#Hpm Tweet Chat 5:25:11

7/31/2019 #Hpm Tweet Chat 5:25:11

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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 25 18:00:00 PDT 2011

To: Wed May 25 19:15:00 PDT 2011

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Kaviraj2 RT @renee_berry: hey everyone, won't be able to make #hpm tonight, hope you have agreat chat!

Wed May 25 18:00:19 PDT 2011

EOLnavigator Wewill be tweeting about hospice & palliative care topics relevant to caregivers for the nexhour. #hpm

Wed May 25 18:00:31 PDT 2011

jfclearywisc Jim cleary from Madison WI #hpmWed May 25 18:00:45 PDT 2011

aliciabloom MSW, LSW focusing on #palliative care program development & increasing #hospiceaccess through clinical education at @VITASHospice#hpm

Wed May 25 18:01:43 PDT 2011

MarksPhone Mark from NYC #hpmWed May 25 18:01:43 PDT 2011

EOLnavigator Hey there! @jfclearywisc, @Kaviraj2, @MeredithGould#hpmWed May 25 18:01:56 PDT 2011
http://www.twitter.com/EOLnavigatorhttp://www.symplur.com/healthcare-hashtags/http://www.symplur.com/healthcare-social-media/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/hpm/analytics/?hashtag=hpm&fdate=05-25-2011&shour=18&smin=0&tdate=05-25-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://twitter.com/43230251/status/73554426383704064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/Kaviraj2http://www.twitter.com/jfclearywischttp://www.twitter.com/EOLnavigatorhttp://twitter.com/22063766/status/73554372948262912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/24399366/status/73554371564150784http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/VITASHospicehttp://www.symplur.com/healthcare-hashtags/hospice/http://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/aliciabloomhttp://twitter.com/27231379/status/73554127329820672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/43230251/status/73554068940931072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/190922729/status/73554018839957504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/Kaviraj2http://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=05-25-2011&shour=18&smin=0&tdate=05-25-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=05-25-2011&shour=18&smin=0&tdate=05-25-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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dockj Kevin from Wilmington NC #hpm and family med Ed. Tweets are my own opinion.Wed May 25 18:02:35 PDT 2011

EOLnavigator Hi! Glad you made it. @aliciabloom, @marksphone#hpmWed May 25 18:02:36 PDT 2011

doctatum Paul in Columbia MO (and another day with tornados just cleared out) #hpmWed May 25 18:03:07 PDT 2011

MarksPhone it was a real learning experience last week wanted to return and learn more #hpmWed May 25 18:03:10 PDT 2011

EOLnavigator Hi Kevin @dockj#hpmWed May 25 18:03:13 PDT 2011

dockj Next hour tweets tagged #hpm part of palliative medicine and hospice tweetchatWed May 25 18:03:20 PDT 2011

EOLnavigator Topic 1 coming soon.... #hpmWed May 25 18:03:30 PDT 2011

EOLnavigator Glad it was! RT @MarksPhone: it was a real learning experience last week wanted to returnand learn more #hpm

Wed May 25 18:03:46 PDT 2011

revdoc Pam Harris, MD w/KC Hospice, ordained minister; joining HPM tweetchat; opinions are myown #hpm

Wed May 25 18:03:47 PDT 2011

KathyKastner health blogger, with (it seems increasing) interest in all things #hpm (hence recent post abtdying)http://tinyurl.com/3oqam2v

Wed May 25 18:03:56 PDT 2011

dockj @doctatum glad you are safe. Hope everyone there is OK. #hpmWed May 25 18:04:07 PDT 2011

EOLnavigator Hi @doctatum, @revdoc#hpmWed May 25 18:04:12 PDT 2011

EOLnavigator T1: As a caregiver, how do you define "suffering" & what influences your beliefs aboutsuffering? #hpm

Wed May 25 18:04:24 PDT 2011

PracticalWisdom HI Lisa Speaker/Trainer Myers-Briggs/Leadership/Creativity/Presentation/Adult Educ. Morpthe ho-hum into compelling. Curious/Connector #HPM
http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/43230251/status/73555046368952320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/43230251/status/73554998964912130http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/doctatumhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/15551812/status/73554974327574528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/dockjhttp://twitter.com/101386174/status/73554929729548288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://twitter.com/14231943/status/73554891469094912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/43230251/status/73554886423355392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/EOLnavigatorhttp://twitter.com/43230251/status/73554822481190912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/15551812/status/73554780823355392http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://twitter.com/43230251/status/73554748938256384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/22063766/status/73554736158220288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/33076161/status/73554725752152064http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://twitter.com/43230251/status/73554592792707072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/marksphonehttp://www.twitter.com/aliciabloomhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/15551812/status/73554590062215168http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockj

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Wed May 25 18:04:37 PDT 2011

PracticalWisdom Yes, I forgot if you were close. Sorry for Mo folks! RT @dockj: @doctatum glad you aresafe. Hope everyone there is OK. #HPM

Wed May 25 18:05:22 PDT 2011

EOLnavigator @practicalwisdom Glad you made it! #hpmWed May 25 18:05:57 PDT 2011

revdoc T1 Suffering is pain/fear/sadness w/o meaning #hpmWed May 25 18:05:58 PDT 2011

jfclearywisc Are we talking clinical or family caregivers? #hpmWed May 25 18:06:29 PDT 2011

doctatum @PracticalWisdom@dockj@doctatum Thanks. RedCross doing a good job. More bad newin Sedalia today. #hpm

Wed May 25 18:06:32 PDT 2011

MarksPhone T1 Do we project what feel and believe, or as observers do we alter what we observe or dowe apply society beliefs? #hpm

Wed May 25 18:06:34 PDT 2011

SheyontheBay Hello all - hospice/palliative nurse NY #hpmWed May 25 18:06:43 PDT 2011

aliciabloom suffering is: anything causing distress, multifaceted (physical, emotional, spiritual) andunique to the individual experiencing it #hpm

Wed May 25 18:06:46 PDT 2011

EOLnavigator Interesting. Why w/o meaning? RT @revdoc: T1 Suffering is pain/fear/sadness w/o meanin#hpm

Wed May 25 18:06:49 PDT 2011

GailZahtz Trying to participate in #HPM -my first love medical chat- yet it's been hard to show-uplately. Intro- patient, care-giver, etc

Wed May 25 18:07:04 PDT 2011

PracticalWisdom So Sorry. RT @doctatum: @PracticalWisdom@dockj@doctatum Thanks. RedCross doinga good job. More bad new in Sedalia today. #HPM

Wed May 25 18:07:19 PDT 2011

EOLnavigator Our thoughts are with our friends affected by the tornado. Anyone here tonight? #hpmWed May 25 18:07:20 PDT 2011

PracticalWisdom RT @MarksPhone: T1 Do we project what feel and believe, or as observers do we alter
http://www.twitter.com/MarksPhonehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/43230251/status/73555787410178048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/73555781806592000http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/doctatumhttp://www.twitter.com/dockjhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/doctatumhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/143294903/status/73555719382765568http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/GailZahtzhttp://twitter.com/43230251/status/73555654010343424http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/EOLnavigatorhttp://twitter.com/24399366/status/73555642467622912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/16857263/status/73555629675003904http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/22063766/status/73555590877687808http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/33076161/status/73555582417780736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/doctatumhttp://www.twitter.com/dockjhttp://www.twitter.com/PracticalWisdomhttp://www.twitter.com/doctatumhttp://twitter.com/27231379/status/73555571256733696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/14231943/status/73555441799532544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/43230251/status/73555438997749761http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/practicalwisdomhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/73555290695548928http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/doctatumhttp://www.twitter.com/dockjhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/25428892/status/73555100374802433

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what we observe or do we apply society beliefs? #HPM

Wed May 25 18:07:30 PDT 2011

SheyontheBay If there's meaning, does it mean there's no suffering? #hpmWed May 25 18:07:38 PDT 2011

EOLnavigator @GailZahtz Thanks for coming! #hpmWed May 25 18:07:47 PDT 2011

KathyKastner RT @aliciabloom: suffering is: anything causing distress, multifaceted (physical, emotional,spiritual) and unique to the individual experiencing it #hpm

Wed May 25 18:07:51 PDT 2011

PracticalWisdom @GailZahtz: So Glad you could come. #HPMWed May 25 18:08:10 PDT 2011

EOLnavigator @SheyontheBay Hey there! #hpmWed May 25 18:08:14 PDT 2011

GailZahtz T1- Suffering is only without meaning if we don't look for and find meaning in our pain andchallenges #HPM

Wed May 25 18:08:14 PDT 2011

revdoc Going through pain or other adverse situations can be brave, redemptive, or a growthexperience; w/o meaning, it is just cruel #hpm

Wed May 25 18:08:16 PDT 2011

GailZahtz @PracticalWisdom Thanks! I really miss you and everyone else. #HPM was my first home.Always in my heart, even if I'm not here!Wed May 25 18:08:50 PDT 2011

aliciabloom suffering can result not only from a disease, but its treatment and the impact it has on aperson's life #hpm

Wed May 25 18:09:04 PDT 2011

SheyontheBay @revdoc But there'/ still suffering, yes? #hpmWed May 25 18:09:11 PDT 2011

GailZahtz @EOLnavigator Thank you for the welcome. are you moderating #HPMWed May 25 18:09:12 PDT 2011

EOLnavigator RT @aliciabloom: suffering is: anything causing distress, multifaceted & unique 2 the individexperiencing it #hpm

Wed May 25 18:09:22 PDT 2011

Meaning does not erase all pain, but I think it takes things from the realm of suffering to
http://twitter.com/43230251/status/73556295210369025http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/158414469/status/73556255075078144http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://twitter.com/138357015/status/73556252415901696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/SheyontheBayhttp://twitter.com/17634111/status/73556222032347136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/143294903/status/73556162355798018http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/GailZahtzhttp://twitter.com/14231943/status/73556019791405056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/143294903/status/73556013294419968http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/GailZahtzhttp://twitter.com/43230251/status/73556013768376320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/73555994910793728http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/GailZahtzhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/205752125/status/73555913394495488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/KathyKastnerhttp://twitter.com/43230251/status/73555898898989056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/138357015/status/73555860307181568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/25428892/status/73555827658727424http://www.symplur.com/healthcare-hashtags/HPM/

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revdoc other experiences #hpmWed May 25 18:09:22 PDT 2011

KathyKastner RT @aliciabloom: suffering can result not only from a disease, but its treatment and theimpact it has on a person's life #hpm

Wed May 25 18:09:38 PDT 2011

EOLnavigator @GailZahtz Yes I am! #hpmWed May 25 18:09:53 PDT 2011

MeredithGould T1 Isn't suffering totally subjective? And don't we need to go with the definition of the persowho claims to be suffering? #hpm

Wed May 25 18:09:58 PDT 2011

dockj RT @aliciabloom: suffering can result not only from a disease, but its treatment and theimpact it has on a person's life #hpm

Wed May 25 18:10:00 PDT 2011

GailZahtz @revdoc We MUST give the pain and adversity meaning- otherwise it makes lifeunbearable. #HPM

Wed May 25 18:10:15 PDT 2011

KathyKastner #hpm For a family caregiver, I think suffering includes seeing/perceving loved one 'givingup.'

Wed May 25 18:10:15 PDT 2011

EOLnavigator @GailZahtz Do you find it easy to know the source? #hpmWed May 25 18:10:43 PDT 2011

PracticalWisdom RT @MeredithGould: T1 Isnt suffering totally subjective? dont we need 2 go w/the definitionof the person who claims to be suffering? #HPM

Wed May 25 18:10:46 PDT 2011

MeredithGould @SheyontheBay My standard line is "not all suffering is redemptive." #hpmWed May 25 18:10:46 PDT 2011

aliciabloom as clinicians, we should always ask patients about the sources of their suffering so that wecan adequately address it & support them #hpm

Wed May 25 18:10:48 PDT 2011

SheyontheBay RT @MeredithGould: T1Isnt suffering totally subjective?dont we need to go with thedefinition of the person who claims to be suffering? #hpm

Wed May 25 18:10:57 PDT 2011

MarksPhone @MeredithGould I agree it is the person suffering who defines it but as with all language etchow is that communicated to the HCP? #hpm

Wed May 25 18:11:00 PDT 2011
http://twitter.com/22063766/status/73556710018646017http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/MarksPhonehttp://twitter.com/16857263/status/73556697075040257http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/SheyontheBayhttp://twitter.com/24399366/status/73556657778593793http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/16733030/status/73556650061078529http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/MeredithGouldhttp://twitter.com/25428892/status/73556650371465216http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/43230251/status/73556638312833024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/205752125/status/73556519966359553http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://twitter.com/158414469/status/73556517353291776http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/revdochttp://www.twitter.com/GailZahtzhttp://twitter.com/1047879/status/73556457282482177http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/dockjhttp://twitter.com/1972230/status/73556447526522880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/43230251/status/73556426836017152http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/205752125/status/73556362214387714http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/KathyKastnerhttp://twitter.com/14231943/status/73556298570014720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdoc

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EOLnavigator RT @aliciabloom: suffering can result not only from a disease, but its treatment and theimpact it has on a persons life #hpm

Wed May 25 18:11:24 PDT 2011

EOLnavigator RT @revdoc: Meaning does not erase all pain, but I think it takes things from the realm ofsuffering to other experiences #hpm

Wed May 25 18:11:40 PDT 2011

GailZahtz @EOLnavigator To know the source for suffering? Some is easy- like a DX. Some hard, likeemotional impact. #HPM

Wed May 25 18:11:41 PDT 2011

MarksPhone @EOLnavigator agree it is multi-deminisonal and each is treated differently #hpmWed May 25 18:12:05 PDT 2011

KathyKastner RT @MeredithGould: T1 Isn't suffering totally subjective? And don't we need to go with thedefinition of the person who claims to be suffering? #hpm

Wed May 25 18:12:19 PDT 2011

MeredithGould @MarksPhone We need to find out how the pt communicates, what language system,nonverbal signals, etc. #hpm

Wed May 25 18:12:20 PDT 2011

MarksPhone RT @GailZahtz: @EOLnavigator To know the source for suffering? Some is easy- like a DXSome hard, like emotional impact. #HPM

Wed May 25 18:12:27 PDT 2011

PracticalWisdom T1: My Tweets are my own. Does anybody else want to Give this information? #HPMWed May 25 18:12:29 PDT 2011

EOLnavigator RT @MeredithGould +1: Isnt suffering totally subjective? dont we need 2 go w/the definitionof the person who claims to be suffering? #hpm

Wed May 25 18:12:29 PDT 2011

KathyKastner RT @MeredithGould: @MarksPhone We need to find out how the pt communicates, whatlanguage system, nonverbal signals, etc. #hpm

Wed May 25 18:12:46 PDT 2011

GailZahtz @PracticalWisdom Yes, tweets are my own...trust me, with the fabulous groups I representeach have their own very strong opinions! :) #HPM

Wed May 25 18:13:27 PDT 2011

dockj T2 suffering is what the patient experiences when they are in distress they cannot cope withRegardless of the source. #hpm

Wed May 25 18:13:30 PDT 2011
http://twitter.com/15551812/status/73557335703957504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://twitter.com/158414469/status/73557322777100288http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://www.twitter.com/GailZahtzhttp://twitter.com/101386174/status/73557151997628416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/43230251/status/73557082669989888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/73557083009716224http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/PracticalWisdomhttp://twitter.com/22063766/status/73557071139831808http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://www.twitter.com/MarksPhonehttp://twitter.com/16733030/status/73557042274631681http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/MeredithGouldhttp://twitter.com/205752125/status/73557040613695488http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/KathyKastnerhttp://twitter.com/22063766/status/73556980781944832http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/MarksPhonehttp://twitter.com/158414469/status/73556878524813312http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GailZahtzhttp://twitter.com/43230251/status/73556875874017281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/EOLnavigatorhttp://twitter.com/43230251/status/73556808404434944http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/EOLnavigator

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EOLnavigator RT @aliciabloom: as clinicians, we always ask pts about the sources of suffering so that wecan adequately address it & support them #hpm

Wed May 25 18:13:31 PDT 2011

KathyKastner @MeredithGould I think I need to tell you I love you (for your mind of course) #hpmWed May 25 18:13:42 PDT 2011

aliciabloom asking open ended questions ("what is distressing you?" "tell me what troubles you?") givespatients an opportunity to speak freely #hpm

Wed May 25 18:13:50 PDT 2011

PracticalWisdom RT @dockj: T2 suffering is what the patient experiences when they are in distress theycannot cope with. Regardless of the source. #HPM

Wed May 25 18:14:01 PDT 2011

SheyontheBay @EOLnavigator@revdoc It can take things to another realm, but if it doesn't, there's stillsuffering-be it physical, spiritual... #hpm

Wed May 25 18:14:03 PDT 2011

GLakesCaring RT @dockj: T2 suffering is what the patient experiences when they are in distress theycannot cope with. Regardless of the source. #hpm

Wed May 25 18:14:04 PDT 2011

KathyKastner RT @dockj: T2 suffering is what the patient experiences when they are in distress theycannot cope with. Regardless of the source. #hpm

Wed May 25 18:14:18 PDT 2011

dockj RT @aliciabloom: asking open ended questions ("what is distressing you?" "tell me whattroubles you?") gives patients an opportunity to speak freely #hpm

Wed May 25 18:14:23 PDT 2011

EOLnavigator RT @KathyKastner: @MeredithGould I think I need to tell you I love you (for your mind ofcourse) #hpm

Wed May 25 18:14:30 PDT 2011

MeredithGould Is there a T2? #hpmWed May 25 18:14:35 PDT 2011

GailZahtz T2 IMO opinion we need to add in people's cultural perspective to the event and the relative

suffering and communication of it. #HPMWed May 25 18:14:41 PDT 2011

PracticalWisdom RT @aliciabloom: asking open ended (?)'s ("what is distressing U?" "tell me what troublesU?") gives patients an oppor. 2 speak freely #HPM

Wed May 25 18:14:44 PDT 2011

MeredithGould @KathyKastner So does that mean you do NOT love my hair, too? #hpm
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Wed May 25 18:15:00 PDT 2011

EOLnavigator Suffering always spurs me to action as a clinician. #hpmWed May 25 18:15:16 PDT 2011

dockj Sorry mine was a miss answer. LoL should be T 1. #hpmWed May 25 18:15:19 PDT 2011

MarksPhone some patients want to put on a good face for the HCP show they are succeeding in tx andmaking progress while outside HC they hurt #hpm

Wed May 25 18:15:20 PDT 2011

KathyKastner I covet your hair. RT @MeredithGould: @KathyKastner So does that mean you do NOT lovmy hair, too? #hpm

Wed May 25 18:15:29 PDT 2011

dockj RT @EOLnavigator: Suffering always spurs me to action as a clinician. #hpmWed May 25 18:15:43 PDT 2011

EOLnavigator @MeredithGould No T2 yet....still on T1 #hpmWed May 25 18:15:54 PDT 2011

PracticalWisdom Yup, Not Blond. RT @KathyKastner: I covet your hair. RT @MeredithGould: @KathyKastneSo does that mean you do NOT love my hair, too? #HPM

Wed May 25 18:16:09 PDT 2011

GailZahtz @dockj T2 I don't think that suffering is distress that someone can't cope with. I think thatyou may be coping- but it's hard! #HPM

Wed May 25 18:16:13 PDT 2011

MeredithGould @EOLnavigator Ok, thanks. #hpmWed May 25 18:16:21 PDT 2011

EOLnavigator Do you think culture or religion influences suffering? #hpmWed May 25 18:16:36 PDT 2011

MeredithGould BTW, @bentleystewart has a great post at http://healthfaith.com today re: communicatngw/pts. #hpm

Wed May 25 18:16:59 PDT 2011

GailZahtz @MarksPhone In my experience, both hcp's and outsiders WANT us to be strong, stoic,"brave" and that minimizes the reality of the pain #HPM

Wed May 25 18:17:16 PDT 2011

SheyontheBay @EOLnavigator Yes #hpmWed May 25 18:17:27 PDT 2011
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KathyKastner A big yessrree bob to that RT @EOLnavigator: Do you think culture or religion influencessuffering? #hpm

Wed May 25 18:17:31 PDT 2011

revdoc I think culture and religion can teach us patterns of coping, give us resources to stand upunder adversity #hpm

Wed May 25 18:17:55 PDT 2011

EOLnavigator RT @dockj: T2 suffering is what the patient experiences when they are in distress theycannot cope with. Regardless of the source. #hpm

Wed May 25 18:18:01 PDT 2011

KathyKastner Nice! RT @revdoc: I think culture and religion can teach us patterns of coping, give usresources to stand up under adversity #hpm

Wed May 25 18:18:16 PDT 2011

aliciabloom "@EOLnavigator: Do u think culture/religion influences suffering?" yes. patient perception &

values are impacted by culture & religion #hpmWed May 25 18:18:36 PDT 2011

hollyby Hello all! At Upaya this week, so only lurking tonight! Have a great chat! #hpmWed May 25 18:18:41 PDT 2011

GailZahtz @dockj What is coping? In the face of tragedy- it's just getting up and dong the next rightthing. May not be pretty or clean... #HPM

Wed May 25 18:18:50 PDT 2011

SusanCadell I was very pleased to present research about caregiving parents in peds #palliative caretoday @sickkids via @OTNtelemedicine#hpm#growthWed May 25 18:19:00 PDT 2011

MeredithGould Culture shapes the ways suffering is perceived and expressed, sure. #hpmWed May 25 18:19:03 PDT 2011

EOLnavigator @hollyby Thanks for coming! #hpmWed May 25 18:19:04 PDT 2011

revdoc Unfortunately, culture and religion can also provide NEGATIVE examples of coping #hpmWed May 25 18:19:23 PDT 2011

jfclearywisc I actually find the question "are you suffering?" to be very powerful and revealing. Or to askit of family #hpm

Wed May 25 18:19:45 PDT 2011

GailZahtz @aliciabloom@EOLnavigator Yes, definitely said earlier, culture, religions, belief system
http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/GailZahtzhttp://twitter.com/27231379/status/73558908798631936http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywischttp://twitter.com/14231943/status/73558817186660352http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/43230251/status/73558739852083200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/16733030/status/73558734370123776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/186952317/status/73558722038870016http://www.symplur.com/healthcare-hashtags/growth/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/OTNtelemedicinehttp://www.twitter.com/sickkidshttp://www.symplur.com/healthcare-hashtags/palliative/http://www.twitter.com/SusanCadellhttp://twitter.com/143294903/status/73558677495353344http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/dockjhttp://www.twitter.com/GailZahtzhttp://twitter.com/32316055/status/73558641239793664http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://twitter.com/24399366/status/73558621698531328http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/aliciabloomhttp://twitter.com/101386174/status/73558536759681024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/KathyKastnerhttp://twitter.com/43230251/status/73558474688180225http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/14231943/status/73558450323456000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/101386174/status/73558348246687744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/KathyKastner

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completely impact what and how we suffer #HPM

Wed May 25 18:19:47 PDT 2011

dockj Culture/ religion give us constructs to help us decode suffering in the context of society, butit is still and individual experience. #hpm

Wed May 25 18:20:02 PDT 2011

PracticalWisdomHey Meredith,Im hoping for a miracle soon. Quote in BlogRT@MeredithGould.@bentleystewart has a great post at http://healthfaith.com#HPM

Wed May 25 18:20:14 PDT 2011

EOLnavigator RT @GailZahtz +1What is coping? In the face of tragedy- its just getting up & doing the nexright thing. May not be pretty or clean... #hpm

Wed May 25 18:20:28 PDT 2011

EOLnavigator Topic 2 coming in a jiffy..... #hpmWed May 25 18:20:41 PDT 2011

GailZahtz The book on the Hunan and their experience with medicine in the U.S. is a beautifulexample of the impact of culture on getting care. #HPM

Wed May 25 18:20:41 PDT 2011

MarksPhone America is death phobic this is the over arching driver of this discussion we do not accept ittherefore we dont want to mitigate it #hpm

Wed May 25 18:20:47 PDT 2011

MeredithGould RT @dockj: Culture/ religion give us constructs to help us decode suffering in the context ofsociety, #hpm

Wed May 25 18:21:00 PDT 2011

jfclearywisc "What do you mean by a miracle?" #hpmWed May 25 18:21:12 PDT 2011

EOLnavigator RT @jfclearywisc: I actually find the question "are you suffering?" to be very powerful andrevealing. Or to ask it of family #hpm

Wed May 25 18:21:20 PDT 2011

doctatum I think it reframes things for the family in conflctRT @jfclearywisc: the question "are yousuffering?" = very powerful and revealing. #hpm

Wed May 25 18:21:29 PDT 2011

aliciabloom culture and religion can be protective factors & sources of strength, but they can also createunique challenges and barriers #hpm

Wed May 25 18:21:38 PDT 2011

KathyKastner #hpm Religion caused my best pal great suffering when she felt baby's death was god'spunishment

Wed May 25 18:21:46 PDT 2011
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EOLnavigator T2: How does your perspective on suffering affect how you care for someone who isterminally ill? #hpm

Wed May 25 18:21:53 PDT 2011

revdoc @EOLnavigator@GailZahtz Up and dressed is a fine goal if that is the only place you canbe at the time #hpm

Wed May 25 18:22:08 PDT 2011

dockj RT @MarksPhone: America is death phobic this is the over arching driver of this discussionwe do not accept it therefore we dont want to mitigate it #hpm

Wed May 25 18:22:32 PDT 2011

DrSnit #hpm oh hai! Been watching hockey. Now I'm here!!! How goes cats? Xx missed you!Wed May 25 18:22:35 PDT 2011

GailZahtz @MeredithGould@dockj@revdoc The real question isn't does culture/religion work-howdoes it work for the individual patient and family #HPM

Wed May 25 18:22:43 PDT 2011

DoctorFisher @jfclearywisc Or even better "In what way are you suffering?" gives patient the open door ttalk #hpm

Wed May 25 18:22:45 PDT 2011

PracticalWisdom Sigh, how terrible.RT @KathyKastner: #hpm Religion caused my best pal great sufferingwhen she felt babys death was gods punishment #HPM

Wed May 25 18:22:51 PDT 2011

EOLnavigator @aliciabloom Irish Catholic (my background) always equate suffering with payment for sins#hpmWed May 25 18:22:52 PDT 2011

GLakesCaring RT @EOLnavigator: T2: How does your perspective on suffering affect how you care forsomeone who is terminally ill? #hpm

Wed May 25 18:22:53 PDT 2011

EOLnavigator @DrSnit Hai there to you too! #hpmWed May 25 18:23:12 PDT 2011

PracticalWisdom So Glad you are Here. Like Superman but GirlRT @DrSnit: #hpm oh hai! Been watchinghockey. Now Im here!!! How goes cats? Xx missed you! #HPM

Wed May 25 18:23:20 PDT 2011

MarksPhone T2 my vision or the caregivers vision will effect the patient if the patient allows it and then thbattle of wills begins #hpm

Wed May 25 18:23:24 PDT 2011
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SheyontheBay RT @GailZahtz: The real question isnt does culture/religion work-how does it work for theindividual patient and family #hpm

Wed May 25 18:23:27 PDT 2011

MeredithGould T2 Takes a lot of consciousness to not project/superimpose one's own stuff onto patients &caregivers. #hpm

Wed May 25 18:23:47 PDT 2011

GailZahtz @revdoc@EOLnavigator Succeeding 51% of the time- especially during trauma- is 100%success. #HPM

Wed May 25 18:23:55 PDT 2011

DoctorFisher Hi just arrived #hpmWed May 25 18:24:00 PDT 2011

EOLnavigator RT @doctorfisher: @jfclearywisc Or even better "In what way are you suffering?" givespatient the open door to talk #hpm

Wed May 25 18:24:05 PDT 2011

KathyKastner RT @MeredithGould: T2 Takes a lot of consciousness to not project/superimpose one's owstuff onto patients & caregivers. #hpm

Wed May 25 18:24:16 PDT 2011

aliciabloom @EOLnavigator i'm part italian catholic and part eastern european jew-- i hear you! #hpmWed May 25 18:24:20 PDT 2011

revdoc @GailZahtz@revdoc@EOLnavigator Amen, sister! #hpmWed May 25 18:24:30 PDT 2011

EOLnavigator @PracticalWisdom@KathyKastner So sorry! That happens alot. Makes you suffer too.#hpm

Wed May 25 18:24:44 PDT 2011

MeredithGould @aliciabloom We should talk! #hpmWed May 25 18:24:51 PDT 2011

DoctorFisher @MeredithGould agree, try not to project, yet my patients find it comforting when I sharewhat gives me hope #hpm

Wed May 25 18:25:05 PDT 2011

PracticalWisdom Welcome, so glad you come tonight. RT @doctorfisher: Hi just arrived #HPMWed May 25 18:25:12 PDT 2011

SheyontheBay @EOLnavigator@aliciabloom i heard suffering bought time off in purgatory, now there's nomore purgatory->what to do withmy suffering? #hpm

Wed May 25 18:25:20 PDT 2011
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7/31/2019 #Hpm Tweet Chat 5:25:11

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KathyKastner Basta. Oy. RT @aliciabloom: @EOLnavigator i'm part italian catholic and part easterneuropean jew-- i hear you! #hpm

Wed May 25 18:25:32 PDT 2011

revdoc T2 risk that caregivers push pt to find meaning pt is not ready to investigate; caregivers aresuccessful if pt finds "closure" #hpm

Wed May 25 18:25:46 PDT 2011

MeredithGould @doctorfisher Right and that's not projecting, that's sharing! #hpmWed May 25 18:25:51 PDT 2011

DrSnit Belief in punishment or Suffering certainly changes both caregiver & patient EOL / illnessexperiences. #hpm

Wed May 25 18:26:01 PDT 2011

GailZahtz Also, neither the outsider nor the person "suffering" knows which even will cause the mostpain. We need to be gentle in judgment. #HPM

Wed May 25 18:26:09 PDT 2011

EOLnavigator @doctorfisher Thanks for making it! #hpmWed May 25 18:26:12 PDT 2011

doctorfisher @PracticalWisdom thanks it's always great to 'be' here #hpmWed May 25 18:26:30 PDT 2011

EOLnavigator RT @doctorfisher: @MeredithGould agree, try not to project, yet my patients find itcomforting when I share what gives me hope #hpm

Wed May 25 18:26:36 PDT 2011

MeredithGould @aliciabloom Oy vey, Maria...as my mother would say. #hpmWed May 25 18:26:51 PDT 2011

aliciabloom @MeredithGould love it! #hpmWed May 25 18:27:14 PDT 2011

EOLnavigator I find, when I can identify with pt.'s suffering & they realize we have common understandingtheir suffering decreases. #hpm

Wed May 25 18:27:15 PDT 2011

RossJeanette Hi all I'm joining in late. I'll lurk u til I can figure out what we are talking about #HPMWed May 25 18:27:37 PDT 2011

doctorfisher @MeredithGould yes and I think sharing my own views makes me more 'human' plus if wedisagree, it's on the table #hpm

Wed May 25 18:27:38 PDT 2011
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7/31/2019 #Hpm Tweet Chat 5:25:11

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EOLnavigator Hope is definitely an important part of relief from suffering. #hpmWed May 25 18:27:56 PDT 2011

DrSnit @MeredithGould yes. Also to not be offended or annoyed by seemingly outlandish beliefs.Oy. "what did you do to make god mad?" #hpm

Wed May 25 18:28:04 PDT 2011

doctorfisher RT @EOLnavigator: I find, when I can identify with pt.'s suffering & they realize we havecommon understanding, their suffering decreases. #hpm

Wed May 25 18:28:07 PDT 2011

EOLnavigator @RossJeanette Glad you made it! #hpmWed May 25 18:28:13 PDT 2011

GailZahtz @EOLnavigator I think the key with connecting and identifying with other's suffering isvalidating their own perceptions of it. #HPM

Wed May 25 18:28:18 PDT 2011

MeredithGould @RossJeanette We're talking about suffering. LOL. #hpmWed May 25 18:28:21 PDT 2011

dockj I think the concept of total pain which accounts for all sources of suffering is a usefulconstruct. #hpm

Wed May 25 18:28:29 PDT 2011

aliciabloom what we perceive as suffering should be left outside the patient's room, so that we can fullyunderstand their unique suffering #hpm

Wed May 25 18:28:29 PDT 2011

DoctorFisher RT @EOLnavigator: Hope is definitely an important part of relief from suffering. #hpmWed May 25 18:28:34 PDT 2011

EOLnavigator @rossjeanette "Suffering" #hpmWed May 25 18:28:37 PDT 2011

MeredithGould RT @dockj: I think the concept of total pain which accounts for all sources of suffering is auseful construct. #hpm

Wed May 25 18:29:07 PDT 2011

dockj Physical/family dysfunction / relationships/ religious/ cultural. #hpmWed May 25 18:29:15 PDT 2011

doctorfisher RT @GailZahtz: @EOLnavigator I think the key with connecting and identifying with other'ssuffering is validating their own perceptions of it. #HPM

Wed May 25 18:29:21 PDT 2011
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7/31/2019 #Hpm Tweet Chat 5:25:11

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EOLnavigator RT @DrSnit: @MeredithGould yes. Also 2 not be offended or annoyed by outlandish beliefsOy. "what did you do 2 make god mad?" #hpm

Wed May 25 18:29:24 PDT 2011

MeredithGould @dockj Total pain as in physical, mental and spiritual, right? #hpmWed May 25 18:29:25 PDT 2011

MeredithGould And, gee, what the heck...also total pain as in familial?1? #hpmWed May 25 18:30:20 PDT 2011

dockj Any or all can be the biggest source of suffering at any one time #hpmWed May 25 18:30:22 PDT 2011

KathyKastner #hpm I know this is a serious discussion, but 2nite I'm suffering cuz I have piles of readingfor QA committee meeting in the am.

Wed May 25 18:30:27 PDT 2011

EOLnavigator RT @DrSnit: Belief in punishment or Suffering certainly changes both caregiver & patientEOL / illness experiences. #hpm

Wed May 25 18:30:32 PDT 2011

aliciabloom hope is important, but often hope = cure, which isn't always reality. sometimes we need tohelp patients/families reframe hope. #hpm

Wed May 25 18:30:43 PDT 2011

revdoc Should we question pts about distress we see in them even if they do not report they aresuffering? #hpm

Wed May 25 18:30:54 PDT 2011

GailZahtz No offense, but making fun of other people's belief's (which may seem silly or destructive toyou) is the exact opposite of support #HPM

Wed May 25 18:31:04 PDT 2011

PracticalWisdom MD told Wife/Patient Don't ask a (?) right now if U don't want truth. Arc of Life & Love,Unbent by Treatment http://nyti.ms/kJ7Sr2#HPM

Wed May 25 18:31:10 PDT 2011

doctorfisher RT @aliciabloom: hope is important, but often hope = cure, which isn't always reality.

sometimes we need to help patients/families reframe hope. #hpmWed May 25 18:31:20 PDT 2011

EOLnavigator @aliciabloom Do you think that you have to have suffered yourself to understand someoneelse's suffering? #hpm

Wed May 25 18:31:23 PDT 2011

GailZahtz @revdoc Absolutely, may people suffer the most in silence, and won't discuss or heal if notdirectly asked. #HPM
http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/revdochttp://www.twitter.com/GailZahtzhttp://twitter.com/138204091/status/73561839744716801http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/14765987/status/73561826134196225http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/doctorfisherhttp://twitter.com/15173133/status/73561782672818176http://www.symplur.com/healthcare-hashtags/HPM/http://nyti.ms/kJ7Sr2http://www.twitter.com/PracticalWisdomhttp://twitter.com/143294903/status/73561758614290432http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/GailZahtzhttp://twitter.com/14231943/status/73561714762842112http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/17634111/status/73561671356002304http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/43230251/status/73561621972267008http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/EOLnavigatorhttp://twitter.com/205752125/status/73561604914028544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/KathyKastnerhttp://twitter.com/15551812/status/73561580536733696http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://twitter.com/16733030/status/73561575407091712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://twitter.com/16733030/status/73561343315292160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://www.twitter.com/MeredithGouldhttp://twitter.com/43230251/status/73561336952524801http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MeredithGouldhttp://www.twitter.com/DrSnithttp://www.twitter.com/EOLnavigator

7/31/2019 #Hpm Tweet Chat 5:25:11

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Wed May 25 18:31:54 PDT 2011

PracticalWisdom RT @GailZahtz: Making fun of other peoples beliefs (which may seem silly or destructive toyou) is the exact opposite of support #HPM

Wed May 25 18:31:57 PDT 2011

SheyontheBay @aliciabloom often to facilitate change in what they are hoping for...a peaceful passing,instead of cure #hpmWed May 25 18:31:59 PDT 2011

KathyKastner RT @SheyontheBay: @aliciabloom often to facilitate change in what they are hoping for...apeaceful passing, instead of cure #hpm

Wed May 25 18:32:17 PDT 2011

MeredithGould @EOLnavigator Great question. Probably everyone suffers but some have denial so thickthey don't cop to it. #hpm

Wed May 25 18:32:21 PDT 2011

GailZahtz @PracticalWisdom Thanks Lisa! #HPMWed May 25 18:32:41 PDT 2011

MarksPhone I wonder, do HCP have the wear with all to identify all the issues surrounding the patient anfamily and navigate a path? #hpm

Wed May 25 18:32:53 PDT 2011

DoctorFisher @aliciabloom Yes, I never let my patients "give up hope", I help them shift their hope torealistic goals #hpm

Wed May 25 18:32:55 PDT 2011

GailZahtz @DoctorFisher For some reason, we haven't crossed paths. Nice to meet you, and get toknow you, and hope to meet again :) #HPM

Wed May 25 18:33:10 PDT 2011

KathyKastner Yep. My hubRT @MeredithGould: @EOLnavigator Great Q. Probably everyone suffers butsome have denial so thick they don't cop to it. #hpm

Wed May 25 18:33:17 PDT 2011

RossJeanette The physical suffering may be "easier" to identify. #HPMWed May 25 18:33:26 PDT 2011

EOLnavigator Sometimes they don't know RT @revdoc: Should we question pts about distress we C inthem even if they do not report they are suffering? #hpm

Wed May 25 18:33:28 PDT 2011

GailZahtz @DoctorFisher@aliciabloom Is there an appropriate time and place when a patient isentitled to give up hope? Question, not sure. #HPM

Wed May 25 18:33:47 PDT 2011
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7/31/2019 #Hpm Tweet Chat 5:25:11

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KathyKastner How wonderful of you RT @DoctorFisher: @aliciabloom I never let my pts "give up hope", Ihelp them shift their hope 2 realistic goals #hpm

Wed May 25 18:34:00 PDT 2011

aliciabloom @EOLnavigator think suffering is something we all experience in life, regardless of thesource. it's part of being human. #hpm

Wed May 25 18:34:09 PDT 2011

DoctorFisher @GailZahtz You as well! #hpmWed May 25 18:34:10 PDT 2011

EldrcareConsult Hey guys so sorry i am late! #hpmWed May 25 18:34:10 PDT 2011

revdoc @EOLnavigator@revdoc But is that my deciding the pt is suffering? #hpmWed May 25 18:34:25 PDT 2011

EOLnavigator @EldrcareConsult Hey there! We are talking about suffering #hpmWed May 25 18:34:39 PDT 2011

EOLnavigator RT @doctorfisher: @aliciabloom Yes, I never let my patients "give up hope", I help themshift their hope to realistic goals #hpm

Wed May 25 18:35:04 PDT 2011

MeredithGould Great post about hope and communicating w/pts: http://bit.ly/lHaS1l#hpmWed May 25 18:35:04 PDT 2011

KathyKastner Good Q. RT @revdoc: @EOLnavigator@revdoc But is that my deciding the pt is suffering?#hpm

Wed May 25 18:35:06 PDT 2011

EOLnavigator RT @RossJeanette: The physical suffering may be "easier" to identify. #hpmWed May 25 18:35:10 PDT 2011

DrSnit @GailZahtz have you ever watched a mother ask her daughter what she did to anger god?It is hard to deal with their needs fully #hpm

Wed May 25 18:35:35 PDT 2011

MeredithGould RT @DrSnit: Belief in punishment or Suffering certainly changes both caregiver & patientEOL / illness experiences. #hpm

Wed May 25 18:35:40 PDT 2011

EOLnavigator RT @KathyKastner RT @MeredithGould Probably everyone suffers but some have denialso thick they dont cop to it. #hpm

Wed May 25 18:35:44 PDT 2011
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7/31/2019 #Hpm Tweet Chat 5:25:11

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PracticalWisdom Great To See You. RT @EldrcareConsult: Hey guys so sorry i am late! #HPMWed May 25 18:35:59 PDT 2011

aliciabloom @GailZahtz- i agree with @DoctorFisher in that we have to help people find hope &meaning all the time, even if it means reframing it. #hpm

Wed May 25 18:36:13 PDT 2011

doctorfisher @GailZahtz sure, we need to let patients grieve loss. But I don't want to leave themhopeless so must offer some form of help #hpm

Wed May 25 18:36:47 PDT 2011

whole_patients RT @MeredithGould: Great post about hope and communicating w/pts: http://bit.ly/lHaS1l#hpm

Wed May 25 18:36:53 PDT 2011

KathyKastner Is it only #hpm-ers who are trained to re-frame?Wed May 25 18:36:58 PDT 2011

EOLnavigator Never! Hope to die well. RT @GailZahtz: @DoctorFisher@aliciabloom Is there anappropriate time & place when a pt can give up hope? #hpm

Wed May 25 18:36:59 PDT 2011

GailZahtz @DrSnit I've been told that either in this life or a former life I did something that I'm doing"teshuvah" for. (need to go to a 2nd..) #HPM

Wed May 25 18:37:12 PDT 2011

MarksPhone http://bit.ly/jt92nj Jimmie Holland the Human Side of Cancer #hpmWed May 25 18:37:15 PDT 2011

MeredithGould RT @KathyKastner: Is it only #hpm-ers who are trained to re-frame?

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jfclearywisc Said it b4; Tulsky (Hope or Hubris, JPM) Hope=trust. However bad, things will work out.#hpm

Wed May 25 18:38:32 PDT 2011

DoctorFisher @KathyKastner I was trained to re-frame during #geriatrics fellowship #hpmWed May 25 18:38:42 PDT 2011

EOLnavigator Different topic...we've suffered enough! #hpmWed May 25 18:38:59 PDT 2011

MeredithGould @revdoc Because it's too "soft" and not "science," right? #hpmWed May 25 18:39:01 PDT 2011

MeredithGould @EOLnavigator LOLOL...good one #hpmWed May 25 18:39:09 PDT 2011

GailZahtz @DrSnit I want to strangle people who say "it's all for the best" or "we're not given morethan we can handle" others benefit from that #HPM

Wed May 25 18:39:19 PDT 2011

revdoc @MeredithGould@revdoc Yep #hpmWed May 25 18:39:30 PDT 2011

KathyKastner I have pondered hope and false hope http://tinyurl.com/3yzvexh#hpmWed May 25 18:39:35 PDT 2011

KathyKastner Ha! RT @EOLnavigator: Different topic...we've suffered enough! #hpmWed May 25 18:39:57 PDT 2011

PracticalWisdom RT @KathyKastner: Ha! RT @EOLnavigator: Different topic...weve suffered enough! #HPMWed May 25 18:40:25 PDT 2011

aliciabloom i often feel like #hospice & #palliative care is as much an art as it is a science #hpmWed May 25 18:40:30 PDT 2011

EOLnavigator T3: When you search for information about end of life care online, what kind of informationare you looking for & do you find it? #hpm

Wed May 25 18:40:48 PDT 2011

DrSnit @GailZahtz not the same as watching it as a provider but you get it from an advocacyperspective. #hpm

Wed May 25 18:40:54 PDT 2011
http://twitter.com/11420922/status/73564232305745920http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/GailZahtzhttp://www.twitter.com/DrSnithttp://twitter.com/43230251/status/73564205625778176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/24399366/status/73564130216382464http://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/25428892/status/73564109026766848http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/KathyKastnerhttp://www.twitter.com/PracticalWisdomhttp://twitter.com/205752125/status/73563992966176768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/KathyKastnerhttp://twitter.com/101386174/status/73563900716646400http://www.symplur.com/healthcare-hashtags/hpm/http://tinyurl.com/3yzvexhhttp://www.twitter.com/KathyKastnerhttp://twitter.com/14231943/status/73563879317323776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/MeredithGouldhttp://www.twitter.com/revdochttp://twitter.com/143294903/status/73563832227856384http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/DrSnithttp://www.twitter.com/GailZahtzhttp://twitter.com/16733030/status/73563794206502912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/MeredithGouldhttp://twitter.com/1972230/status/73563759746088960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/MeredithGouldhttp://twitter.com/138204091/status/73563752095678464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/35022109/status/73563678271733760http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/geriatrics/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/DoctorFisherhttp://twitter.com/27231379/status/73563638044176384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jfclearywisc

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KathyKastner Hope and aging.Gr8 combo RT @DoctorFisher: @KathyKastner I was trained to re-frameduring #geriatrics fellowship #hpm

Wed May 25 18:41:06 PDT 2011

GailZahtz @aliciabloom@DoctorFisher@EOLnavigator Studies show that outcomes of samesurgeries affected by hope. #HPM

Wed May 25 18:41:07 PDT 2011

PracticalWisdom Great Truth 2 That. Thank you! RT @aliciabloom: i often feel like #hospice & #palliative caris as much an art as it is a science #HPM

Wed May 25 18:41:11 PDT 2011

revdoc @aliciabloom Absolutely! #hpmWed May 25 18:41:12 PDT 2011

dockj RT @aliciabloom: i often feel like #hospice & #palliative care is as much an art as it is ascience #hpm

Wed May 25 18:41:19 PDT 2011

DrSnit RT @EOLnavigator: T3: When you search for information about end of life care online, whakind of information are you looking for & do you find it? #hpm

Wed May 25 18:41:25 PDT 2011

MarksPhone Finding it is one thing, wanting to know what it says is another there is a gap in acquiring thknowledge to the problem at hand #hpm

Wed May 25 18:42:00 PDT 2011

revdoc T3 More research is being done, but too much old literature was anecdotal; I'm looking forbest practices #hpm

Wed May 25 18:42:14 PDT 2011

EOLnavigator It makes me feel defeated when I hear that. RT @GailZahtz: @DrSnit#hpmWed May 25 18:42:21 PDT 2011

dockj RT @EOLnavigator: T3: When you search for information about end of life care online, whakind of information are you looking for & do you find it? #hpm

Wed May 25 18:42:22 PDT 2011

DebErupts RT @aliciabloom I often feel like #hospice & #palliative care is as much an art as it is a

science #hpm | AbsolutelyWed May 25 18:42:34 PDT 2011

MeredithGould @MarksPhone Brilliant...wanted to RT but it was too long. :-( #hpmWed May 25 18:42:39 PDT 2011

dockj RT @revdoc: T3 More research is being done, but too much old literature was anecdotal;I'm looking for best practices #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/dockjhttp://twitter.com/16733030/status/73564673328422912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://www.twitter.com/MeredithGouldhttp://twitter.com/131643073/status/73564650326855681http://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://www.twitter.com/DebEruptshttp://twitter.com/1047879/status/73564601333194752http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/dockjhttp://twitter.com/43230251/status/73564597361197056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/DrSnithttp://www.twitter.com/GailZahtzhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/476265/status/73564567363534848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://twitter.com/22063766/status/73564510211948545http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/93074700/status/73564364619251712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/DrSnithttp://twitter.com/15551812/status/73564335531765760http://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://www.twitter.com/dockjhttp://twitter.com/14231943/status/73564307140509697http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/revdochttp://twitter.com/25428892/status/73564303487287299http://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://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/73564289121792000http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/DoctorFisherhttp://www.twitter.com/aliciabloomhttp://www.twitter.com/GailZahtzhttp://twitter.com/101386174/status/73564282964545537http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/geriatrics/http://www.twitter.com/KathyKastnerhttp://www.twitter.com/DoctorFisherhttp://www.twitter.com/KathyKastner

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Wed May 25 18:42:42 PDT 2011

EOLnavigator RT @PracticalWisdom: Great Truth 2 That. RT @aliciabloom: i often feel like #hospice palliative care is as much art as it is science #hpm

Wed May 25 18:43:00 PDT 2011

GLakesCaring RT @EOLnavigator: T3: When you search for info about end of life care online, what kind oinfo are you looking for & do you find it? #hpm

Wed May 25 18:43:13 PDT 2011

EOLnavigator RT @dockj: RT @revdoc: T3 More research is being done, but too much old literature wasanecdotal; Im looking for best practices #hpm

Wed May 25 18:43:28 PDT 2011

dockj I spend more time hard searching NLM for #hpm questions than any other clinical questionsI have.

Wed May 25 18:43:50 PDT 2011

GailZahtz@DrSnit@EOLnavigator The juggle is for pt, caregiver, provider, family, allowing some kindof freedom of perspective allowing dignity #HPM

Wed May 25 18:44:02 PDT 2011

PracticalWisdom RT @MarksPhone: Finding it is 1thing, wanting 2 know what it says is another. A gap inacquiring this knowledge to the problem at hand #HPM

Wed May 25 18:44:17 PDT 2011

EOLnavigator Best practices in EOL care is pandora's box IMO! #hpmWed May 25 18:44:28 PDT 2011

dockj RT @EOLnavigator: Best practices in EOL care is pandora's box IMO! #hpmWed May 25 18:45:26 PDT 2011

PracticalWisdom @MarksPhone: Sincerely think/Feel you are one of the sharpest Crayons in the Box. #HPMWed May 25 18:45:37 PDT 2011

MarksPhone the real issue is getting the seeking of a this knowledge to want to apply it. In a death phobisociety we want to survial DFS etc #hpm

Wed May 25 18:45:38 PDT 2011

GailZahtz We should be allowed to rage, or find irrational comfort, or even to control our hope if thatempowers us, yes? #HPM@EOLnavigator@DrSnit

Wed May 25 18:45:41 PDT 2011

revdoc @EOLnavigator We can use good information to help find most effective, least toxic, cost-effective regimens though #hpm

Wed May 25 18:45:42 PDT 2011
http://twitter.com/14231943/status/73565442450538497http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/revdochttp://twitter.com/158414469/status/73565438059094016http://www.twitter.com/DrSnithttp://www.twitter.com/EOLnavigatorhttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/GailZahtzhttp://twitter.com/22063766/status/73565422116540416http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/MarksPhonehttp://twitter.com/25428892/status/73565417825763329http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MarksPhonehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/1047879/status/73565374829957120http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/dockjhttp://twitter.com/138204091/status/73565129802907649http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://twitter.com/25428892/status/73565085850804224http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/MarksPhonehttp://www.twitter.com/PracticalWisdomhttp://twitter.com/158414469/status/73565019480133633http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/DrSnithttp://www.twitter.com/GailZahtzhttp://twitter.com/15551812/status/73564972088692736http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/dockjhttp://twitter.com/43230251/status/73564876789919746http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/revdochttp://www.twitter.com/dockjhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/37000484/status/73564816710696960http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/EOLnavigatorhttp://www.twitter.com/GLakesCaringhttp://twitter.com/43230251/status/73564759412322305http://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://www.twitter.com/PracticalWisdomhttp://www.twitter.com/EOLnavigatorhttp://twitter.com/1047879/status/73564686100082689

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DoctorFisher T3 sometimes my search is less about info and more about finding people with similarmission (like you fine people) #hpm

Wed May 25 18:45:47 PDT 2011

DrSnit There is too much separation between provider, patient, caregiver and "what next" inpalliative and hospice care right now. #hpm

Wed May 25 18:45:47 PDT 2011

MeredithGould RT @DrSnit: There is too much separation between provider, patient, caregiver and "whatnext" in palliative and hospice care right now. #hpm

Wed May 25 18:45:56 PDT 2011

KathyKastner Aren't best practices 'situational' in eol care?RT @EOLnavigator: Best practices in EOL caris pandora's box IMO! #hpm

Wed May 25 18:46:04 PDT 2011

EOLnavigator I've noticed that alot of healthcare sites really shy away from EOL care topics #hpmWed May 25 18:46:09 PDT 2011

aliciabloom political discourse about end of life care is frustrating ("death panels" "rationing"). fostersfear & creates barriers for patients #hpm

Wed May 25 18:46:12 PDT 2011

GailZahtz Agree! MT @DrSnit: Too much separation between provider, patient, caregiver and "whatnext" in palliative and hospice care right now. #hpm

Wed May 25 18:46:21 PDT 2011

PracticalWisdom RT @doctorfisher: T3 sometimes my search is less about info and more about findingpeople with similar mission (like you fine people) #HPM

Wed May 25 18:46:28 PDT 2011

dockj The problems with research in #hpm that good outcomes = bad outcomes for most medicalresearch.

Wed May 25 18:46:38 PDT 2011

KathyKastner RT @GailZahtz: We should be allowed to rage, or find irrational comfort, or even to controlour hope if that empowers us, yes? #HPM@EOL ...

Wed May 25 18:46:54 PDT 2011

MarksPhoneThe edu issue at hand is changing the learners desire to uptake knowledge and apply, wedont know what the learners need to know #hpm

Wed May 25 18:46:59 PDT 2011

EOLnavigator RT @revdoc: @EOLnavigator We can use good information to help find most effective, leastoxic, cost-effective regimens though #hpm

Wed May 25 18:47:02 PDT 2011

GLakesCaring T3: Trick is to find info

Documents

#Hpm Tweet Chat 5:25:11