#Hpm Tweet Chat 5:11:11

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6/27/12 12:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed May 11 18:00:00 PDT 2011

To: Wed May 11 19:15:00 PDT 2011

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ctsinclair Few days left: #Hospice is trouncing Electronic health records 68 to 32% in ModernHealthcare's (fake) tourney http://hpm.md/jytCpf#hpm

Wed May 11 18:00:20 PDT 2011

MeredithGould @DNRstories Ugh...feel better. Migraine headaches bite. #hpmWed May 11 18:00:21 PDT 2011

MatthewsMichele @DNRstories sorry to hear that; Hope you feel better! You'll join us next week then?#hpm

Wed May 11 18:00:44 PDT 2011

hollyby For the next hour, I'm tweeting from the #Hospice and #Palliative Medicine Tweetchat.Learn how http://bit.ly/dcA3ic via @ctsinclair#hpm

Wed May 11 18:00:47 PDT 2011

hollyby Welcome to the #Hospice and #Palliative Medicine Tweetchat! Lets get started with somintroductions. I'm hosting tonight. #hpm

Wed May 11 18:01:36 PDT 2011

aliciabloom time for the #hospice and #palliative medicine tweetchat! #hpmWed May 11 18:01:40 PDT 2011
http://twitter.com/12047811/status/68480912903520256http://twitter.com/12047811/status/68480912903520256http://www.twitter.com/MatthewsMichelehttp://www.twitter.com/MatthewsMichelehttp://www.twitter.com/DNRstorieshttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/DNRstorieshttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/diseases/http://twitter.com/24399366/status/68480927327727616http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/aliciabloomhttp://twitter.com/12047811/status/68480912903520256http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/Palliative/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/hollybyhttp://twitter.com/12047811/status/68480706757668864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://bit.ly/dcA3ichttp://www.symplur.com/healthcare-hashtags/Palliative/http://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/hollybyhttp://twitter.com/225407184/status/68480695793762305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://www.twitter.com/MatthewsMichelehttp://twitter.com/16733030/status/68480596237750273http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DNRstorieshttp://www.twitter.com/MeredithGouldhttp://twitter.com/2326862/status/68480595524722688http://www.symplur.com/healthcare-hashtags/hpm/http://hpm.md/jytCpfhttp://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/ctsinclairhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/diseases/http://www.symplur.com/healthcare-hashtags/tweet-chats/http://www.symplur.com/healthcare-hashtags/conferences/http://www.symplur.com/healthcare-social-media/http://www.symplur.com/healthcare-hashtags/hpm/analytics/?hashtag=hpm&fdate=05-11-2011&shour=18&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=05-11-2011&shour=18&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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MeredithGould

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Wed May 11 18:06:03 PDT 2011

MatthewsMichele

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MeredithGould *confetti* #hpmWed May 11 18:08:38 PDT 2011

ctsinclair @MeredithGould Will be there. Only Monday though, debating if I can stay longer.(Conference BTW @Sheyonthebay) #hpm

Wed May 11 18:08:48 PDT 2011

PracticalWisdom Ying/Yang=G8 RT @ctsinclair: @hollyby I forgot HPM MD usually are not fond gross outmed. stuff. ER wife makes me quesy with stories #HPM

Wed May 11 18:09:01 PDT 2011

Kaviraj2 RT @ctsinclair: RT @MeredithGould: Hey friends, will be chatting about hospice &palliative medicine for the next hr. All welcome to follow hashtag--> #hpm

Wed May 11 18:09:04 PDT 2011

Kaviraj2 RT @ctsinclair: Christian Sinclair, palliative MD @KCHospice, editor @Pallimed, CEO@KLXmedia, fan of sports not liked in US (soccer, hockey, #F1) #hpm

Wed May 11 18:09:08 PDT 2011

EldrcareConsult I'll be learning and chatting with #HPM for the next hour. #HPMWed May 11 18:09:25 PDT 2011

ctsinclair @ePatientDave You are welcome to join us in #HPM tweetchat! #hpmWed May 11 18:09:26 PDT 2011

renee_berry Hi everyone! ---rb here, love this community, passionate about early palliative care,hospice volunteerism & advance care planning #hpm

Wed May 11 18:09:26 PDT 2011

chemosabe hey y'all, keeping an eye on it today, but mostly stalking... #hpmWed May 11 18:09:34 PDT 2011

Kaviraj2 RT @ctsinclair: Few days left: #Hospice is trouncing Electronic health records 68 to 32%in Modern Healthcare's (fake) tourney http://hpm.md/jytCpf#hpm

Wed May 11 18:09:44 PDT 2011

PracticalWisdom Look who is here. Long time no chat? @ePatientDave#HPMWed May 11 18:09:50 PDT 2011

SheyontheBay @ctsinclair@hollyby those gross ER stories shared by the parentsare great ways toteach your children by osmosis, ie,STDs and condoms #hpm

Wed May 11 18:10:00 PDT 2011

drpippa @renee_berry hello! has been so long! #hpmWed May 11 18:10:10 PDT 2011
http://twitter.com/522943/status/68483067957886976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/drpippahttp://twitter.com/16857263/status/68483024743972864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/SheyontheBayhttp://twitter.com/25428892/status/68482985120374784http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ePatientDavehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/190922729/status/68482958452985857http://www.symplur.com/healthcare-hashtags/hpm/http://hpm.md/jytCpfhttp://www.symplur.com/healthcare-hashtags/Hospice/http://www.twitter.com/ctsinclairhttp://www.twitter.com/Kaviraj2http://twitter.com/3877633/status/68482916254101504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://twitter.com/121558178/status/68482884960403456http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/17206739/status/68482884587110400http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ePatientDavehttp://www.twitter.com/ctsinclairhttp://twitter.com/80264506/status/68482880858361856http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EldrcareConsulthttp://twitter.com/190922729/status/68482806367518720http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/F1/http://www.twitter.com/KLXmediahttp://www.twitter.com/Pallimedhttp://www.twitter.com/KCHospicehttp://www.twitter.com/ctsinclairhttp://www.twitter.com/Kaviraj2http://twitter.com/190922729/status/68482792245309440http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/Kaviraj2http://twitter.com/25428892/status/68482777187762176http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/17206739/status/68482722720530432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/Sheyonthebayhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://twitter.com/1972230/status/68482680458715136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGould

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hollyby @Kaviraj2@renee_berry@chemosabe@EldrcareConsult Welcome! #hpmWed May 11 18:10:16 PDT 2011

PracticalWisdom @chemosabe: So glad you R Here~from one chat to another right? #HPMWed May 11 18:10:17 PDT 2011

hollyby Moving to Topic #1 soon #hpmWed May 11 18:10:33 PDT 2011

MeredithGould How cool am I? I finally get to meet -->@renee_berry in a couple of weeks! #hpmWed May 11 18:10:56 PDT 2011

chemosabe @PracticalWisdom thanks Lisa quite right, checked out of #ivchat and here I am #hpmWed May 11 18:11:01 PDT 2011

renee_berry :) yes! happy to see you!! RT @drpippa: @renee_berry hello! has been so long! #hpmWed May 11 18:11:02 PDT 2011

EldrcareConsult Hey there everyone....Shon from Knoxville here....serving seniors and all of humanity.....#hpm

Wed May 11 18:11:03 PDT 2011

PracticalWisdom @hollyby@Kaviraj2@renee_berry@chemosabe@EldrcareConsult G8 Crew on theShip tonight. Clear sailing ahead!! #HPM

Wed May 11 18:11:04 PDT 2011

MatthewsMichele Just FYI...Lurking (mostly) is my beat tonight too. RT @chemosabe: hey yall, keeping aneye on it today, but mostly stalking... #hpmWed May 11 18:11:30 PDT 2011

hollyby @SheyontheBay@ctsinclair Somehow scare tactics don't seem to work. :) #hpmWed May 11 18:11:30 PDT 2011

jessicajohanna Hi! Work @klxmedia. First tweetchat, may be lurking :) #hpmWed May 11 18:11:31 PDT 2011

renee_berry yes & @jessicajohanna & matthewsmichele! RT @MeredithGould: How cool am I? Ifinally get to meet -->@renee_berry in a couple of weeks! #hpmWed May 11 18:11:32 PDT 2011

PracticalWisdom @EldrcareConsult Our Southern Gentleman. #HPMWed May 11 18:11:54 PDT 2011

ctsinclair Hey @Chemosabe I always tell people about how you asked ?'s from our tweets at@AAHPM conference in Feb from 1/2 way around the world #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AAHPMhttp://www.twitter.com/Chemosabehttp://www.twitter.com/ctsinclairhttp://twitter.com/25428892/status/68483505910325248http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/PracticalWisdomhttp://twitter.com/121558178/status/68483413312684032http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/jessicajohannahttp://www.twitter.com/renee_berryhttp://twitter.com/15732930/status/68483408212406272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/klxmediahttp://www.twitter.com/jessicajohannahttp://twitter.com/12047811/status/68483405796478976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/SheyontheBayhttp://www.twitter.com/hollybyhttp://twitter.com/43209845/status/68483405561597952http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://www.twitter.com/MatthewsMichelehttp://twitter.com/25428892/status/68483294639038464http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/chemosabehttp://www.twitter.com/renee_berryhttp://www.twitter.com/Kaviraj2http://www.twitter.com/hollybyhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/91193098/status/68483289714925568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://twitter.com/121558178/status/68483287001214976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/drpippahttp://www.twitter.com/renee_berryhttp://twitter.com/19327875/status/68483280940445696http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/ivchat/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/chemosabehttp://twitter.com/16733030/status/68483259742425089http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/MeredithGouldhttp://twitter.com/32316055/status/68483165802602496http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/1/http://www.twitter.com/hollybyhttp://twitter.com/25428892/status/68483098484023296http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/chemosabehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/68483094642040832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/chemosabehttp://www.twitter.com/renee_berryhttp://www.twitter.com/Kaviraj2http://www.twitter.com/hollyby

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Wed May 11 18:11:55 PDT 2011

hollyby Pre-T1: HPM providers (and others) think a lot about how our care impacts patients andfamilies. #hpm

Wed May 11 18:12:06 PDT 2011

drpippa Welcome! RT @jessicajohanna: Hi! Work @klxmedia. First tweetchat, may be lurking :)#hpm

Wed May 11 18:12:19 PDT 2011

hollyby @jessicajohanna Welcome! #hpmWed May 11 18:12:20 PDT 2011

PracticalWisdom Welcome! How exciting. RT @jessicajohanna: Hi! Work @klxmedia. First tweetchat, maybe lurking :) #HPM

Wed May 11 18:12:20 PDT 2011

MatthewsMichele @jessicajohanna good to see you here!! :) WELCOME! #hpmWed May 11 18:12:26 PDT 2011

ctsinclair @EldrcareConsult Hey Shon. I didn't realize your name was spelled so uniquely. #hpmWed May 11 18:12:26 PDT 2011

MeredithGould RT @hollyby: Pre-T1: HPM providers (and others) think a lot about how our care impactspatients and families. #hpm

Wed May 11 18:12:34 PDT 2011

chemosabe @ctsinclair thanks Christian, nest best thing to being there! #hpmWed May 11 18:12:43 PDT 2011

renee_berry RT @hollyby Pre-T1: HPM providers (& others) think a lot about how our care impactspatients & families #hpm

Wed May 11 18:12:48 PDT 2011

EldrcareConsult @PracticalWisdom oh stop (ya'll) #hpmWed May 11 18:12:48 PDT 2011

bentleystewart RT @hollyby: Pre-T1: HPM providers (and others) think a lot about how our care impactspatients and families. #hpmWed May 11 18:12:50 PDT 2011

chemosabe anyone going to European Pallimed conference next week? #hpmWed May 11 18:13:12 PDT 2011

hollyby T1: Ive been thinking abt patient/family feedback to docs/teams. What info from patientswould be useful to make care better? #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/19327875/status/68483831988105216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://twitter.com/290347396/status/68483738052464640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/bentleystewarthttp://twitter.com/80264506/status/68483732016873472http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/121558178/status/68483732553740289http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/renee_berryhttp://twitter.com/19327875/status/68483712144248832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/chemosabehttp://twitter.com/16733030/status/68483672931704832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/MeredithGouldhttp://twitter.com/2326862/status/68483638966235136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EldrcareConsulthttp://www.twitter.com/ctsinclairhttp://twitter.com/43209845/status/68483639058513920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jessicajohannahttp://www.twitter.com/MatthewsMichelehttp://twitter.com/25428892/status/68483615092260864http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/klxmediahttp://www.twitter.com/jessicajohannahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/68483612219162624http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jessicajohannahttp://www.twitter.com/hollybyhttp://twitter.com/522943/status/68483610520469504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/klxmediahttp://www.twitter.com/jessicajohannahttp://www.twitter.com/drpippahttp://twitter.com/32316055/status/68483553960267776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/2326862/status/68483509697773568

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Wed May 11 18:13:20 PDT 2011

hollyby @BentleyStewart Hi there! #hpmWed May 11 18:13:36 PDT 2011

aliciabloom @ctsinclair wow...thank you so much! i'm thrilled to have found the #hpm community. lovtweeting & learning!

Wed May 11 18:13:49 PDT 2011

MeredithGould RT @hollyby: T1: What info from patients would be useful to make care better? #hpmWed May 11 18:13:51 PDT 2011

PracticalWisdom If you send the Jet! I'll pitch in for Gas!RT @chemosabe: anyone going to EuropeanPallimed conference next week? #HPM

Wed May 11 18:13:57 PDT 2011

renee_berry RT @hollyby: T1: Ive been thinking abt patient/family feedback to docs/teams. What infofrom patients would be useful to make care better? #hpm

Wed May 11 18:14:00 PDT 2011

EldrcareConsult @hollyby T-1 A good view of the family dynamics..... #hpmWed May 11 18:14:13 PDT 2011

Pallimed Would love for any @Pallimed Twitter followers to join us right now in #HPM Tweetchat.http://tweetchat.com/room/hpm#hospice

Wed May 11 18:14:17 PDT 2011

PracticalWisdom 1 of the best!RT @aliciabloom: @ctsinclair wow...thank you ! im thrilled to have found the#hpm community. love tweeting & learning! #HPMWed May 11 18:14:40 PDT 2011

renee_berry T1 Understanding that simply... #palliative care is comfort focused care (& that hospice isnot one thing, but many organizations) #hpm

Wed May 11 18:14:48 PDT 2011

Pallimed RT @hollyby: T1: Ive been thinking abt patient/family feedback to docs/teams. What infofrom pts would be useful to make care better? #hpm

Wed May 11 18:14:55 PDT 2011

hollyby @chemosabe I can't go, but a poster and a presentation will be there. Look for@FrankDFerris#hpm

Wed May 11 18:15:10 PDT 2011

MatthewsMichele RT @EldrcareConsult: @hollyby T-1 A good view of the family dynamics..... #hpmWed May 11 18:15:51 PDT 2011
http://twitter.com/43209845/status/68484497896783872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/EldrcareConsulthttp://www.twitter.com/MatthewsMichelehttp://twitter.com/12047811/status/68484328455278593http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/FrankDFerrishttp://www.twitter.com/chemosabehttp://www.twitter.com/hollybyhttp://twitter.com/18181895/status/68484264051744768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/Pallimedhttp://twitter.com/121558178/status/68484232321843200http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/renee_berryhttp://twitter.com/25428892/status/68484199614648321http://www.symplur.com/healthcare-hashtags/HPM/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/18181895/status/68484102663323649http://www.symplur.com/healthcare-hashtags/hospice/http://tweetchat.com/room/hpmhttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/Pallimedhttp://www.twitter.com/Pallimedhttp://twitter.com/91193098/status/68484087689654272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/101756517/status/68484032190623745http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/renee_berryhttp://twitter.com/15173133/status/68484019402190848http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/chemosabehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/68483995058450432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/MeredithGouldhttp://twitter.com/17634111/status/68483987563229184http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/32316055/status/68483930520698880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BentleyStewarthttp://www.twitter.com/hollybyhttp://twitter.com/32316055/status/68483867287367681

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ctsinclair It seems to me in times of stress any help is appreciated, so average care might be seenas outstanding. Need critical feedback. #hpm

Wed May 11 18:15:51 PDT 2011

MeredithGould T1 Families should be prepared & able to give docs/team info about how the patientcommunicates: auditory? visual? kinesthetic? #hpm

Wed May 11 18:15:52 PDT 2011

chemosabe Oh I'm not going but the director of our Pall Care Service is #hpmWed May 11 18:16:03 PDT 2011

renee_berry T1 Listen to patient & family goals of care, before anything else #hpmWed May 11 18:16:12 PDT 2011

PracticalWisdom T1: Respect 4 all Health Care providers. Each is an important piece to build a solidfoundation. PT Satisfaction can be impacted + or - #HPM

Wed May 11 18:16:25 PDT 2011

aliciabloom just today, a family said that the doctors often just "come in, talk at us, & leave." they werso grateful to have a dialogue & ask ? #hpm

Wed May 11 18:16:51 PDT 2011

hollyby Example: I got a survey from my doc's office. Survey questions are not always helpful toimprove care, but what questions would be? #hpm

Wed May 11 18:16:58 PDT 2011

MatthewsMichele agree! T1 Families should be prepared & able to give docs/team info about how thepatient communicates via @MeredithGould#hpm

Wed May 11 18:17:23 PDT 2011

hollyby RT @ctsinclair: ... in times of stress any help is appreciated, so avg care might be seenas outstanding. Need critical feedback. #hpm

Wed May 11 18:17:26 PDT 2011

MeredithGould T1 Thought the question was what should families provide for providers? Did I get thiswrong? #hpm

Wed May 11 18:17:27 PDT 2011

renee_berry RT @hollyby: Example: I got a survey from my doc's office. Survey questions are notalways helpful to improve care, but what questions would be? #hpm

Wed May 11 18:17:32 PDT 2011

hollyby @MeredithGould You are spot on. #hpmWed May 11 18:17:50 PDT 2011

ctsinclair T1: hearing 'you are all angels' frequently can lead to poor self-analysis of skills, might bea weakness of feedback to #hospice staff #hpm

Wed May 11 18:17:51 PDT 2011
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hillaryboucher @PracticalWisdom what is #hpm ?Wed May 11 18:17:56 PDT 2011

EldrcareConsult @renee_berry That is a great point....LISTEN #hpmWed May 11 18:18:11 PDT 2011

PracticalWisdom @hollyby: Holly are the questions open ended or not. Need Specific Feedback in order toFeed Forward. #HPM

Wed May 11 18:18:13 PDT 2011

renee_berry @hollyby@ctsinclair that is such a crucial aspect to understand, #hospice CEO's pleasesee this comment... #hpm

Wed May 11 18:18:24 PDT 2011

renee_berry RT @hollyby: RT @ctsinclair: ... in times of stress any help is appreciated, so avg caremight be seen as outstanding. Need critical feedback. #hpm

Wed May 11 18:18:30 PDT 2011

ctsinclair @hollyby I find many surveys about medical care have to deal with thedelivery/mechanics, not necessarily deliver/humanity #hpm

Wed May 11 18:18:38 PDT 2011

drpippa T1 - I want to hear whether they understand/agree with/are comfortable with the plan ofcare. particularly in crisis. #hpm

Wed May 11 18:18:49 PDT 2011

MeredithGould T1 Families should be prepared & able to provide info about the patient's spiritualperspective, religious practices, faith & beliefs #hpmWed May 11 18:18:50 PDT 2011

PracticalWisdom @hillaryboucher Hospice and Palliative Medicine. Great group. Good to see you. #HPMWed May 11 18:19:01 PDT 2011

chemosabe T1 reponsiveness of staff 2 admit requirements. availablitiy of allied health staff. time tospend with client & family non-clinically #hpm

Wed May 11 18:19:19 PDT 2011

renee_berry agree RT @EldrcareConsult@renee_berry That is a great point....LISTEN #hpmWed May 11 18:19:38 PDT 2011

MeredithGould T1 Let docs/teams know if there are estranged family members who might be broughtback into conversation/relationship at this point. #hpm

Wed May 11 18:19:45 PDT 2011

@aliciabloom it's rare. though today my doctor asked me about my job, hobbies and love
http://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/68485480903225344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/121558178/status/68485449102004224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/EldrcareConsulthttp://www.twitter.com/renee_berryhttp://twitter.com/19327875/status/68485371972956160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/chemosabehttp://twitter.com/25428892/status/68485294940364800http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/hillaryboucherhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/1972230/status/68485249109200896http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/522943/status/68485246072524800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/17206739/status/68485199100526592http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/ctsinclairhttp://twitter.com/101756517/status/68485167005696001http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://www.twitter.com/renee_berryhttp://twitter.com/101756517/status/68485138891288576http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://www.twitter.com/renee_berryhttp://twitter.com/25428892/status/68485092653273088http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/hollybyhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/91193098/status/68485084361142272http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/19629551/status/68485021123612672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/hillaryboucher

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Page 10ttp://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=05-11-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1

jessicajohanna life #hpmWed May 11 18:19:54 PDT 2011

bgood64 RT @MeredithGould: Slipping in a mention that tomorrow is Fibromyalgia AwarenessDay. #FibroAware#hpm

Wed May 11 18:19:58 PDT 2011

LVADone RT @ctsinclair: It seems to me in times of stress any help is appreciated, so average carmight be seen as outstanding. Need critical feedback. #hpm

Wed May 11 18:20:02 PDT 2011

ctsinclair On the flipside, HPM staff can often be criticized heavily by pts/families b/c of highemotional stress, not b/c of poor skills #hpm

Wed May 11 18:20:17 PDT 2011

renee_berry @drpippa that is so important, so many families I think are not prepared to simply saywhat they think or are feeling #hpm

Wed May 11 18:20:21 PDT 2011

renee_berry RT @drpippa: T1 - I want to hear whether they understand/agree with/are comfortablewith the plan of care. particularly in crisis. #hpm

Wed May 11 18:20:27 PDT 2011

EldrcareConsult RT @MeredithGould: estranged family members who might be brought back intoconversation/relationship at this point. EXACTLY! #hpm

Wed May 11 18:20:43 PDT 2011

drpippa I also want to hear about the patient/family before the illness. Helps withgoals/plans/preserving dignity and humanity. #hpm

Wed May 11 18:20:59 PDT 2011

Pallimed RT @MeredithGould: T1 Let teams know if estranged family members who might bebrought back into conversation/relationship #hpm

Wed May 11 18:21:03 PDT 2011

MatthewsMichele t-1. patient general temperament, mood, the way they prefer to communicate...things thaare intuitive to family members... #hpm

Wed May 11 18:21:12 PDT 2011

hollyby RT @ctsinclair: On the flipside, HPM staff can often be criticized heavily by pts/familiesb/c of high stress, not b/c of poor skills #hpmWed May 11 18:21:13 PDT 2011

PracticalWisdom Might be in Shock RT @renee_berry: @drpippa so many families I think R not prepared esimply say what they think or are feeling #HPM

Wed May 11 18:21:25 PDT 2011

RT @drpippa: T1 - I want to hear whether they understand/agree with/are comfortable
http://www.twitter.com/drpippahttp://twitter.com/25428892/status/68485899863863296http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/drpippahttp://www.twitter.com/renee_berryhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/32316055/status/68485849116983296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://twitter.com/43209845/status/68485844675198976http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MatthewsMichelehttp://twitter.com/18181895/status/68485808721625088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/Pallimedhttp://twitter.com/522943/status/68485788710600705http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://twitter.com/91193098/status/68485723854090240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/121558178/status/68485657114316800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/renee_berryhttp://twitter.com/121558178/status/68485629238976512http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/renee_berryhttp://twitter.com/17206739/status/68485615620071424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/86393173/status/68485550293790720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/LVADonehttp://twitter.com/23907174/status/68485534204436480http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/FibroAware/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/bgood64http://twitter.com/1210152/status/68485518194782208http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jessicajohanna

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SheyontheBay with the plan of care. particularly in crisis. #hpmWed May 11 18:21:41 PDT 2011

ctsinclair @MeredithGould This is such a touchy area. I often will ask about other family whocannot be present. Can be a touchy area. #hpm

Wed May 11 18:21:43 PDT 2011

ctsinclair @MeredithGould Sorry my record player skipped. My record player skipped! ;-) #hpmWed May 11 18:22:08 PDT 2011

MeredithGould @ctsinclair Very very touchy area, which is why chaplains should be involved & on theteam. #hpm

Wed May 11 18:22:13 PDT 2011

EldrcareConsult RT @PracticalWisdom: Might be in Shock Good point Lisa..... #hpmWed May 11 18:22:23 PDT 2011

MeredithGould @ctsinclair s'ok s'ok #hpmWed May 11 18:22:24 PDT 2011

Pallimed RT @drpippa: T1 - I want to hear whether they understand/agree with/are comfortablewith the plan of care. particularly in crisis. #hpm

Wed May 11 18:22:29 PDT 2011

jessicajohanna RT @drpippa: I also want to hear about the patient/family before the illness. Helps withgoals/plans/preserving dignity and humanity. #hpm

Wed May 11 18:22:39 PDT 2011

aliciabloom the patient/family narrative before & throughout illness is helpful-- builds rapport, providesinsight into values. #hpm

Wed May 11 18:22:44 PDT 2011

PracticalWisdom @hollyby@ctsinclair: When people really feel they are listened to the scores many timesgo up. Think Social Workers/Clergy can help #HPM

Wed May 11 18:22:49 PDT 2011

PracticalWisdom RT @aliciabloom: the patient/family narrative before & throughout illness is helpful--builds rapport, provides insight into values. #HPM

Wed May 11 18:23:03 PDT 2011

MeredithGould RT @drpippa: I also want to hear about the patient/family before the illness. Helps withgoals/plans/preserving dignity and humanity. #hpm

Wed May 11 18:23:07 PDT 2011

drpippa RT @aliciabloom: the patient/family narrative before & throughout illness is helpful--builds rapport, provides insight into values. #hpm

Wed May 11 18:23:09 PDT 2011
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hollyby Wonderful! Getting two things from this 1) quality improvement help from pts, 2) questionto ask pts to ensure complete picture. #hpm

Wed May 11 18:23:10 PDT 2011

LVADone @HPHHospice: Nursing encompasses an art, a humanistic orientation, a feeling for thevalue of the individual... http://t.co/tUdDd49#hpm

Wed May 11 18:23:11 PDT 2011

EldrcareConsult @ctsinclair Its very touchy...hardest conversation I have to have with my families....whoto/who not to include in the decisions #hpm

Wed May 11 18:23:19 PDT 2011

ctsinclair Interesting that many medical providers choose to survey AFTER care is delivered. Notalways during. #hpm

Wed May 11 18:23:25 PDT 2011

MatthewsMichele @ctsinclair@MeredithGould Very touchy! Caused my fam to close ranks & not open upas much to docs when our matriarch was ill #hpmWed May 11 18:23:29 PDT 2011

hollyby RT @ctsinclair: Interesting that many medical providers choose to survey AFTER care isdelivered. Not always during. #hpm

Wed May 11 18:23:43 PDT 2011

renee_berry RT @drpippa: I also want to hear about the patient/family before the illness. Helps withgoals/plans/preserving dignity and humanity. #hpm

Wed May 11 18:23:45 PDT 2011

MatthewsMichele RT @ctsinclair: Interesting that many medical providers choose to survey AFTER care isdelivered. Not always during. #hpm

Wed May 11 18:23:46 PDT 2011

SheyontheBay often pts/family have difficulty HEARing in crisis, understand also difficult to articulatevalues and goals without gentle guidance #hpm

Wed May 11 18:23:46 PDT 2011

PracticalWisdom RT @jessicajohanna: RT @drpippa: want 2 hear re: patient/family b4 illness. Helps withgoals/plans/preserving dignity and humanity. #HPM

Wed May 11 18:23:49 PDT 2011

LVADone RT @ctsinclair: On the flipside, HPM staff can often be criticized heavily by pts/familiesb/c of high emotional stress, not b/c of poor skills #hpm

Wed May 11 18:24:00 PDT 2011

renee_berry RT @aliciabloom: the patient/family narrative before & throughout illness is helpful--builds rapport, provides insight into values. #hpm

Wed May 11 18:24:01 PDT 2011
http://twitter.com/121558178/status/68486554535993344http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/renee_berryhttp://twitter.com/86393173/status/68486548919812098http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/LVADonehttp://twitter.com/25428892/status/68486502186885121http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/drpippahttp://www.twitter.com/jessicajohannahttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16857263/status/68486492481269760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/43209845/status/68486492288335872http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MatthewsMichelehttp://twitter.com/121558178/status/68486485183180801http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/drpippahttp://www.twitter.com/renee_berryhttp://twitter.com/32316055/status/68486479860604928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/hollybyhttp://twitter.com/43209845/status/68486418418241536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/ctsinclairhttp://www.twitter.com/MatthewsMichelehttp://twitter.com/17206739/status/68486404606398467http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/91193098/status/68486378605916160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/97999322/status/68486345223454721http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/tUdDd49%E2%80%9Dhttp://www.twitter.com/HPHHospicehttp://www.twitter.com/LVADonehttp://twitter.com/32316055/status/68486340093820928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollyby

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MatthewsMichele @ctsinclair seems counter intuitive doesnt it? #hpmWed May 11 18:24:16 PDT 2011

ctsinclair @MatthewsMichele@MeredithGould Yes i have seen the discussion of 'estranged familyalienate communication ability #hpm

Wed May 11 18:24:20 PDT 2011

chemosabe @ctsinclair we do during care...but my client base is not post terminal event! #hpmWed May 11 18:24:24 PDT 2011

MeredithGould Touchy subjects: all the more reason to Have the Talk! #hpmWed May 11 18:24:29 PDT 2011

PracticalWisdom RT @SheyontheBay: often pts/family have dif. HEARing crisis, understand also difficult toarticulate values/goals without gentle guid #HPM

Wed May 11 18:24:37 PDT 2011

drpippa RT @MeredithGould: Touchy subjects: all the more reason to Have the Talk! #hpmWed May 11 18:24:52 PDT 2011

EldrcareConsult RT @MeredithGould: Touchy subjects: all the more reason to Have the Talk! Yep! #hpmWed May 11 18:24:57 PDT 2011

ctsinclair @MatthewsMichele Patients and families don't take lessons on how to communicate besMany HC profs dont either though... #hpm

Wed May 11 18:25:00 PDT 2011

MatthewsMichele YES! RT @MeredithGould: Touchy subjects: all the more reason to Have the Talk! #hpmWed May 11 18:25:02 PDT 2011

renee_berry always yes on advance care planning! RT @MeredithGould: Touchy subjects: all themore reason to #HaveTheaTalk! #hpm

Wed May 11 18:25:13 PDT 2011

PracticalWisdom @ctsinclair@MatthewsMichele@MeredithGould Families are complex and now oftenlive many miles away #HPM

Wed May 11 18:25:17 PDT 2011

aliciabloom "@ctsinclair: Interesting that many medical providers choose to survey AFTER care isdelivered. Not always during." puzzling, really. #hpm

Wed May 11 18:25:19 PDT 2011

MeredithGould @ctsinclair@MatthewsMichele Ok, so do NOT say: "Who does your loved one despisewho should nevertheless be here?" #hpm

Wed May 11 18:25:34 PDT 2011
http://twitter.com/16733030/status/68486942072897536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MatthewsMichelehttp://www.twitter.com/ctsinclairhttp://www.twitter.com/MeredithGouldhttp://twitter.com/24399366/status/68486879921713152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/25428892/status/68486873579925504http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/MatthewsMichelehttp://www.twitter.com/ctsinclairhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/121558178/status/68486853786996736http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/HaveTheaTalk/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/renee_berryhttp://twitter.com/43209845/status/68486809784565760http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/MatthewsMichelehttp://twitter.com/2326862/status/68486799625961473http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MatthewsMichelehttp://www.twitter.com/ctsinclairhttp://twitter.com/91193098/status/68486789039525889http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EldrcareConsulthttp://twitter.com/522943/status/68486768420339713http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/drpippahttp://twitter.com/25428892/status/68486704071327744http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/16733030/status/68486671422861312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/19327875/status/68486651768356864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/chemosabehttp://twitter.com/2326862/status/68486633837703168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/MatthewsMichelehttp://www.twitter.com/ctsinclairhttp://twitter.com/43209845/status/68486617228259328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/MatthewsMichele

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MatthewsMichele @hollyby I had plans to lurk but your T1 has drawn me in! #hpmWed May 11 18:25:38 PDT 2011

mojonimbus RT @aliciabloom: "@ctsinclair: Interesting that many medical providers choose to surveyAFTER care is delivered. Not always during." puzzling, really. #hpm

Wed May 11 18:25:44 PDT 2011

ctsinclair Clarify last statement,not to say that patients and families should improve or change theircomm styles, just that we need to adjust #hpm

Wed May 11 18:25:48 PDT 2011

hollyby We are going to get started with Topic #2 soon #hpmWed May 11 18:26:07 PDT 2011

renee_berry hahaha! great!!!! RT @MatthewsMichele: @hollyby I had plans to lurk but your T1 hasdrawn me in! #hpm

Wed May 11 18:26:11 PDT 2011

ctsinclair RT @MatthewsMichele: @hollyby I had plans to lurk but your T1 has drawn me in! "Like avaudville lasso....invisible but powerful." #hpm

Wed May 11 18:26:27 PDT 2011

PracticalWisdom T1: It's been my experience that most organization need better survey tools. Filling in thebubbles is not Valuable feedback #HPM

Wed May 11 18:26:31 PDT 2011

hollyby Agree! RT @PracticalWisdom: T1: ... most organization need better survey tools. Filling i

the bubbles is not Valuable feedback #hpmWed May 11 18:27:00 PDT 2011

hollyby Hooray! RT @MatthewsMichele: @hollyby I had plans to lurk but your T1 has drawn mein! #hpm

Wed May 11 18:27:10 PDT 2011

PracticalWisdom T1: Feedback would be great through the entire process. Are families debriefed by Pallcare teams afterward? #HPM

Wed May 11 18:27:18 PDT 2011

EldrcareConsult RT @PracticalWisdom: Families are complex and now often live many miles away Whenthe end is near they come out of the woodwork #hpm

Wed May 11 18:27:21 PDT 2011

MatthewsMichele @ctsinclair so true! #hpmWed May 11 18:27:27 PDT 2011

@ctsinclair Really...simply knowing how everyone best communicates is big, i.e., don't
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MeredithGould yak endlessly at someone who prefers reading #hpmWed May 11 18:27:37 PDT 2011

MeredithGould @MatthewsMichele Yeah, I always mean to lurk and get totally sucked in by this greatgroup & convo! #hpm

Wed May 11 18:28:06 PDT 2011

hollyby Topic #2: How does a life-threatening diagnosis change the management of chronicdisease? For the patient? For the doc/team? #hpm

Wed May 11 18:28:09 PDT 2011

LVADone RT @PracticalWisdom: @ctsinclair@MatthewsMichele@MeredithGould Families arecomplex and now often live many miles away #HPM

Wed May 11 18:28:16 PDT 2011

Pallimed RT @PracticalWisdom: T1:my experience that most orgs need better survey tools. Fillingin the bubbles does not = Valuable feedback #hpm

Wed May 11 18:28:31 PDT 2011

renee_berry RT @hollyby: Topic #2: How does a life-threatening diagnosis change the management ochronic disease? For the patient? For the doc/team? #hpm

Wed May 11 18:28:36 PDT 2011

PracticalWisdom @EldrcareConsult: Hopefully come for good reasons. Have seen when was a clergyFamily Member the Good, Bad and ugly reasons! #HPM

Wed May 11 18:28:37 PDT 2011

MatthewsMichele RT @MeredithGould: @ctsinclair Simply knowing how everyone communicates is big,i.e., dont yak endlessly at someone who prefers reading #hpm

Wed May 11 18:28:38 PDT 2011

hollyby @PracticalWisdom Not always, and not always well, but that goes for most of medicalcare I think #hpm

Wed May 11 18:28:51 PDT 2011

mojonimbus #HPM I think concurrent Feedback could prevent misunderstanding and sone patienthostility toward health care workers, better care for all

Wed May 11 18:28:59 PDT 2011

MatthewsMichele RT @hollyby: T2: How does a life-threatening diagnosis change the management ofchronic disease? For the patient? For the doc/team? #hpmWed May 11 18:29:08 PDT 2011

aliciabloom if we just ask patients & families if they feel heard & have any questions/concerns/fears, can open up the lines of communication. #hpm

Wed May 11 18:29:14 PDT 2011

T2 Think it would depend on the chronic disease? #hpm
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MeredithGould Wed May 11 18:29:20 PDT 2011

EldrcareConsult RT @PracticalWisdom: Hopefully come for good reasons. Have seen when was a clergyFamily Member the Good, Bad and ugly reasons! Me 2! #hpm

Wed May 11 18:29:25 PDT 2011

ctsinclairT2: may free of some of the medical limitations to control the chronic disease as in thecase of cholesterol or diabetes meds #hpm

Wed May 11 18:29:51 PDT 2011

drpippa You assume it does - often it doesn't - that is the problem. How does life-threatening dxchange the mgmt of chronic dis? For the team? #hpm

Wed May 11 18:29:57 PDT 2011

hollyby Example: A diabetic person with new advanced cancer diagnosis. #hpmWed May 11 18:30:09 PDT 2011

RossJeanette Hi all joining late t2 goals for chronic illnesses such as Diabetes & high cholesterol dontneed to be tight #HPM

Wed May 11 18:30:14 PDT 2011

PracticalWisdom RT @mojonimbus:#HPM think concurrent Feedback could prev. misunderstanding/sonept hostility 2ward health care folks, better care 4 all #HPM

Wed May 11 18:30:34 PDT 2011

hollyby True! RT @drpippa: You assume it does - often it doesnt - that is the problem. #hpmWed May 11 18:30:47 PDT 2011

MeredithGould Won't change it at all if the chronic disease is basically unmanageable/untreatable tobegin with (e.g., #fibro) #hpm

Wed May 11 18:30:52 PDT 2011

ctsinclair T2: 1 of most intriguing discussions: how to safely minimize burdensome treatments forpreventing long term complications of disease #hpm

Wed May 11 18:30:57 PDT 2011

MatthewsMichele RT @aliciabloom: if we just ask patients & families if they feel heard & have anyquestions/concerns/fears, it can open up the lines of communication. #hpm

Wed May 11 18:30:57 PDT 2011

hollyby @mojonimbus Thanks for joining us! #hpmWed May 11 18:31:01 PDT 2011

aliciabloom it should be about the benefits vs burdens of on-going management of the chroniccondition. #hpm

Wed May 11 18:31:11 PDT 2011
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MeredithGould RT @aliciabloom: it should be about the benefits vs burdens of on-going management ofthe chronic condition. #hpm

Wed May 11 18:31:24 PDT 2011

PracticalWisdom RT @drpippa: You assume it does often it doesnt that's the problem. How does life-threatening dx change mgmt chronic dis? 4 team? #HPM

Wed May 11 18:31:28 PDT 2011

hollyby RT @aliciabloom: it should be about the benefits vs burdens of on-going management ofthe chronic condition. #hpm

Wed May 11 18:31:30 PDT 2011

ctsinclair RT @mojonimbus: concurrent Feedback could prevent misunderstanding, some hostilitytoward health care workers-> better care for all #hpm

Wed May 11 18:31:46 PDT 2011

hollyby @RossJeanette Welcome Jeanette! Glad you could make it! #hpmWed May 11 18:31:50 PDT 2011

PracticalWisdom @ctsinclair; Like Feeding Tube Issue? #HPMWed May 11 18:32:02 PDT 2011

RossJeanette T2 I like to put patients in the everything you want to eat diet as opposed to the diabeticrenal cardiac... Diet it's about QOL #HPM

Wed May 11 18:32:04 PDT 2011

drpippa must tread lightly - often can be traumatic to patients to stop doing the things we havespent so much time telling them to do #hpm

Wed May 11 18:32:25 PDT 2011

MeredithGould @RossJeanette Gee, may I be on that diet now??? #HPMWed May 11 18:32:31 PDT 2011

renee_berry RT @aliciabloom: it should be about the benefits vs burdens of on-going management ofthe chronic condition. #hpm

Wed May 11 18:32:45 PDT 2011

chemosabe T2 shouldn't the focus be the clients decisions about there death and dying and thereforesymptom management that complies with this? #hpmWed May 11 18:32:58 PDT 2011

ctsinclair Hi @RossJeanette Hello @mojonimbus glad to meet you! #hpmWed May 11 18:32:59 PDT 2011

PracticalWisdom Practical Wis.RT @RossJeanette:T2 I like 2 put pt's everything U want 2 eat diet asopposed 2 diabetic renal cardiac Diet its about QOL #HPM
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Wed May 11 18:33:12 PDT 2011

drpippa absolutely! RT @renee_berry: RT @aliciabloom: it should be about the benefits vsburdens of on-going mgmt of the chronic condition. #hpm

Wed May 11 18:33:16 PDT 2011

renee_berry @aliciabloom for that particular person, & not necessarily how the family perceivesbenefits vs burdens #hpm

Wed May 11 18:33:19 PDT 2011

MeredithGould I'd like to be told to eat massive amounts of high quality dark chocolate & bags of CheezDoodles. Oh wait, this isn't about me? #hpm

Wed May 11 18:33:28 PDT 2011

ctsinclair @PracticalWisdom Yes even feeding tube goals can be readdressed, are we aiming forlong term nutrion goals or short term pleaure #hpm

Wed May 11 18:33:45 PDT 2011

MatthewsMichele RT @drpippa: must tread lightly - often can be traumatic to patients to stop doing thethings we have spent so much time telling them to do #hpm

Wed May 11 18:33:46 PDT 2011

PracticalWisdom RT @chemosabe: T2 shouldnt focus b clients dec. re:t their death and dying andtherefore symptom management that complies with this? #HPM

Wed May 11 18:33:53 PDT 2011

renee_berry RT @RossJeanette: T2 I like to put patients in the everything you want to eat diet asopposed to the diabetic renal cardiac... Diet it's about QOL #HPM

Wed May 11 18:33:58 PDT 2011

ctsinclair @MeredithGould Oh its all about you! Autonomy rules in American Health Care System.#hpm

Wed May 11 18:34:15 PDT 2011

hollyby Goals of care are always important. RT @chemosabe: T2 shouldnt the focus be theclients decisions... #hpm

Wed May 11 18:34:51 PDT 2011

ctsinclair RT @drpippa: must tread lightly - can be traumatic to patients to stop doing the things wehave spent so much time telling them to do #hpm

Wed May 11 18:34:56 PDT 2011

EldrcareConsult BRB guys...work calls! #hpmWed May 11 18:35:19 PDT 2011

aliciabloom @renee_berry excellent point! although, patients often make treatment decisions for theifamilies. #hpm

Wed May 11 18:35:29 PDT 2011
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renee_berry really?! I hope it does, not sure though.. RT @ctsinclair@MeredithGould Oh its all aboutyou! Autonomy rules in US Health Care System #hpm

Wed May 11 18:35:32 PDT 2011

hollyby @drpippa Agree that there is a huge emotional component of changing management oflong-standing illness #hpm

Wed May 11 18:36:08 PDT 2011

MeredithGould @renee_berry I think he's goofing on me. How unusual, right? #hpmWed May 11 18:36:10 PDT 2011

SheyontheBay @RossJeanette We call that the diet of the dying. I remember a dying chocoholic, couldneat - we swabbed Hershey syrup on her lips #hpm

Wed May 11 18:36:25 PDT 2011

PracticalWisdom Bat Phone must have Rang! Batman to the Rescue! Dedicated to his Clients RT@EldrcareConsult: BRB guys...work calls! #HPM

Wed May 11 18:36:36 PDT 2011

RossJeanette Agree with @drpippa be careful with readdressing goals and being perceived as "doingnothing" #HPM

Wed May 11 18:36:59 PDT 2011

ctsinclair @renee_berry In many ways Autonomy can trump other key ethical principles ofbeneficence, Nonmaleficence and fairness. #hpm

Wed May 11 18:37:08 PDT 2011

Pallimed RT @drpippa: must tread lightly - can be traumatic to patients to stop doing the things wehave spent so much time telling them to do #hpmWed May 11 18:37:18 PDT 2011

MeredithGould @SheyontheBay Now THAT is compassionate care. Absolutely! But Hershey's? NotGodiva? #hpm

Wed May 11 18:37:21 PDT 2011

renee_berry RT @ctsinclair: @renee_berry In many ways Autonomy can trump other key ethicalprinciples of beneficence, Nonmaleficence and fairness. #hpm

Wed May 11 18:37:35 PDT 2011

chemosabe T2 don't know about mx up there, but, separation of client on physician for chronic illnessmx down here v diff. attachment issues #hpm

Wed May 11 18:37:37 PDT 2011

PracticalWisdom Loving RT @SheyontheBay: @RossJeanette Diet of the dying.Remember a dyingchocoholic, couldnt eat we swabbed Hershey syrup on lips #HPM

Wed May 11 18:38:02 PDT 2011
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LVADone RT @ctsinclair: @renee_berry In many ways Autonomy can trump other key ethicalprinciples of beneficence, Nonmaleficence and fairness. #hpm

Wed May 11 18:38:10 PDT 2011

EldrcareConsult @PracticalWisdom Its not the Bat Phone I mind, but these flashing strobe lights kill me!#hpm I may be a while..................

Wed May 11 18:38:12 PDT 2011

RossJeanette @SheyontheBay I'll have to remember thatchocolaye syrup swab good idea #HPMWed May 11 18:38:13 PDT 2011

SheyontheBay @MeredithGould@SheyontheBay Does Godiva make syrup? Too risky to melt chips#hpm

Wed May 11 18:38:17 PDT 2011

mojonimbus #hpm nice to meet you all tooWed May 11 18:38:17 PDT 2011

drpippa RT @ctsinclair: @renee_berry In many ways Autonomy can trump other key ethicalprinciples of beneficence, Nonmaleficence and fairness. #hpm

Wed May 11 18:38:32 PDT 2011

MeredithGould @SheyontheBay I believe Ghiradelli (sp?) makes syrup. #hpmWed May 11 18:38:58 PDT 2011

ctsinclair It is interesting many HC professionals feel autonomy overrides often, whereas patientsoften note feeling powerless cc @renee_berry#hpm

Wed May 11 18:38:58 PDT 2011

PracticalWisdom @EldrcareConsult: It's the piercing Alarm Sound that gets me! #HPMWed May 11 18:39:04 PDT 2011

renee_berry @ctsinclair agree though think OFTEN the case- autonomy is not possible w/o informedmedical decision making... which I think is often #hpm

Wed May 11 18:39:13 PDT 2011

hollyby @chemosabe Can you say more? #hpmWed May 11 18:39:26 PDT 2011

renee_berry RT @ctsinclair: It is interesting many HC professionals feel autonomy overrides often,whereas patients often note feeling powerless cc @renee_berry#hpm

Wed May 11 18:39:29 PDT 2011

MeredithGould @renee_berry@ctsinclair Or patients can't even conceive of Autonomy? #hpmWed May 11 18:39:56 PDT 2011
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PracticalWisdom RT @ctsinclair: nteresting HC profess. feel autonomy overrides often, whereas patientsoften note feeling powerless cc @renee_berry#HPM

Wed May 11 18:40:00 PDT 2011

MatthewsMichele RT @renee_berry: @ctsinclair agree though think OFTEN the case- autonomy is notpossible w/o informed medical decision making... which I think is often #hpm

Wed May 11 18:40:04 PDT 2011

thinkalot RT @PracticalWisdom: Practical Wis.RT @RossJeanette:T2 I like 2 put pt's everything Uwant 2 eat diet as opposed 2 diabetic renal cardiac Diet its about QOL #HPM

Wed May 11 18:40:38 PDT 2011

ctsinclair RT @MeredithGould: @renee_berry@ctsinclair Or patients cant even conceive ofAutonomy? "foreign concept?" #hpm

Wed May 11 18:40:46 PDT 2011

chemosabe @hollyby attachment to treating team, difficult to trust new hpm team to mx dzappropriately. particular if goal of care now comfort #hpm

Wed May 11 18:40:51 PDT 2011

renee_berry yes, how can they w/o clear information RT @MeredithGould@renee_berry@ctsinclairOr patients cant even conceive of Autonomy? #hpm

Wed May 11 18:41:15 PDT 2011

aliciabloom @ctsinclair HC providers often respect autonomy when pts make decisions they think areright. otherwise, they order psych consults. #hpm

Wed May 11 18:41:39 PDT 2011

MatthewsMichele@MeredithGould@renee_berry@ctsinclair Good point! I'd guess pts often don't think

they are in the drivers seat of their #healthcare. #hpmWed May 11 18:41:44 PDT 2011

drpippa great point. RT @chemosabe: attachment to treating team, diff to trust new hpm team.particularly if goal of care now comfort #hpm

Wed May 11 18:41:57 PDT 2011

PracticalWisdom RT @chemosabe: @hollyby attachment 2 treating team, difficult 2 trust new hpm team 2mx dz approp.. partic if goal of care now comfort #HPM

Wed May 11 18:41:59 PDT 2011

EOLnavigator Hey there. 20 mins is better than 0 mins #hpmWed May 11 18:42:01 PDT 2011

ctsinclair @chemosabe Agree with you. Have had patients say they went for more chemo in partbecause they like the staff, same with dialysis. #hpm

Wed May 11 18:42:06 PDT 2011
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hollyby @chemosabe:Thx... so they actually switch care teams. That could be challenging. #hpmWed May 11 18:42:07 PDT 2011

LVADone RT @ctsinclair: It is interesting many HC professionals feel autonomy overrides often,whereas patients often note feeling powerless cc @renee_berry#hpm

Wed May 11 18:42:10 PDT 2011

ctsinclair RT @EOLnavigator: Hey there. 20 mins is better than 0 mins "Glad you are here beforethe buzzer!" #hpm

Wed May 11 18:42:29 PDT 2011

renee_berry RT @MatthewsMichele: @MeredithGould@renee_berry@ctsinclair Good point! I'dguess pts often don't think they are in the drivers seat of their #healthcare. #hpm

Wed May 11 18:42:31 PDT 2011

MatthewsMichele Definitely! You made it...glad you're here! RT @EOLnavigator: Hey there. 20 mins isbetter than 0 mins #hpm

Wed May 11 18:43:02 PDT 2011

HerHealthySelf RT @PracticalWisdom: Loving RT @SheyontheBay: @RossJeanette Diet of thedying.Remember a dying chocoholic, couldnt eat we swabbed Hershey syrup on lips#HPM

Wed May 11 18:43:14 PDT 2011

PracticalWisdom Remarkable. RT @ctsinclair: @chemosabe Agree Have had pt's say they went 4# chemobecause they like the staff, same with dialysis. #HPM

Wed May 11 18:43:24 PDT 2011

ctsinclair@aliciabloom RE: Disagree with the doc = psych consult. See this less with goodintegration of a palliative care team. #hpm

Wed May 11 18:43:37 PDT 2011

MeredithGould How could patients possibly think they have any control/say? The entire system is set upto disabuse them of that notion. #hpm

Wed May 11 18:43:38 PDT 2011

aliciabloom @ctsinclair@chemosabe agreed. they don't want to "disappoint" their physician & careteam. #hpm

Wed May 11 18:43:43 PDT 2011

chemosabe @hollyby yep we tried models we called shared care where pt still sees both teams. canbe just as difficult to mx as hand over #hpm

Wed May 11 18:44:19 PDT 2011

LVADone RT @aliciabloom: @ctsinclair HC providers often respect autonomy when pts makedecisions they think are right. otherwise, they order psych consults. #hpm

Wed May 11 18:44:20 PDT 2011
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