#Hpm Transcript 08.14.13

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8/20/13 #hpm - Healthcare Social Media Transcript

hashtags.symplur.com/healthcare-ha shtag-transcript.php?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec=

#hpm transcript

Healthcare Social Media Transcript

From: Wed Aug 14 18:00:00 PDT 2013

To: Wed Aug 14 19:15:00 PDT 2013

change time period

What is #hpm? Who were the influencers during this time period? #hpm analytics

Healthcare Conference - Healthcare Tweet Chats - Healthcare Analytics

ctsinclair Hello world. Top of the hour and time to start the#hospice and #palliativecare/medicine tweetchat. Come in and introduce yourself! #hpm

Wed Aug 14 18:00:06 PDT 2013

ctsinclair I will be your excellent host tonight and leading you through topics thoughtful andfun covering research and movies, adults and kids! #hpm

Wed Aug 14 18:00:54 PDT 2013

Kathy_Brandt Kathy Brandt, the kb group. Hi everyone! #hpmWed Aug 14 18:01:24 PDT 2013

oliverdr Hello everyone Im in Columbia Mo a pall care hospice researcher with Universityof Mo #hpm

Wed Aug 14 18:01:35 PDT 2013

BroederJos RT @hollyby: FYI: Nice article on Top 10 things #palliative care clinicians wishedeveryone knew http://t.co/IfAU6LHWZB #hpm Please RT

Wed Aug 14 18:01:40 PDT 2013

ctsinclair Intro; Christian Sinclair, board certified hospice/palliative care doc, home= KansasCity, tweeting from Atlanta, GA. Freq Flyer. #hpm

Wed Aug 14 18:01:53 PDT 2013

ctsinclair @oliverdr@Kathy_brandt Hey you two! Great to see you here. Debbie, I will be inColumbia in a few days! #hpm

Wed Aug 14 18:02:24 PDT 2013

ctsinclair For those who miss http://t.co/pn4GUm30K0 try tchat.io Tried it recently with pretty
http://twitter.com/oliverdr/status/367813287183802368http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/http://t.co/pn4GUm30K0http://twitter.com/ctsinclair/status/367813491668692992http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_brandthttp://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367813359871082497http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/BroederJos/status/367813306830319616http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/IfAU6LHWZBhttp://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/hollybyhttp://twitter.com/oliverdr/status/367813287183802368http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/Kathy_Brandt/status/367813240988114944http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367813111429865472http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367812913882349568http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-social-media-analytics/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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hashtags.symplur.com/healthcare-ha shtag-transcript.php?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec= 2

good success. RIP http://t.co/KnWQBqotiSwebsite #hpm

Wed Aug 14 18:03:07 PDT 2013

oliverdr @ctsinclair hoping we can have dinner Friday @doctatum got a reservation #hpmWed Aug 14 18:03:09 PDT 2013

skipbidder Bruce Scott from Dayton(ish) OH. Academic Palligeriatrician. #hpmWed Aug 14 18:03:12 PDT 2013

KGoffRN @ctsinclair Been looking forward to #hpm chat! Kim CHPN from SEK.Wed Aug 14 18:03:13 PDT 2013

TexasKidDoc Made it to a chat! Pediatric resident here, watching @maddow in thebackground... #hpm

Wed Aug 14 18:03:38 PDT 2013

ctsinclair RT @KGoffRN: @ctsinclair Been looking forward to #hpm chat! Kim CHPN fromSEK. "aka South East Kansas?" #hpm

Wed Aug 14 18:03:43 PDT 2013

drmikesevilla Have a great chat! RT @ctsinclair: Hello world. Top of the hour and time to startthe #hospice and #palliative care/medicine tweetchat #hpm

Wed Aug 14 18:03:53 PDT 2013

oliverdr @skipbidder great specialty palligeriatrician #hpmWed Aug 14 18:04:01 PDT 2013

skipbidder Using #hpm tweetchat as a self-care technique, while I listen to my Brewerslosing, and I enjoy a Bigfoot Barleywine.

Wed Aug 14 18:04:03 PDT 2013

ctsinclair RT @TexasKidDoc: Made it to a chat! Pediatric resident here, watching@maddow in the background "ha me too!" #hpm

Wed Aug 14 18:04:06 PDT 2013

drmikesevilla Good tip RT @ctsinclair: For those who miss http://t.co/ojVRbH1aKj try tchat.ioTried it recently with success #hpm

Wed Aug 14 18:05:18 PDT 2013

ctsinclair @drmikesevilla Thanks Mike! Let me know when you are in KC next. I want you tocheck out my podcasting setup! #hpm

Wed Aug 14 18:05:32 PDT 2013

ctsinclair @TexasKidDoc have to mute it right now. War/violence on the news is hard tohave on in the background #hpm

Wed Aug 14 18:06:05 PDT 2013

southernese RT @JenMarsh2: Young Doctors Pave Way for End-of-Life Conversationshttp://t.co/hgdsqJWG6P via @abc#eol#hpm

Wed Aug 14 18:06:19 PDT 2013
http://twitter.com/southernese/status/367814475329839104http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://www.twitter.com/abchttp://t.co/hgdsqJWG6Phttp://www.twitter.com/JenMarsh2http://twitter.com/ctsinclair/status/367814418823786496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/ctsinclair/status/367814279950389248http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drmikesevillahttp://twitter.com/drmikesevilla/status/367814218965602304http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/ojVRbH1aKjhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367813919290568704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/maddowhttp://www.twitter.com/TexasKidDochttp://twitter.com/skipbidder/status/367813904052649985http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367813896750370816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/drmikesevilla/status/367813864169406464http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367813823937273856http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/KGoffRNhttp://twitter.com/TexasKidDoc/status/367813800906334209http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/maddowhttp://twitter.com/KGoffRN/status/367813695570980864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/skipbidder/status/367813692903002112http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367813679724507136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367813670601887744http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/KnWQBqotiS

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KGoffRN @ctsinclair SEK = Southeast Kansas. Yes! Part of a new hospice program downhere. #hpm

Wed Aug 14 18:06:23 PDT 2013

ctsinclair We have the makings of an epic crowd for chat tonight.#AlwaysPandertotheAudience#hpm

Wed Aug 14 18:06:40 PDT 2013

TexasKidDoc @ctsinclair but @RichardEngel is so good #hpmWed Aug 14 18:06:46 PDT 2013

equijada join ing in for a short time. glad to me here! #hpmWed Aug 14 18:06:56 PDT 2013

ctsinclair @TexasKidDoc I know but my empathic hpm heart just cant take it. #hpmWed Aug 14 18:07:08 PDT 2013

ctsinclair RT @equijada: joining in for a short time. glad to me here! #hpm "Hooray Earl!!"#hpmWed Aug 14 18:07:39 PDT 2013

equijada err "be" #hpmWed Aug 14 18:07:51 PDT 2013

ctsinclair Getting started with the first topic here in just a bit... #hpmWed Aug 14 18:07:53 PDT 2013

TexasKidDoc @ctsinclair yes, if airport stress is hard, i can only imagine how gunfire mightimpact you #hpmWed Aug 14 18:07:55 PDT 2013

hollyby Tweets for the next hour from #hospice and #palliative medicine tweetchat. Joinus! #hpm

Wed Aug 14 18:08:48 PDT 2013

ctsinclair First topic is research based but many wil l have input just from the abstract #hpmWed Aug 14 18:09:05 PDT 2013

hollyby Hi there! Holly Yang, #hpm doc from San Diego. All tweets are my own. Thanksfor hosting Christian!

Wed Aug 14 18:09:19 PDT 2013

ctsinclair Topic 1: Family caregivers sometimes block access to opioidshttp://t.co/Yz7uOcCnXf via @EduBru - What are the causes/solutions? #hpm

Wed Aug 14 18:09:29 PDT 2013

jfclearywisc Hi @ctsinclair Jim Cleary @uwhealth#palliativecare med, Dir PPSG(@painpolicy) @UWCarbone joining #Hpm chat for next hour

Wed Aug 14 18:09:46 PDT 2013
http://twitter.com/jfclearywisc/status/367815344338898945http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/UWCarbonehttp://www.twitter.com/painpolicyhttp://www.symplur.com/healthcare-hashtags/palliativecare/http://www.twitter.com/uwhealthhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367815274000441345http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EduBruhttp://t.co/Yz7uOcCnXfhttp://twitter.com/hollyby/status/367815232988524544http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367815172171124737http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367815101669048320http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://twitter.com/TexasKidDoc/status/367814877273788416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367814868839059456http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/equijada/status/367814860530126848http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367814811830079489http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/ctsinclair/status/367814683295612928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/equijada/status/367814633442131968http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/TexasKidDoc/status/367814589347401728http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RichardEngelhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367814564286435328http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/AlwaysPandertotheAudience/http://twitter.com/KGoffRN/status/367814494212603904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclair

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skipbidder All my tweets are my own too. Unless you don't like them. Then they areChristian's. #hpm

Wed Aug 14 18:10:12 PDT 2013

ctsinclair T1: Sadly the article is behind a paywal l, but the abstract gives you enough to startus off tonight. #hpm

Wed Aug 14 18:10:26 PDT 2013

ctsinclair RT @skipbidder: All my tweets are my own too. Unless you don't like them. Thenthey are Christian's. "Every single one!" #hpm

Wed Aug 14 18:10:43 PDT 2013

KGoffRN #hpm T1 - so true and always a challenge. Education, Education, Education! Toboth patient and family.

Wed Aug 14 18:11:10 PDT 2013

TexasKidDoc I could walk over to MD Anderson and tell them to give me a copy... #hpmWed Aug 14 18:11:28 PDT 2013

oliverdr T1 if you believed you would kill your loved one wouldn't you not give the meds? Ihave found many CG believe they killed loved one #hpm

Wed Aug 14 18:11:30 PDT 2013

hollyby RT @ctsinclair: RT @skipbidder: All my tweets are my own too. Unless you don'tlike them. Then they are Christian's. "Every single one!" #h

Wed Aug 14 18:11:33 PDT 2013

KGoffRN Ha! RT @skipbidder: All my tweets are my own too. Unless you don't like them.

Then they are Christian's. #hpmWed Aug 14 18:11:44 PDT 2013

jfclearywisc RT @oliverdr: T1 if you believed you would kill your loved one wouldn't you notgive the meds? I have found many CG believe they killed lov

Wed Aug 14 18:11:56 PDT 2013

hollyby T1: re: families blocking pts from receiving opioids. Often people believe the mythof hastened death. Also concerned about addiction #hpm

Wed Aug 14 18:12:35 PDT 2013

ctsinclair T1: Important to recognize that families often refuse more comfort meds than justopioids. Anti-nausea, anti-anxiety, steroids, etc #hpm

Wed Aug 14 18:12:49 PDT 2013

oliverdr even had some CG who just knew the hospice nurse accidently killed their lovedone! They were not angry but sure felt guilty #hpm

Wed Aug 14 18:12:49 PDT 2013

KGoffRN #hpm T1 - explain the difference between dependence, addiction,pseudoaddiction.
http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367816114106945536http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367816112617959425http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367816054644285442http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/jfclearywisc/status/367815889158041600http://www.twitter.com/oliverdrhttp://twitter.com/KGoffRN/status/367815837711106048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/hollyby/status/367815793007788033http://www.symplur.com/healthcare-hashtags/h/http://www.twitter.com/skipbidderhttp://www.twitter.com/ctsinclairhttp://twitter.com/oliverdr/status/367815780601053184http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/TexasKidDoc/status/367815773038714881http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367815695473868800http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367815583632334849http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/ctsinclair/status/367815513780404226http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367815452090585089http://www.symplur.com/healthcare-hashtags/hpm/

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Wed Aug 14 18:13:25 PDT 2013

ctsinclair T1: I do get frustrated when HC Professionals state "Family refuses to give meds"but then have never really explored the reason why #hpm

Wed Aug 14 18:13:36 PDT 2013

ctsinclair RT @KGoffRN: #hpm T1 - explain the difference between dependence, addiction,pseudoaddiction. "In 140 char? that is a challenge!" #hpm

Wed Aug 14 18:14:01 PDT 2013

skipbidder #hpm T1: I've had SOME success with education efforts, but not always. Theseare very stressful for me. I feel like I've failed...

Wed Aug 14 18:14:03 PDT 2013

hollyby RT @ctsinclair: T1: I do get frustrated when HC Professionals state "Familyrefuses to give meds" but then have never really explored the r

Wed Aug 14 18:14:04 PDT 2013

jfclearywisc @ctsinclair Agree trying to understand is most impt! #HpmWed Aug 14 18:14:08 PDT 2013

ctsinclair RT @KGoffRN: #hpm T1 - explain the difference between dependence, addiction,pseudoaddiction. "oh you mean expla in it to the family!" #hpm

Wed Aug 14 18:14:18 PDT 2013

TexasKidDoc people also unaware sometimes what bad pain looks like, if patient isn'tscreaming or moaning think it's not too bad #hpm

Wed Aug 14 18:14:28 PDT 2013

ctsinclair @KGoffRN I thought you were asking us to do that! #hpmWed Aug 14 18:14:34 PDT 2013

KGoffRN @oliverdr#hpm Have been that nurse. So very sad. Family fine at TOD but in theirgrief changed perspective during bereavement.

Wed Aug 14 18:14:37 PDT 2013

hollyby RT @TexasKidDoc: people also unaware sometimes what bad pain looks like, ifpatient isn't screaming or moaning think i t's not too bad #hpm

Wed Aug 14 18:14:40 PDT 2013

oliverdr @ctsinclair indeed Im afraid some hospice staff dont get at cause and dont botherto educate leaving myths and calling it noncompliance #hpm

Wed Aug 14 18:14:40 PDT 2013

tajayiMD @ctsinclair absolutely, they sometimes see this as increased pill burden, or don'tunderstand the need. #hpm

Wed Aug 14 18:14:40 PDT 2013

hollyby I always think it is interesting that people often blame the medications when in facttheir loved one is dying of a terminal disease. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/tajayiMD/status/367816579494731776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/oliverdr/status/367816576986140673http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/hollyby/status/367816575765585921http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/KGoffRN/status/367816564151959552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367816554643079168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KGoffRNhttp://twitter.com/TexasKidDoc/status/367816526302158848http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367816487383216128http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KGoffRNhttp://twitter.com/jfclearywisc/status/367816442256703489http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/hollyby/status/367816425844387841http://www.twitter.com/ctsinclairhttp://twitter.com/skipbidder/status/367816420916068352http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367816415572537345http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KGoffRNhttp://twitter.com/ctsinclair/status/367816308269674496http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367816261339983872

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Wed Aug 14 18:14:48 PDT 2013

skipbidder #hpm T1: ...I blame myself for not finding the right words to use.Wed Aug 14 18:14:49 PDT 2013

ctsinclair RT @TexasKidDoc: people also unaware sometimes what bad pain looks like"critical to compare what family observes & what you observe" #hpm

Wed Aug 14 18:15:14 PDT 2013

jfclearywisc T1: Fear of "addiction" fear of needing it later in the il lness, stigma, there aremultiple reasons for family not to give opioids #hpm

Wed Aug 14 18:15:19 PDT 2013

skipbidder RT @jfclearywisc: T1: Fear of "addiction" fear of needing it later in the il lness,stigma, there are multiple reasons for family not to giv

Wed Aug 14 18:15:28 PDT 2013

tajayiMD RT @skipbidder: #hpm T1: ...I blame myself for not finding the right words to use.Wed Aug 14 18:15:29 PDT 2013

oliverdr increase pill burden is huge and in times of stress managing 30 pills a day isoverwhelming to anyone #hpm

Wed Aug 14 18:15:32 PDT 2013

Kathy_Brandt #hpm I'm no clinician. Based on family experience I'd say ask questions-fears,concerns, goals, etc. What scares you? What worries you?

Wed Aug 14 18:15:39 PDT 2013

Pallimed RT @jfclearywisc: T1: Fear of "addiction" fear of needing it later in the il lness,stigma, there are multiple reasons for family not to givWed Aug 14 18:16:01 PDT 2013

jfclearywisc TI; Very interesting that the reasons are generally consistent across cultures.Sometime religion creeps in. "A bit of suffering is OK" #hpm

Wed Aug 14 18:16:30 PDT 2013

oliverdr I also had a CG and pt once believe that if there was no suffering then they couldnot get to heaven- God required it as penance #hpm

Wed Aug 14 18:16:30 PDT 2013

KGoffRN Agreed! NF too! RT @texaskiddoc: people also unaware sometimes what badpain looks like,if not screaming or moaning think not too bad #hpm

Wed Aug 14 18:16:39 PDT 2013

jfclearywisc RT @oliverdr: I also had a CG and pt once believe that if there was no sufferingthen they could not get to heaven- God required i t as pena

Wed Aug 14 18:16:47 PDT 2013

TexasKidDoc RT @oliverdr: I also had a CG and pt once believe that if there was no sufferingthen they could not get to heaven- God required i t as pena
http://www.twitter.com/oliverdrhttp://twitter.com/jfclearywisc/status/367817111277555713http://www.twitter.com/oliverdrhttp://twitter.com/KGoffRN/status/367817075538284544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/texaskiddochttp://twitter.com/oliverdr/status/367817040553185280http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/jfclearywisc/status/367817037399080960http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/Pallimed/status/367816919086153729http://www.twitter.com/jfclearywischttp://twitter.com/Kathy_Brandt/status/367816823640576000http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367816795018629120http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/tajayiMD/status/367816783790882816http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/skipbidder/status/367816778828636161http://www.twitter.com/jfclearywischttp://twitter.com/jfclearywisc/status/367816741352509441http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367816719219167233http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/skipbidder/status/367816617385664512http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367816610603479040

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Wed Aug 14 18:16:48 PDT 2013

ctsinclair @oliverdr yes the non-compliance/non-adherence stigma is strongly presenteven in hospice. Hard to change ingrained health care culture #hpm

Wed Aug 14 18:16:58 PDT 2013

hollyby T1: Some people think that taking opioids or other symptom relieving meds is asign they are getting sicker-> makes it more real. #hpm

Wed Aug 14 18:17:05 PDT 2013

Pallimed RT @KGoffRN: @oliverdr#hpm Have been that nurse. So very sad. Family fine atTOD but in their grief changed perspective during bereaveme

Wed Aug 14 18:17:34 PDT 2013

oliverdr T1 Inability to assess pain when someone not verbal was a major concern of CGin my study- we must educate CG on assessment also #hpm

Wed Aug 14 18:17:37 PDT 2013

KGoffRN #hpm T1 - good written handouts available on hpna website too, keeps it simplebut makes the pointWed Aug 14 18:18:12 PDT 2013

ctsinclair T1: I hear the spiritual need for suffering in education on hpm more than I haveobserved in patients/families #hpm

Wed Aug 14 18:18:27 PDT 2013

kpedmonds RT @ctsinclair: @oliverdr yes the non-compliance/non-adherence stigma isstrongly present even in hospice. Hard to change ingrained health

Wed Aug 14 18:18:30 PDT 2013

skipbidder T1: Thanks for reminding me that JPM is not one that my University providesaccess to. :) #hpm

Wed Aug 14 18:18:43 PDT 2013

hollyby T1: Totally agree that the best thing to do is ask why families are refusing to givemeds. Ask abt concerns, side effects, meaning... #hpm

Wed Aug 14 18:18:45 PDT 2013

nathangradisher Watching Doc McStuffins w/kids age 4&6. Doc said 'I've never lost a patient' Howcan we teach DisneyJr's audience about #hpm & end of life?

Wed Aug 14 18:18:48 PDT 2013

KGoffRN RT @oliverdr: I also had a CG and pt once believe that if there was no sufferingthen they could not get to heaven- God required i t as pena

Wed Aug 14 18:18:59 PDT 2013

TexasKidDoc We have LOTS of validated tools for that in peds! MT @oliverdr: Inability to assesspain when someone not verbal was a major concern #hpm

Wed Aug 14 18:19:23 PDT 2013
http://twitter.com/TexasKidDoc/status/367817766465597441http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/KGoffRN/status/367817664364027904http://www.twitter.com/oliverdrhttp://twitter.com/nathangradisher/status/367817617773715456http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367817604590600192http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367817597078618112http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367817541650882561http://www.twitter.com/oliverdrhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367817529189617664http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367817466187354113http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367817319671537667http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/Pallimed/status/367817306832789504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/KGoffRNhttp://twitter.com/hollyby/status/367817183901921280http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367817155112218624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/TexasKidDoc/status/367817112997216257

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ctsinclair RT @nathangradisher: Doc McStuffins: Doc said 'I've never lost a patient' "Findthe episode - I need that clip!" #hpm

Wed Aug 14 18:19:27 PDT 2013

oliverdr T1 I think assessment of beliefs and values on pain specifically should bestandard but no great tools. We have new proposal to bui ld #hpm

Wed Aug 14 18:19:32 PDT 2013

PallimedRT @nathangradisher: Watching Doc McStuffins w/kids age 4&6. Doc said 'I'venever lost a patient' How can we teach DisneyJr's audience abou

Wed Aug 14 18:19:38 PDT 2013

KGoffRN @oliverdr#hpm pain as part of a positive religious dying experience...so hard towatch.

Wed Aug 14 18:19:49 PDT 2013

equijada t1 There is a perceived hospice culture of "over medication" Perhapspatient/families are fearful of "hastening" Listen and educate #hpm

Wed Aug 14 18:19:53 PDT 2013

TexasKidDoc RT @nathangradisher: Watching Doc McStuffins w/kids age 4&6. Doc said 'I'venever lost a patient' How can we teach DisneyJr's audience abou

Wed Aug 14 18:19:56 PDT 2013

kpedmonds RT @hollyby: T1: Totally agree that the best thing to do is ask why families arerefusing to give meds. Ask abt concerns, side effects, mea

Wed Aug 14 18:20:02 PDT 2013

tajayiMD @hollyby T1: They also misunderstand the necessary increased doses as a signof hastening the dying process. #hpm

Wed Aug 14 18:20:03 PDT 2013

ctsinclair Sesame Street has done special topics on grief and loss: http://t.co/jRTWGJXVkhcc @nathangradisher#hpm

Wed Aug 14 18:20:38 PDT 2013

jfclearywisc @KGoffRN@WHO triangle 4 improving #palliativecare & opioids. Laws,availability & educate. Not just clinicians but publ ic! #hpm#Hpmglobal

Wed Aug 14 18:20:50 PDT 2013

oliverdrT1 how can we expect CG to accept medicine when we have health careprofessionals that still dont get it- no wonder #hpm

Wed Aug 14 18:20:54 PDT 2013

hollyby Being sick is suffering enough MT @ctsinclair: T1: I hear the spiritual need forsuffering in education... more than I have observed... #hpm

Wed Aug 14 18:21:13 PDT 2013

Kathy_Brandt RT @oliverdr: T1 how can we expect CG to accept medicine when we havehealth care professionals that still dont get it- no wonder #hpm

Wed Aug 14 18:21:33 PDT 2013
http://twitter.com/Kathy_Brandt/status/367818308285763584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/hollyby/status/367818225943207937http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/oliverdr/status/367818147102879744http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/jfclearywisc/status/367818129906216961http://www.symplur.com/healthcare-hashtags/Hpmglobal/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliativecare/http://www.twitter.com/WHOhttp://www.twitter.com/KGoffRNhttp://twitter.com/ctsinclair/status/367818078601482240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nathangradisherhttp://t.co/jRTWGJXVkhhttp://twitter.com/tajayiMD/status/367817931394392064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/kpedmonds/status/367817926683815936http://www.twitter.com/hollybyhttp://twitter.com/TexasKidDoc/status/367817903564804096http://www.twitter.com/nathangradisherhttp://twitter.com/equijada/status/367817891053178880http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367817872187592704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/Pallimed/status/367817826070851584http://www.twitter.com/nathangradisherhttp://twitter.com/oliverdr/status/367817802981203968http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367817780701044736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/nathangradisher

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TexasKidDoc @tajayiMD Yay! A pediatrician! ;) #hpmWed Aug 14 18:21:34 PDT 2013

Pallimed RT @equijada: t1 There is a perceived hospice culture of "over medication"Perhaps patient/families are fearful of "hastening" Listen and

Wed Aug 14 18:21:43 PDT 2013

jfclearywisc@hollyby Hastened is true if not used properly e.g. incorrect labels instructions.

But when used properly, not common at all. #hpmWed Aug 14 18:21:47 PDT 2013

KGoffRN @oliverdr@texaskiddoc Personally like FLACC when used correctly to assesspain in nonverbal/dementia pts. #hpm

Wed Aug 14 18:22:06 PDT 2013

skipbidder One fairly unpleasant anti-hospice internet crusader (with an organization thatsounds l ike it is FOR hospice patients) ... #hpm

Wed Aug 14 18:22:32 PDT 2013

tajayiMD @texaskiddoc :) I jumped in a little late. #hpmWed Aug 14 18:22:34 PDT 2013

equijada RT @jfclearywisc: @hollyby Hastened is true if not used properly e.g. incorrectlabels instructions. But when used properly, not common at

Wed Aug 14 18:22:38 PDT 2013

ctsinclair Getting to move on to topic 2 soon. Involving pediatrics palliative care #PedPCand pop cul ture. Gonna be all over the map tonight! #hpm

Wed Aug 14 18:22:49 PDT 2013

KGoffRN RT @jfclearywisc: @hollyby Hastened is true if not used properly e.g. incorrectlabels instructions. But when used properly, not common at

Wed Aug 14 18:22:52 PDT 2013

kpedmonds @jfclearywisc@KGoffRN harder & harder in the US given negative health"reporting" on opioids of late! #hpm

Wed Aug 14 18:22:58 PDT 2013

skipbidder ...spreads lies about #hpm . I've had a couple of families bring in this stuff to saywhy they weren't allowing use of opioids.

Wed Aug 14 18:23:14 PDT 2013

kpedmonds RT @oliverdr: T1 how can we expect CG to accept medicine when we havehealth care professionals that still dont get it- no wonder #hpm

Wed Aug 14 18:23:16 PDT 2013

oliverdr T1 really believe hospices need to be better at educating CG on al l aspects ofpain- should be SOP #hpm

Wed Aug 14 18:23:17 PDT 2013
http://twitter.com/oliverdr/status/367818746548600833http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367818743683878914http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/skipbidder/status/367818734963929089http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367818668044206081http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KGoffRNhttp://www.twitter.com/jfclearywischttp://twitter.com/KGoffRN/status/367818641385218049http://www.twitter.com/hollybyhttp://www.twitter.com/jfclearywischttp://twitter.com/ctsinclair/status/367818628311158784http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/PedPC/http://twitter.com/equijada/status/367818581930569728http://www.twitter.com/hollybyhttp://www.twitter.com/jfclearywischttp://twitter.com/tajayiMD/status/367818564671406080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/texaskiddochttp://twitter.com/skipbidder/status/367818559134527488http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367818449252524032http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/texaskiddochttp://www.twitter.com/oliverdrhttp://twitter.com/jfclearywisc/status/367818369098973184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/Pallimed/status/367818351806259200http://www.twitter.com/equijadahttp://twitter.com/TexasKidDoc/status/367818313801277440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tajayiMD

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hashtags.symplur.com/healthcare-ha shtag-transcript.php?hashtag=hpm&fdate=08-14-2013&shour=18&smin=00&tdate=08-14-2013&thour=19&tmin=15&ssec 10

skipbidder RT @kpedmonds: @jfclearywisc@KGoffRN harder & harder in the US givennegative heal th "reporting" on opioids of late! #hpm

Wed Aug 14 18:23:21 PDT 2013

KGoffRN RT @jfclearywisc: @KGoffRN@WHO triangle 4 improving #palliativecare &opioids. Laws, availability & educate. Not just clinicians but publi

Wed Aug 14 18:23:24 PDT 2013

PallimedRT @oliverdr: T1 how can we expect CG to accept medicine when we havehealth care professionals that still dont get it- no wonder #hpm

Wed Aug 14 18:23:29 PDT 2013

hollyby Disease gets worse-> symptoms do too. MT @tajayiMD: They misunderstandnecessary increased doses as sign of hastening dying process #hpm

Wed Aug 14 18:23:33 PDT 2013

ctsinclair @skipbidder I've seen i t to. Of course you are speaking of he who shall not benamed? ;-) #hpm

Wed Aug 14 18:24:15 PDT 2013

tajayiMD @kgoffrn@oliverdr@texaskiddoc the key is when FLACC or faces is usedcorrectly. Often time, we forget to go back and reassess. #hpm

Wed Aug 14 18:24:30 PDT 2013

ctsinclair Last thoughts on Topic 1, because here comes topic 2....get your YouTube ready#hpm

Wed Aug 14 18:24:37 PDT 2013

skipbidder @kpedmonds Yes. And the mind-numbingly hypocritical difference in reportingviews of PROP vs American Pain Society #hpm

Wed Aug 14 18:24:41 PDT 2013

oliverdr T1 even though its hard we do need to honor pts who choose to have pain aslong as they are making educated decisions #hpm

Wed Aug 14 18:24:44 PDT 2013

TexasKidDoc RT @tajayiMD: @kgoffrn@oliverdr@texaskiddoc the key is when FLACC orfaces is used correctly. Often time, we forget to go back and reasse

Wed Aug 14 18:24:50 PDT 2013

kpedmonds RT @hollyby: Disease gets worse-> symptoms do too. MT @tajayiMD: Theymisunderstand necessary increased doses as sign of hastening dying prWed Aug 14 18:24:52 PDT 2013

TexasKidDoc RT @oliverdr: T1 even though its hard we do need to honor pts who choose tohave pain as long as they are making educated decisions #hpm

Wed Aug 14 18:25:08 PDT 2013

ctsinclair Topic 2: Forget dying, lets all watch a movie trailer Ways to Live Foreverhttp://t.co/dbdXkHebKB Watch and tweet you thoughts #hpm

Wed Aug 14 18:25:44 PDT 2013
http://twitter.com/ctsinclair/status/367819364667375616http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/dbdXkHebKBhttp://twitter.com/TexasKidDoc/status/367819209981444097http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/kpedmonds/status/367819142948081664http://www.twitter.com/tajayiMDhttp://www.twitter.com/hollybyhttp://twitter.com/TexasKidDoc/status/367819134244904960http://www.twitter.com/texaskiddochttp://www.twitter.com/oliverdrhttp://www.twitter.com/kgoffrnhttp://www.twitter.com/tajayiMDhttp://twitter.com/oliverdr/status/367819109448175616http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367819100308774914http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kpedmondshttp://twitter.com/ctsinclair/status/367819080427790336http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/tajayiMD/status/367819051378425856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/texaskiddochttp://www.twitter.com/oliverdrhttp://www.twitter.com/kgoffrnhttp://twitter.com/ctsinclair/status/367818989956648961http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/hollyby/status/367818812608876544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tajayiMDhttp://twitter.com/Pallimed/status/367818798172483584http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/KGoffRN/status/367818774000705536http://www.symplur.com/healthcare-hashtags/palliativecare/http://www.twitter.com/WHOhttp://www.twitter.com/KGoffRNhttp://www.twitter.com/jfclearywischttp://twitter.com/skipbidder/status/367818763011231744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KGoffRNhttp://www.twitter.com/jfclearywischttp://www.twitter.com/kpedmonds

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skipbidder @ctsinclair My guy has the in itials RP. I'm not linking based out of respect for theblood pressure of our #hpm participants.

Wed Aug 14 18:25:49 PDT 2013

hollyby +1 RT @oliverdr: T1 even though its hard we do need to honor pts who choose tohave pain as long as they are making educated decisions #hpm

Wed Aug 14 18:25:51 PDT 2013

ctsinclair *your #hpmWed Aug 14 18:25:54 PDT 2013

Pallimed RT @oliverdr: T1 even though its hard we do need to honor pts who choose tohave pain as long as they are making educated decisions #hpm

Wed Aug 14 18:26:09 PDT 2013

ctsinclair @skipbidder Yup. I know. ;-) #hpmWed Aug 14 18:26:32 PDT 2013

Pallimed RT @ctsinclair: Topic 2: Forget dying, lets all watch a movie trailer Ways to LiveForever http://t.co/dbdXkHebKB Watch and tweet you th

Wed Aug 14 18:26:42 PDT 2013

TexasKidDoc Have heard book is awesome MT @ctsinclair: Forget dying, lets all watch amovie trailer Ways to Live Forever http://t.co/LCRAX02zPr#hpm

Wed Aug 14 18:27:05 PDT 2013

KGoffRN @jfclearywisc So true! MT triangle 4 improving #hpm & opioids - laws, availabili ty& education. Public education so important!

Wed Aug 14 18:27:13 PDT 2013

ctsinclair T2: Presumed Teacher/mother: "The question has gnawed at humanity forcenturies...how to die? Think of ways to live forever." #hpm

Wed Aug 14 18:28:05 PDT 2013

jfclearywisc @kpedmonds: I actually think there is increase in reporters getting to bottom of it.e.g. LATimes http://t.co/SYAb5YxpFO#hpm

Wed Aug 14 18:28:12 PDT 2013

ctsinclair @TexasKidDoc me too. Maybe we should have a tweetchat book club? Or startwith a movie night first? Less commitment. #hpm

Wed Aug 14 18:28:36 PDT 2013

Kathy_Brandt RT @ctsinclair: Topic 2: Ways to Live Forever http://t.co/VxvJLZgSO2 Watch andtweet you thoughts #hpm

Wed Aug 14 18:28:38 PDT 2013

oliverdr Great video got to see movie! Davids most recent video on doing a bucket listhttp://t.co/WQIQoJb7dm#hpm

Wed Aug 14 18:28:47 PDT 2013
http://twitter.com/oliverdr/status/367820129456766976http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/WQIQoJb7dmhttp://twitter.com/Kathy_Brandt/status/367820092999880704http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/VxvJLZgSO2http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367820086117011456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/jfclearywisc/status/367819983624998912http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/SYAb5YxpFOhttp://www.twitter.com/kpedmondshttp://twitter.com/ctsinclair/status/367819954638163969http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367819735221960704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/TexasKidDoc/status/367819703550361600http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/LCRAX02zPrhttp://www.twitter.com/ctsinclairhttp://twitter.com/Pallimed/status/367819607064596480http://t.co/dbdXkHebKBhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367819562080669697http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/Pallimed/status/367819468979707904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367819402755833858http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367819390244245504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/skipbidder/status/367819384128958464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclair

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ctsinclair T2: Mother/teacher: "Something eternal we can leave behind" and so the kiddecides to write a book. - Fantastic #hpm

Wed Aug 14 18:29:39 PDT 2013

kpedmonds @jfclearywisc agree. I'd just like to see i t get wider play. #hpmWed Aug 14 18:30:03 PDT 2013

hollyby T2: It looks awesome! I also like running up down escalators, but they frown on

that when you are purportedly an adult. Sigh! #hpmWed Aug 14 18:30:09 PDT 2013

TexasKidDoc @ctsinclair if we are doing a #pedpc book club "The Fault in Our Stars" must beincluded #hpm

Wed Aug 14 18:30:11 PDT 2013

jfclearywisc Great line from @StephenAtHome last night. "if the world is not safe, how can Ilive forever" #hpm

Wed Aug 14 18:30:55 PDT 2013

tajayiMD @ctsinclair T2: What a great way to leave behind a legacy. Can't wait to see howkids respond. #hpm

Wed Aug 14 18:30:55 PDT 2013

oliverdr T2 these are the things that pall care really needs to encourage bucket listsincredible meaning. Books legacy letters photos videos #hpm

Wed Aug 14 18:31:05 PDT 2013

ctsinclair T2: this film is based off a book and has been translated in many languages. Titletranslations are interesting. #hpm

Wed Aug 14 18:31:07 PDT 2013

TexasKidDoc "I don't want anyone to be sad ei ther... I mean, I have hair!" - Love that. #hpmWed Aug 14 18:31:29 PDT 2013

_lizzy_ T2: Eating worms seems like a yucky way to accomplish a bucket list item! #hpmWed Aug 14 18:31:38 PDT 2013

hollyby Ha! I agree. It's def not on my list. RT @_lizzy_: T2: Eating worms seems like ayucky way to accomplish a bucket list item! #hpm

Wed Aug 14 18:32:06 PDT 2013

ctsinclair Ways to live forever; When you read this I'll be dead, The boy who dreamed ofreaching the moon, How to become immortal, After I'm Gone #hpm

Wed Aug 14 18:32:12 PDT 2013

TexasKidDoc T2 - I dont think this movie is likely to have much of a wide release, just hope i t isavailable streaming at some point. #hpm

Wed Aug 14 18:32:29 PDT 2013

Pallimed RT @_lizzy_: T2: Eating worms seems like a yucky way to accomplish a bucket
http://www.twitter.com/_lizzy_http://twitter.com/TexasKidDoc/status/367821059463979009http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367820988932571136http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367820964374929409http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://twitter.com/_lizzy_/status/367820847135744000http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/TexasKidDoc/status/367820809433149441http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367820718727102465http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367820711160602625http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/tajayiMD/status/367820667863183360http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/jfclearywisc/status/367820666575155200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/StephenAtHomehttp://twitter.com/TexasKidDoc/status/367820482285801472http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/pedpc/http://www.twitter.com/ctsinclairhttp://twitter.com/hollyby/status/367820473511337984http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367820450917015552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/ctsinclair/status/367820348047126528http://www.symplur.com/healthcare-hashtags/hpm/

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list item! #hpm

Wed Aug 14 18:32:32 PDT 2013

oliverdr reaching the moon awesome visual! #hpmWed Aug 14 18:32:38 PDT 2013

ctsinclair RT @oliverdr: T2 these are the things that pall care really needs to encouragebucket lists incredible meaning. Books legacy letters photo

Wed Aug 14 18:32:43 PDT 2013

tajayiMD @hollyby@_lizzy_ Meh; eating worms...its not so bad! :) #hpmWed Aug 14 18:33:12 PDT 2013

ctsinclair @TexasKidDoc Yeah I keep checking if it is coming to some of the indie theatersin KC, but nada. Will have to wait for streaming. #hpm

Wed Aug 14 18:33:15 PDT 2013

ctsinclair RT @tajayiMD: @hollyby@_lizzy_ Meh; eating worms...its not so bad! :) "pleasedo go on..." #hpm

Wed Aug 14 18:33:31 PDT 2013

_lizzy_ T2 Where can we see this movie? Looks like it would be fabulous!https://t.co/iozBVnMM8K#hpm

Wed Aug 14 18:33:38 PDT 2013

Kathy_Brandt T2- #HPM - seems like a good opportunity to talk to teachers, parents, healthcareworkers, etc about these issues.

Wed Aug 14 18:33:39 PDT 2013

ctsinclair RT @jfclearywisc: Great line from @StephenAtHome last night. "if the world is notsafe, how can I live forever" #hpm

Wed Aug 14 18:33:50 PDT 2013

oliverdr frustrating when great movies like this dont get ink! #hpmWed Aug 14 18:33:56 PDT 2013

equijada t2 I like the idea of tapping the imagination...it's more like supply side economicsrather than demand side. Comes from core. #hpm

Wed Aug 14 18:34:08 PDT 2013

kpedmonds RT @ctsinclair: RT @tajayiMD: @hollyby@_lizzy_ Meh; eating worms...its not sobad! :) "please do go on..." #hpm

Wed Aug 14 18:34:19 PDT 2013

hollyby RT @equijada: t2 I like the idea of tapping the imagination...it's more like supplyside economics rather than demand side. Comes from core

Wed Aug 14 18:34:20 PDT 2013

ctsinclair @jfclearywisc that is a fantastic line! Take the selfish thought and turn it intosomething selfless. #hpm

Wed Aug 14 18:34:34 PDT 2013
http://twitter.com/ctsinclair/status/367821587015159808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/hollyby/status/367821526692675584http://www.twitter.com/equijadahttp://twitter.com/kpedmonds/status/367821522867462144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/hollybyhttp://www.twitter.com/tajayiMDhttp://www.twitter.com/ctsinclairhttp://twitter.com/equijada/status/367821477367656448http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367821426461392896http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367821402511912960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/StephenAtHomehttp://www.twitter.com/jfclearywischttp://twitter.com/Kathy_Brandt/status/367821356034826241http://www.symplur.com/healthcare-hashtags/HPM/http://twitter.com/_lizzy_/status/367821351765041153http://www.symplur.com/healthcare-hashtags/hpm/https://t.co/iozBVnMM8Khttp://twitter.com/ctsinclair/status/367821321159188480http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/hollybyhttp://www.twitter.com/tajayiMDhttp://twitter.com/ctsinclair/status/367821255816130563http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/tajayiMD/status/367821243208441856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_http://www.twitter.com/hollybyhttp://twitter.com/ctsinclair/status/367821119023493120http://www.twitter.com/oliverdrhttp://twitter.com/oliverdr/status/367821100878553088http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/Pallimed/status/367821073028763648http://www.symplur.com/healthcare-hashtags/hpm/

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KGoffRN #hpm T2 - we do a "life journal" or legacy story. meet some of the most amazingpeople doing this work if have the time to get to know them

Wed Aug 14 18:34:43 PDT 2013

ctsinclair RT @oliverdr: frustrating when great movies like this dont get ink! "I know.Seriously." #hpm

Wed Aug 14 18:35:02 PDT 2013

jfclearywisc @ctsinclair T2 "Things I want to do before I die" has a website/pinteresthttp://t.co/RpiiDsC4Gk Great taboo breaker. Post ur thing now #hpm

Wed Aug 14 18:35:03 PDT 2013

_lizzy_ @oliverdr well then it is up to us to get this movie some attention. #hpmWed Aug 14 18:35:11 PDT 2013

ctsinclair RT @_lizzy_: @oliverdr well then it is up to us to get this movie some attention."That's the ticket!" #hpm

Wed Aug 14 18:35:48 PDT 2013

KGoffRN RT @TexasKidDoc: T2 - I dont think this movie is likely to have much of a widerelease, just hope it is available streaming at some point.

Wed Aug 14 18:35:52 PDT 2013

TexasKidDoc This one got a bit of ink when they opened in NYC: http://t.co/S5S3005wkf#hpmWed Aug 14 18:35:59 PDT 2013

_lizzy_ RT @Kathy_Brandt: RT @ctsinclair: Topic 2: Ways to Live Foreverhttp://t.co/VxvJLZgSO2 Watch and tweet you thoughts #hpm

Wed Aug 14 18:36:11 PDT 2013

oliverdr Our Center on Aging hosts a couple movies a year I must suggest this one! #hpmWed Aug 14 18:36:23 PDT 2013

ctsinclair RT @TexasKidDoc: This one got a bit of ink when they opened in NYC:http://t.co/pfl2NSa9bq "but no reader reviews. We can change that" #hpm

Wed Aug 14 18:37:02 PDT 2013

skipbidder Says was released in Oct 2012. You'd think one of my friends would have told me.

Hadn't heard of it. How'd you hear, @ctsinclair ? #hpmWed Aug 14 18:37:15 PDT 2013

oliverdr RT @TexasKidDoc: Have heard book is awesome MT @ctsinclair: Forget dying,lets all watch a movie trailer Ways to Live Forever http://t.c

Wed Aug 14 18:37:32 PDT 2013

ctsinclair OK getting towards the end of Topic 2. Wrap up your thoughts. Getting ready fortopic 3. This time, it's personal. #hpm

Wed Aug 14 18:37:43 PDT 2013
http://twitter.com/ctsinclair/status/367822378962657280http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367822333278310400http://t.c.../http://www.twitter.com/ctsinclairhttp://www.twitter.com/TexasKidDochttp://twitter.com/skipbidder/status/367822259349512192http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367822205209415680http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/pfl2NSa9bqhttp://www.twitter.com/TexasKidDochttp://twitter.com/oliverdr/status/367822042864709633http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/_lizzy_/status/367821993468362752http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/VxvJLZgSO2http://www.twitter.com/ctsinclairhttp://www.twitter.com/Kathy_Brandthttp://twitter.com/TexasKidDoc/status/367821943715545088http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/S5S3005wkfhttp://twitter.com/KGoffRN/status/367821914007691264http://www.twitter.com/TexasKidDochttp://twitter.com/ctsinclair/status/367821897301368832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/_lizzy_http://twitter.com/_lizzy_/status/367821740245671936http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/jfclearywisc/status/367821707727208449http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/RpiiDsC4Gkhttp://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367821702773743616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/KGoffRN/status/367821622537121794http://www.symplur.com/healthcare-hashtags/hpm/

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oliverdr #hpmWed Aug 14 18:38:05 PDT 2013

tajayiMD RT @skipbidder: Says was released in Oct 2012. You'd think one of my friendswould have told me. Hadn't heard of it. How'd you hear, @ctsin

Wed Aug 14 18:38:06 PDT 2013

TexasKidDoc @skipbidder Started on the film festival circuit in 2012... just getting to theaters

now #hpmWed Aug 14 18:38:08 PDT 2013

hollyby Uh-oh RT @ctsinclair: OK getting towards the end of Topic 2. Wrap up yourthoughts. Getting ready for topic 3. This time, it's personal #hpm

Wed Aug 14 18:38:27 PDT 2013

ctsinclair @skipbidder I habitually watch every single trailer on Apple iTunes. Every. Single.One. There are a lot of bad movies out there. #hpm

Wed Aug 14 18:38:35 PDT 2013

skipbidder @ctsinclair Is this penance for something? #hpmWed Aug 14 18:39:21 PDT 2013

tajayiMD @ctsinclair@skipbidder you are kidding right? #hpmWed Aug 14 18:39:41 PDT 2013

skipbidder We all need hobbies. RT @tajayiMD: @ctsinclair@skipbidder you are kiddingright? #hpm

Wed Aug 14 18:40:12 PDT 2013

equijada t3: Please let it be related to Orange is the New Black #hpmWed Aug 14 18:40:18 PDT 2013

TexasKidDoc @tajayiMD he put too many periods in that statement for emphasis for him to bekidding. #hpm

Wed Aug 14 18:40:30 PDT 2013

ctsinclair @tajayiMD@skipbidder I am a trailer junkie. I even make my own trailers tomovies sometimes. It is truly an art form. #hpm

Wed Aug 14 18:40:38 PDT 2013

hollyby LOL! RT @skipbidder: We all need hobbies. RT @tajayiMD: @ctsinclair@skipbidder you are kidding right? #hpm

Wed Aug 14 18:40:47 PDT 2013

ctsinclair Topic 3: Last week my grandfather died somewhat unexpectedly after a slowdecline. I took my 7 year old twins to the funeral... #hpm

Wed Aug 14 18:40:55 PDT 2013

KGoffRN RT @tajayimd: @ctsinclair@skipbidder you are kidding right? #hpm someonetravels to much i do think
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/tajayimdhttp://twitter.com/ctsinclair/status/367823185284046848http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367823148193812482http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/tajayiMDhttp://www.twitter.com/skipbidderhttp://twitter.com/ctsinclair/status/367823113125240832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://www.twitter.com/tajayiMDhttp://twitter.com/TexasKidDoc/status/367823077645643776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tajayiMDhttp://twitter.com/equijada/status/367823027158802433http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367823002110410754http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/tajayiMDhttp://twitter.com/tajayiMD/status/367822875019186176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://www.twitter.com/ctsinclairhttp://twitter.com/skipbidder/status/367822789706661888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367822597762719745http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/hollyby/status/367822561972727809http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/TexasKidDoc/status/367822481496633344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/tajayiMD/status/367822475536900096http://www.twitter.com/ctsinhttp://www.twitter.com/skipbidderhttp://twitter.com/oliverdr/status/367822470926958592http://www.symplur.com/healthcare-hashtags/hpm/

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Wed Aug 14 18:41:07 PDT 2013

_lizzy_ @jaweedkaleem All of us at #hpm tweetchat want to see this movie. We have justseen the trailer & want more! https://t.co/iozBVnMM8K

Wed Aug 14 18:41:43 PDT 2013

ctsinclair Topic 3: My wife was relatively uncertain about that decision, but it turned out verywell. Why should kids be at every funeral? #hpm

Wed Aug 14 18:41:48 PDT 2013

equijada t3: Part of being a family #hpmWed Aug 14 18:42:17 PDT 2013

ctsinclair Topic 3: Or also why shouldn't kids be at a funeral? Both are equally validdiscussion points #hpm

Wed Aug 14 18:42:31 PDT 2013

dlschermd #hpm Kids need to know death is a part of life.Wed Aug 14 18:42:46 PDT 2013

oliverdr Why shouldn't kids be at funerals I would ask. They are a part of the family theysee new babes and so why not as death is normal #hpm

Wed Aug 14 18:42:52 PDT 2013

equijada t3: Love in the face of unexpected sadness is truly remarkable #hpmWed Aug 14 18:42:53 PDT 2013

skipbidder T3: Because death is part of life. Because I don't want you to have to explain whythey were excluded when they ask in 10 years. #hpm

Wed Aug 14 18:42:55 PDT 2013

kpedmonds T3: we hide death away behind walls too often in our culture. Begins to breakthose walls down. #hpm

Wed Aug 14 18:43:31 PDT 2013

eFuneral Death is a part of life. Even kids need to learn that ... age appropriately of course#hpm

Wed Aug 14 18:43:33 PDT 2013

TexasKidDoc T3 Just like it's an adult's choice to go, It should be a child's choice too.Explain/prepare and if they say No, then it's No for now. #hpmWed Aug 14 18:43:40 PDT 2013

skipbidder T3: Because this is part of what families do, and they are part of the family. #hpmWed Aug 14 18:43:41 PDT 2013

Kathy_Brandt @ctsinclair Sorry for your loss. T3:I brought son to funerals @ young age. Youcan't shield kids from loss, just from seeing you grieve #hpm

Wed Aug 14 18:43:46 PDT 2013
http://twitter.com/Kathy_Brandt/status/367823903004954624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/skipbidder/status/367823881249116160http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/TexasKidDoc/status/367823875272232960http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/eFuneral/status/367823848080568322http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367823838006226944http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367823687782641664http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/equijada/status/367823680341946368http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367823672582488065http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/dlschermd/status/367823649967181824http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367823588436369409http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/equijada/status/367823528864649217http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367823407200477184http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/_lizzy_/status/367823383506866176https://t.co/iozBVnMM8Khttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jaweedkaleemhttp://twitter.com/KGoffRN/status/367823233535705088

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Pallimed RT @skipbidder: T3: Because death is part of life. Because I don't want you tohave to explain why they were excluded when they ask in 10 y

Wed Aug 14 18:43:47 PDT 2013

oliverdr Funerals are great opportunities for us to teach kids about love and celebration ofliving and dying great conversations #hpm

Wed Aug 14 18:43:53 PDT 2013

KGoffRN T3 #hpm - normalizes death, makes it a part of being in a familyWed Aug 14 18:44:09 PDT 2013

oliverdr Depriving death of its strangeness! #hpmWed Aug 14 18:44:12 PDT 2013

A_THEINCREDIBLE Earlier today... My barbershop got the movie theater seatsWed Aug 14 18:44:17 PDT 2013

skipbidder T3 But situations alter cases. I wouldn't pressure any kid to go. #hpmWed Aug 14 18:44:17 PDT 2013

ctsinclair Plus we had a 8hr drive back from Chicago to talk. Didn't press them to talk, butgave them safe open space to ask questions #hpm

Wed Aug 14 18:44:37 PDT 2013

dlschermd @ctsinclair Children ask about death a heaven like sexuality. Exploringboundaries. Shouldn't be denied, tho age-appropriate info. #hpm

Wed Aug 14 18:44:38 PDT 2013

_lizzy_ T3: Death is a part of life. I attended my first funeral at the age of 4. #hpmWed Aug 14 18:44:38 PDT 2013

skipbidder RT @TexasKidDoc: T3 Just like it's an adult's choice to go, It should be a child'schoice too. Explain/prepare and if they say No, then it'

Wed Aug 14 18:44:40 PDT 2013

Kathy_Brandt t3: #hpm Kids need to see us cry, be sad, grieve & comfort. Kids who don't, thinkit's shameful to express loss.

Wed Aug 14 18:44:43 PDT 2013

skipbidder RT @eFuneral: Death is a part of life. Even kids need to learn that ... ageappropriately of course #hpm

Wed Aug 14 18:44:48 PDT 2013

tajayiMD T3; It depends on how old the child is; and what they are able to understand.#hpm

Wed Aug 14 18:44:50 PDT 2013

_lizzy_ RT @Kathy_Brandt: t3: #hpm Kids need to see us cry, be sad, grieve & comfort.Kids who don't, think it's shameful to express loss.
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_Brandthttp://twitter.com/tajayiMD/status/367824171478560768http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367824162242326528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/eFuneralhttp://twitter.com/Kathy_Brandt/status/367824141329518592http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367824127379255296http://www.twitter.com/TexasKidDochttp://twitter.com/_lizzy_/status/367824118793506816http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/dlschermd/status/367824117405601792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367824115618422785http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367824030704758785http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/A_THEINCREDIBLE/status/367824030050844672http://twitter.com/oliverdr/status/367824009410248704http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367823998274772992http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367823928577630208http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/Pallimed/status/367823905567682560http://www.twitter.com/skipbidder

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Wed Aug 14 18:45:00 PDT 2013

TexasKidDoc RT @tajayiMD: T3; It depends on how old the child is; and what they are able tounderstand. #hpm

Wed Aug 14 18:45:00 PDT 2013

skipbidder RT @Kathy_Brandt: t3: #hpm Kids need to see us cry, be sad, grieve & comfort.Kids who don't, think it's shameful to express loss.

Wed Aug 14 18:45:20 PDT 2013

hollyby T3: Hugs to you, Christian! I'm glad you took them. Important time for them to saygoodbye & to be part of the family experience. #hpm

Wed Aug 14 18:45:20 PDT 2013

skipbidder RT @hollyby: T3: Hugs to you, Christian! I'm glad you took them. Important time forthem to say goodbye & to be part of the family experien

Wed Aug 14 18:45:27 PDT 2013

tajayiMD RT @TexasKidDoc: T3 Just like it's an adult's choice to go, It should be a child'schoice too. Explain/prepare and if they say No, then it'Wed Aug 14 18:45:46 PDT 2013

ctsinclair RT @A_THEINCREDIBLE: Earlier today... My barbershop got the movie theaterseats #HPMhttp://t.co/O8w03cswwc "Sweet!" #hpm

Wed Aug 14 18:45:50 PDT 2013

kpedmonds RT @Kathy_Brandt: t3: #hpm Kids need to see us cry, be sad, grieve & comfort.Kids who don't, think it's shameful to express loss.

Wed Aug 14 18:45:51 PDT 2013

eFuneral Kids are smarter than often given credit for. They know when bad things happen +it's parents' job to ease the pain + help them cope #hpm

Wed Aug 14 18:45:52 PDT 2013

oliverdr @tajayiMD do we always require kids to totally understand something before theyexperience-they attend church without understanding why #hpm

Wed Aug 14 18:45:53 PDT 2013

dlschermd @Kathy_Brandt Yes. It's like hiding your diagnosis from them. Only conjures upshame, negative false thoughts. #hpm

Wed Aug 14 18:46:05 PDT 2013

kpedmonds RT @dlschermd: @ctsinclair Children ask about death a heaven like sexuality.Exploring boundaries. Shouldn't be denied, tho age-appropriate

Wed Aug 14 18:46:07 PDT 2013

Kathy_Brandt T3: #hpm My Aunt's funeral my son cried, hard. I cried. My brother said I was justverklempt - that so minimized my feelings. I was grieving

Wed Aug 14 18:46:15 PDT 2013

eFuneral RT @Kathy_Brandt: t3: #hpm Kids need to see us cry, be sad, grieve & comfort.
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_Brandthttp://twitter.com/Kathy_Brandt/status/367824525515190272http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367824494372458496http://www.twitter.com/ctsinclairhttp://www.twitter.com/dlschermdhttp://twitter.com/dlschermd/status/367824485728403456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_Brandthttp://twitter.com/oliverdr/status/367824432540053504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tajayiMDhttp://twitter.com/eFuneral/status/367824431395008512http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367824426437324800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_Brandthttp://twitter.com/ctsinclair/status/367824421836189696http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/O8w03cswwchttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/A_THEINCREDIBLEhttp://twitter.com/tajayiMD/status/367824403184513024http://www.twitter.com/TexasKidDochttp://twitter.com/skipbidder/status/367824325539160064http://www.twitter.com/hollybyhttp://twitter.com/hollyby/status/367824297005301762http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/skipbidder/status/367824295700885505http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_Brandthttp://twitter.com/TexasKidDoc/status/367824212112592896http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tajayiMDhttp://twitter.com/_lizzy_/status/367824211701555201

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Kids who don't, think it's shameful to express loss.

Wed Aug 14 18:46:25 PDT 2013

eFuneral RT @hollyby: T3: Hugs to you, Christian! I'm glad you took them. Important time forthem to say goodbye & to be part of the family experien

Wed Aug 14 18:46:40 PDT 2013

Sarasdaughter RT @Kathy_Brandt: t3: #hpm Kids need to see us cry, be sad, grieve & comfort.Kids who don't, think it's shameful to express loss.

Wed Aug 14 18:46:50 PDT 2013

ctsinclair The kids were very curious about the open casket. Took them about 10-15minutes to even think about approaching it. But eventually OK #hpm

Wed Aug 14 18:46:58 PDT 2013

TexasKidDoc Important to remember that every kid is different - from each other and even fromthemselves at different ages, personalize decisions #hpm

Wed Aug 14 18:47:26 PDT 2013

_lizzy_ @ctsinclair what questions did they ask? #hpmWed Aug 14 18:47:36 PDT 2013

_lizzy_ #hpmWed Aug 14 18:47:38 PDT 2013

jfclearywisc @ctsinclair Well done. We took 7 & 3 yr olds to visit neighbor who had died athome. 5 year old didn't want to come. Demystified death #hpm

Wed Aug 14 18:47:43 PDT 2013

ctsinclair They had lots of questions about burial, casket, cremation, and even the goodchallenging questions about life after death #hpm

Wed Aug 14 18:47:50 PDT 2013

KGoffRN RT @oliverdr: Depriving death of its strangeness! #hpmWed Aug 14 18:47:52 PDT 2013

oliverdr Halloween ghost stories mystify death and we dont shield kids show them thereality and the joy of celebration in the midst of grief #hpm

Wed Aug 14 18:48:26 PDT 2013

tajayiMD @oliverdr, no but without understanding of permanence; death and funerals canbe unnecessarily confusing #hpm

Wed Aug 14 18:48:26 PDT 2013

KGoffRN @ctsinclair#hpm if only adults could approach these subjects so openly!Wed Aug 14 18:48:50 PDT 2013

tajayiMD RT @TexasKidDoc: Important to remember that every kid is different - from eachother and even from themselves at different ages, personaliz

Wed Aug 14 18:48:52 PDT 2013
http://twitter.com/tajayiMD/status/367825182666547200http://www.twitter.com/TexasKidDochttp://twitter.com/KGoffRN/status/367825174416334849http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/tajayiMD/status/367825077183991808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/oliverdr/status/367825076424433664http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/KGoffRN/status/367824933554245632http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367824923214876672http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/jfclearywisc/status/367824892973961216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/_lizzy_/status/367824872031789056http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/_lizzy_/status/367824866776342528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/TexasKidDoc/status/367824825110114304http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367824707124334592http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/Sarasdaughter/status/367824672618184704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Kathy_Brandthttp://twitter.com/eFuneral/status/367824630867718145http://www.twitter.com/hollybyhttp://twitter.com/eFuneral/status/367824567537913858

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kpedmonds RT @TexasKidDoc: Important to remember that every kid is different - from eachother and even from themselves at different ages, personaliz

Wed Aug 14 18:48:53 PDT 2013

eFuneral Kids learn by watching their parents. When it comes to death, they need to seehow you respond to loss #hpm

Wed Aug 14 18:48:54 PDT 2013

ctsinclair My favorite Q: my son asked about difference between a casket and a coffin. Ididn't know, now I do. Do you know the di fference? #hpm

Wed Aug 14 18:48:57 PDT 2013

KGoffRN RT @jfclearywisc: @ctsinclair Well done. We took 7 & 3 yr olds to visit neighborwho had died at home. 5 year old didn't want to come. Dem

Wed Aug 14 18:49:05 PDT 2013

ctsinclair No answering that question @efuneral! #hpmWed Aug 14 18:49:08 PDT 2013

_lizzy_ @ctsinclair Did you answer the questions? What did you say about life afterdeath? I believe kids are more connected than adults #hpm

Wed Aug 14 18:49:17 PDT 2013

equijada @ctsinclair#hpm perhaps a casket half opens and a coffin full opens?Wed Aug 14 18:49:56 PDT 2013

ctsinclair The best thing abt my kids being there (w/ other cousins) is they brought a levityand vitality to the whole occasion. Was appreciated #hpm

Wed Aug 14 18:50:08 PDT 2013

tajayiMD T3; to have the exposure generate questions, and open communication, we mustmeet the child were they are. #hpm

Wed Aug 14 18:50:11 PDT 2013

skipbidder @ctsinclair No, but I bet Doctor Google does. Yep. Now I've learned somethingtoo. I'll let others google on their own. :) #hpm

Wed Aug 14 18:50:17 PDT 2013

dlschermd @tajayiMD@oliverdr Don't need all concrete answers. Children will form age-

appropriate conclusions or ideas. But shouldn't be denied. #hpmWed Aug 14 18:50:20 PDT 2013

TexasKidDoc Agreed RT @tajayiMD: @oliverdr, no but without understanding of permanence;death and funerals can be unnecessarily confusing #hpm#hpm

Wed Aug 14 18:50:20 PDT 2013

oliverdr I would come back and haunt anyone who kept my great grandkids away from myfuneral at any age lol #hpm

Wed Aug 14 18:50:22 PDT 2013
http://twitter.com/oliverdr/status/367825561973837825http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/TexasKidDoc/status/367825554692521984http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/tajayiMDhttp://twitter.com/dlschermd/status/367825552843243520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://www.twitter.com/tajayiMDhttp://twitter.com/skipbidder/status/367825541895692288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/tajayiMD/status/367825516558303232http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/ctsinclair/status/367825502003687425http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/equijada/status/367825454721273856http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/_lizzy_/status/367825289906106368http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367825251104600064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/efuneralhttp://twitter.com/KGoffRN/status/367825239230935040http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://twitter.com/ctsinclair/status/367825203608293377http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/eFuneral/status/367825194767101952http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/kpedmonds/status/367825187040804864http://www.twitter.com/TexasKidDoc

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ctsinclair @_lizzy_ We asked them about their own thoughts on life after death and wentfrom there. Got into religion and different beliefs too #hpm

Wed Aug 14 18:50:59 PDT 2013

ctsinclair RT @oliverdr: I would come back and haunt anyone who kept my great grandkidsaway from my funeral at any age lol #hpm

Wed Aug 14 18:51:07 PDT 2013

jfclearywisc@ctsinclair Pronounced death of a woman last week. 7 year old Grandson waspresent w his parents. Took time to answer his questions! #Hpm

Wed Aug 14 18:51:11 PDT 2013

hollyby Sorry to leave early. Thanks for hosting Christian!!! #hpmWed Aug 14 18:51:12 PDT 2013

ctsinclair My wife did come to realize it was a good thing they were there too. #hpmWed Aug 14 18:51:22 PDT 2013

_lizzy_I had a #hospice client who said "wouldn't it be funny if I came back at my funeralto scare everyone?" I was out of town that d6 #hpm

Wed Aug 14 18:51:34 PDT 2013

ctsinclair RT @jfclearywisc: @ctsinclair Pronounced death of a woman last week. 7 yearold Grandson was present w his parents. Took time to answer his

Wed Aug 14 18:51:41 PDT 2013

undercovernun RT @oliverdr: I would come back and haunt anyone who kept my great grandkidsaway from my funeral at any age lol #hpm

Wed Aug 14 18:52:00 PDT 2013

KGoffRN T2 #hpmhttps://t.co/Ajh6SHssUI moving to other theaters later in the summerWed Aug 14 18:52:09 PDT 2013

oliverdr RT @KGoffRN: T2 #hpmhttps://t.co/Ajh6SHssUI moving to other theaters later inthe summer

Wed Aug 14 18:52:23 PDT 2013

TexasKidDoc In children's hosp we have entire sessions w/ Child Life Therapists before webring sibs into ICUs, sometimes takes experts to explain #hpm

Wed Aug 14 18:52:36 PDT 2013

eFuneral @ctsinclair did your kids say goodbye? #hpmWed Aug 14 18:52:38 PDT 2013

skipbidder @ctsinclair Sounds like you were "working" the whole time. Hope you got achance to do some of your own grieving. #hpm

Wed Aug 14 18:52:47 PDT 2013

owlblazek @ctsinclair#hpm My kids were present when both my parents died. They were5/6 and then 8/9. Have never regretted. They saw peaceful death.
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/skipbidder/status/367826169137078272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/eFuneral/status/367826132533788672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/TexasKidDoc/status/367826124123803648http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367826068377321472https://t.co/Ajh6SHssUIhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KGoffRNhttp://twitter.com/KGoffRN/status/367826010307563520https://t.co/Ajh6SHssUIhttp://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/undercovernun/status/367825974148096001http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367825894536007680http://www.twitter.com/ctsinclairhttp://www.twitter.com/jfclearywischttp://twitter.com/_lizzy_/status/367825863686885377http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://twitter.com/ctsinclair/status/367825813413978112http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/hollyby/status/367825771391221761http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/jfclearywisc/status/367825767209521152http://www.symplur.com/healthcare-hashtags/Hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367825751401193472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367825717611864066http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/_lizzy_

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Wed Aug 14 18:53:16 PDT 2013

tajayiMD @dlschermd@oliverdr age appropriate & ideas may be wrong and scary. Theyused be exposed,agree, but ability to process is key. #hpm

Wed Aug 14 18:53:33 PDT 2013

_lizzy_ Day after client died, was visiting & client's grandson said "I thought you said hewas dead? Why is he standing in the corner then?" #hpm

Wed Aug 14 18:53:47 PDT 2013

ctsinclair RT @eFuneral: Did your kids say goodbye? "They were not close to him. We letthem know they could. They chose to observe silently" #hpm

Wed Aug 14 18:53:51 PDT 2013

ctsinclair @_lizzy_ I have had someone share a similar experience! #hpmWed Aug 14 18:54:16 PDT 2013

oliverdr @tajayiMD its our responsibility as parents to help process fore sure! #hpmWed Aug 14 18:54:20 PDT 2013

ctsinclair RT @owlblazek: @ctsinclair#hpm My kids were present when both my parentsdied. They were 5/6 and then 8/9. Have never regretted. They saw

Wed Aug 14 18:54:26 PDT 2013

owlblazek @ctsinclair#hpm Kids are awesome and resilient. They need to know about thecircle of life.

Wed Aug 14 18:54:27 PDT 2013

oliverdr RT @owlblazek: @ctsinclair#hpm Kids are awesome and resil ient. They need toknow about the circle of life.Wed Aug 14 18:54:44 PDT 2013

handpikdmiracle Last bottle with meds! Only thing left is multivitamin! Wohoo! #hpm#micropreemie#10mactual6madjusted

Wed Aug 14 18:54:48 PDT 2013

eFuneral RT @owlblazek: @ctsinclair#hpm Kids are awesome and resil ient. They need toknow about the circle of life.

Wed Aug 14 18:55:04 PDT 2013

KGoffRN Absolutely! RT @owlblazek: @ctsinclair#hpm Kids are awesome and resilient.They need to know about the circle of life.

Wed Aug 14 18:55:10 PDT 2013

ctsinclair @skipbidder I did my grieving at other times. Was glad to support and observe.That made it special to me. #hpm

Wed Aug 14 18:55:11 PDT 2013

owlblazek RT @oliverdr: I would come back and haunt anyone who kept my great grandkidsaway from my funeral at any age lol #hpm

Wed Aug 14 18:55:16 PDT 2013
http://twitter.com/owlblazek/status/367826795896508416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/oliverdrhttp://twitter.com/ctsinclair/status/367826775234981888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/skipbidderhttp://twitter.com/KGoffRN/status/367826771049451520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/owlblazekhttp://twitter.com/eFuneral/status/367826742561357824http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/owlblazekhttp://twitter.com/handpikdmiracle/status/367826677599981568http://www.symplur.com/healthcare-hashtags/10mactual6madjusted/http://www.symplur.com/healthcare-hashtags/micropreemie/http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/oliverdr/status/367826659140833281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/owlblazekhttp://twitter.com/owlblazek/status/367826590459494400http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/ctsinclair/status/367826585283358720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/owlblazekhttp://twitter.com/oliverdr/status/367826559752609793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/tajayiMDhttp://twitter.com/ctsinclair/status/367826545278066688http://www.symplur.com/healthcare-hashtags/hpm/http:/

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#Hpm Transcript 08.14.13