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19/12 #hpm - Healthcare Social Media Transcript

ashtags.symplur.com/healthcare-hashtag-transcript.php?hashtag=hpm&fdate=06-27-2012&shour=1

#hpm transcript

Healthcare Social Media Transcript

From: Wed Jun 27 18:00:00 PDT 2012

To: Wed Jun 27 19:15:00 PDT 2012

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Explore the world of healthcare social media: Healthcare Conferences - Healthcare Tweet Chats - Disease Hashtags

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jfclearywisc Jim Cleary, Dir PPSG (@painpolicy) & @uwhealth Palliative care MD, joining #hpmtweetchat for the next hour tonight.

Wed Jun 27 18:00:16 PDT 2012

ctsinclairWelcome to #hospice and #palliative medicine tweetchat. Twitter's longest runningmedical specialty chat. Please introduce yourself! #HPM

Wed Jun 27 18:00:33 PDT 2012

donaldhtaylorjr I will participate in hospice & palliative medicine "tweetchat" #hpm from 9-10pmhttp://t.co/rl2e0fa8 interesting group; join inWed Jun 27 18:01:04 PDT 2012

ctsinclair Attention followers, my next hour will be full of posts on hospice and palliative caretopics. Would love for you to join in! #HPM

Wed Jun 27 18:01:29 PDT 2012

ctsinclair For an explanation of How/Why to do #HPM tweetchat check out this great slide deckfrom @rfberry and @goBeMoRehttp://t.co/W0YLljhw

Wed Jun 27 18:02:26 PDT 2012

rfberry Renee Berry, early #palliative care advocate from Menlo Park, CA, working@goBeMoRe (currently on vacation in Hawaii) #hpm

Wed Jun 27 18:02:30 PDT 2012

aliciabloom MSW, LSW practicing in #hpm. passionate about improving patient/family accessthrough empowerment & clinical education.Wed Jun 27 18:02:31 PDT 2012

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aliciabloom RT @ctsinclair: For an explanation of How/Why to do #HPM tweetchat check out thisgreat slide deck from @rfberry and @goBeMoRehttp://t ...Wed Jun 27 18:02:43 PDT 2012

ctsinclair @donaldhtaylorjr I'm so glad you are here tonight as we will be talking a little healthpolicy and ACA #HPM

Wed Jun 27 18:02:50 PDT 2012

aliciabloom here comes the flood! for the next hour, i'll be tweeting as part of #hpm chat on topicsrelated to #hospice & #palliative care (join us!)

Wed Jun 27 18:03:34 PDT 2012

ctsinclair A few more minutes for intros and pleasantries and then we'll get down to the topics:Choose Wisely, ACA and politics, and more #HPMWed Jun 27 18:05:08 PDT 2012

hollyby Hello! Holly Yang here, #hospice and #palliative medicine doc. Not able to join formost of it, so wil l lurk. Hugs to you all! #hpm

Wed Jun 27 18:05:47 PDT 2012

ctsinclair @aliciabloom I need to pick some dates to host in the next month or two. I have twomultimedia ideas to run by you #HPM

Wed Jun 27 18:06:02 PDT 2012

rfberry @ctsinclair@aliciabloom sounds exciting #hpmWed Jun 27 18:07:02 PDT 2012

aliciabloom @ctsinclair sounds great! let me know what works for you. #hpmWed Jun 27 18:07:24 PDT 2012

_lizzy_ Hi I'm Lizzy, MSW, LSW, thanatologist and hospice volunteer from Columbus Ohio.Passionate about #hpmWed Jun 27 18:08:26 PDT 2012

ctsinclair Topic 1: It is an election year, ACA is under the microscope, Can we expect end of lifeissues to be an election year issue? (part 1) #HPM

Wed Jun 27 18:08:38 PDT 2012

donaldhtaylorjr Don Taylor Prof of Public Policy at Duke #hpmWed Jun 27 18:08:57 PDT 2012

RannPatterson RT @nursefriendly: Wednesday #Healthcare#Tweetchats (EDT): 830p (#s4pm mHealth Joint chat) (9p #dsma#hcsmca#hpm#premeded) - # ...

Wed Jun 27 18:08:58 PDT 2012

Kamiyamay Think open-minded...#hpm for an hourWed Jun 27 18:08:59 PDT 2012

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ctsinclair Topic 1b) and if so what are we as the HPM tweetchatters prepared to do about it?#HPM

Wed Jun 27 18:09:16 PDT 2012

jfclearywisc @ctsinclair: T1: It is an election year, ACA under the microscope, end of li fe, anelection year issue? (part 1) #HPM No seen as rationing

Wed Jun 27 18:09:48 PDT 2012

ctsinclair ACA = affordable care act for those not familiar with the abbreviation #HPMWed Jun 27 18:09:57 PDT 2012

donaldhtaylorjr RT @ctsinclair: Topic 1: election year, ACA under the microscope, Can we expectend of life issues to be an election yr issue? (part 1) #hpm

Wed Jun 27 18:10:06 PDT 2012

jfclearywisc @ctsinclair T1: US Hospice is in fact universal health care with rationing for thosewho are dying #HPM

Wed Jun 27 18:10:52 PDT 2012

donaldhtaylorjr eol issues will be issue; not in a positive way; cultural fear of death enables scarepolitics of rationing as dirty word #hpm

Wed Jun 27 18:11:54 PDT 2012

jfclearywisc @ctsinclair T1b. #HPM soc media needs to try to shift focus to "appropriate" care.Wed Jun 27 18:11:56 PDT 2012

Kamiyamay RT @jfclearywisc: @ctsinclair T1: US Hospice is in fact universal health care withrationing for those who are dying #HPM

Wed Jun 27 18:11:56 PDT 2012

aliciabloom healthcare reform & ACA will certainly get a lot of attention on the campaign trail. hardto imagine EoL care & issues won't come up. #hpm

Wed Jun 27 18:11:58 PDT 2012

rfberry RT @ctsinclair: Topic 1b) and if so what are we as the HPM tweetchatters prepared todo about it? #HPM

Wed Jun 27 18:12:15 PDT 2012

ctsinclair ACA brought face to face mandated visits by MD/NP to hospice orgs, if #SCOTUSbrings down ACA, wonder if F2F will change? #HPMWed Jun 27 18:12:41 PDT 2012

rfberry @jfclearywisc shift focus from what? #hpmWed Jun 27 18:12:59 PDT 2012

ctsinclair RT @jfclearywisc @ T1b. #HPM soc media needs to try to shift focus to "appropriate"care. "I like the term aligned" #HPM

Wed Jun 27 18:13:07 PDT 2012

T1 - this is a question for the MDs. If ins companies have to remove $ limit, would they

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_lizzy_ have a way to pressure MDs to ration hc? #hpmWed Jun 27 18:13:08 PDT 2012

Kamiyamay @jfclearywisc@ctsinclair Agreed the word "Hospice" carries a dark picture inpeople's minds #hpm

Wed Jun 27 18:13:14 PDT 2012

ctsinclair @donaldhtaylorjr EOL issues will come into play, especially if both candidates haveto offer health care reform ideas in election #HPMWed Jun 27 18:14:00 PDT 2012

Kamiyamay #hpm "America's best hidden secret"Wed Jun 27 18:14:17 PDT 2012

aliciabloom easy for those opposed to reform to make important discussion re: appropriate,patient centered care turn into rationing & death panels #hpm

Wed Jun 27 18:14:26 PDT 2012

jfclearywisc @rfberry T1b shift focus from "giving up" "not fighting" "treat at all costs" to"appropriate" "rational" care #hpm

Wed Jun 27 18:14:46 PDT 2012

ctsinclair @donaldhtaylorjr I need to start working on a slide deck about the difference betweenrationing and patient centered decision making #HPMWed Jun 27 18:14:58 PDT 2012

ctsinclair Has anyone in this group thought of building relationships with mainstream mediajournalists now, so you might be a goto source later? #HPM

Wed Jun 27 18:15:52 PDT 2012

ctsinclair We already know the classic arguments against hospice and pallia tive care, shouldwe start compiling well researched counter arguments? #HPM

Wed Jun 27 18:16:43 PDT 2012

rfberry T1 As a community we can have clear talking points to shift conversations swirlingaround misinformation #hpm

Wed Jun 27 18:16:47 PDT 2012

jfclearywisc MT @donaldhtaylorjr: eol will be negative issue in Nov; cultural fear of death enables

scare politics of "rationing" a dirty word #hpmWed Jun 27 18:16:54 PDT 2012

aliciabloom huge opportunity to correct misconceptions about #hospice & #palliative care andshow people how it improves quality & outcomes #hpm

Wed Jun 27 18:17:18 PDT 2012

donaldhtaylorjr I have linked w journos via blog. ex posts like this on lineage of #IPABhttp://t.co/7JMurkLK@joannekennen journo w #hpm cred #hpm

Wed Jun 27 18:18:13 PDT 2012

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jfclearywisc @ctsinclair I try to have lunch with TV news editor every 3-6 months. Interact withmany journalists by Twitter! #HPM

Wed Jun 27 18:18:21 PDT 2012

_lizzy_ @rfberry@ctsinclair It would be nice to have talking points. I have 2 media interviewsnext week about death awareness. #hpmWed Jun 27 18:18:22 PDT 2012

ctsinclair @Kamiyamay RE: Hospice being a dark picture. When communicated wrong it feelslike a horror movie; done right - a love story #HPMWed Jun 27 18:18:37 PDT 2012

rfberry T1 @IraByock's http://t.co/KWLynkGU has great resources for engaging policy makers#hpm

Wed Jun 27 18:18:50 PDT 2012

Kamiyamay T1-may not be top issue from the eyes of state but becoming much more talked aboutout in the communities..someone is getting word out #hpmWed Jun 27 18:18:58 PDT 2012

ctsinclair RT @jfclearywisc: @ctsinclair I try to have lunch with TV news editor every 3-6months. Interact with many journalists by Twitter! #HPM

Wed Jun 27 18:18:58 PDT 2012

aliciabloom @ctsinclair yes. we have evidence based support re: #hospice & #palliative careimproving QoL + patient outcomes w/ incidental $ saving #hpm

Wed Jun 27 18:19:13 PDT 2012

donaldhtaylorjr Two levels of engagement on #eol: (1) addressing lies (2) helping people/familiesunderstand their options #hpm

Wed Jun 27 18:19:21 PDT 2012

_lizzy_ @ctsinclair I always try to blast social media when there are misconceptions, such asthe J&J commercial that is still running #hpmWed Jun 27 18:19:28 PDT 2012

ctsinclair @jfclearywisc I need to polish up my journalist list for sure and start makingconversations with them now. Locally & Nationally #HPM

Wed Jun 27 18:19:28 PDT 2012

ctsinclair RT @rfberry: T1 @IraByockshttp://t.co/4GZ3NBFs has great resources for engagingpolicy makers #HPMWed Jun 27 18:19:41 PDT 2012

aliciabloom @_lizzy_@ctsinclair we should consider talking about the J&J #hospice RNcommercial in a future chat #hpm

Wed Jun 27 18:20:14 PDT 2012

ctsinclair @_lizzy_ See last tweet by @rfberry on Ira Byock. Great resources! #HPMWed Jun 27 18:20:15 PDT 2012

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jfclearywisc @ctsinclair Perhaps we could invite some journos to join an #HPM chat to discussinteractions wi th media #hpmglobal

Wed Jun 27 18:20:57 PDT 2012

ctsinclair RT @aliciabloom: huge opportunity to correct misconceptions abt #hospice palliative care; show how it improves quality/outcomes #HPM

Wed Jun 27 18:20:57 PDT 2012

donaldhtaylorjr Medicare hospice benefit needs to be updated/modernized; politics make impossibleright now #hpmWed Jun 27 18:20:58 PDT 2012

Kamiyamay @ctsinclair Agree but many times arriving on scene people very angry at theword..usually end with...we wish we had known earlier...#hpm

Wed Jun 27 18:21:06 PDT 2012

ctsinclair @aliciabloom Yes I know nothing about the J&J hospice nurse commercial! #HPMWed Jun 27 18:21:16 PDT 2012

ctsinclair RT @donaldhtaylorjr: Two levels of engagement on #eol: (1) addressing lies (2)helping people/families understand their options #HPM

Wed Jun 27 18:21:24 PDT 2012

_lizzy_ @ctsinclair@rfberry Funny I was just looking at it and I was thinking how awesome itwas. Thanks! #hpmWed Jun 27 18:21:26 PDT 2012

rfberry @ctsinclair I have a healthcare journalist list, heck it out #hpmWed Jun 27 18:21:51 PDT 2012

ctsinclair RT @rfberry: T1 As a community we can have clear talking points to shiftconversations swirling around misinformation #HPM

Wed Jun 27 18:21:54 PDT 2012

jfclearywisc Industry defensive too RT @donaldhtaylorjr: Medicare hospice benefit needs to beupdated/modernized; politics make impossible right now #hpm

Wed Jun 27 18:21:56 PDT 2012

rfberry RT @aliciabloom: @_lizzy_@ctsinclair we should consider talking about the J&J#hospice RN commercial in a future chat #hpmWed Jun 27 18:22:07 PDT 2012

ctsinclair @donaldhtaylorjr do you think MEDPAC is a decent approach to distance goodreform from politics? #HPM

Wed Jun 27 18:22:27 PDT 2012

rfberry @aliciabloom@_lizzy_@ctsinclair when I saw that, I ran into the TV room, was soexcited! #hpm

Wed Jun 27 18:22:48 PDT 2012

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Kamiyamay @ctsinclair@donaldhtaylorjr . also winning their trust. First visit is important. Theyneed truth, someone to look in eyes, compassion #hpm

Wed Jun 27 18:23:19 PDT 2012

rfberry @_lizzy_ I haven't seem it for a while, what misconceptions are in it ? #hpmWed Jun 27 18:23:34 PDT 2012

aliciabloom definite topic for future chat! RT @rfberry: @aliciabloom@_lizzy_@ctsinclair when Isaw that, I ran into the TV room, was so excited! #hpmWed Jun 27 18:23:38 PDT 2012

ravipm2000 @jfclearywisc FYI. http://t.co/7lMyOknw#hpmWed Jun 27 18:23:42 PDT 2012

ctsinclair Side question: would this community like talking points and a good reference list?Maybe host on @Pallimed & @goBeMore? #HPM

Wed Jun 27 18:23:46 PDT 2012

rfberry RT @donaldhtaylorjr: Two levels of engagement on #eol: (1) addressing lies (2)helping people/families understand their options #hpmWed Jun 27 18:23:47 PDT 2012

jfclearywisc J&J nursing commercail RT @ravipm2000: @jfclearywisc FYI. http://t.co/Gw4XNcnF#hpm

Wed Jun 27 18:24:16 PDT 2012

ctsinclair @rfberry: @aliciabloom@_lizzy_ I have no clue about this commercial you aretalking about! Is this it? http://t.co/Y89IVyKP#HPM

Wed Jun 27 18:24:48 PDT 2012

ravipm2000 @ctsinclair FYI http://t.co/7lMyOknw#hpmWed Jun 27 18:24:49 PDT 2012

donaldhtaylorjr MEDPAC has solid recs; ex u shape per diem $ & noting long & short stays inhospice as problem is good; their recs often later taken #hpmWed Jun 27 18:24:59 PDT 2012

ctsinclair Thanks @jfclearywisc@Ravipm2000 So glad to have the link #HPMWed Jun 27 18:25:29 PDT 2012

aliciabloom @ctsinclair i think it would be great resource. we're a committed group of people, itwould be nice to have some consistent messaging. #hpm

Wed Jun 27 18:26:12 PDT 2012

JoanneKenen @donaldhtaylorjr@joannekennen#IPAB#hpm thank don! (But spelled@JoanneKenen )

Wed Jun 27 18:26:32 PDT 2012

ctsinclair Getting ready for topic 2, so close out your thoughts on what we as a communitycould do to prepare for EOL issues in upcoming election #HPM

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Wed Jun 27 18:26:37 PDT 2012

donaldhtaylorjr CMS and many congressional staffers obsessed with long stays; worried about backdoor LTC benefit. Need to focus on short & long stays #hpm

Wed Jun 27 18:26:57 PDT 2012

_lizzy_ @ctsinclair Yes that's it. It bothers me because it implies the nurse is not accepting ofpt. dying that night... #hpmWed Jun 27 18:27:00 PDT 2012

aliciabloom J&J #hospice RN commercial will be topic at our next chat in July #ipromise#hpmWed Jun 27 18:27:09 PDT 2012

ctsinclair @JoanneKenen Now here is one reporter I love talking to! #HPMWed Jun 27 18:27:25 PDT 2012

aliciabloom consistent messaging that responds to negativity with positivity & reframing will beessential for #hospice & #palliative care #hpm

Wed Jun 27 18:28:03 PDT 2012

donaldhtaylorjr This is a journo all #hpm types should follow @JoanneKenen has feet in both hpmand journo world #hpm

Wed Jun 27 18:28:25 PDT 2012

ctsinclair RT @aliciabloom: consistent messaging to negativity with positivity & reframing willbe essential for #hospice & #palliative care #HPMWed Jun 27 18:28:37 PDT 2012

ctsinclair @_lizzy_ I caught that at the end as well. #HPMWed Jun 27 18:28:49 PDT 2012

ctsinclair RT @donaldhtaylorjr: This is a journo all #hpm types should follow @JoanneKenenhas feet in both hpm and journo world "YES!" #HPM

Wed Jun 27 18:29:08 PDT 2012

jen_c_taylor Hi! I'm very late..........sorry. When the daylight time changes it is difficult for me to joinin. #hpm

Wed Jun 27 18:29:36 PDT 2012

ctsinclair Topic 2: #ChoosingWisely campaign is open for more suggestions onprocedures/tests/therapies we should think critically about... #HPMWed Jun 27 18:30:28 PDT 2012

ctsinclair Topic 2 (cont): what might you suggest for over-used/harmful treatments in a hospicesetting: http://t.co/GN41PckR#ChoosingWisely#HPM

Wed Jun 27 18:31:13 PDT 2012

ctsinclair @jen_c_taylor No problem! Glad you are here, no matter day or night! #HPMWed Jun 27 18:31:33 PDT 2012

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aliciabloom #ChoosingWisely- http://t.co/M5bFgoTT#hpmWed Jun 27 18:31:50 PDT 2012

ctsinclair For more background on #ChoosingWisely see @GeriPalBlog post here:http://t.co/qe0YcBWf#HPM

Wed Jun 27 18:32:09 PDT 2012

RossJeanette Hi all , joining late.. T2 certain meds l ike statins in hospice setting is something can bereduced #hpmWed Jun 27 18:33:12 PDT 2012

equijada @ctsinclair t2 the overuse of lorazepam #choosingwisely#hpmWed Jun 27 18:33:35 PDT 2012

jfclearywisc @ctsinclair Love #ChoosingWisely. Show web site to many folks. Struggle w #HPMtwist 4 it...... Being rushed to inpatient unit hrs b4 death?

Wed Jun 27 18:33:39 PDT 2012

jfclearywisc Agree especially for nausea & vomiting RT @equijada: @ctsinclair t2 the overuse oflorazepam #choosingwisely#hpm

Wed Jun 27 18:34:16 PDT 2012

aliciabloom overused/harmful treatments late in disease trajectory: PEG tube placement, CPR,benzos in older adults, frequent hospitalizations #hpmWed Jun 27 18:35:19 PDT 2012

ctsinclair @jfclearywisc I agree hospice inpatient units in danger of overuse; Taking awayopportunity for dying at home. Should support in place #HPM

Wed Jun 27 18:35:39 PDT 2012

rfberry @donaldhtaylorjr agree, though last year I was impressed with how extensively somestaffers were on the big picture #hpm

Wed Jun 27 18:35:47 PDT 2012

ravipm2000 T2 Agree with the overuse of benzos especially in elderly with longer prognoses.#hpm

Wed Jun 27 18:35:49 PDT 2012

ctsinclair @equijada Care to share more? #HPMWed Jun 27 18:35:49 PDT 2012

ctsinclair @aliciabloom PEG tube placement for sure. Especially with great research by Tenoshowing no benefit in wound care with PEG #HPMWed Jun 27 18:36:19 PDT 2012

ctsinclair @aliciabloom Also good data to show hospitalizations in patients with dementiamuch more harmful. #HPM

Wed Jun 27 18:37:15 PDT 2012

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aliciabloom overuse of appetite stimulants in advanced illness. need to educate patient/family re:normal trajectory of disease progression #hpm

Wed Jun 27 18:42:29 PDT 2012

Kamiyamay @ctsinclair@jfclearywisc 90% of patient goal at admit: to stay in my own home, morecomfort, less confusion most of the time #hpm

Wed Jun 27 18:42:33 PDT 2012

GriefHealing Facing Frailty at End of Life http://t.co/vFP7YuHE#eol#caregiving#hpmWed Jun 27 18:42:38 PDT 2012

ctsinclair @RossJeanette I see a lot of nutritional supplements with indirect theoretical benefitbut none realized. #HPMWed Jun 27 18:42:40 PDT 2012

AfternoonNapper Good evening, all! Coming over from the fabulous madness that is #mHealth. #hpmWed Jun 27 18:42:45 PDT 2012

ctsinclair @AfternoonNapper Welcome! #HPMWed Jun 27 18:43:19 PDT 2012

jfclearywisc @ctsinclair Intrathecal pumps. R u seeing these used a lot in #hpm We don't.Probably need more. Some use them for $$ #ChoosingWisely#HPM

Wed Jun 27 18:43:21 PDT 2012

equijada @ctsinclair Yes. Comes down to idea of alignment. True informed consent to avoidover/under treatment, truly in context of narrative. #hpm

Wed Jun 27 18:43:35 PDT 2012

aliciabloom @_lizzy_ hope hospice patient isn't get a trach & PEG. lots of hospice appropriatepatients end up getting them = delay in hospice care #hpmWed Jun 27 18:43:45 PDT 2012

ctsinclair Getting ready to move on to topic 3: so wrap up your thoughts on #ChoosingWiselyand comment over at @GeriPalBlog#HPM

Wed Jun 27 18:43:51 PDT 2012

rfberry Since I don't know about the medication side of things I will say that I think socialworkers are underutilized #hpm

Wed Jun 27 18:44:14 PDT 2012

ctsinclair @jfclearywisc Would love to see a regional study of hospice clinicians incidence ofpatients with intrathecal pumps. #HPMWed Jun 27 18:44:22 PDT 2012

ctsinclair @jfclearywisc if only I knew someone who worked at a company wi th nationalhospice locations... #HPM

Wed Jun 27 18:44:41 PDT 2012

equijada @jfclearywisc I'm not seeing too many intrathecal pumps, when I do, it's usually in

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someone with chronic back pain. #hpm

Wed Jun 27 18:44:45 PDT 2012

aliciabloom :) RT @rfberry: Since I dont know about the medication side of things I will say that Ithink social workers are underutilized #hpmWed Jun 27 18:44:49 PDT 2012

Kamiyamay @aliciabloom#hpm definitely role of #eol team...educate families!Wed Jun 27 18:44:59 PDT 2012

ravipm2000 RT @rfberry: Since I dont know about the medication side of things I will say that Ithink social workers are underutilized #hpm

Wed Jun 27 18:45:03 PDT 2012

ctsinclair @rfberry some feel they will be reported/hotlined to adult protective services by thesocial worker. Might be one reason, sadly #HPM

Wed Jun 27 18:45:43 PDT 2012

PsychgallicaRT @AAHPM: End-of-life decisions can have long-term effects on family

http://t.co/oBVa13WU#hpmWed Jun 27 18:45:50 PDT 2012

jfclearywisc @ctsinclair Isn't that you? :-) #HPMWed Jun 27 18:46:00 PDT 2012

_lizzy_ @GriefHealing Great article, thanks for posting. Join our chat! Yet one more articleabout folks not having conversations in time #hpm

Wed Jun 27 18:46:02 PDT 2012

ctsinclair @equijada@jfclearywisc - I'm seeing them more and more in advanced stagecancer, declining function, cachexia #HPM

Wed Jun 27 18:46:13 PDT 2012

_lizzy_ RT @GriefHealing: Facing Frailty at End of Life http://t.co/j0qWf5TF#eol#caregiving#hpmWed Jun 27 18:46:17 PDT 2012

rfberry I think social workers are better utilized in #hpm than other areas of healthcare, shldbe more of them on teams/smaller caseloads

Wed Jun 27 18:46:51 PDT 2012

Kamiyamay @aliciabloom@rfberry#hpm Re: underuse? varies organization toorganization....good team, effective use!

Wed Jun 27 18:47:12 PDT 2012

aliciabloom @ctsinclair@rfberry lots of misperceptions about SW profession in the community.wish we had title protection, think that would help #hpm

Wed Jun 27 18:47:16 PDT 2012

ctsinclair @jfclearywisc Will try to lobby for a research department/team #HPMWed Jun 27 18:47:17 PDT 2012

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ctsinclair @rfberry I agree about smaller caseloads for SW. #HPMWed Jun 27 18:47:31 PDT 2012

_lizzy_ @rfberry agreed! Use the SWs. It makes me sad when meds are first go-to beforebehavioral interventions w/ EOL dementia pts #hpm

Wed Jun 27 18:47:53 PDT 2012

ctsinclair OK Topic 3: what media (book, movie/TV/song) have you experienced recently thathas spurred thoughts about #HPM

Wed Jun 27 18:48:21 PDT 2012

_lizzy_ @rfberry the caseload that I know of in my city varies from 25-75 per social worker,with more than one hospice >30 per SW #hpm

Wed Jun 27 18:49:06 PDT 2012

AfternoonNapper RT @ctsinclair: Topic 3: what media (book, movie/TV/song) have you experiencedrecently that has spurred thoughts about #hpmWed Jun 27 18:49:19 PDT 2012

ctsinclair I ask this question every few months because I usually find something in theentertainment world relates back to my work #HPM

Wed Jun 27 18:49:51 PDT 2012

Sonolucent RT @AAHPM: End-of-life decisions can have long-term effects on familyhttp://t.co/oBVa13WU#hpm

Wed Jun 27 18:50:17 PDT 2012

equijada @ctsinclair t3 Brave. Because I thought about my daughter getting married and

became sad. WAIT. #hpm doesn't mean sad. My bad. #hpmWed Jun 27 18:50:23 PDT 2012

jfclearywisc @rfberry Appreciate SW but get annoyed re interpretation of Medicare benefit saysSW has to visit every 2/52. Some need it. Others not! #hpmWed Jun 27 18:50:26 PDT 2012

ravipm2000 T3 :"If I die young" by the Band Perry #hpmWed Jun 27 18:50:29 PDT 2012

_lizzy_@ctsinclair My Ipad Smurfs game had a smurf who talked re his bucket list & thethings he wanted to do before he died. I was shocked! #hpm

Wed Jun 27 18:50:32 PDT 2012

ctsinclair @_lizzy_ What?! Smurfs and bucket list!? I have to check that out. Anyway you couldrecord that and send it to me? #HPM

Wed Jun 27 18:51:17 PDT 2012

jfclearywisc RT @_lizzy_: My Ipad Smurfs game had a smurf who talked re his bucket list & thethings he wanted to do before he died. I was shocked! #hpmWed Jun 27 18:51:44 PDT 2012

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ctsinclair I recently re-watched Toy Story 3 and the end when Andy gives his toys to the younggirl and they say goodbye made me think a lot about #HPMWed Jun 27 18:52:07 PDT 2012

aliciabloom Dr. VanScoy's "Last Wish: Stories to Inspire a Peaceful Passing" tells real patientsstories & encourages discussion (@KnowYourWishes) #hpm

Wed Jun 27 18:52:13 PDT 2012

RyanWesthoff Hi all, hpm fellow at KC Hospice and KU, joining late #hpmWed Jun 27 18:52:14 PDT 2012

ctsinclair RT @_lizzy_: My Ipad Smurfs game had a smurf who talked re his bucket list & thethings he wanted to do before he died. I was shocked! #HPM

Wed Jun 27 18:52:15 PDT 2012

aliciabloom RT @_lizzy_: My iPad Smurfs game had a smurf who talked re his bucket list & thethings he wanted to do before he died. I was shocked! #hpmWed Jun 27 18:52:33 PDT 2012

ctsinclair @_lizzy_ I just googled it and I only found one reference, your Google Plus page! Ha!#HPM

Wed Jun 27 18:53:01 PDT 2012

Kamiyamay @ctsinclair#hpm Listen to Christian rock/pop...lots of "if I were gone" "live like there isno tomorrow" etc.

Wed Jun 27 18:53:03 PDT 2012

aliciabloom @_lizzy_ Smurfs talking bucket lists? amazing! i'm sure that's making some dialoguehappen #hpm

Wed Jun 27 18:53:17 PDT 2012

AfternoonNapper I've been watching A LOT of Top Gear lately (BBC). Makes me think of my bucket listI want to go FAST (in a car). #hpmWed Jun 27 18:53:20 PDT 2012

RossJeanette T3 Second hand lions. It's a few years old. at the end of the movie 2 elder men decideto die by crashing their plane. #hpm

Wed Jun 27 18:53:21 PDT 2012

ctsinclair @RyanWesthoff Hey Ryan. We're talking about what media (TV/Movie/Book/Music)

recently made you think of #HPMWed Jun 27 18:53:31 PDT 2012

RyanWesthoff T3 great example of dignity therapy by richard shindell cold missouri watershttp://t.co/yplY4sjf#hpm

Wed Jun 27 18:53:41 PDT 2012

ravipm2000 RT @AfternoonNapper: Ive been watching A LOT of Top Gear lately (BBC). Makesme think of my bucket listI want to go FAST (in a car). #hpm

Wed Jun 27 18:53:54 PDT 2012

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_lizzy_ The season finale episode of The Finder "The Boy with the Bucket" had the maincharacter's dad on hospice & part of story #hpm

Wed Jun 27 18:54:14 PDT 2012

ctsinclair (Sidebar: I have had so much fun in chat, I'm now typing in the dark as the sun wentdown. It is dark in here!) #HPM

Wed Jun 27 18:54:22 PDT 2012

ravipm2000T3 Star Wars is a classic reference to #hpm

Wed Jun 27 18:54:41 PDT 2012

ctsinclair @AfternoonNapper Interesting connection! Top Gear -> Bucket List #HPMWed Jun 27 18:54:52 PDT 2012

aliciabloom :) -> RT @ctsinclair: (Sidebar: I have had so much fun in chat, Im now typing in thedark as the sun went down. It is dark in here!) #hpmWed Jun 27 18:55:05 PDT 2012

ctsinclair@RossJeanette I totally forgot about Second Hand Lions! I need to rent that oneagain. #HPM

Wed Jun 27 18:55:20 PDT 2012

ctsinclair @ravipm2000 In what way is SW referencing HPM (I have my own thoughts, justwondering about yours) #HPM

Wed Jun 27 18:55:41 PDT 2012

jfclearywisc @ctsinclair I just completed a bucket list item; Rode my bike 250 miles from Londonto Paris w @HelptheHospices! #HPM

Wed Jun 27 18:55:55 PDT 2012

RossJeanette T3 I just showed the fellows "dying in Oregon" which was released last month in DVD#hpmWed Jun 27 18:55:58 PDT 2012

rfberry @_lizzy_ yep, I think @NASW recommends a maximum caseload of 25 (I've heard ofsome w/100.. Scary & laying the foundation for burnout) #hpm

Wed Jun 27 18:56:19 PDT 2012

Kamiyamay @ctsinclair#hpm People think I am morbid using the word enjoy with hpm, I laugh,tell them I grant last wishes!

Wed Jun 27 18:56:31 PDT 2012

equijada @jfclearywisc wow. nice! #hpmWed Jun 27 18:56:39 PDT 2012

ctsinclair I saw a movie trailer about 5 months ago about two desperate souls who find eachother. One was a hospice nurse... #HPMWed Jun 27 18:56:45 PDT 2012

JoanneKenen .@donaldhtaylorjr@ctsinclair thank you -- at moment have feet, arms and head in#SCOTUS world (but heart in #hpm world)..

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Wed Jun 27 18:56:50 PDT 2012

ravipm2000 Anakin refuses to let his loved ones die with dire consequences-turning to the darkside! He also undergoes life support. #hpm

Wed Jun 27 18:56:56 PDT 2012

aliciabloom recently watched "Water for Elephants" & read the book. story centers around elderlyman in nursing home & his own life review. #hpm

Wed Jun 27 18:57:11 PDT 2012

ctsinclair ...but it seemed cliche as a way to introduce that she is cold and unfeeling in real life,but in her work she is so compassionate. #HPMWed Jun 27 18:57:18 PDT 2012

JoanneKenen @ctsinclair#IPAB yep. And if the court upholds health law, that's the next legaltarget....#hpm#hcr#scotus

Wed Jun 27 18:57:39 PDT 2012

ravipm2000 @ctsinclair The Jedi accept death and see it as part of one's existence. #hpmWed Jun 27 18:57:42 PDT 2012

ctsinclair @aliciabloom This is why I love asking this question! I learn that so many differentstories revolve around hpm issues #HPM

Wed Jun 27 18:58:11 PDT 2012

aliciabloom RT @ravipm2000: The Jedi accept death and see it as part of one's existence. #hpmWed Jun 27 18:58:24 PDT 2012

ravipm2000 T3 "What dreams may come." with Robin Williams- thoughts about death and the

afterlife #hpmWed Jun 27 18:58:33 PDT 2012

_lizzy_ Smurfs talking about bucket lists?! Leave it to the Belgians to be more advanced on#death topics. #hpmhttp://t.co/D455uGWXWed Jun 27 18:58:35 PDT 2012

ctsinclair RT @jfclearywisc: @ctsinclair I just completed a bucket list item; Rode my bike 250miles from London to Paris w @HelptheHospices! #HPM

Wed Jun 27 18:58:37 PDT 2012

Kamiyamay @ctsinclair ....oh no....bad press #hpmWed Jun 27 18:58:42 PDT 2012

jfclearywisc @ctsinclair Now u have @ravipm2000 going. He won't stop on Starwars and #Hpm!!!!Wed Jun 27 18:58:51 PDT 2012

AfternoonNapper @ravipm2000 Warriors have always been able to find the honor in death. #hpmWed Jun 27 18:59:12 PDT 2012

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ctsinclair @RossJeanette I just taught an art school class on Western attitudes towards Deathand Dying and they were going to watch that #HPM

Wed Jun 27 18:59:14 PDT 2012

aliciabloom @ctsinclair didn't think about it that way at first, but in retrospect it's all about himfinding meaning, considering his legacy. #hpmWed Jun 27 18:59:14 PDT 2012

ravipm2000 @jfclearywisc I can't help it Sir! I'm a fan! #hpmWed Jun 27 18:59:29 PDT 2012

ctsinclair @jfclearywisc@ravipm2000 I think we will need to write a paper on i t together. Iagree with a lot of his points! #HPM

Wed Jun 27 18:59:36 PDT 2012

_lizzy_ @rfberry I have seen articles that prove that better SW ratio=fewer hospital visits.Unfortunately, we have to prove $ value #hpm

Wed Jun 27 18:59:39 PDT 2012

ctsinclair @_lizzy_ If you could get a video of that I would love to have it. Would you want towrite a guest post for @Pallimed on it? #HPM

Wed Jun 27 19:00:25 PDT 2012

ravipm2000 @ctsinclair It's a good pop culture reference! #hpmWed Jun 27 19:00:34 PDT 2012

SteveBednarski RT @AfternoonNapper: @ravipm2000 Warriors have always been able to find thehonor in death. #hpm

Wed Jun 27 19:00:43 PDT 2012

_lizzy_ @ctsinclair I didn't get a picture of the first time it came up, but I snapped a photo ofthe 2nd part of the dialogue. #hpm

Wed Jun 27 19:00:53 PDT 2012

ctsinclair Oh my goodness me! it is 9pm! Thanks everyone for coming tonight! Please sharesomething inspirational to sign off for the night! #HPM

Wed Jun 27 19:01:13 PDT 2012

rfberry Great chat!! Thanks for hosting @ctsinclair#hpmWed Jun 27 19:01:20 PDT 2012

Kamiyamay #hpm...on buckets...hope life grants you a bathtub but use analogy with patientsbucket is now a cup, how can we make best of what is in cup

Wed Jun 27 19:01:24 PDT 2012

_lizzy_ @ctsinclair are you talking about the Smurfs or The Finder? #hpmWed Jun 27 19:01:32 PDT 2012

aliciabloom @ctsinclair or 10pm! depending upon where you're sitting. #hpmWed Jun 27 19:01:50 PDT 2012

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ctsinclair @ravipm2000 Pretty universal in appeal. Except for Jar Jar Binks. Even my 6 yearolds cant stand him. (I may have brainwashed them) #HPM

Wed Jun 27 19:01:53 PDT 2012

ctsinclair @_lizzy_ Smurfs. Could you replay that part? #HPMWed Jun 27 19:02:06 PDT 2012

JoanneKenen .@ctsinclair@donaldhtaylorjr - after writing on #hospice#palliative care #hpm foryears, now experiencing as a daughter, caregiver.Wed Jun 27 19:02:09 PDT 2012

ctsinclair @aliciabloom ;-) #HPMWed Jun 27 19:02:18 PDT 2012

_lizzy_ Thanks all and @ctsinclair for hosting. Great chat! I love it when it's so busy I can'tkeep up! #hpm

Wed Jun 27 19:02:19 PDT 2012

ctsinclair @rfberry Have fun in Hawaii. Send some pics! #HPMWed Jun 27 19:02:33 PDT 2012

ravipm2000 @ctsinclair Agreed! #hpmWed Jun 27 19:02:33 PDT 2012

jfclearywisc RT @Kamiyamay: #hpm..on buckets..hope life grants you a bathtub but use analogy;bucket is now a cup, how can we make best of what's in cupWed Jun 27 19:02:39 PDT 2012

_lizzy_ @ctsinclair I only have pictures and I don't have the very first one where he brought itup. I will try to contact the game makers :) #hpm

Wed Jun 27 19:03:12 PDT 2012

aliciabloom great chat tonight! #hpmWed Jun 27 19:03:33 PDT 2012

ctsinclair I faovrited many tweets tonight. Must go back and explore more! Thanks everyone forcoming. Have a great night. #HPM

Wed Jun 27 19:03:44 PDT 2012

ctsinclair @_lizzy_ How far into the game was it. I'd play it just to get to that part. #HPMWed Jun 27 19:04:00 PDT 2012

SteveBednarski @_lizzy_@ctsinclair#hpm. Great insight from all tonight. Good job crew!!Wed Jun 27 19:04:10 PDT 2012

_lizzy_ Can someone republ ish the link where the chat is stored? #hpmWed Jun 27 19:04:23 PDT 2012

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_lizzy_ @ctsinclair Ummm level 37 and it has taken me like 2 years to get there. ;) #hpmWed Jun 27 19:04:43 PDT 2012

RossJeanette good night all . Good to Tweet you #hpmWed Jun 27 19:05:02 PDT 2012

SteveBednarski RT @Kamiyamay: #hpm...on buckets...hope life grants you a bathtub but use analogy

with patients bucket is now a cup, how can we make bes ...Wed Jun 27 19:05:18 PDT 2012

produceconsume RT @_lizzy_: Smurfs talking about bucket lists?! Leave it to the Belgians to be moreadvanced on #death topics. #hpmhttp://t.co/D455uGWX

Wed Jun 27 19:05:41 PDT 2012

ctsinclair RT @Kamiyamay: hope life grants you a bathtub but use analogy with patients bucketis now a cup, how can we make best of what is in cup #HPMWed Jun 27 19:06:25 PDT 2012

ctsinclair @RossJeanette good night! #HPMWed Jun 27 19:06:31 PDT 2012

ravipm2000 Great chat. Thanks for hosting @ctsinclair#hpmWed Jun 27 19:08:08 PDT 2012

Kamiyamay @JoanneKenen 2 hrs ago said -there will be days U feel U won't make it, U will comeout other side but U will B different -stronger #hpm

Wed Jun 27 19:08:51 PDT 2012

Kamiyamay #hpm On call...phone ringing...night all!Wed Jun 27 19:10:34 PDT 2012

ctsinclair @aliciabloom status of #HPM chat next week because of Wed July 4th? cc @rfberryWed Jun 27 19:14:48 PDT 2012

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