This document is a transcript of a Twitter chat about hospice and palliative medicine (#hpm) that took place on June 22, 2011 from 6:00-7:00pm PDT. Various medical professionals, caregivers, and others introduced themselves and shared perspectives on issues relating to hospice, palliative care, and end-of-life care. The participants discussed how design and creativity could help spread awareness of palliative care services.

1. #hpm
Healthcare Hashtag Twitter Transcript
From: Wed Jun 22 18:00:00 PDT 2011
To: Wed Jun 22 19:00:00 PDT 2011
Customize transcript dates and layout
Learn more about #hpm at The Healthcare Hashtag Project
SheyontheBay @MeredithGould Woman, gwt yor priorities straight. Napping deserves full attention
#hpm
Wed Jun 22 18:00:07 PDT 2011
MeredithGould Getting ready to spend the next hour on this chat. Interested in hospice & palliative
medicine & related issues? C'mon over! --> #hpm
Wed Jun 22 18:00:21 PDT 2011
PracticalWisdom Welcome 2Hospice & Palliative Medicine #HPM. If you are joining us please
introduce yourself. (PracticalWisdom-Lisa Fields Moderating #hpm
Wed Jun 22 18:00:25 PDT 2011
emilybarryPR Hi all my #hpm friends! #hpm
Wed Jun 22 18:00:35 PDT 2011
drseisenberg Hey there! #hpm
Wed Jun 22 18:00:36 PDT 2011
MeredithGould @SheyontheBay gwt yor fingrs on the right keys #hpm
Wed Jun 22 18:00:47 PDT 2011
SheyontheBay @MeredithGould clearly my tweettyping is distracted... #hpm
Wed Jun 22 18:00:54 PDT 2011
PracticalWisdom @emilybarryPR Emily Great to see you. Thanks for coming. #hpm
Wed Jun 22 18:01:08 PDT 2011
EldrcareConsult Hello all.. Shon Ingram from Knoxville. Senior Case Manager here #hpm
Wed Jun 22 18:01:10 PDT 2011

2. emilybarryPR I'm Emily Barry from Transcend Hospice Marketing Group, aka @hospice_mktg
#hpm
Wed Jun 22 18:01:23 PDT 2011
PracticalWisdom G8 2 see you too! Feeling creative tonight!!!!RT @drseisenberg: Hey there! #hpm
Wed Jun 22 18:01:32 PDT 2011
drseisenberg So great to see everyone tonight!!! #hpm
Wed Jun 22 18:01:44 PDT 2011
PracticalWisdom Shon Hi there! Welcome RT @EldrcareConsult: Hello all.. Shon Ingram from
Knoxville. Senior Case Manager here #hpm
Wed Jun 22 18:01:49 PDT 2011
NateOsit What's all this then? Nate here, Health IT geek, poking my head in to check out
#hpm
Wed Jun 22 18:02:01 PDT 2011
aliciabloom MSW, LSW @VITASHospice & Palliative Care-- patient care, clinical education &
program development. #hpm
Wed Jun 22 18:02:15 PDT 2011
MeredithGould @SheyontheBay Watch this: I'm going to brush my teeth AND tweet at the same
time! #hpm
Wed Jun 22 18:02:19 PDT 2011
PracticalWisdom Nate so glad you come 2. Groovy RT @NateOsit: Whats all this then? Nate here,
Health IT geek, poking my head in to check out #hpm
Wed Jun 22 18:02:29 PDT 2011
MarksPhone Mark here to join in the learning experience both professionally and personally
#hpm
Wed Jun 22 18:02:41 PDT 2011
SheyontheBay Checking in - hospice RN, LI, NY #hpm
Wed Jun 22 18:02:53 PDT 2011
PracticalWisdom Alicia Welcome. RT @aliciabloom: MSW, LSW @VITASHospice & Palliative Care--
patient care, clinical education & program development. #hpm
Wed Jun 22 18:02:56 PDT 2011
drseisenberg I'm Steven. Med Onc, Hospice med director, songwriter for hpm... #hpm
Wed Jun 22 18:03:04 PDT 2011
EldrcareConsult @MeredithGould Is that toothpaste drool on the keyboard? ewwwwwww #hpm
Wed Jun 22 18:03:13 PDT 2011
CompAndChoices Good evening all! So pleased to see everyone. Must duck out a bit early to go to
karaoke with co-workers! But will be here for a bit. #hpm
Wed Jun 22 18:03:16 PDT 2011

3. SheyontheBay @MeredithGould brushing doesnt deserve the same attention as napping #hpm
Wed Jun 22 18:03:17 PDT 2011
MeredithGould <--sociologist, author/writer, keen on communicating health & bldg community.
Also tweet as @HealthFaith. In a silly mood. Watch out! #hpm
Wed Jun 22 18:03:20 PDT 2011
PracticalWisdom One of our classic Twitter Folks. RT @MarksPhone: Mark here to join in the learning
experience both professionally and personally #hpm
Wed Jun 22 18:03:20 PDT 2011
MeredithGould @EldrcareConsult Nah, I swallowed it. #hpm
Wed Jun 22 18:03:36 PDT 2011
PracticalWisdom @CompAndChoices Thanks for coming. A Little is great. #hpm
Wed Jun 22 18:04:01 PDT 2011
SheyontheBay @MeredithGould maybe you wouldnt be so silly if you got more naps!!! #hpm
Wed Jun 22 18:04:08 PDT 2011
MeredithGould @ReginaHolliday Waving my toothbrush at your paintbrush. #HPM
Wed Jun 22 18:04:24 PDT 2011
EldrcareConsult <------looking to partner with new tweeps on a tele-health program #hpm
Wed Jun 22 18:04:25 PDT 2011
PracticalWisdom @MeredithGould @EldrcareConsult Welcome Ladies. Looking forward to your
Brain Candy. #hpm
Wed Jun 22 18:04:38 PDT 2011
CompAndChoices @PracticalWisdom :) #hpm
Wed Jun 22 18:04:40 PDT 2011
ElinSilveous RT @PracticalWisdom: Welcome 2Hospice & Palliative Medicine #HPM. If you are
joining us please introduce yourself. (PracticalWisdom-Lisa Fields Moderating
#hpm
Wed Jun 22 18:04:56 PDT 2011
CompAndChoices <--just spent an entire afternoon doing a social media integration brainstorm with
co-workers! Feeling awesome. #hpm
Wed Jun 22 18:05:11 PDT 2011
aliciabloom @PracticalWisdom thanks...always happy to be here :) #hpm
Wed Jun 22 18:05:11 PDT 2011
EldrcareConsult @PracticalWisdom @MeredithGould @EldrcareConsult Ladies? #hpm
Wed Jun 22 18:05:13 PDT 2011

4. PracticalWisdom We presume all tweets within #HPM during this hour are your own and not those of
your employer (unless specifically expressed) #hpm
Wed Jun 22 18:05:40 PDT 2011
ElinSilveous Hi everyone. Elin here. Just sitting in for a little while. #HPM
Wed Jun 22 18:05:55 PDT 2011
MeredithGould @EldrcareConsult Yeah, I didn't get that one, either! #hpm
Wed Jun 22 18:06:08 PDT 2011
authordhallman #hpm David here. Author of "August Farewell" about the sudden cancer death of my
partner. We had in-home palliative care for the 2 wks.
Wed Jun 22 18:06:13 PDT 2011
PracticalWisdom Oh, no you are very manly My Bad. RT @EldrcareConsult: @PracticalWisdom
@MeredithGould @EldrcareConsult Ladies? #hpm
Wed Jun 22 18:06:13 PDT 2011
emilybarryPR @EldrcareConsult I noticed she called you a lady!! ; ) #hpm
Wed Jun 22 18:06:14 PDT 2011
drseisenberg I'm feeling the love...tweeting from the cloud above... #hpm
Wed Jun 22 18:06:16 PDT 2011
PracticalWisdom Welcome is this your first time to our chat? RT @ElinSilveous: Hi everyone. Elin
here. Just sitting in for a little while. #hpm
Wed Jun 22 18:06:39 PDT 2011
drseisenberg Feeling wise and practical everyone? #hpm
Wed Jun 22 18:07:18 PDT 2011
PracticalWisdom Lucky that he is my Friend. Hope I've not lost one~teasing.RT @emilybarryPR:
@EldrcareConsult I noticed she called you a lady!! ; ) #hpm
Wed Jun 22 18:07:45 PDT 2011
EldrcareConsult @emilybarryPR I try! lol #hpm
Wed Jun 22 18:07:54 PDT 2011
CompAndChoices @drseisenberg Practical, for sure. Wisdom is still being acquired. LOL #hpm
Wed Jun 22 18:08:23 PDT 2011
PracticalWisdom We will get started in a min or two. We have a great group tonight. Hope you might
have had a chance to check out some of the links #hpm
Wed Jun 22 18:08:58 PDT 2011
EldrcareConsult @PracticalWisdom @emilybarryPR I am feeling a little weepy tonight....does that
count? #hpm
Wed Jun 22 18:09:16 PDT 2011

5. ElinSilveous Yes. :) Thank you, Lisa RT @PracticalWisdom: Welcome is this your first time to our
chat? #hpm
Wed Jun 22 18:09:40 PDT 2011
MatthewsMichele hey everyone. lurking tonight. #hpm
Wed Jun 22 18:09:50 PDT 2011
drseisenberg @CompAndChoices ha #hpm
Wed Jun 22 18:10:11 PDT 2011
PracticalWisdom @drselsenberg has offered to help give another set of eyes b/cause with lots of
Tweets it’s easy to miss important Tweets/Folks. #hpm
Wed Jun 22 18:10:21 PDT 2011
RachelleNorman Hello, #hpm! I'm a board-certified music therapist in private practice, primarily
serving older adults.
Wed Jun 22 18:10:44 PDT 2011
PracticalWisdom Oh, come on and play. H20 is Groovy. G8 2 see you. RT @MatthewsMichele: hey
everyone. lurking tonight. #hpm
Wed Jun 22 18:10:51 PDT 2011
apjonas Hi all, Pat Jonas, Family Physician, OH, private practice lurking plus tonight. #hpm
Wed Jun 22 18:10:53 PDT 2011
CompAndChoices @reginaholliday You're right. I'm lucky to work for a place that really values online
community building. :) #hpm
Wed Jun 22 18:11:31 PDT 2011
drseisenberg RT @PracticalWisdom: @drseisenberg has offered to help give another set of eyes
b/cause with lots of Tweets it’s easy to miss stuff #hpm
Wed Jun 22 18:11:39 PDT 2011
emilybarryPR @apjonas Where in OH? I'm near Toledo #hpm
Wed Jun 22 18:11:39 PDT 2011
PracticalWisdom Pat I'm glad you came. RT @apjonas: Hi all, Pat Jonas, Family Physician, OH,
private practice lurking plus tonight. #hpm
Wed Jun 22 18:11:46 PDT 2011
apjonas @emilybarryPR East coast of Dayton #hpm
Wed Jun 22 18:12:40 PDT 2011
ewidera Can only tweet at stop lights but just wanted to say hi to the #hpm tweet chatters
Wed Jun 22 18:12:48 PDT 2011
drseisenberg hi - be safe brother RT @ewidera: Can only tweet at stop lights but just wanted to
say hi to the #hpm tweet chatters #hpm

6. say hi to the #hpm tweet chatters #hpm
Wed Jun 22 18:13:36 PDT 2011
MatthewsMichele @PracticalWisdom lol, i'm simultaneously working. I just launched my own media
consultancy (agitate media)...its very demanding rt now #hpm
Wed Jun 22 18:13:41 PDT 2011
MarksPhone @ewidera Love the dedicaton stop lights only, I find stop signs better I can write till
the idiot behind me honks. #hpm
Wed Jun 22 18:13:57 PDT 2011
MarksPhone did I miss T1? #hpm
Wed Jun 22 18:14:35 PDT 2011
PracticalWisdom Is anybody getting fail codes? #HPM
Wed Jun 22 18:14:55 PDT 2011
MeredithGould @MarksPhone No, Lisa is making the rounds with canapes and beverages. #hpm
Wed Jun 22 18:15:01 PDT 2011
MeredithGould @PracticalWisdom Not I, said the Little Red Hen. #hpm
Wed Jun 22 18:15:21 PDT 2011
MarksPhone @MeredithGould darn... i need to get my white wine #hpm
Wed Jun 22 18:15:28 PDT 2011
ryanmadanickmd @PracticalWisdom Hi all not sure how much I'll be active tonight (exhaustion
setting in early tonight!) #hpm
Wed Jun 22 18:15:33 PDT 2011
emilybarryPR No TweetChat seems a little slow though RT @PracticalWisdom: Is anybody
getting fail codes? #hpm
Wed Jun 22 18:15:57 PDT 2011
MeredithGould @PracticalWisdom On the article link? Yes. Here? No. #hpm
Wed Jun 22 18:16:01 PDT 2011
PracticalWisdom T!: Can design/Creativity help spread the word about Palliative Care? #HPM
Wed Jun 22 18:16:08 PDT 2011
ewidera ;-) RT @MarksPhone: @ewidera Love the dedicaton stop lights only, I find stop
signs better I can write till the idiot behind me honks. #hpm
Wed Jun 22 18:16:24 PDT 2011
CompAndChoices Tweetchat seems to have a case of molasses tonight for sure. #hpm
Wed Jun 22 18:16:26 PDT 2011
PracticalWisdom Wow, thanks 4 the support. RT @CompAndChoices: Tweetchat seems to have a
case of molasses tonight for sure. #HPM

7. Wed Jun 22 18:17:07 PDT 2011
MeredithGould T1 Design/creativity?? Like can a smart-looking website or compelling art like the
stuff @reginaholliday does help spread the word? #hpm
Wed Jun 22 18:17:15 PDT 2011
NateOsit Yes! Creativity always helps! :) RT @PracticalWisdom: T!: Can design/Creativity
help spread the word about Palliative Care? #hpm
Wed Jun 22 18:17:16 PDT 2011
drseisenberg @MarksPhone @ewidera tweeting at the light....type fast with your thumbs till the
honking in the night... #hpm
Wed Jun 22 18:17:23 PDT 2011
emilybarryPR T1 - Depending on how it's done, creativity and design can help grab people's
attention, get them to read info about PC #hpm
Wed Jun 22 18:17:37 PDT 2011
MarksPhone Design/creativity will work only if it is attached to a smart strategy. #hpm
Wed Jun 22 18:17:40 PDT 2011
PracticalWisdom RT @drseisenberg: @MarksPhone @ewidera tweeting at the light....type fast with
your thumbs till the honking in the night... #HPM
Wed Jun 22 18:17:45 PDT 2011
CompAndChoices @PracticalWisdom No no...the "Tweetchat" interface. Not you, dear. :) #hpm
Wed Jun 22 18:18:02 PDT 2011
MatthewsMichele Did I miss some background info? RT @PracticalWisdom: T!: Can design/Creativity
help spread the word about Palliative Care? #hpm
Wed Jun 22 18:18:02 PDT 2011
MeredithGould RT @MarksPhone: Design/creativity will work only if it is attached to a smart
strategy. <--AND literacy/compelling content #hpm
Wed Jun 22 18:18:04 PDT 2011
aliciabloom creativity & design can engage people. once they're engaged, they're more likely to
learn. #hpm
Wed Jun 22 18:18:21 PDT 2011
EldrcareConsult T1: I think in healthcare as a whole you have to be creative. As we have discussed
Lisa, there are too many competitiors out there. #hpm
Wed Jun 22 18:18:28 PDT 2011
emilybarryPR Agree. Design needs to have a reason behind it RT @MarksPhone:
Design/creativity will work only if it is attached to a smart strategy. #hpm
Wed Jun 22 18:18:37 PDT 2011
medcareerist Education about the benefits is important RT @PracticalWisdom T!: Can
design/Creativity help spread the word about Palliative Care? #HPM
Wed Jun 22 18:18:39 PDT 2011

8. aliciabloom @drseisenberg are your tweets always so poetic? i love it. #hpm
Wed Jun 22 18:18:56 PDT 2011
CompAndChoices <--using Tweetchat.com to track the #hpm hashtag. It's easier. But sloooow tonight.
@PracticalWisdom #hpm
Wed Jun 22 18:18:58 PDT 2011
emilybarryPR Engagement is key! RT @aliciabloom: creativity & design can engage people. once
theyre engaged, theyre more likely to learn. #hpm
Wed Jun 22 18:19:07 PDT 2011
PracticalWisdom @MatthewsMichele If you want check out the #HPM links 4 today. #HPM
Wed Jun 22 18:19:21 PDT 2011
PracticalWisdom RT @emilybarryPR: Engagement/ key! RT @aliciabloom: creativity/design can
engage people. once theyre engaged, more likely to learn. #HPM
Wed Jun 22 18:19:47 PDT 2011
renee_berry Hi everyone! Here from CA, passionate about access to early palliative care, thanks
for hosting tonight Lisa! #hpm
Wed Jun 22 18:20:08 PDT 2011
emilybarryPR Relevant and compelling content is important as well! #hpm
Wed Jun 22 18:20:14 PDT 2011
PracticalWisdom Would you like to expand on this?RT @MarksPhone: Design/creativity will work only
if it is attached to a smart strategy. #HPM
Wed Jun 22 18:20:31 PDT 2011
EldrcareConsult I also think you have to network with others that are creative. Two ppl can come up
with awesome ideas! #hpm
Wed Jun 22 18:20:41 PDT 2011
PracticalWisdom RT @emilybarryPR: Relevant and compelling content is important as well! #HPM
Wed Jun 22 18:20:45 PDT 2011
PracticalWisdom @renee_berry: My pleasure. Glad to see you. #HPM
Wed Jun 22 18:21:04 PDT 2011
apjonas @PracticalWisdom T1 SM is one creative way to be creative- here we are. Design
needs right message: Honest, Heartful info w/audience #hpm
Wed Jun 22 18:21:05 PDT 2011
CompAndChoices Yes! RT @emilybarryPR: Relevant and compelling content is important as well!
#hpm
Wed Jun 22 18:21:09 PDT 2011
MeredithGould Compelling content that is accessible to those with low literacy/health literacy.
#hpm
Wed Jun 22 18:21:37 PDT 2011

9. CommPharm Design and creativity helps to sell the message but you have to have a strong
message and content to give patients #hpm
Wed Jun 22 18:21:45 PDT 2011
MarksPhone Design/creativity is critical to gain awareness & attention creates memory. We
should not forget reach and frequency too #hpm
Wed Jun 22 18:21:54 PDT 2011
CompAndChoices T1: accurate info across multiple platforms: website, Facebook, Twitter, YouTube,
etc. #hpm
Wed Jun 22 18:22:02 PDT 2011
emilybarryPR RT @CommPharm: Design and creativity helps to sell the message but you have
to have a strong message and content to give patients #hpm
Wed Jun 22 18:22:08 PDT 2011
PracticalWisdom RT @apjonas: @PracticalWisdom T1 SM 1 creative way 2 B creative- Design needs
right message: Honest, Heartful info w/audience #HPM
Wed Jun 22 18:22:09 PDT 2011
PracticalWisdom RT @MarksPhone:Design/creativity is critical to gain awareness & attention creates
memory. We should not forget reach and frequency too #HPM
Wed Jun 22 18:22:30 PDT 2011
EldrcareConsult We have found with marketing GCM services you have to be really creative because
ppl dont know about the services until they need them #hpm
Wed Jun 22 18:22:41 PDT 2011
aliciabloom a strong message is strengthen when delivered in a creative way. messages about
#palliative care should be honest & compassionate. #hpm
Wed Jun 22 18:23:05 PDT 2011
renee_berry Creativity in general? Content? Strategy? RT @PracticalWisdom: T1: Can
design/Creativity help spread the word about Palliative Care? #hpm
Wed Jun 22 18:23:06 PDT 2011
PracticalWisdom @EldrcareConsult Message GCM needs to be creative like 911? #HPM
Wed Jun 22 18:23:17 PDT 2011
drseisenberg T1: Creativity is the key to engagement. Engagement is the key to creativity. #hpm
Wed Jun 22 18:23:37 PDT 2011
authordhallman #hpm The impact of a short video (i.e. YouTube) can be very powerful. That's my
experience with communicating about August Farewell.
Wed Jun 22 18:23:43 PDT 2011
MarksPhone Creative is driven not by the creator but by the audience, each audience may like
different creative executions. Know ur audience #hpm
Wed Jun 22 18:23:48 PDT 2011
CommPharm @EldrcareConsult - I agree people don't what services are out there and what

10. CommPharm @EldrcareConsult - I agree people don't what services are out there and what
services they will need during the stages of pal care #hpm
Wed Jun 22 18:23:52 PDT 2011
CompAndChoices T1: Aggregation of good stories around palliative care would be good, too. Perhaps
use Flickr to tell patient & family stories? #hpm
Wed Jun 22 18:23:59 PDT 2011
PracticalWisdom Suzana Makowski G8 Example http://www.slideshare.net/suzanakm/palliative-care-
what-every-primary-care-doctor-needs-to-know #HPM
Wed Jun 22 18:24:13 PDT 2011
MeredithGould RT @MarksPhone: Creative is driven not by the creator but by the audience, each
audience may like different creative executions. #hpm
Wed Jun 22 18:24:13 PDT 2011
emilybarryPR #Hospice and palliative care are difficult messages to communicate. And, people
aren't thinking about care they'll need at end of life #hpm
Wed Jun 22 18:24:15 PDT 2011
VillageMemorial Hi everyone. We're in Portland OR. Glad to be here. #hpm
Wed Jun 22 18:24:18 PDT 2011
CommPharm RT @emilybarryPR: #Hospice and palliative care are difficult messages to
communicate. And, people aren't thinking about care they'll need at end of life #hpm
Wed Jun 22 18:24:46 PDT 2011
MeredithGould @MarksPhone I think I'm just going to retweet everything you tweet tonight. Good
stuff! #hpm
Wed Jun 22 18:24:49 PDT 2011
PracticalWisdom Sincerely Blown away by the depth and number of amazing Tweets! #HPM
Wed Jun 22 18:24:59 PDT 2011
CompAndChoices Waving from across town on the west side! RT @VillageMemorial: Hi everyone.
Were in Portland OR. Glad to be here. #hpm
Wed Jun 22 18:25:06 PDT 2011
PracticalWisdom @PracticalWisdom: Suzana Makowski G8 Ex
http://www.slideshare.net/suzanakm/palliative-care-what-every-primary-care-doctor-
needs-to-know #HPM
Wed Jun 22 18:25:32 PDT 2011
emilybarryPR Targeting messages to the right audience is important...healthcare decision
makers who may be caring for older parents for ex. #hpm
Wed Jun 22 18:25:38 PDT 2011
SheyontheBay Is there a YouTube channel on #hpm? there are 500+ hospital channels #HPM
Wed Jun 22 18:25:44 PDT 2011
PracticalWisdom G8 Idea.RT @MeredithGould: @MarksPhone I think Im just going to retweet
everything you tweet tonight. Good stuff! #HPM
Wed Jun 22 18:25:48 PDT 2011

11. Wed Jun 22 18:25:48 PDT 2011
VillageMemorial @CompAndChoices Hello back! Glad to see you here. #hpm
Wed Jun 22 18:26:07 PDT 2011
MarksPhone I am offically red faced... #hpm
Wed Jun 22 18:26:31 PDT 2011
CommPharm @emilybarryPR - interesting point the creativity and design equally applies to
Healthcare profs. #hpm
Wed Jun 22 18:26:38 PDT 2011
PracticalWisdom @emilybarryPR: How do you find the right audience? No easy task? #HPM
Wed Jun 22 18:26:41 PDT 2011
MeredithGould @SheyontheBay Perhaps the more fruitful question is how many hospitals include
videos about HPM #hpm
Wed Jun 22 18:26:45 PDT 2011
CompAndChoices GREAT question RT @SheyontheBay: Is there a YouTube channel on #hpm? there
are 500+ hospital channels #hpm
Wed Jun 22 18:26:48 PDT 2011
drseisenberg @emilybarryPR So so true. How can creativity reach the audience that's not wanting
to talk about it... #hpm
Wed Jun 22 18:26:53 PDT 2011
PracticalWisdom Relationships?RT @drseisenberg: @emilybarryPR So so true. How can creativity
reach the audience thats not wanting to talk about it... #HPM
Wed Jun 22 18:27:29 PDT 2011
drbeckerschutte Late chat arrival. I'm Ann, a psychologist from the Kansas City area. Hoping to get
the last half in! #hpm
Wed Jun 22 18:27:38 PDT 2011
SheyontheBay @MeredithGould does that mean hospitals' in-house channels? #HPM
Wed Jun 22 18:27:41 PDT 2011
VillageMemorial @CompAndChoices @SheyontheBay We've started to see some individual
professional ad videos on HPM but no channels as of yet. #hpm
Wed Jun 22 18:27:43 PDT 2011
MeredithGould @PracticalWisdom @emilybarryPR I believe it's easy to find the audience, less
easy to craft messages that account for nuance #hpm
Wed Jun 22 18:27:51 PDT 2011
renee_berry T1 I think there is a real need for creativity on an individual, organizational & level to
engage the public on #palliative care basics #hpm
Wed Jun 22 18:28:07 PDT 2011
@SheyontheBay Yes, in-house channels but also what hospitals include on the

12. @SheyontheBay Yes, in-house channels but also what hospitals include on the
MeredithGould main website. #HPM
Wed Jun 22 18:28:10 PDT 2011
aliciabloom #hospice + #palliative care = something everyone will benefit from at some point,
but few people want to think about. #hpm
Wed Jun 22 18:28:12 PDT 2011
apjonas @emilybarryPR in Fam Med, we have the pts & they listen 2 EOL comments re
EOL, sometimes including hpm, sometimes not. #hpm
Wed Jun 22 18:28:17 PDT 2011
NateOsit Great idea! Creative visuals help a lot! RT @SheyontheBay: Is there a YouTube
channel on #hpm? there are 500+ hospital channels #hpm
Wed Jun 22 18:28:18 PDT 2011
renee_berry (sorry had some tech difficulties got kicked offline) #hpm
Wed Jun 22 18:28:22 PDT 2011
SheyontheBay Look into YouTube's Creators Camp #HPM
Wed Jun 22 18:28:29 PDT 2011
drseisenberg Reach 'em by creating something with them RT @PracticalWisdom:
@emilybarryPR: How do you find the right audience? No easy task? #hpm
Wed Jun 22 18:28:31 PDT 2011
CommPharm I would love to give the hc prof the tools to ease this discussion with patients and
family. Simple messaging improves care #hpm
Wed Jun 22 18:29:01 PDT 2011
CompAndChoices RT @renee_berry: T1 think there is real need 4 creativity on individual,
organizational & level to engage public on #palliative basics #hpm
Wed Jun 22 18:29:11 PDT 2011
PracticalWisdom @CommPharm @emilybarryPR Health Care Prof.
http://www.mja.com.au/public/issues/194_12_200611/man10874_fm.html #HPM
Wed Jun 22 18:29:14 PDT 2011
CompAndChoices RT @SheyontheBay: Look into YouTubes Creators Camp #hpm
Wed Jun 22 18:29:19 PDT 2011
drseisenberg @renee_berry new avatar! like it! #hpm
Wed Jun 22 18:29:23 PDT 2011
aliciabloom thoughtful, compassionate & creative messages are essential. excellent example:
@NHDD that encourages people to #havethetalk! #hpm
Wed Jun 22 18:29:24 PDT 2011
SheyontheBay I've spoken to PTAs - usually reach caregivers before crisis hits, in relaxed
supportive venue #HPM
Wed Jun 22 18:29:39 PDT 2011

13. PracticalWisdom RT @aliciabloom: thoughtful/compassionate/creative messages R essential.
excellent ex: @NHDD that encourages people to #havethetalk! #HPM
Wed Jun 22 18:30:03 PDT 2011
renee_berry @drseisenberg not an easy task but I think palliative care is relevant to everyone &
way less depressing than half of tv shows we watch #hpm
Wed Jun 22 18:30:10 PDT 2011
emilybarryPR We find the most receptive audience to be women 45 +, usually the healthcare
decision makers of family and parents #hpm
Wed Jun 22 18:30:33 PDT 2011
renee_berry RT @aliciabloom: thoughtful, compassionate & creative messages are essential.
excellent example: @NHDD that encourages people to #havethetalk! #hpm
Wed Jun 22 18:30:38 PDT 2011
apjonas T1 PM could use partner message to relate much better w/ Fam Med. Sharing can
be fun. Control needs may get in way at times. #hpm
Wed Jun 22 18:30:46 PDT 2011
PracticalWisdom ThxRT @emilybarryPR: We find the most receptive audience to be women 45 +,
usually the healthcare decision makers of family and parents #HPM
Wed Jun 22 18:30:55 PDT 2011
CompAndChoices @emilybarryPR Yup. I wonder if that has to do with women being primary #EOL
caregivers? #hpm
Wed Jun 22 18:31:11 PDT 2011
VillageMemorial It's difficult to address properly. A recent palliative info video had a very peppy intro
w/pop music & fast editing. It was unusual. #hpm
Wed Jun 22 18:31:19 PDT 2011
PracticalWisdom RT @apjonas: T1 PM could use partner message 2relate much better w/ Fam Med.
Sharing can B fun. Control needs may get in way at times. #HPM
Wed Jun 22 18:31:22 PDT 2011
emilybarryPR Yes, I'd think so RT @CompAndChoices: @emilybarryPR Yup. I wonder if that has
to do with women being primary #EOL caregivers? #hpm
Wed Jun 22 18:31:45 PDT 2011
aliciabloom #hospice started as a grassroots movement, so we've got to do grassroots
education. engage & empower the community! #hpm
Wed Jun 22 18:31:46 PDT 2011
SheyontheBay MT @renee_berry:not an easy task,but I think palliative care is relevant 2 evryone &
way less depressing than half of tv shows we watch #HPM
Wed Jun 22 18:31:55 PDT 2011
EldrcareConsult @SheyontheBay PTA's? Now that is a market i have never considered #hpm
Wed Jun 22 18:31:59 PDT 2011
PracticalWisdom @VillageMemorial Love to see the link. Can U or somebody help with this? Thanks.

14. PracticalWisdom @VillageMemorial Love to see the link. Can U or somebody help with this? Thanks.
#HPM
Wed Jun 22 18:32:12 PDT 2011
VillageMemorial @PracticalWisdom @emilybarryPR Women do make most of the purchasing
decisions in the home as well. #hpm
Wed Jun 22 18:32:13 PDT 2011
MeredithGould The larger issue is the pernicious denial of inevitable death. If we can't talk about
that, then other efforts will fail, IMO. #hpm
Wed Jun 22 18:32:29 PDT 2011
drseisenberg Involving people in the process of creating is key...ask them...what made the
biggest difference for you and capture #hpm
Wed Jun 22 18:32:31 PDT 2011
nhdd TY! RT @aliciabloom thoughtful, compassionate & creative messages are
essential. excellent ex @NHDD encourages people to #havethetalk! #hpm
Wed Jun 22 18:32:35 PDT 2011
renee_berry RT @MeredithGould: The larger issue is the pernicious denial of inevitable death. If
we can't talk about that, then other efforts will fail, IMO. #hpm
Wed Jun 22 18:32:51 PDT 2011
MarksPhone @aliciabloom I agree grassroots is key but at some point there needs to be a
tipping point to larger audience #hpm
Wed Jun 22 18:32:56 PDT 2011
CommPharm From an education standpoint the average HC prof doesn't feel comfortable with
many #EOL issues #hpm
Wed Jun 22 18:33:00 PDT 2011
PracticalWisdom If Momma's happyRT @VillageMemorial: @PracticalWisdom @emilybarryPR
Women do make most of the purchasing decisions in the home as well. #HPM
Wed Jun 22 18:33:13 PDT 2011
apjonas RT @MeredithGould:larger issue: pernicious denial of inevitable death. If we cant
talk about that, then other efforts will fail, IMO. #hpm
Wed Jun 22 18:33:16 PDT 2011
PracticalWisdom RT @drseisenberg: Involving people in the process of creating is key...ask
them...what made the biggest difference for you and capture #HPM
Wed Jun 22 18:33:23 PDT 2011
CompAndChoices Excellent. RT @drseisenberg: Involving people in process of creating is key. Ask
them what made biggest difference for you & capture #hpm
Wed Jun 22 18:33:36 PDT 2011
EldrcareConsult @MeredithGould pernicious? How about a translation for us rednecks in TN? Dont
have my Berlitz on me :) #hpm
Wed Jun 22 18:33:38 PDT 2011
renee_berry @MeredithGould death is a part of life, I think there's a very large need for
healthcare to professionally acknowledge this fact #hpm

15. Wed Jun 22 18:34:04 PDT 2011
MeredithGould @EldrcareConsult Go look it up. (I used to teach, can you tell?) #hpm
Wed Jun 22 18:34:07 PDT 2011
PracticalWisdom Oh, my o myRT @EldrcareConsult: @MeredithGould pernicious? How about a
translation for us rednecks in TN? Dont have my Berlitz on me :) #HPM
Wed Jun 22 18:34:10 PDT 2011
VillageMemorial @PracticalWisdom Will try to find that video link. #hpm
Wed Jun 22 18:34:22 PDT 2011
CompAndChoices @drseisenberg Very good reminder. Very important to ask audience what works for
them & what they are looking for. #hpm
Wed Jun 22 18:34:27 PDT 2011
PracticalWisdom Kindness Please RT @MeredithGould: @EldrcareConsult Go look it up. (I used to
teach, can you tell?) #HPM
Wed Jun 22 18:34:48 PDT 2011
PracticalWisdom RT @CompAndChoices: @drseisenberg Very good reminder. Very important to ask
audience what works for them & what they are looking for. #HPM
Wed Jun 22 18:34:56 PDT 2011
MarksPhone I wonder how much of what we r talking about is awareness how much is
education how much is knowing the problems people want to solve? #hpm
Wed Jun 22 18:34:58 PDT 2011
emilybarryPR The topic is a tough one to communicate. So many misperceptions to overcome.
It's not about death... #hpm
Wed Jun 22 18:35:02 PDT 2011
msaxolotl RT @ReginaHolliday: The Last Puppet Show http://is.gd/3QupIa Like this #HPM A
touching post....RH has a way with words....
Wed Jun 22 18:35:05 PDT 2011
MeredithGould @renee_berry I'm with you on this one. Our inability/reluctance to talk about death
as part of life is what gets us in trouble. #hpm
Wed Jun 22 18:35:19 PDT 2011
EldrcareConsult @PracticalWisdom @MeredithGould Would like to report @meridithgould to the
moderator please!!!! :) #hpm
Wed Jun 22 18:35:24 PDT 2011
MeredithGould @PracticalWisdom Uh, I was being kind! #HPM
Wed Jun 22 18:35:36 PDT 2011
drseisenberg a song is born RT @renee_berry: @MeredithGould death is a part of life #hpm
Wed Jun 22 18:35:39 PDT 2011
CompAndChoices @emilybarryPR But has many of the same challenges as talking about death.

16. CompAndChoices @emilybarryPR But has many of the same challenges as talking about death.
#hpm
Wed Jun 22 18:35:42 PDT 2011
renee_berry True, little professional attention is given RT @CommPharm From an edu
standpoint, average HC prof doesnt feel comfortable w/EOL issues #hpm
Wed Jun 22 18:36:00 PDT 2011
apjonas T1 I have 450 Medicare pts out of 2200. We talk about death frequently over a period
of years. We help them think about hpm for yrs. #hpm
Wed Jun 22 18:36:08 PDT 2011
emilybarryPR RT @MeredithGould @renee_berry Im with you on this one. Inability/reluctance to
talk about death as part of life. #hpm
Wed Jun 22 18:36:25 PDT 2011
PracticalWisdom Communication hard in 140. Thanks. RT @MeredithGould: @PracticalWisdom Uh,
I was being kind! #HPM
Wed Jun 22 18:36:30 PDT 2011
authordhallman #hpm Our experience of in-home pc on a 2.5 minute YouTube video:
http://t.co/Om06c3Z People are drawn into the pc aspect thru our story.
Wed Jun 22 18:36:45 PDT 2011
drseisenberg a song about hope and peace and comfort... #hpm
Wed Jun 22 18:36:53 PDT 2011
renee_berry RT @MeredithGould: @renee_berry I'm with you on this one. Our
inability/reluctance to talk about death as part of life is what gets us in trouble.
#hpm
Wed Jun 22 18:37:00 PDT 2011
EldrcareConsult @apjonas Dr. Jonas do you find gericatric care managers in practices in OH?
#hpm
Wed Jun 22 18:37:09 PDT 2011
PracticalWisdom RT @apjonas: T1 I have 450 Medicare pts out 2200. We talk re: death frequently
over period of years. We help them think re:hpm 4 yrs. #HPM
Wed Jun 22 18:37:09 PDT 2011
SheyontheBay @EldrcareConsult Easy 2get on agenda 30min, give print info, anxiety levels low,
many start sharing stories, lots of "I didnt know"... #HPM
Wed Jun 22 18:37:10 PDT 2011
MeredithGould Well, practitioners are <gasp> human with the same fears, which include death &
dying. Add to that the wish to save lives. No win. #hpm
Wed Jun 22 18:37:11 PDT 2011
renee_berry RT @apjonas: T1 I have 450 Medicare pts out of 2200. We talk about death
frequently over a period of years. We help them think about hpm for yrs. #hpm
Wed Jun 22 18:37:22 PDT 2011
CommPharm the creativity can target the message for each palliative care group COPD, cancer,

17. CommPharm the creativity can target the message for each palliative care group COPD, cancer,
CHF. Each has unique issues to address #hpm
Wed Jun 22 18:37:26 PDT 2011
PracticalWisdom Could you give a link to your work. Singing DocRT @drseisenberg: a song about
hope and peace and comfort... #HPM
Wed Jun 22 18:37:45 PDT 2011
aliciabloom educational msg should evolve out of the core of #palliative care: what are your
values & goals, & how can we help you achieve them? #hpm
Wed Jun 22 18:37:45 PDT 2011
emilybarryPR Family testimonials are powerful - whether TV commercial, video on website or
YouTube. They really tell our story well. #hpm
Wed Jun 22 18:37:48 PDT 2011
drbeckerschutte @authordhallman Thanks for sharing! #hpm
Wed Jun 22 18:38:05 PDT 2011
aliciabloom @CommPharm disease specific targets are important, but we also need to be
culturally, religiously, & socially sensitive as well. #hpm
Wed Jun 22 18:38:28 PDT 2011
CompAndChoices @emilybarryPR I think they could be very powerful on Flickr, too. Still images with
captions that tell the story, for example. #hpm
Wed Jun 22 18:38:35 PDT 2011
renee_berry @apjonas great though I think there's a need for clinical &public edu earlier than for
medicare, young adults need #palliative care too #hpm
Wed Jun 22 18:38:40 PDT 2011
EldrcareConsult @SheyontheBay Thanks for the info #hpm
Wed Jun 22 18:38:43 PDT 2011
PracticalWisdom Design can help teach. Does this example help re: Learning
http://www.mja.com.au/public/issues/194_12_200611/man10874_fm.html #HPM
Wed Jun 22 18:38:48 PDT 2011
ElinSilveous It is critical RT @apjonas RT @MeredithGould larger issue: pernicious denial of
inevitable death. If we cant talk about that, then.. #hpm
Wed Jun 22 18:39:04 PDT 2011
apjonas @MeredithGould Maybe us old folks find it easier to mention the eventual demise of
all our pts and us. #hpm
Wed Jun 22 18:39:05 PDT 2011
emilybarryPR Yes! RT @CompAndChoices: @emilybarryPR I think could be very powerful on
Flickr, too. Still images with captions that tell the story. #hpm
Wed Jun 22 18:39:27 PDT 2011
CommPharm Agree 100% RT @aliciabloom:dis specific targets are important, but need to be
culturally, religiously, & socially sensitive as well. #hpm
Wed Jun 22 18:39:27 PDT 2011

18. Wed Jun 22 18:39:27 PDT 2011
phlu RT @renee_berry: @MeredithGould death is a part of life, I think there's a very large
need for healthcare to professionally acknowledge this fact #hpm
Wed Jun 22 18:39:33 PDT 2011
PracticalWisdom YES RT @aliciabloom: @CommPharm disease spec. targets R important, but we
need 2B culturally, religiously/socially sensitive as well. #HPM
Wed Jun 22 18:39:41 PDT 2011
drseisenberg love AUGUST FAREWELL video!!!!! #hpm
Wed Jun 22 18:39:43 PDT 2011
MeredithGould @apjonas You're probably right about that, although I was able to talk about death
when I was in my 20s. My family was open about it. #hpm
Wed Jun 22 18:39:48 PDT 2011
CompAndChoices RT @drseisenberg: love AUGUST FAREWELL video!!!!! #hpm
Wed Jun 22 18:40:02 PDT 2011
PracticalWisdom Spicy Years I call it. RT @apjonas: @MeredithGould Maybe old folks find it easier 2
mention eventual demise of all our pts and us. #HPM
Wed Jun 22 18:40:18 PDT 2011
mancod RT @EldrcareConsult: <------looking to partner with new tweeps on a tele-health
program #hpm
Wed Jun 22 18:40:23 PDT 2011
CompAndChoices Well friends...I must be off. Terrible singing at karaoke awaits. :) Have a great night.
#hpm
Wed Jun 22 18:40:25 PDT 2011
MarksPhone The larger issue is that this topic if important when faced w/EOL the bigger issue is
getting people to think well before you have 2 #hpm
Wed Jun 22 18:40:42 PDT 2011
SheyontheBay MT@aliciabloom: educational msg should evolve from core of #pc - what are your
values & goals, & how can we help you achieve them? #HPM
Wed Jun 22 18:40:43 PDT 2011
PracticalWisdom Anybody grab a link for us tonight. That would be groovy RT @CompAndChoices:
RT @drseisenberg: love AUGUST FAREWELL video!!!!! #HPM
Wed Jun 22 18:40:49 PDT 2011
drbeckerschutte @renee_berry The struggles with talkinga bout EOL issues is a mental health
issue too. #hpm
Wed Jun 22 18:40:53 PDT 2011
PracticalWisdom Thanks for sharing with us.RT @CompAndChoices: Well friends...I must be off.
Terrible singing at karaoke awaits. :) Have a great night. #HPM
Wed Jun 22 18:41:17 PDT 2011
MeredithGould @apjonas Speaking personally, I also found that nearly dying helped ease my

19. MeredithGould @apjonas Speaking personally, I also found that nearly dying helped ease my
worries and fears about it. #hpm
Wed Jun 22 18:41:31 PDT 2011
authordhallman @CompAndChoices @drseisenberg #hpm Thank you.
Wed Jun 22 18:41:33 PDT 2011
renee_berry RT @MarksPhone: The larger issue is that this topic if important when faced w/EOL
the bigger issue is getting people to think well before you have 2 #hpm
Wed Jun 22 18:41:45 PDT 2011
PracticalWisdom Whole Person information RT @drbeckerschutte: @renee_berry The struggles with
talkinga bout EOL issues is a mental health issue too. #HPM
Wed Jun 22 18:41:49 PDT 2011
aliciabloom @MarksPhone absolutely. that's what @NHDD is all about. encouraging people to
consider EoL wishes before they actually need to. #hpm
Wed Jun 22 18:41:49 PDT 2011
renee_berry @MarksPhone agree, that's why advance directives are so important even for
healthy young adults #hpm
Wed Jun 22 18:42:00 PDT 2011
PracticalWisdom Profound RT @MeredithGould: @apjonas Speaking personally, I also found that
nearly dying helped ease my worries and fears about it. #HPM
Wed Jun 22 18:42:09 PDT 2011
CommPharm Many people don't think about next steps in the palliative continuum when they are
trying to manage the issues of today. #hpm
Wed Jun 22 18:42:36 PDT 2011
aliciabloom @renee_berry @MarksPhone i'm under 30 & i've got one! #hpm
Wed Jun 22 18:42:38 PDT 2011
PracticalWisdom Practical RT @renee_berry: @MarksPhone agree, thats why advance directives are
so important even for healthy young adults #HPM
Wed Jun 22 18:42:47 PDT 2011
MeredithGould @ReginaHolliday Yes, family culture plays a huge role. We talked about death and
dying ALL the time! #hpm
Wed Jun 22 18:42:50 PDT 2011
drseisenberg Your welcome! I write songs WITH my patients http://bit.ly/fBRfeC RT
@authordhallman: @CompAndChoices @drseisenberg #hpm Thank you. #hpm
Wed Jun 22 18:43:00 PDT 2011
SheyontheBay MT @aliciabloom: thats what @NHDD is all about. encouraging people to consider
EoL wishes before they actually need to. #HPM
Wed Jun 22 18:43:05 PDT 2011
renee_berry RT @MeredithGould: @ReginaHolliday Yes, family culture plays a huge role. We
talked about death and dying ALL the time! #hpm
Wed Jun 22 18:43:18 PDT 2011

20. Wed Jun 22 18:43:18 PDT 2011
PracticalWisdom @phlu Hi there sorry I missed you before now. Thanks so much for coming. #HPM
Wed Jun 22 18:43:32 PDT 2011
emilybarryPR Sorry...had to get the twins in bed. I'm back! #hpm
Wed Jun 22 18:43:56 PDT 2011
EldrcareConsult Well guys Im gonna bail. Been a long day. Thanks for the insights. #hpm
Wed Jun 22 18:44:05 PDT 2011
renee_berry @MeredithGould @ReginaHolliday but why are we so culturally into watching death
concepts (violent etc) on TV & we can't talk about --> #hpm
Wed Jun 22 18:44:17 PDT 2011
SheyontheBay Challenge: how to allow a peaceful natural death when culture wont allow topic of
discussion #HPM
Wed Jun 22 18:44:24 PDT 2011
drbeckerschutte @PracticalWisdom Yes, the whole person issue is the center of the work I do! It's
why I like this chat so much. #hpm
Wed Jun 22 18:44:30 PDT 2011
MeredithGould @EldrcareConsult Thanks for being so good-natured! #hpm
Wed Jun 22 18:44:33 PDT 2011
drseisenberg The patient is the co-writer. The lyrics and music are born out of a connection in the
room. They're sharing becomes a song of life. #hpm
Wed Jun 22 18:44:35 PDT 2011
MarksPhone @aliciabloom Now the question is why did you get one what motivated you and
why... can that be duplicated for other #hpm
Wed Jun 22 18:44:38 PDT 2011
renee_berry RT @SheyontheBay Challenge: how to allow a peaceful natural death when culture
wont allow topic of discussion #hpm
Wed Jun 22 18:44:54 PDT 2011
PracticalWisdom Glad you stayed and shared. Night. RT @EldrcareConsult: Well guys Im gonna bail.
Been a long day. Thanks for the insights. #HPM
Wed Jun 22 18:45:05 PDT 2011
MeredithGould @renee_berry @ReginaHolliday It's removed when it's on TV. Bears little, if any,
resemblance to the reality of dying. #hpm
Wed Jun 22 18:45:15 PDT 2011
joshgriffin RT @SheyontheBay: Challenge: how to allow a peaceful natural death when culture
wont allow topic of discussion #HPM
Wed Jun 22 18:45:16 PDT 2011
renee_berry RT @drseisenberg: The patient is the co-writer. The lyrics and music are born out
of a connection in the room. They're sharing becomes a song of life. #hpm

21. renee_berry
of a connection in the room. They're sharing becomes a song of life. #hpm
Wed Jun 22 18:45:28 PDT 2011
SheyontheBay I cant describe the horror Ive been working with this week - if my family subjects me
to anything like it, I will return and haunt them #HPM
Wed Jun 22 18:45:42 PDT 2011
CommPharm @renee_berry - natural death is such a personal discussion that many clinicians
don't feel that level of comfort with patients #hpm
Wed Jun 22 18:46:18 PDT 2011
ConvertingMe RT @SheyontheBay: Challenge: how to allow a peaceful natural death when culture
wont allow topic of discussion #HPM
Wed Jun 22 18:46:19 PDT 2011
MeredithGould Not kidding when I say that it starts early on when parents FREAK out at the death
of a companion animal & don't take the opp to teach. #hpm
Wed Jun 22 18:46:28 PDT 2011
renee_berry RT @MeredithGould: @renee_berry @ReginaHolliday It's removed when it's on TV.
Bears little, if any, resemblance to the reality of dying. #hpm
Wed Jun 22 18:46:32 PDT 2011
drbeckerschutte @dreisenberg: Didn't realize you were a musician! #hpm
Wed Jun 22 18:46:36 PDT 2011
ElinSilveous You just have to do it. RT @SheyontheBay: Challenge: how to allow a peaceful
natural death when culture wont allow topic of discussion #HPM
Wed Jun 22 18:46:48 PDT 2011
PracticalWisdom @SheyontheBay Does coming to a Chat like this help with the stress? #HPM
Wed Jun 22 18:46:57 PDT 2011
healthpolicygrp RT @PracticalWisdom: Profound RT @MeredithGould: @apjonas Speaking
personally, I also found that nearly dying helped ease my worries and fears about it.
#HPM
Wed Jun 22 18:46:59 PDT 2011
renee_berry are we doing a T2? #hpm
Wed Jun 22 18:47:01 PDT 2011
aliciabloom @MarksPhone the why is my professional life as an #hpm clinician. can it be
duplicated? yes, compassionate education works. #hpm
Wed Jun 22 18:47:20 PDT 2011
MarksPhone @MeredithGould I just say Marley and Me and thought there was a teachable
moment #hpm
Wed Jun 22 18:47:20 PDT 2011
drbeckerschutte @MeredithGould So true. There are plenty of early teaching opportunities that get
missed. #hpm
Wed Jun 22 18:47:21 PDT 2011

22. PracticalWisdom We certainly can. What does the rest of the group say?RT @renee_berry: are we
doing a T2? #HPM
Wed Jun 22 18:47:34 PDT 2011
SheyontheBay @renee_berry No, it evolved frm talking the talk, and respecting culture #HPM
Wed Jun 22 18:47:54 PDT 2011
aliciabloom i second the motion for a second topic :) #hpm
Wed Jun 22 18:47:59 PDT 2011
MeredithGould @drbeckerschutte I know! Even flushing the pet goldfish can be done with joyful
dignity. #hpm
Wed Jun 22 18:48:00 PDT 2011
ElinSilveous In the '70's, no one spoke of cancer either. There was a cultural stigma. RT
@SheyontheBay: Challenge: how to... #HPM
Wed Jun 22 18:48:13 PDT 2011
apjonas RT @MeredithGould: @drbeckerschutte I know! Even flushing the pet goldfish can
be done with joyful dignity. #hpm
Wed Jun 22 18:48:31 PDT 2011
PracticalWisdom T2: Does the belief in miracles or divine intervention influence medical decision
making? #hpm
Wed Jun 22 18:48:42 PDT 2011
aliciabloom if we make the reality of death a natural part of life then it's less frightening #hpm
Wed Jun 22 18:48:43 PDT 2011
drseisenberg create and engage possibility of discussion working in the moment RT
@renee_berry: RT @SheyontheBay Challenge: how 2 allow a peaceful.. #hpm
Wed Jun 22 18:48:52 PDT 2011
MarksPhone @aliciabloom I think education is key here more then creative/design,
creative/design can drive people to learn more #hpm
Wed Jun 22 18:48:57 PDT 2011
renee_berry RT @ElinSilveous: In the '70's, no one spoke of cancer either. There was a cultural
stigma. RT @SheyontheBay: Challenge: how to... #HPM
Wed Jun 22 18:49:18 PDT 2011
emilybarryPR Yes RT @MarksPhone @aliciabloom I think education is key here more then
creative/design, creative/design can drive people to learn more #hpm
Wed Jun 22 18:49:29 PDT 2011
renee_berry RT @aliciabloom: if we make the reality of death a natural part of life then its less
frightening #hpm
Wed Jun 22 18:49:31 PDT 2011
MeredithGould @ReginaHolliday G'night! #hpm

23. MeredithGould @ReginaHolliday G'night! #hpm
Wed Jun 22 18:49:33 PDT 2011
drbeckerschutte T2: I wish I could say that it didn't, but all you have to do is look at Terry Schriver.
#hpm
Wed Jun 22 18:49:34 PDT 2011
MeredithGould @DrBeckerSchutte Terry Schiavo? #hpm
Wed Jun 22 18:49:50 PDT 2011
joshgriffin RT @aliciabloom: if we make the reality of death a natural part of life then it's less
frightening #hpm
Wed Jun 22 18:50:24 PDT 2011
PracticalWisdom T2: Topic. Any takers this evening? going once, Twice #HPM
Wed Jun 22 18:50:41 PDT 2011
apjonas @PracticalWisdom T2 Yes. Patients make decisions. We give biased information.
They give us course corrections, Thank God #hpm
Wed Jun 22 18:50:44 PDT 2011
MeredithGould T2 Recommend taking a look at this post & the article that prompted it:
http://www.healthfaith.com/2011/06/religion-and-medicine.html #hpm
Wed Jun 22 18:50:50 PDT 2011
aliciabloom @PracticalWisdom: T2: Does the belief in miracles or divine intervention influence
medical decision making? <-- yes, it does! #hpm
Wed Jun 22 18:50:54 PDT 2011
drbeckerschutte @MeredithGould There we go--brain fart. #hpm
Wed Jun 22 18:51:03 PDT 2011
MarksPhone I think people my miss understand HPM as not being devine It is a gift #hpm
Wed Jun 22 18:51:15 PDT 2011
PracticalWisdom RT @apjonas: @PracticalWisdom T2 Yes. Patients make decisions. We give
biased information. They give us course corrections, Thank God #HPM
Wed Jun 22 18:51:17 PDT 2011
MeredithGould @DrBeckerSchutte Here to serve! #hpm
Wed Jun 22 18:51:21 PDT 2011
renee_berry I'm really interested in death education (started a npo a few years back focused on
creating a class for hs students about eol) #hpm
Wed Jun 22 18:51:23 PDT 2011
jfclearywisc RT @CommPharm: Many people don't think about next steps in the palliative
continuum when they are trying to manage issues of today. #hpm
Wed Jun 22 18:51:32 PDT 2011

24. drbeckerschutte @MeredithGould Thanks so much!!! #hpm
Wed Jun 22 18:51:42 PDT 2011
ryanmadanickmd So true, I was in FL then> MT @drbeckerschutte: T2: I wish I could say that it didn't,
but all you have to do is look at Terry Schiavo #hpm
Wed Jun 22 18:51:55 PDT 2011
aliciabloom as a #palliative care clinician, i join with patients & families in their hope for a
miracle. #hpm
Wed Jun 22 18:52:01 PDT 2011
renee_berry #hospice is an opportunity to be at home --> yes! RT @MarksPhone I think people
my miss understand HPM as not being devine It is a gift #hpm
Wed Jun 22 18:52:03 PDT 2011
MeredithGould @renee_berry Sociologists & anthropologists generally tackle that at the
undergraduate level. #hpm
Wed Jun 22 18:52:12 PDT 2011
aliciabloom then, i gently remind them that miracles are bigger than medical intervention &
anything we as humans do or do not do. #hpm
Wed Jun 22 18:52:33 PDT 2011
MarksPhone God and EOL in peace are not mutually exclusive #hpm
Wed Jun 22 18:52:43 PDT 2011
drbeckerschutte @aliciabloom I love that perspective! #hpm
Wed Jun 22 18:52:49 PDT 2011
PracticalWisdom So you share. RT @aliciabloom: as a #palliative care clinician, i join with patients &
families in their hope for a miracle. #HPM
Wed Jun 22 18:52:52 PDT 2011
renee_berry RT @MeredithGould @renee_berry Sociologists & anthropologists generally tackle
that at the undergraduate level #hpm
Wed Jun 22 18:52:53 PDT 2011
ElinSilveous My dear Mother taught me "you begin dying the day you are born." Not morbid,
natural. MT @aliciabloom if we make the reality of death.. #hpm
Wed Jun 22 18:52:58 PDT 2011
PracticalWisdom RT @aliciabloom: then, i gently remind them miracles are bigger than medical
intervention & anything we as humans do or do not do. #HPM
Wed Jun 22 18:53:07 PDT 2011
MeredithGould @aliciabloom That's wonderful. They're blessed to have you with them. #hpm
Wed Jun 22 18:53:10 PDT 2011
ryanmadanickmd T2 I wil ltry to find the study where shows diff race/ethnicities expect diff care at EOL
b/c of belief systems #hpm
Wed Jun 22 18:53:24 PDT 2011

25. Wed Jun 22 18:53:24 PDT 2011
drbeckerschutte No they aren't--it's about reminding people that wishes aren't miracles.RT
@MarksPhone: God and EOL in peace are not mutually exclusive #hpm
Wed Jun 22 18:53:30 PDT 2011
aliciabloom @MeredithGould thank you, and it's a privilege to be there with them. #hpm
Wed Jun 22 18:53:48 PDT 2011
MeredithGould @ElinSilveous It's like positioning menopause as an illness rather than a natural
condition. #hpm
Wed Jun 22 18:53:49 PDT 2011
renee_berry @MeredithGould I'd say yes & no to that & reading about something is different than
experience & clinical & cultural contexts re access #hpm
Wed Jun 22 18:53:54 PDT 2011
drseisenberg @renee_berry @MarksPhone song is called "Gift" #hpm
Wed Jun 22 18:54:00 PDT 2011
apjonas T2. It does and it should influence medical decision making. Supernatural trumps
natural or medical, which may be more limited. #hpm
Wed Jun 22 18:54:08 PDT 2011
renee_berry RT @ElinSilveous: My dear Mother taught me "you begin dying the day you are
born." Not morbid, natural. MT @aliciabloom if we make the reality of death.. #hpm
Wed Jun 22 18:54:09 PDT 2011
emilybarryPR Pls share RT @ryanmadanickmd: T2 I wil ltry to find the study shows diff
race/ethnicities expect diff care at EOL b/c of belief systems #hpm
Wed Jun 22 18:54:19 PDT 2011
healthpolicygrp Some Patients face barriers to access to appropriate care, relegating them to late-
stage emergency status w/ fewer good options. #hpm
Wed Jun 22 18:54:20 PDT 2011
6thsensewellnes @PracticalWisdom I love that perspective #hpm
Wed Jun 22 18:54:34 PDT 2011
SheyontheBay RT @MarksPhone: God and EOL in peace are not mutually exclusive #HPM
Wed Jun 22 18:54:42 PDT 2011
drseisenberg I think that's part of the answer. HPM is a gift you create with those you love. YOu
create it TOGETHER. #hpm
Wed Jun 22 18:54:54 PDT 2011
MeredithGould Some great posts by @bentleystewart on the @HealthFaith blog about how to talk
about death & miracles, etc. #hpm
Wed Jun 22 18:54:58 PDT 2011
PracticalWisdom @ryanmadanickmd: You might enjoy the one that's posted today 2. You can find

26. PracticalWisdom
#HPM #HPM
Wed Jun 22 18:55:05 PDT 2011
MarksPhone And on the other hand HPC have to respect those who are waiting for a devine
intervention #hpm
Wed Jun 22 18:55:12 PDT 2011
PracticalWisdom RT @drseisenberg: I think thats part of the answer. HPM is a gift you create with
those you love. YOu create it TOGETHER. #HPM
Wed Jun 22 18:55:12 PDT 2011
renee_berry @healthpolicygrp yes!! It is so hard because people expect "someone" is
preventing & looking out for that but it's not the case #hpm
Wed Jun 22 18:55:18 PDT 2011
PracticalWisdom So Glad you came. RT @6thsensewellnes: @PracticalWisdom I love that
perspective #HPM
Wed Jun 22 18:55:21 PDT 2011
renee_berry RT @healthpolicygrp: Some Patients face barriers to access to appropriate care,
relegating them to late-stage emergency status w/ fewer good options. #hpm
Wed Jun 22 18:55:26 PDT 2011
jfclearywisc @PracticalWisdom #hpm When "miracles" are raised I always ask the question
"what do you mean by a miracle?"
Wed Jun 22 18:55:33 PDT 2011
fischmd I didn't understand laughter yoga, until this: http://t.co/iJz0vXT, via @youtube : MT
@onesundown: CHOOSE to be joyful, #hpm
Wed Jun 22 18:55:48 PDT 2011
MeredithGould @renee_berry Agree...of course! #hpm
Wed Jun 22 18:55:50 PDT 2011
drbeckerschutte @MarksPhone That's a critical piece of the equation too. #hpm
Wed Jun 22 18:55:55 PDT 2011
PracticalWisdom Wow, we are closing in our our time. What would be your closing thoughts this
evening. #HPM
Wed Jun 22 18:55:56 PDT 2011
CommPharm RT @jfclearywisc: @PracticalWisdom #hpm When "miracles" are raised I always
ask the question "what do you mean by a miracle?"
Wed Jun 22 18:56:06 PDT 2011
drseisenberg Give the ones you love the gift of peace. The gift of hospice. #hpm
Wed Jun 22 18:56:08 PDT 2011
PracticalWisdom Wise (?) RT @jfclearywisc: @PracticalWisdom #hpm When "miracles" are raised I
always ask the question "what do you mean by a miracle?" #HPM
Wed Jun 22 18:56:10 PDT 2011

27. joshgriffin RT @aliciabloom: as a #palliative care clinician, i join with patients & families in
their hope for a miracle. #hpm
Wed Jun 22 18:56:12 PDT 2011
authordhallman #hpm FYI - August Farewell video easy to find by going to my website
http://t.co/GoLIVJa or click on my Twitter name where website is listed
Wed Jun 22 18:56:31 PDT 2011
aliciabloom "Racial and Ethnic Differences in Preferences for End-of-Life Treatment"
(http://goo.gl/Ll5cV) #hpm
Wed Jun 22 18:56:34 PDT 2011
SheyontheBay RT @jfclearywisc: @PracticalWisdom #hpm When "miracles" are raised I always
ask the question "what do you mean by a miracle?" #HPM
Wed Jun 22 18:56:36 PDT 2011
6thsensewellnes Death is only part of life and honor it the same #hpm
Wed Jun 22 18:56:46 PDT 2011
MeredithGould My closing thoughts are the same as ever: be a contribution to community; give
more than you take. #hpm
Wed Jun 22 18:56:47 PDT 2011
drbeckerschutte @jfclearywisc That sounds like it could start some great conversations. #hpm
Wed Jun 22 18:57:12 PDT 2011
aliciabloom we must remind our patients that peace, comfort and dignity are just as important
to hope for when seriously ill. #hpm
Wed Jun 22 18:57:13 PDT 2011
PracticalWisdom RT @6thsensewellnes: Death is only part of life and honor it the same #HPM
Wed Jun 22 18:57:20 PDT 2011
SheyontheBay RT @drseisenberg: Give the ones you love the gift of peace. The gift of hospice.
<AMEN!! #HPM
Wed Jun 22 18:57:20 PDT 2011
VillageMemorial Found it - Here's that unusual intro & palliative video. http://bit.ly/lp1yC0 #hpm
Wed Jun 22 18:57:26 PDT 2011
jfclearywisc @PracticalWisdom #hpm T2: Miracles? I remember one lady about her husband
with a brain tumor. "Just one more day would be a miracle!"
Wed Jun 22 18:57:32 PDT 2011
PracticalWisdom RT @aliciabloom: we must remind our patients that peace, comfort and dignity are
just as important to hope for when seriously ill. #HPM
Wed Jun 22 18:57:35 PDT 2011
emilybarryPR RT @aliciabloom: we must remind our patients that peace, comfort and dignity are
just as important to hope for when seriously ill. #hpm

28. just as important to hope for when seriously ill. #hpm
Wed Jun 22 18:57:36 PDT 2011
MeredithGould RT @aliciabloom: we must remind our patients that peace, comfort and dignity are
just as important to hope for when seriously ill. #hpm
Wed Jun 22 18:57:38 PDT 2011
subatomicdoc RT @PracticalWisdom: RT @aliciabloom: we must remind our patients that peace,
comfort and dignity are just as important to hope for when seriously ill. #HPM
Wed Jun 22 18:57:47 PDT 2011
MarksPhone I've been here 4 a number of weeks & HPM is very complex there is no single
unifying theory but I love the idea of communication plan #hpm
Wed Jun 22 18:57:55 PDT 2011
aliciabloom there are many kinds of healing. it isn't always about a cure. #hpm
Wed Jun 22 18:58:03 PDT 2011
PracticalWisdom RT @jfclearywisc: #hpm T2: Miracles? I remember one lady about her husband
with a brain tumor. "Just one more day would be a miracle!" #HPM
Wed Jun 22 18:58:06 PDT 2011
SheyontheBay Caution that hope for a miracle does not confuse the message of good information
about pt status in establishing goals of care #HPM
Wed Jun 22 18:58:14 PDT 2011
renee_berry RT @aliciabloom: we must remind our patients that peace, comfort and dignity are
just as important to hope for when seriously ill. #hpm
Wed Jun 22 18:58:34 PDT 2011
VillageMemorial RT @aliciabloom: there are many kinds of healing. it isnt always about a cure.
#hpm
Wed Jun 22 18:58:53 PDT 2011
renee_berry RT @SheyontheBay: Caution that hope for a miracle does not confuse the
message of good information about pt status in establishing goals of care #HPM
Wed Jun 22 18:58:55 PDT 2011
PracticalWisdom RT @SheyontheBay: Caution hope 4 a miracle does not confuse message of good
information about pt status in establishing goals of care #HPM
Wed Jun 22 18:59:04 PDT 2011
ElinSilveous Exactly! Gr8 analogy. RT @MeredithGould: @ElinSilveous It's like positioning
menopause as an illness rather than a natural condition. #hpm
Wed Jun 22 18:59:09 PDT 2011
MarksPhone We need to make people believe HPM is a miracle #hpm
Wed Jun 22 18:59:11 PDT 2011
PracticalWisdom RT @aliciabloom: there are many kinds of healing. it isnt always about a cure.
#HPM
Wed Jun 22 18:59:19 PDT 2011

29. joshgriffin RT @SheyontheBay: RT @drseisenberg: Give the ones you love the gift of peace.
The gift of hospice. <AMEN!! #HPM
Wed Jun 22 18:59:19 PDT 2011
aliciabloom "cure sometimes, treat often, comfort always." -hippocrates #hpm
Wed Jun 22 18:59:21 PDT 2011
healthpolicygrp @renee_berry: Patients deserve better. We all do. #hpm
Wed Jun 22 18:59:24 PDT 2011
SheyontheBay sometimes we need to adjust what we are hoping for- from "getting better" to
peaceful passing #HPM
Wed Jun 22 18:59:27 PDT 2011
PracticalWisdom RT @MarksPhone: We need to make people believe HPM is a miracle #HPM
Wed Jun 22 18:59:32 PDT 2011
renee_berry RT RT RT @healthpolicygrp: @renee_berry: Patients deserve better. We all do.
#hpm
Wed Jun 22 18:59:43 PDT 2011
PracticalWisdom RT @aliciabloom: "cure sometimes, treat often, comfort always." -hippocrates
#HPM
Wed Jun 22 18:59:44 PDT 2011
emilybarryPR Amazing, insightful chat tonight all! Thanks for facilitating, Lisa @Practical Wisdom!
#hpm
Wed Jun 22 18:59:44 PDT 2011
6thsensewellnes RT @healthpolicygrp: @renee_berry: Patients deserve better. We all do. #hpm
Wed Jun 22 18:59:47 PDT 2011
ryanmadanickmd RT @aliciabloom: "cure sometimes, treat often, comfort always." -hippocrates
#hpm
Wed Jun 22 18:59:49 PDT 2011
PracticalWisdom RT @SheyontheBay: sometimes we need to adjust what we are hoping for- from
"getting better" to peaceful passing #HPM
Wed Jun 22 18:59:51 PDT 2011
ctsinclair RT @MarksPhone: We need to make people believe HPM is a miracle. "Saw a
quote '#Hospice saved my life" #hpm
Wed Jun 22 18:59:51 PDT 2011