 18 18:52:15 PDT 2011MatthewsMichele To add to @KathyKastners point (& mine) I think it will be a natural transition #hpm Wed May 18 18:52:31 PDT 2011renee_berry @ctsinclair open learning moves people towards finding their passion at a faster pace, social media helps facilitate that #hpm Wed May 18 18:52:38 PDT 2011drpippa RT @aliciabloom: sm can connect clinicians directly with the community they care for, which can lead to educational initiatives #Hpm Wed May 18 18:52:40 PDT 2011ctsinclair RT @aliciabloom: social media can connect clinicians directly w/ community they care for, -> lead to educ initiatives, like @NHDD. #hpm Wed May 18 18:52:46 PDT 2011
  • 26. hollyby RT @PracticalWisdom: Suzana Makowski created one of the best pieces of SoMe Learning Ive ever seen: http://slidesha.re/ezipSM @suzanakm #hpm Wed May 18 18:52:49 PDT 2011RossJeanette @renee_berry yes international sharing network! #HPM Wed May 18 18:52:56 PDT 2011PracticalWisdom Please C RR @PracticalWisdom: T3:Suzana Makowski created 1 of best pieces of SoMe Learning Ive ever seen: http://slidesha.re/ezipSM #HPm Wed May 18 18:52:57 PDT 2011renee_berry RT @drpippa: RT @aliciabloom: sm can connect clinicians directly with the community they care for, which can lead to educational initiatives #Hpm Wed May 18 18:53:05 PDT 2011hollyby Agree!!! RT @RossJeanette: @renee_berry yes international sharing network! #hpm Wed May 18 18:53:30 PDT 2011MatthewsMichele RT @renee_berry: @ctsinclair open learning moves people to finding their passion at a faster pace, social media helps facilitate that #hpm Wed May 18 18:53:35 PDT 2011doctatum RT @PracticalWisdom: T3:Suzana Makowski created 1 of best pieces of SoMe Learning Ive ever seen: http://slidesha.re/ezipSM #hpm Wed May 18 18:53:36 PDT 2011EOLnavigator Casual Learning Opportunities! #hpm Wed May 18 18:53:48 PDT 2011MarksPhone 20 years ago I did some work w/Jimmie Holland MSKCC in pall. care. It strikes me that her work is just now being more widely adopted #hpm Wed May 18 18:53:52 PDT 2011HumpbacksRule Gotta dash. Wonderful chat - thanks so much! #hpm Wed May 18 18:53:56 PDT 2011PracticalWisdom T3: Has anyone mentioned the Wealth of Medical and other information/learning on TED. Short/Sweet Always great slides. #HPm Wed May 18 18:54:07 PDT 2011RossJeanette T3 what about tweeting during didactics? #HPM Wed May 18 18:54:17 PDT 2011hollyby @HumpbacksRule Glad you could join in the fun! #hpm Wed May 18 18:54:27 PDT 2011renee_berry :) #socialmedia RT @RossJeanette @renee_berry yes international sharing network! #hpm Wed May 18 18:54:28 PDT 2011
  • 27. EOLnavigator Great ideas peeps! #hpm Wed May 18 18:55:16 PDT 2011ctsinclair RT @RossJeanette: T3 what about tweeting during didactics? "I tihnk if done well this could be fantastic. Would love to collaborate!" #hpm Wed May 18 18:55:18 PDT 2011renee_berry T3 I would love to see #meded students live tweet lectures & blog their way through programs... cc @sthrane :) #hpm Wed May 18 18:55:47 PDT 2011ctsinclair @RossJeanette Maybe you me, @suzanakm and @hollby create a online weekly lecture for #hpm fellows? #hpm Wed May 18 18:55:49 PDT 2011ctsinclair @PracticalWisdom Wish more medical educators would watch and learn from presentation style at TED. #hpm Wed May 18 18:56:16 PDT 2011PracticalWisdom I could do Slides? RT @ctsinclair: @RossJeanette Maybe you me, @suzanakm and @hollby create a online weekly lecture for #hpm fellows? #HPm Wed May 18 18:56:25 PDT 2011ctsinclair RT @renee_berry: T3 I would love to see #meded students live tweet lectures & blog their way through programs... cc @sthrane :) #hpm Wed May 18 18:56:27 PDT 2011RossJeanette RT @ctsinclair: @RossJeanette Maybe you me, @suzanakm and @hollby create a online weekly lecture for #hpm fellows? Great idea! #HPM Wed May 18 18:56:34 PDT 2011MatthewsMichele RT @ctsinclair: @PracticalWisdom Wish more medical educators would watch and learn from presentation style at TED. #hpm Wed May 18 18:56:51 PDT 2011doctatum @ctsinclair @PracticalWisdom TED?? #hpm Wed May 18 18:56:52 PDT 2011MarksPhone @ctsinclair what about tweeting with patients and family to get a sense of their world #hpm Wed May 18 18:56:55 PDT 2011PracticalWisdom @HighStephens does RT @ctsinclair: @PracticalWisdom Wish more medical educators would watch and learn from presentation style at TED. #HPm Wed May 18 18:57:07 PDT 2011mpalko @renee_berry should I be surprised students arent doing that now? #meded #hpm Wed May 18 18:57:26 PDT 2011renee_berry agree... & speak for them!!! RT @ctsinclair Wish more medical educators would watch & learn from presentation style at TED #meded #hpm
  • 28. renee_berry watch & learn from presentation style at TED #meded #hpm Wed May 18 18:57:32 PDT 2011aliciabloom RT @ctsinclair: @RossJeanette Maybe you me, @suzanakm and @hollby create a online weekly lecture for #hpm fellows? <--i love this idea! #hpm Wed May 18 18:57:45 PDT 2011KathyKastner Thatd make em more comfy on camera :) Wish more medical educators would watch and learn from presentation style at TED. #HPm Wed May 18 18:57:50 PDT 2011hollyby Could be fun! RT @ctsinclair: @RossJeanette Maybe you me, @suzanakm and @hollby create a online weekly lecture for #hpm fellows? #hpm Wed May 18 18:57:54 PDT 2011JohnGirdwood Yeah @supernosh RT @renee_berry: T3 I would love to see #meded students live tweet lectures & blog way through programs... @sthrane :) #hpm Wed May 18 18:57:56 PDT 2011MarksPhone What about CME? Can this topic get funded and support to the same degree HTN does? This is a rich educational area #hpm Wed May 18 18:57:59 PDT 2011ctsinclair @MarksPhone I know of only a 3 family members of patients on Twitter. Would love to see them participate here. Will invite them #hpm Wed May 18 18:57:59 PDT 2011renee_berry many students dont see #some as a professional opportunity RT @mpalko should I be surprised students arent doing that now? #meded #hpm Wed May 18 18:58:13 PDT 2011PracticalWisdom T3: Wish more medical education would learn how to create Slide Decks that include media, images and say no to Bullet Points in slides. #HPm Wed May 18 18:58:23 PDT 2011revdoc @ctsinclair @MarksPhone Would we have to "behave"? #hpm Wed May 18 18:58:40 PDT 2011ctsinclair @mpalko Many students in health care training I meet offline are pretty ignorant of the professional uses of social media. #hpm Wed May 18 18:58:43 PDT 2011ctsinclair RT @MarksPhone: What about CME? Can this topic get funded and support to the same degree HTN does? This is a rich educational area #hpm Wed May 18 18:58:53 PDT 2011mpalko @PracticalWisdom PowerPoint doesnt bore people. People bore people #HPm Wed May 18 18:59:11 PDT 2011PracticalWisdom T3: Adult Educators know lecture mode is least effective form of learning. @marksphone with me? So many tools not being used. #HPm Wed May 18 18:59:17 PDT 2011
  • 29. ctsinclair @MarksPhone Would love to see CME for online training be more robust, but always have to be concerned about quality. #hpm Wed May 18 18:59:19 PDT 2011joniwatson RT @PracticalWisdom: T3: Wish more medical education would learn how to create Slide Decks that include media, images and say no to Bullet Points in slides. #HPm Wed May 18 18:59:25 PDT 2011MarksPhone @revdoc Hell NO... #hpm Wed May 18 18:59:34 PDT 2011EOLnavigator Lets arrange a patient and family tweet chat. #hpm Wed May 18 18:59:35 PDT 2011revdoc @mpalko @PracticalWisdom LOL! #hpm Wed May 18 18:59:38 PDT 2011ctsinclair @revdoc That is up to you to behave, anonymous picture of plants in the water. #hpm Wed May 18 18:59:50 PDT 2011renee_berry :) insightful RT @mpalko @PracticalWisdom PowerPoint doesnt bore people. People bore people #hpm Wed May 18 18:59:55 PDT 2011

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