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10/25/12 9:37 AM
#hpm transcript
Healthcare Social Media Transcript
From: To: Wed Oct 24 18:00:00 PDT 2012 Wed Oct 24 19:15:00 PDT 2012 change time period
New ! Explore analytics for this time period: #hpm analytics Explore the world of healthcare social media: Healthcare Conferences - Healthcare Analytics Learn more about #hpm at The Healthcare Hashtag Project
aliciabloom
RT @WaywardChad: About to join an hour-long discussion on #hospice and #palliative care. Wanna learn more? Join us in #hpm chat! http:// ...
Wed Oct 24 18:00:32 PDT 2012
aliciabloom
it's that time again. . .expect a flurry of hospice & palliative care related tweets from me over the next hour as i host #hpm chat!
Wed Oct 24 18:01:15 PDT 2012
aliciabloom
ctsinclair
RT @WaywardChad About to join an discussion on #hospice and #palliative care. Wanna learn more? Join us in #hpm chat! http://t.co/tBzynAbO
Wed Oct 24 18:04:02 PDT 2012
ctsinclair
DeathwDignity
New guest post on our blog by @LaurenMackler http://t.co/TZCKQQiL @Dignity2012 #Yes2Dignity #hpm #eol
Wed Oct 24 18:05:10 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
Page 1 of 12
10/25/12 9:37 AM
aliciabloom
ShyDi47
enBloomMedia
_lizzy_
Hi all! glad to be back. :) Lizzy Miles, MSW, thanatologist, host of first death cafe in U.S. #hpm
Wed Oct 24 18:07:31 PDT 2012
aliciabloom
aliciabloom
hi @ShyDi47, @enBloomMedia and @_lizzy_! great to have you all here. #hpm
Wed Oct 24 18:08:15 PDT 2012
ShyDi47
_lizzy_
its that time again. . .expect a flurry of hospice related tweets from me over the next hour as i participate in #hpm chat! #hpm
Wed Oct 24 18:08:49 PDT 2012
_lizzy_
@ShyDi47 Hello! Life is good in Columbus, Ohio. How are you? #hpm
Wed Oct 24 18:09:32 PDT 2012
aliciabloom
in honor of breast cancer awareness month, tonight's chat is going to focus on cancer related issues. we'll get started in a moment... #hpm
Wed Oct 24 18:09:43 PDT 2012
enBloomMedia
Interested in hospice & palliative medicine? Join us RT @aliciabloom: any others in the twitterverse joining us for #hpm? #hpm
Wed Oct 24 18:10:05 PDT 2012
ctsinclair
WaywardChad
Will join in from my phone if I can remember to add #hpm tag. 3rd time's the charm. Hi from a frazzled Maryland social worker & grad student
Wed Oct 24 18:10:30 PDT 2012
ShyDi47
@_lizzy_ I have been good and the weather has been gr8 no complaints #hpm
Page 2 of 12
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
10/25/12 9:37 AM
aliciabloom
aliciabloom
yes it is! RT @ctsinclair: welcome one and all! great #hpm crowd tonight #hpm
Wed Oct 24 18:11:08 PDT 2012
ShyDi47
RT @aliciabloom: hi @ShyDi47, @enBloomMedia and @_lizzy_! great to have you all here. #hpm
Wed Oct 24 18:11:21 PDT 2012
mdTalk
pamressler
aliciabloom
T1 Parents going through cancer need support all around highlights psychosocial challenges younger patients face http://t.co/ytYWJ8kx #hpm
Wed Oct 24 18:13:01 PDT 2012
aliciabloom
T1a First, lets discuss initial reactions & thoughts to the article. . . #hpm
Wed Oct 24 18:13:58 PDT 2012
aliciabloom
hi @pamressler! #hpm
Wed Oct 24 18:16:01 PDT 2012
enBloomMedia
RT @aliciabloom: T1 Parents going through cancer need.. highlights psychosocial challenges younger patients face http://t.co/mTiRwej6 #hpm
Wed Oct 24 18:17:25 PDT 2012
ShyDi47
@aliciabloom her kids were her #1 priority they kept her busy as young as they were #hpm
Wed Oct 24 18:17:32 PDT 2012
enBloomMedia
T1 cancer diagnosis in younger patients underscores how cancer in some cases can be similar to chronic diseases #hpm
Wed Oct 24 18:19:41 PDT 2012
aliciabloom
The statements from the parents featured in the article remind me how strong our patients are and how resilient children can be. . . #hpm
Wed Oct 24 18:20:09 PDT 2012
aliciabloom
@enBloomMedia that's a great point. life-altering, life-limiting. need to adjust quickly to a new normal. #hpm
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http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
10/25/12 9:37 AM
pamressler
T1 Often cancer support does not fit the needs of young parents -- often different priorities with young families #hpm
Wed Oct 24 18:21:05 PDT 2012
aliciabloom
@pamressler absolutely. great point. different priorities and different needs/concerns to address. #hpm
Wed Oct 24 18:21:58 PDT 2012
ShyDi47
Pt I have seen do remain emotionally and psychologically strong to keep the family unit together. #hpm
Wed Oct 24 18:22:24 PDT 2012
_lizzy_
I gave a presentation about self-care today so I liked part that recommended parent shares what she does 2 lift mood...'take a walk' #Hpm
Wed Oct 24 18:22:29 PDT 2012
enBloomMedia
RT @aliciabloom: @pamressler absolutely. great point. different priorities and different needs/concerns to address. #hpm
Wed Oct 24 18:22:47 PDT 2012
ctsinclair
RT @pamressler T1 Often cancer support does not fit the needs of young parents -- often different priorities with young families #hpm
Wed Oct 24 18:23:52 PDT 2012
aliciabloom
T1b Caring for patients with young children is often a challenge in #hpm. Lets share experiences & discuss effective interventions... #hpm
Wed Oct 24 18:24:07 PDT 2012
ShyDi47
Parents don't want their kids to see there weaknesses. I have seen also where they suppress their true feelings. #hpm
Wed Oct 24 18:24:47 PDT 2012
enBloomMedia
RT @aliciabloom: T1b Caring 4 patients w/ young children is often a challenge in #hpm. Share exp & discuss effective interventions... #hpm
Wed Oct 24 18:25:45 PDT 2012
_lizzy_
T1 most of my experience is with older adults, so overall this was helpful article to read. #Hpm
Wed Oct 24 18:26:47 PDT 2012
ShyDi47
An effective intervention that can be implemented is counselling for the kids, so they can discuss there true feelings. #hpm
Wed Oct 24 18:27:17 PDT 2012
pamressler
@ShyDi47 I have heard this referred to as the "Disease of Strength", where the pt internalizes their emotions to protect others #hpm
Page 4 of 12
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
10/25/12 9:37 AM
aliciabloom
enBloomMedia
So a respite allowing parent/pt to care 4 themselves is helpful?RT @ShyDi47: Parents dont want their kids to see there weaknesses... #hpm
Wed Oct 24 18:28:02 PDT 2012
enBloomMedia
RT @ShyDi47: An effective intervention that can be implemented is counselling for the kids, so they can discuss there true feelings. #hpm
Wed Oct 24 18:28:25 PDT 2012
aliciabloom
ShyDi47
Parent relief getting other family members to help. Guiding the family with the positive things that are happening. #hpm
Wed Oct 24 18:30:45 PDT 2012
jordanrau
RT @JoanneKenen: Overestimating chemo's power to cure - do doctors not explain wel, or do patients not hear? http://t.co/UaZ7DAWD #hpm #cancer #hcr
Wed Oct 24 18:30:56 PDT 2012
ShyDi47
aliciabloom
T2: New study on patient expectations of chemotherapy.What can we do? http://t.co/QwF51Nxv #hpm
Wed Oct 24 18:31:44 PDT 2012
enBloomMedia
RT @aliciabloom: T2: New study on patient expectations of chemotherapy.What can we do? http://t.co/Xz73EM7Y #hpm
Wed Oct 24 18:32:25 PDT 2012
ctsinclair
RT @ShyDi47 An effective intervention that can be implemented is counselling for the kids, so they can discuss there true feelings. #hpm
Wed Oct 24 18:32:43 PDT 2012
ShyDi47
RT @enBloomMedia: RT @aliciabloom: T2: New study on patient expectations of chemotherapy.What can we do? http://t.co/yvakH3bL #hpm
Wed Oct 24 18:33:05 PDT 2012
doctatum
RT @AAHPM: Study: Slow gait in very elderly people may indicate dementia http://t.co/boCapmSb #hpm
Wed Oct 24 18:34:12 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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10/25/12 9:37 AM
ravipm2000
Hello all. Sorry I'm late. I'll be lurking around for the next 30 mins. #hpm
Wed Oct 24 18:34:40 PDT 2012
equijada
#hpm caring for patients with young children, most helpful for me is play.
Wed Oct 24 18:34:42 PDT 2012
ShyDi47
RT @doctatum: RT @AAHPM: Study: Slow gait in very elderly people may indicate dementia http://t.co/38kTnhV9 #hpm
Wed Oct 24 18:34:45 PDT 2012
aliciabloom
enBloomMedia
T2 the study findings are tragic, speak to broader problem of health literacy as well as our attitudes toward end of life issues #hpm
Wed Oct 24 18:35:36 PDT 2012
ShyDi47
@equijada I agree #play therapy and also #music therapy is ideal as well with young children and #art works as well #hpm
Wed Oct 24 18:36:33 PDT 2012
enBloomMedia
ctsinclair
RT @equijada #hpm caring for patients with young children, most helpful for me is play.
Wed Oct 24 18:36:49 PDT 2012
doctatum
On plane but i rec david oliver blog google it video 5 i think RT @aliciabloom T2: patient expectations of chemo.What can we do? #hpm
Wed Oct 24 18:36:55 PDT 2012
ShyDi47
aliciabloom
T2: it explains the gap between patient/family expectations & reality of prognosis when it comes time to make EoL decisions #hpm
Wed Oct 24 18:37:13 PDT 2012
pamressler
MT@aliciabloom: T2: explains the gap between patient/family expectations & reality of prognosis when it comes time 2 make EoL choices #hpm
Wed Oct 24 18:39:02 PDT 2012
ShyDi47
So much involved in #EOL issues it depends what there PPS is that does have a big factor as well. #hpm
Wed Oct 24 18:39:12 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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10/25/12 9:37 AM
aliciabloom
7/10 patients w/ lung cancer + 8/10 w/ colorectal cancer did not report understanding that chemo was not at all likely to cure cancer #hpm
Wed Oct 24 18:40:49 PDT 2012
_lizzy_
T2 Does palliative care have IDG teams like hospice? If I sense that pt misunderstands treatment, I bring up w/ medical director. #Hpm
Wed Oct 24 18:40:51 PDT 2012
ShyDi47
RT @equijada: #hpm caring for patients with young children, most helpful for me is play. #hpm
Wed Oct 24 18:40:56 PDT 2012
jsperber
moyecome
RT @pallcarecomm: #hpm #comm tools at http://t.co/uMgwn0wQ- check out module on #team comm!
Wed Oct 24 18:41:23 PDT 2012
enBloomMedia
@aliciabloom informed consent is difficult to achieve even when dx is not terminal #hpm
Wed Oct 24 18:41:35 PDT 2012
pamressler
Yes! RT @equijada: #hpm caring for patients with young children, most helpful for me is play. #hpm
Wed Oct 24 18:41:35 PDT 2012
ravipm2000
aliciabloom
most striking to me that patients who reported more favorable communication with their MD were more likely to report inaccurate beliefs #hpm
Wed Oct 24 18:43:18 PDT 2012
enBloomMedia
Please elaborate? RT @_lizzy_: T2 Does palliative care have IDG teams like hospice?...I bring up w/ medical director. #hpm
Wed Oct 24 18:43:22 PDT 2012
aliciabloom
yes! huge role for providing concurrent care RT @ravipm2000: T2 I think it emphasizes combined #Palliative Care/ Oncology clinics #hpm
Wed Oct 24 18:43:38 PDT 2012
ShyDi47
aliciabloom
@enBloomMedia @_lizzy_ yes, palliative care teams are often interdisciplinary. slightly different dynamic as a consult service, though #hpm
Wed Oct 24 18:44:35 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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10/25/12 9:37 AM
aliciabloom
@ShyDi47 a diagnosis does not need to be terminal for palliative care to be provided #hpm
Wed Oct 24 18:45:02 PDT 2012
enBloomMedia
RT @aliciabloom: yes! huge role 4 providing concurrent care RT @ravipm2000: T2 I think it emphasizes combo #Palliative Care/ Oncology #hpm
Wed Oct 24 18:45:24 PDT 2012
_lizzy_
I am less familiar w/ palliative, but for difficult hospice situations, sometimes we have to piece together pt comprehension in IDG #Hpm
Wed Oct 24 18:45:49 PDT 2012
enBloomMedia
I see RT @aliciabloom: @enBloomMedia @_lizzy_ yes palliative care teams R often interdisciplinary different dynamic as consult service #hpm
Wed Oct 24 18:47:03 PDT 2012
ravipm2000
T2 It is important for staff to remember to give info in small chunks and frequently check for understanding as well. #hpm
Wed Oct 24 18:47:04 PDT 2012
ShyDi47
RT @ravipm2000: T2 It is important for staff to remember to give info in small chunks and frequently check for understanding as well. #hpm
Wed Oct 24 18:47:45 PDT 2012
NurseSallie
RT @enBloomMedia: T2 another challenge is the desire not to take away hope #hpm
Wed Oct 24 18:48:00 PDT 2012
_lizzy_
T2 sometimes patient may seem to understand, but then later conversations w/ others reveals confusion. Teamwork important... #Hpm
Wed Oct 24 18:48:20 PDT 2012
aliciabloom
effective to use tell - ask - tell method. give info to the patient, ask questions to clarify they understand, then continue discussion #hpm
Wed Oct 24 18:48:31 PDT 2012
ShyDi47
A certain criteria needs to be met in Canada where a pt is considered to be palliative or EOL. #hpm
Wed Oct 24 18:48:51 PDT 2012
aliciabloom
yes! RT @_lizzy_: T2 sometimes patient may seem to understand, but later conversations w/ others reveals confusion. Teamwork important. #hpm
Wed Oct 24 18:49:00 PDT 2012
ravipm2000
MT @aliciabloom: effective to use tell - ask - tell method. give info to the pt,ask questions to clarify they understand, then continue #hpm
Wed Oct 24 18:49:22 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
Page 8 of 12
10/25/12 9:37 AM
deborahlshelton
RT @JoanneKenen: Overestimating chemo's power to cure - do doctors not explain wel, or do patients not hear? http://t.co/UaZ7DAWD #hpm #cancer #hcr
Wed Oct 24 18:50:09 PDT 2012
ShyDi47
We do have visiting nurses in Canada where the pt can remain in there home by VON excellent program. #hpm
Wed Oct 24 18:50:21 PDT 2012
pamressler
T2 Interesting to see the correlation between effective communication w family members and decreased use of ICU at EOL #hpm
Wed Oct 24 18:50:23 PDT 2012
enBloomMedia
Yes, personal exp w/ this RT @_lizzy_: T2 pt may seem 2 understand then later convo w/ others reveal confusion...Teamwork important #hpm
Wed Oct 24 18:50:30 PDT 2012
APCAssociation
APCA's 2011-12 Annual Report is out! Download here: http://t.co/3j6lFNy9 #hpmglobal #hpm #ncds #HIV #cancer
Wed Oct 24 18:50:38 PDT 2012
ravipm2000
T2 One of my excellent onc attendings would explain with diagrams/ written info that he gave pts to take home and look over #hpm
Wed Oct 24 18:50:43 PDT 2012
aliciabloom
T2: do we think doctors aren't explaining well or patients are struggling to accept reality? #hpm
Wed Oct 24 18:51:02 PDT 2012
enBloomMedia
RT @ravipm2000: MT @aliciabloom: effective to use tell - ask - tell method. give info to the pt,ask questions 2 clarify they understand #hpm
Wed Oct 24 18:51:15 PDT 2012
enBloomMedia
Both! RT @aliciabloom: T2: do we think doctors arent explaining well or patients are struggling to accept reality? #hpm
Wed Oct 24 18:51:45 PDT 2012
fischmd
RT @dianeemeier: Talking with Patients about Dying NEJM (T. Smith) http://t.co/LYfXAYyD on optimism bias and its harms #palliative #hpm
Wed Oct 24 18:51:57 PDT 2012
ShyDi47
enBloomMedia
T2 when you are in shock it's difficult to ask follow up questions #hpm
Wed Oct 24 18:52:46 PDT 2012
aliciabloom
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?ha&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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10/25/12 9:37 AM
ravipm2000
T2: Getting a diagnosis of cancer can "stun" the pt and they will not process more info after that. Follow up/ family support helpful #hpm
Wed Oct 24 18:53:02 PDT 2012
_lizzy_
I think it takes time to absorb @aliciabloom: do we think doctors arent explaining well or patients are struggling to accept reality? #Hpm
Wed Oct 24 18:53:16 PDT 2012
enBloomMedia
aliciabloom
you're all so right- patients are in shock, overwhelmed. we must engage family/friend to be the supportive network, extra set of ears. #hpm
Wed Oct 24 18:54:35 PDT 2012
ShyDi47
I find Dr's do there best to explain the PTs dx the best they can we do work as a multi disciplinary team. #hpm
Wed Oct 24 18:54:49 PDT 2012
pamressler
@aliciabloom T2: Beliefs and values color each of our realities. Important to hear the pt narrative and our own as providers #hpm
Wed Oct 24 18:54:59 PDT 2012
aliciabloom
RT @pamressler: T2: Beliefs and values color each of our realities. Important to hear the pt narrative and our own as providers #hpm
Wed Oct 24 18:55:33 PDT 2012
enBloomMedia
@aliciabloom this is what my family has done on more than one occasion #hpm
Wed Oct 24 18:55:33 PDT 2012
ShyDi47
@ravipm2000 also the shock of the dx can very well affect the pt for awhile #hpm
Wed Oct 24 18:55:51 PDT 2012
aliciabloom
@pamressler self-awareness is critically important. if we understand ourselves, we can be better clinicians. #hpm
Wed Oct 24 18:56:10 PDT 2012
pamressler
+1 RT @aliciabloom: @pamressler self-awareness is critically important. if we understand ourselves, we can be better clinicians. #hpm
Wed Oct 24 18:56:54 PDT 2012
aliciabloom
the hour is coming to close & seemed to go quickly today. thank you all for your participation! please share any final thoughts. . . #hpm
Wed Oct 24 18:57:48 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
Page 10 of 12
10/25/12 9:37 AM
ShyDi47
This is when the acuity screener plays a vital role in caring for the pt. #hpm
Wed Oct 24 18:57:53 PDT 2012
aliciabloom
please note, next week we'll take a break from #hpm chat-- it is Halloween after all! #hpm
Wed Oct 24 18:58:28 PDT 2012
pamressler
pamressler
ravipm2000
T2: Smith TJ et al.(2010)Giving honest information to patients with advanced cancer maintains hope. Oncology(Williston Park)24:521525 #hpm
Wed Oct 24 18:59:40 PDT 2012
aliciabloom
enBloomMedia
Thanks again. RT @pamressler: Thanks so much for hosting tonight, @aliciabloom -- great job! #hpm
Wed Oct 24 18:59:53 PDT 2012
ravipm2000
fischmd
RT @nejm: Many pts receiving chemo for incurable cancers may not understand that chemo is unlikely to be curative. http://t.co/5hHLfbK4 #hpm
Wed Oct 24 19:01:14 PDT 2012
aliciabloom
LilacsAndCaviar
Designmaster Atelier Chair: HOT pink animal print + metal studs = needs to be in my house NOW! #hpm http://t.co/cGVRyGld
Wed Oct 24 19:03:16 PDT 2012
_lizzy_
t2 must read- perfect example of communication challenges. This will be the eol ethical story of the year. http://t.co/nzebnk1S #Hpm
Wed Oct 24 19:03:21 PDT 2012
enBloomMedia
@ShyDi47 @aliciabloom @ShyDi47 @_lizzy_ Thanks for the #hpm chat mentions
Wed Oct 24 19:03:23 PDT 2012
10/25/12 9:37 AM
videodouble
enBloomMedia
WaywardChad
Sorry I didn't get to join in...technology is against me. Thanks for lots of insights to read and digest. See everybody in 2 weeks! #hpm
Wed Oct 24 19:06:37 PDT 2012
DeathwDignity
RT @dianeemeier: Talking with Patients about Dying NEJM http://t.co/2IBBA9a4 #palliative #hpm on optimism bias and its harms
Wed Oct 24 19:10:05 PDT 2012
cinghio81
#WorldSeries di baseball @MLB .Tutto lo stadio in piedi con "I Stand Up To Cancer" @SU2C con nomi di amici malati #hpm http://t.co/T2EzOhx8
Wed Oct 24 19:11:14 PDT 2012
http://hashtags.symplur.com/healthcare-hashtag-transcript.php?h&smin=0&tdate=10-24-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1
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