• Share
  • Email
  • Embed
  • Like
  • Save
  • Private Content
2011 05 18 hpm tweetchat transcript
 

2011 05 18 hpm tweetchat transcript

on

  • 468 views

 

Statistics

Views

Total Views
468
Views on SlideShare
468
Embed Views
0

Actions

Likes
0
Downloads
0
Comments
0

0 Embeds 0

No embeds

Accessibility

Upload Details

Uploaded via as Adobe PDF

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

    2011 05 18 hpm tweetchat transcript 2011 05 18 hpm tweetchat transcript Document Transcript

    • #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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • @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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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
    • 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