#Hpm Tweet Chat 11:9:11

7/31/2019 #Hpm Tweet Chat 11:9:11

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

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed Nov 09 18:00:00 PST 2011

To: Wed Nov 09 19:15:00 PST 2011

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equijada For the next hour, I will chatting about #hpm. #hpmWed Nov 9 18:00:31 PST 2011

renee_berry @equijada Hi Earl, thanks for hosting tonight! #hpmWed Nov 9 18:01:28 PST 2011

aliciabloom a flurry of #hospice & #palliative care related tweets...it's #hpm tweetchat time-- join us!Wed Nov 9 18:01:43 PST 2011

jordangrumet Wifes out of town, kids asleep, ready for tweetchat #hpmWed Nov 9 18:01:50 PST 2011

equijada Hi Renee, Alicia, and Jordan, good to see you #hpmWed Nov 9 18:02:28 PST 2011

aliciabloom @equijada hi earl! great to be here with you & the gang. #hpmWed Nov 9 18:03:27 PST 2011

renee_berry Tweeting by a hospital bed tonight in CA. Reminded many times today how importantadvance directives are (& doctor communication!) #hpm

Wed Nov 9 18:03:44 PST 2011
http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://www.twitter.com/equijadahttp://www.twitter.com/jordangrumethttp://www.twitter.com/jordangrumethttp://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/134450571770994689http://www.symplur.com/healthcare-social-media/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-social-media/http://www.symplur.com/healthcare-social-media/http://twitter.com/121558178/status/134451140648640512http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/24399366/status/134451071019003905http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/134450823286636544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/366631406/status/134450662057574402http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://twitter.com/24399366/status/134450632324161537http://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/121558178/status/134450571770994689http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/134450330023903232http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://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=11-09-2011&shour=18&smin=0&tdate=11-09-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=11-09-2011&shour=18&smin=0&tdate=11-09-2011&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

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AdvanceCarePlan end of life care in Oregon: http://t.co/uzwksqF3#eolc#hpm#eolWed Nov 9 18:04:06 PST 2011

authordhallman Hello fellow hpm tweetchat members. I'm David on-line. Author of palliative care memoir"August Farewell". #hpm

Wed Nov 9 18:04:06 PST 2011

AdvanceCarePlan RT @renee_berry: Tweeting by a hospital bed tonight in CA. Reminded many times todayhow important advance directives are (& doctor communication!) #hpm

Wed Nov 9 18:04:20 PST 2011

jordangrumet RT @renee_berry: Tweeting by a hospital bed tonight in CA. Reminded many times todayhow important advance directives are (& doctor communication!) #hpm

Wed Nov 9 18:04:26 PST 2011

joltdude Sends @renee_berry some coffee or other choice beverage and some virtual flowers#hpm

Wed Nov 9 18:04:28 PST 2011

equijada @renee_berry off topic: are you going to @rockhealthhttp://t.co/GVgv6lKT#hpmWed Nov 9 18:04:29 PST 2011

equijada Hi David, welcome. August Farewell - sounds interesting #hpmWed Nov 9 18:04:50 PST 2011

aliciabloom @renee_berry sorry to hear that...sending good thoughts your way. #hpmWed Nov 9 18:04:51 PST 2011

equijada @renee_berry whoa...are you hospitalized? or a friend? or a caregiver? #hpmWed Nov 9 18:05:30 PST 2011

uwpride RT @renee_berry: Tweeting by a hospital bed tonight in CA. Reminded many times todayhow important advance directives are (& doctor communication!) #hpm

Wed Nov 9 18:05:52 PST 2011

equijada topic 1 coming up in a bit. #hpmWed Nov 9 18:06:03 PST 2011

equijada topic 1 coming up in a bit. #hpmWed Nov 9 18:06:03 PST 2011

renee_berry @aliciabloom@equijada thanks, no I'm not in the bed, family member went through theED & was admitted for a heart issues, doing better #hpm

Wed Nov 9 18:06:37 PST 2011
http://twitter.com/121558178/status/134451867093700609http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/134451723833057281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/22651861/status/134451723833057281http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/372506637/status/134451678803009536http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/uwpridehttp://twitter.com/22651861/status/134451583219019776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/equijadahttp://twitter.com/24399366/status/134451419452424193http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/134451416692559873http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/22651861/status/134451330885496832http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/GVgv6lKThttp://www.twitter.com/rockhealthhttp://www.twitter.com/renee_berryhttp://www.twitter.com/equijadahttp://twitter.com/261274640/status/134451323058917377http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/joltdudehttp://twitter.com/366631406/status/134451317421772800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/jordangrumethttp://twitter.com/256234212/status/134451289982644224http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/AdvanceCarePlanhttp://twitter.com/284885422/status/134451234521366528http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/256234212/status/134451232407420928http://www.symplur.com/healthcare-hashtags/eol/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eolc/http://t.co/uzwksqF3http://www.twitter.com/AdvanceCarePlan

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IM4PBS Deb here, caregiver of family members who's #eol experiences included #hpmWed Nov 9 18:06:43 PST 2011

equijada Welcome Deb, thanks for being here. #hpmWed Nov 9 18:07:08 PST 2011

renee_berry @equijada looks awesome, love @rock_health#hpmWed Nov 9 18:07:27 PST 2011

jordangrumet Jordan Grumet here...#hpm friendly Internal Med physicianWed Nov 9 18:07:50 PST 2011

renee_berry @joltdude thanks! Tired :) but happy there's some quiet at the moment :) #hpmWed Nov 9 18:08:23 PST 2011

IM4PBSthanks for the welcome @equijada! have lurked several times in the past. #hpm veryimportant subject!

Wed Nov 9 18:08:42 PST 2011

equijada t1: Along with caring for those with serious illness, #hpm also tends to caregivers. How is best to treat caregiver guilt? #hpm

Wed Nov 9 18:10:04 PST 2011

AfternoonNapper Hi all; sorry I'm a bit late. #hpmWed Nov 9 18:10:37 PST 2011

renee_berry RT @equijada: t1: Along with caring for those with serious illness, #hpm also tends tocaregivers. How is it best to treat caregiver gui ...

Wed Nov 9 18:10:40 PST 2011

aliciabloom MSW, LSW practicing in #hpm. direct patient care, program development & clinicaleducation. the latter is my favorite! #hpm

Wed Nov 9 18:10:50 PST 2011

IM4PBS RT @equijada: t1: Along with caring for those with serious illness, #hpm also tends tocaregivers. How is it best to treat caregiver gui ...

Wed Nov 9 18:10:54 PST 2011

aliciabloom assessment of caregiver burden & guilt is critical component. identifying the source allowsfor appropriate intervention. #hpm

Wed Nov 9 18:12:02 PST 2011

renee_berry T1 Interesting, thinking about treating caregiver guilt for myself is a different thoughtprocess than treating it for someone esle #hpm

Wed Nov 9 18:12:16 PST 2011
http://twitter.com/121558178/status/134453287754797056http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/24399366/status/134453229131014146http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/115726363/status/134452944425852930http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/IM4PBShttp://twitter.com/24399366/status/134452929120829440http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/134452884208226305http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/346151348/status/134452873848307714http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/22651861/status/134452733011963905http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/115726363/status/134452392241545216http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/IM4PBShttp://twitter.com/121558178/status/134452309617938432http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/joltdudehttp://www.twitter.com/renee_berryhttp://twitter.com/366631406/status/134452173621837824http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://twitter.com/121558178/status/134452076414631936http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/rock_healthhttp://www.twitter.com/equijadahttp://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/134451997633036288http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/115726363/status/134451889591947264http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/eol/http://www.twitter.com/IM4PBS

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AfternoonNapper Can you define caregiver guilt? #hpmWed Nov 9 18:12:20 PST 2011

jordangrumet T1: caregiver guilt is a sign of helplessness. Empower family and Friends. #hpmWed Nov 9 18:12:23 PST 2011

equijada Had a caregiver visiting spouse with dementia everyday. She is burning out but feels guiltywhen she doesn't visit. #hpm

Wed Nov 9 18:12:36 PST 2011

authordhallman Caregiver guilt - not doing enough, being the survivor, etc. Profs listening helps. SM toconnect w others... #hpm

Wed Nov 9 18:13:16 PST 2011

renee_berry T1 I think it's so important for caregivers to know it's not just ok to take time for themselvesit's necessary #hpm

Wed Nov 9 18:13:20 PST 2011

equijada @aliciabloom how do you identify source of guilt and burden? #hpmWed Nov 9 18:13:35 PST 2011

jordangrumet T1: remind caregivers that they have to tend to themselves as well as their loved ones.#hpm

Wed Nov 9 18:13:42 PST 2011

IM4PBS T1: I wish I had been able 2draw upon caregiver support groups- f2f or virtually-but I didnot have either. We can help each other! #hpm

Wed Nov 9 18:13:45 PST 2011

equijada @authordhallman yes, I think connecting to the community is important #hpmWed Nov 9 18:14:06 PST 2011

aliciabloom caregiver distress: identify, normalize, reframe, develop intervention. be sure they knowwithout self-care they cannot be a caregiver. #hpm

Wed Nov 9 18:14:17 PST 2011

jordangrumet RT @IM4PBS: T1: I wish I had been able 2draw upon caregiver support groups- f2f orvirtually-but I did not have either. We can help each other! #hpm

Wed Nov 9 18:14:32 PST 2011

kdhoffman2 RT @renee_berry: T1 I think its so important for caregivers to know its not just ok to taketime for themselves, its necessary #hpm

Wed Nov 9 18:14:53 PST 2011

equijada @jordangrumet yes, but what if they won't care for themselves? #hpmWed Nov 9 18:14:57 PST 2011
http://twitter.com/22651861/status/134453963276828673http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://twitter.com/364938826/status/134453946881290241http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/kdhoffman2http://twitter.com/366631406/status/134453858960281600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://www.twitter.com/jordangrumethttp://twitter.com/24399366/status/134453795869569024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/134453750894034945http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/equijadahttp://twitter.com/115726363/status/134453662352277504http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://twitter.com/366631406/status/134453647621890048http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://twitter.com/22651861/status/134453619310346240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://twitter.com/121558178/status/134453554600607744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/284885422/status/134453539538878464http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/22651861/status/134453370302894080http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/366631406/status/134453315751788544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://twitter.com/346151348/status/134453302669737984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapper

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jordangrumet T1: we have to honor caregivers contribution. #hpmWed Nov 9 18:15:31 PST 2011

equijada @aliciabloom is there a point where it is appropriate to medically intervene for patient? i.e.recommend anti-depressant etc.. #hpm

Wed Nov 9 18:15:40 PST 2011

aliciabloom @equijada sometimes simply acknowledging the magnitude of caregiving can offer familythe space to express distress, guilt, fears. #hpm

Wed Nov 9 18:15:50 PST 2011

AfternoonNapper If at all possible, patients need to be active in encouraging their caregivers to be cared forthemselves. #hpm

Wed Nov 9 18:15:54 PST 2011

renee_berry @aliciabloom daaang, spoken like a pro :) #hpmWed Nov 9 18:15:55 PST 2011

renee_berry RT @aliciabloom: caregiver distress: identify, normalize, reframe, develop intervention. besure they know without self-care they cannot be a caregiver. #hpm

Wed Nov 9 18:15:58 PST 2011

equijada RT @jordangrumet: T1: we have to honor caregivers contribution. #hpmWed Nov 9 18:15:59 PST 2011

IM4PBS Agree! May need back-up help. RT @renee_berry T1 It's so imp. 4caregivers 2know it'snot just ok 2take time 4themselves, its necessary #hpm

Wed Nov 9 18:16:12 PST 2011

renee_berry RT @AfternoonNapper: If at all possible, patients need to be active in encouraging theircaregivers to be cared for themselves. #hpm

Wed Nov 9 18:16:19 PST 2011

jessicajohanna Hi all! Sorry I'm late. I'll just jump right in to t1. i think it's important that caregivers practicereflection that can ease fatigue #hpm

Wed Nov 9 18:16:22 PST 2011

annwax @IM4PBS Good evening to everyone, sorry that I am late #hpmWed Nov 9 18:16:29 PST 2011

jordangrumet @equijada we have to meet them where they are. Can't force it. #hpmWed Nov 9 18:16:55 PST 2011

equijada How do you teach self-care when there is too much guilt? #hpmWed Nov 9 18:16:57 PST 2011
http://twitter.com/22651861/status/134454464756195329http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/366631406/status/134454458741559296http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/jordangrumethttp://twitter.com/37936484/status/134454347563151361http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://www.twitter.com/annwaxhttp://twitter.com/15732930/status/134454320702828544http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jessicajohannahttp://twitter.com/121558178/status/134454306689650688http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/renee_berryhttp://twitter.com/115726363/status/134454275676966912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/IM4PBShttp://twitter.com/22651861/status/134454223386583041http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://twitter.com/121558178/status/134454217980133377http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/renee_berryhttp://twitter.com/121558178/status/134454206676467712http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/renee_berryhttp://twitter.com/346151348/status/134454202335363072http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/24399366/status/134454184761229313http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/134454142440718336http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://twitter.com/366631406/status/134454105182703616http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumet

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authordhallman I gratefully accepted overnight support until near end, then I wanted to be alone w Bill.Profs objected but agreed to my wish. #hpm

Wed Nov 9 18:16:59 PST 2011

aliciabloom @equijada interesting. i suppose there are some scenarios where situational distress canlead to depression & need med management. #hpm

Wed Nov 9 18:17:12 PST 2011

equijada @jessicajohanna welcome jessica, welcome ann #hpmWed Nov 9 18:17:14 PST 2011

annwax @equijada Guilt is a terrible energy, and it takes it toll on caregivers. #hpmWed Nov 9 18:17:15 PST 2011

aliciabloom @renee_berry you're good to me :) #hpmWed Nov 9 18:17:21 PST 2011

IM4PBS People need 2realize how imp. a few hours of relief can b4 cg RT @equijada:@jordangrumet yes, but what if they won't care 4hemselves? #hpm

Wed Nov 9 18:17:59 PST 2011

AfternoonNapper When in high caregiver need situation, I still try to make arrangements so caregiving isdistributed & people get a break from me. #hpm

Wed Nov 9 18:18:04 PST 2011

annwax @aliciabloom@equijada It is very easy to get depressed when you are a caregiver #hpmWed Nov 9 18:18:12 PST 2011

kdhoffman2 when doing 24/7 among 3 other sibs, caregiver guilt over taking time away was huge--couldn't get one sib to rest #hpm

Wed Nov 9 18:18:12 PST 2011

renee_berry RT @annwax: @aliciabloom@equijada It is very easy to get depressed when you areacaregiver #hpm

Wed Nov 9 18:18:38 PST 2011

aliciabloom guilt can often be the surface emotion. what's underneath it, what's the source? #hpmWed Nov 9 18:18:55 PST 2011

equijada @IM4PBS as a caregiver, who much sleep were you getting on average? #hpmWed Nov 9 18:19:07 PST 2011

equijada RT @aliciabloom: guilt can often be the surface emotion. whats underneath it, whats thesource? #hpm

Wed Nov 9 18:19:19 PST 2011
http://twitter.com/22651861/status/134455062511616000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://twitter.com/22651861/status/134455011664076800http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://www.twitter.com/equijadahttp://twitter.com/24399366/status/134454960824909824http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/121558178/status/134454891442749441http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://www.twitter.com/annwaxhttp://www.twitter.com/renee_berryhttp://twitter.com/364938826/status/134454779459014657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kdhoffman2http://twitter.com/37936484/status/134454779400306688http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://www.twitter.com/annwaxhttp://twitter.com/346151348/status/134454749390061568http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/115726363/status/134454725880983552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://www.twitter.com/IM4PBShttp://twitter.com/24399366/status/134454565243334656http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/aliciabloomhttp://twitter.com/37936484/status/134454543063859201http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/annwaxhttp://twitter.com/22651861/status/134454538517229569http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jessicajohannahttp://www.twitter.com/equijadahttp://twitter.com/24399366/status/134454531319808000http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://twitter.com/284885422/status/134454475787214848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallman

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aliciabloom RT @annwax: @aliciabloom@equijada It is very easy to get depressed when you areacaregiver

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IM4PBS not enough :-) I never felt rested or renewed RT @equijada: @IM4PBS as a caregiver,who much sleep were you getting on average? #hpm

Wed Nov 9 18:21:51 PST 2011

kdhoffman2 RT @jordangrumet: T1 Caregiver guilt is attempt to control destiny. We can love, we cansupport, but we cant stop the inevitable. #hpm

Wed Nov 9 18:21:52 PST 2011

equijada RT @jordangrumet: T1 Caregiver guilt is attempt to control destiny. We can love, we cansupport, but we cant stop the inevitable. #hpm

Wed Nov 9 18:22:06 PST 2011

annwax @kdhoffman2 Decisions are very difficult, there is alot of emotional baggage that goes witthem #hpm

Wed Nov 9 18:22:28 PST 2011

equijada RT @IM4PBS: not enough :-) I never felt rested or renewed #hpmWed Nov 9 18:22:32 PST 2011

aliciabloom @annwax i always tell the families i work with how fortunate my patient is to have them asa caregiver, advocate, supporter. #hpm

Wed Nov 9 18:22:32 PST 2011

ShahinaLakhani A Message To The End Of Life Care Health Professionals #hpm#eolchat Caregivershttp://t.co/cBZASz8l

Wed Nov 9 18:22:35 PST 2011

equijada Here are some mind boggling stats on caregiving http://t.co/H4Ivi7Eo#hpm

Wed Nov 9 18:22:48 PST 2011

renee_berry T1 I get anxiety that there are things I should be doing but haven't thought of because I'mtired #hpm

Wed Nov 9 18:23:05 PST 2011

IM4PBS RT @aliciabloom: @equijada sometimes simply acknowledging the magnitude ofcaregiving can offer family the space to express distress, guilt, fears. #hpm

Wed Nov 9 18:23:55 PST 2011

equijadat2: autonomy rules in health, when is it appropriate to intervene/disrupt caregiver/ptrelationship if both are declining fast #hpm

Wed Nov 9 18:24:00 PST 2011

milhealth @renee_berry here is one good caretaker assessment from AMA #hpmhttp://t.co/X59qX1Jf

Wed Nov 9 18:24:05 PST 2011

renee_berry RT @jessicajohanna: Guilt feels inescapable. It's important to identify why you feel guilt
http://www.twitter.com/jessicajohannahttp://www.twitter.com/renee_berryhttp://twitter.com/27807159/status/134456260690051072http://t.co/X59qX1Jfhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/milhealthhttp://twitter.com/22651861/status/134456240347688961http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/115726363/status/134456221406199809http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://www.twitter.com/IM4PBShttp://twitter.com/121558178/status/134456010596302848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/134455939171495936http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/H4Ivi7Eohttp://www.twitter.com/equijadahttp://twitter.com/293604242/status/134455882980405248http://t.co/cBZASz8lhttp://www.symplur.com/healthcare-hashtags/eolchat/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ShahinaLakhanihttp://twitter.com/24399366/status/134455873522245633http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/annwaxhttp://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/134455870858870786http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://www.twitter.com/equijadahttp://twitter.com/37936484/status/134455855050534912http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kdhoffman2http://www.twitter.com/annwaxhttp://twitter.com/22651861/status/134455760871624704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://twitter.com/364938826/status/134455704445661185http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/kdhoffman2http://twitter.com/115726363/status/134455701190873088http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://www.twitter.com/equijadahttp://www.twitter.com/IM4PBS

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and talk about it with others #hpm

Wed Nov 9 18:24:06 PST 2011

jordangrumet T1 Remind caregivers that the most important thing they do is love...the rest is secondary#hpm

Wed Nov 9 18:24:12 PST 2011

IM4PBS RT @authordhallman: I gratefully accepted overnight support until near end, then I wantedto be alone w Bill. Profs objected but agreed to my wish. #hpmWed Nov 9 18:24:22 PST 2011

equijada for example, i've seen many 77 yo spouse taking care of 82 yo spouse #hpmWed Nov 9 18:24:34 PST 2011

aliciabloom @equijada i just touched on some of these caregiving stats in a lecture about dementia tohighlight the importance of #hospice referral #hpm

Wed Nov 9 18:24:39 PST 2011

annwax @kdhoffman2@jordangrumet I try to explain to caregivers, that the person that they arecaring for, does have their own thoughts .#hpm

Wed Nov 9 18:24:39 PST 2011

annwax @equijada That is not an unusual scenario, and we will see more of that #hpmWed Nov 9 18:25:24 PST 2011

AfternoonNapper Patient to caregivers: I'm sorry to put you in this situation. Thank you for being there. I'msorry I'm mean sometimes. I love you. #hpm

Wed Nov 9 18:25:32 PST 2011

equijada @jordangrumet yes, but what if basic needs are being neglected? do we intervene or letthings just go... #hpm

Wed Nov 9 18:25:35 PST 2011

renee_berry RT @milhealth: @renee_berry here is one good caretaker assessment from AMA #hpmhttp://t.co/X59qX1Jf

Wed Nov 9 18:25:38 PST 2011

ManonC1sports RT @kdhoffman2: RT @jordangrumet: T1 Caregiver guilt is attempt to control destiny. Wecan love, we can support, but we cant stop the inevitable. #hpm

Wed Nov 9 18:25:53 PST 2011

colekpharm MY @annwax: @equijada You teach self care, by explaining to take things in small steps,and what you are doing does make a difference. #hpm

Wed Nov 9 18:26:00 PST 2011

equijada @aliciabloom yes, we get many hospice referrals for this, but often times family needsmore than a nursing visit. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://twitter.com/134973016/status/134456743311835136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/annwaxhttp://www.twitter.com/colekpharmhttp://twitter.com/251758714/status/134456713087688704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/kdhoffman2http://www.twitter.com/ManonC1sportshttp://twitter.com/121558178/status/134456649996972032http://t.co/X59qX1Jfhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/milhealthhttp://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/134456639741902848http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://twitter.com/346151348/status/134456627028955136http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://twitter.com/37936484/status/134456591440281600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/annwaxhttp://twitter.com/37936484/status/134456406043656194http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/kdhoffman2http://www.twitter.com/annwaxhttp://twitter.com/24399366/status/134456404722454528http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://twitter.com/22651861/status/134456385063755776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/115726363/status/134456333670944768http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/IM4PBShttp://twitter.com/366631406/status/134456289626570753http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://twitter.com/121558178/status/134456265945513984http://www.symplur.com/healthcare-hashtags/hpm/

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Wed Nov 9 18:26:08 PST 2011

renee_berry RT @colekpharm: MY @annwax: @equijada You teach self care, by explaining to takethings in small steps, and what you are doing does make a difference. #hpm

Wed Nov 9 18:26:52 PST 2011

annwax @aliciabloom@equijada I also explain to pt's when they are going on hospice, that

passing can be a very gentle way. #hpmWed Nov 9 18:27:02 PST 2011

jordangrumet t2 goal of hospice to die with dignity. Must intervene if caregiver relationship getting in theway of this. #hpm

Wed Nov 9 18:27:31 PST 2011

KatieBe_NC RT @renee_berry: T1 I think it's so important for caregivers to know it's not just ok to taketime for themselves, it's necessary #hpm

Wed Nov 9 18:27:36 PST 2011

kdhoffman2 the catheterization happened after family member had mets to the brain; couldn't tell uswhen she needed bedpan; a day or so be4 end #hpm

Wed Nov 9 18:27:41 PST 2011

annwax @equijada@aliciabloom I also find that the word hospice still make ppl get the chills #hpmWed Nov 9 18:27:58 PST 2011

equijada Often times when pts come to hospice, they need the extra layer of support for caregivingbut don't want to discuss the dying part #hpm

Wed Nov 9 18:28:10 PST 2011

authordhallman T2 We could have Bill at home w pallcare b/c I was strong enough to coordinate care.More difficult 4 fragile caregivers. #hpm

Wed Nov 9 18:28:13 PST 2011

aliciabloom autonomy is important, but cannot be realized without true understanding & informedconsent. education & honest goal-setting discussion #hpm

Wed Nov 9 18:28:24 PST 2011

jordangrumet Intervene@equijada: @jordangrumet yes, but what if basic needs are being neglected? dowe intervene or let things just go... #hpm"

Wed Nov 9 18:28:31 PST 2011

annwax @kdhoffman2 It is unfortunate about that situation #hpmWed Nov 9 18:28:50 PST 2011

equijada @jordangrumet yes, but caregiver doesn't want placement. still want to care athome...even though it's not working out. #hpm

Wed Nov 9 18:29:03 PST 2011
http://twitter.com/22651861/status/134457512001945600http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://twitter.com/37936484/status/134457454984572928http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kdhoffman2http://www.twitter.com/annwaxhttp://twitter.com/366631406/status/134457376014221312http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/equijadahttp://www.twitter.com/jordangrumethttp://twitter.com/24399366/status/134457349099356161http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/284885422/status/134457301594677248http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/22651861/status/134457289666084864http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/37936484/status/134457239854514176http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/equijadahttp://www.twitter.com/annwaxhttp://twitter.com/364938826/status/134457166533898240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/kdhoffman2http://twitter.com/54761046/status/134457146720010240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/KatieBe_NChttp://twitter.com/366631406/status/134457125295489024http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://twitter.com/37936484/status/134457002658246657http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://www.twitter.com/annwaxhttp://twitter.com/121558178/status/134456961776365571http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/annwaxhttp://www.twitter.com/colekpharmhttp://www.twitter.com/renee_berryhttp://twitter.com/22651861/status/134456775607975936

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aliciabloom the word hospice is still scary, like dropping a bomb. good end of life discussions do notstart with the h word, but focus on values. #hpm

Wed Nov 9 18:29:17 PST 2011

renee_berry listening to an admissions person explain an advance directive right now, the conversationcan be explained in a tweet... #hpm

Wed Nov 9 18:29:20 PST 2011

renee_berry who will make your decisions, your wife? ok sign here. we're done. #hpmWed Nov 9 18:29:40 PST 2011

IM4PBS CGs need that affirmation! MT @AfternoonNapper: @aliciabloom Loss, anger & someresentment are partnered with guilt those are all ok. #hpm

Wed Nov 9 18:29:41 PST 2011

joltdude Not doing a good job, huh @renee_berry#hpmWed Nov 9 18:29:59 PST 2011

aliciabloom @renee_berry do you have an advance directive? do you want information on one? (boxeon form are checked) #hpm

Wed Nov 9 18:29:59 PST 2011

IM4PBS Extremely imp. RT @jessicajohanna: Guilt feels inescapable. It's important to identify whyyou feel guilt and talk about it with others #hpm

Wed Nov 9 18:30:08 PST 2011

renee_berry (sorry off topic #squirming) #hpmWed Nov 9 18:30:09 PST 2011

AnitaMedia Difficult but important discussion @renee_berry: Tweeting by a hospital bed tonight howimportant advance directives are #hpm

Wed Nov 9 18:30:17 PST 2011

aliciabloom @renee_berry admissions person probably not the right person to have the advancedirective discussion (?) #hpm

Wed Nov 9 18:30:21 PST 2011

IM4PBS RT @annwax: @aliciabloom@equijada When I speak with care givers I alwaysemphasize what they are doing is very important #hpmWed Nov 9 18:30:27 PST 2011

equijada @im4pbs - what was the most helpful thing for you as a caregiver? #hpmWed Nov 9 18:30:47 PST 2011

IM4PBS RT @jordangrumet: T1 Caregiver guilt is attempt to control destiny. We can love, we cansupport, but we can't stop the inevitable. #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/IM4PBShttp://twitter.com/22651861/status/134457949497200640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/im4pbshttp://www.twitter.com/equijadahttp://twitter.com/115726363/status/134457864038260737http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/aliciabloomhttp://www.twitter.com/annwaxhttp://www.twitter.com/IM4PBShttp://twitter.com/24399366/status/134457838054551552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/aliciabloomhttp://twitter.com/50558559/status/134457820128096256http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/AnitaMediahttp://twitter.com/121558178/status/134457788880527360http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/squirming/http://www.twitter.com/renee_berryhttp://twitter.com/115726363/status/134457783419551744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jessicajohannahttp://www.twitter.com/IM4PBShttp://twitter.com/24399366/status/134457747998654465http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/aliciabloomhttp://twitter.com/261274640/status/134457747407249408http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/joltdudehttp://twitter.com/115726363/status/134457672295649280http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/AfternoonNapperhttp://www.twitter.com/IM4PBShttp://twitter.com/121558178/status/134457668709527552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/121558178/status/134457581132447744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://twitter.com/24399366/status/134457570927710209http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloom

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Wed Nov 9 18:30:55 PST 2011

renee_berry @aliciabloom right?! #hpmWed Nov 9 18:31:03 PST 2011

annwax @jordangrumet When I explain to the caregivers, that they will have more quality time witha pt. if they use hospice #hpm they feel better

Wed Nov 9 18:31:12 PST 2011

renee_berry RT @equijada: @im4pbs - what was the most helpful thing for you as a caregiver? #hpmWed Nov 9 18:31:13 PST 2011

equijada @IM4PBS yes, so very important #hpmWed Nov 9 18:31:20 PST 2011

kdhoffman2 oncologist didn't bring hospice in...we all just kept taking care of her in the hospital..24/7#hpm

Wed Nov 9 18:31:34 PST 2011

IM4PBS RT @ShahinaLakhani: A Message To The End Of Life Care Health Professionals #hpm#eolchat Caregivers http://t.co/cBZASz8l

Wed Nov 9 18:31:36 PST 2011

aliciabloom MT @equijada: Often when pts come to hospice, need extra support for caregiving, don'twant to discuss dying part

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IM4PBS RT @milhealth: @renee_berry here is one good caretaker assessment from AMA #hpmhttp://t.co/X59qX1Jf

Wed Nov 9 18:32:06 PST 2011

IM4PBS RT @milhealth: @renee_berry here is one good caretaker assessment from AMA #hpmhttp://t.co/BvyK38fT

Wed Nov 9 18:32:09 PST 2011

equijada t2: we are privy to information when going into a home. What do you do with theinappropriate person at home who isn't the caregiver? #hpm

Wed Nov 9 18:32:27 PST 2011

rlbates RT @jordangrumet T1 Caregiver guilt is attempt to control destiny. We can love, we cansupport, but we can't stop the inevitable. #hpm

Wed Nov 9 18:33:31 PST 2011

equijada t2 explanation: i.e. the son who might be breaking parole, drugs in the home, sexualharrassment etc... #hpm

Wed Nov 9 18:33:38 PST 2011

equijada t2: as a professional in the home, when does justice trump autonomy? #hpmWed Nov 9 18:34:11 PST 2011

IM4PBS My grandmother took care of my grandfather w Alzheimers until he was no longerambulatory/responsive. Convinced her time4 nursing home #hpm

Wed Nov 9 18:34:22 PST 2011

AfternoonNapper @equijada Do hospice type workers not have the right to call law enforcement officers?#hpm

Wed Nov 9 18:34:41 PST 2011

SheyontheBay MT@aliciabloom: the word hospice is still scary, good end of life discussions do not startwith the h word, but focus on values. < YES! #hpm

Wed Nov 9 18:34:41 PST 2011

IM4PBS RT @AfternoonNapper: Patient to caregivers: I'm sorry to put you in this situation. Thankyou for being there. I'm sorry I'm mean sometimes. I love you. #hpm

Wed Nov 9 18:34:48 PST 2011

aliciabloom honest discussion with patient or their health care proxy about caregiver concerns is a

good place to start. #hpmWed Nov 9 18:35:04 PST 2011

IM4PBS RT @jordangrumet: t2 goal of hospice to die with dignity. Must intervene if caregiverrelationship getting in the way of this. #hpm

Wed Nov 9 18:35:28 PST 2011

jordangrumet t2: there are times when being the professional means trumping autonomy but only
http://www.twitter.com/jordangrumethttp://twitter.com/115726363/status/134459127559749633http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/IM4PBShttp://twitter.com/24399366/status/134459023918505984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/115726363/status/134458960093773824http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/AfternoonNapperhttp://www.twitter.com/IM4PBShttp://twitter.com/16857263/status/134458930247122944http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/SheyontheBayhttp://twitter.com/346151348/status/134458927143337984http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/AfternoonNapperhttp://twitter.com/115726363/status/134458850827960320http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/IM4PBShttp://twitter.com/22651861/status/134458803692371968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/22651861/status/134458663560675329http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/11162812/status/134458636968796161http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/rlbateshttp://twitter.com/22651861/status/134458366104838144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://twitter.com/115726363/status/134458293639852034http://t.co/BvyK38fThttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/milhealthhttp://www.twitter.com/IM4PBShttp://twitter.com/115726363/status/134458280817864705http://t.co/X59qX1Jfhttp://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/renee_berryhttp://www.twitter.com/milhealthhttp://www.twitter.com/IM4PBS

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extreme situations. #hpm

Wed Nov 9 18:35:44 PST 2011

equijada @AfternoonNapper yes they do, where is that line though when you are a visitor to thehome providing care for someone else #hpm

Wed Nov 9 18:35:45 PST 2011

SheyontheBay RT @AfternoonNapper Do hospice type workers not have the right to call law enforcemen

officers?< Of course, usually by SW member #hpmWed Nov 9 18:36:29 PST 2011

AfternoonNapper @equijada If a visiting caregiver sees anything criminal (abuse, drugs, etc), I think they arduty bound to notify law enforcement. #hpm

Wed Nov 9 18:36:37 PST 2011

equijada @aliciabloom along with caregiver guilt, i've seen a lot of caregiver fear. #hpmWed Nov 9 18:36:42 PST 2011

IM4PBS true! MT @authordhallman: T2 Bill could b at home w pallcare b/c I was strong enough2coordinate care. +difficult 4fragile caregivers. #hpmWed Nov 9 18:37:11 PST 2011

renee_berry interesting RT @equijada: t2: as a professional in the home, when does justice trumpautonomy? #hpm

Wed Nov 9 18:37:12 PST 2011

SheyontheBay RT @jordangrumet: t2: there are times when being the professional means trumpingautonomy but only extreme situations. #hpm

Wed Nov 9 18:37:18 PST 2011

aliciabloom remember, we're coming to the theater during act 3. we can't change nor fully understandfirst 2 acts & act 4 will continue without us. #hpm

Wed Nov 9 18:37:25 PST 2011

equijada where do you draw the line to call? - screaming family members? MJ in the home,inappropriate advances to nurses? #hpm

Wed Nov 9 18:37:39 PST 2011

equijada RT @aliciabloom: remember, we're coming to the theater during act 3. we can't change nofully understand first 2 acts & act 4 will continue without us. #hpm

Wed Nov 9 18:38:01 PST 2011

jessicajohanna RT @aliciabloom: remember, we're coming to the theater during act 3. we can't change nofully understand first 2 acts & act 4 will continue without us. #hpm

Wed Nov 9 18:38:28 PST 2011

jessicajohanna @aliciabloom well put! #hpmWed Nov 9 18:38:39 PST 2011
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equijada Just saying...these are front line realities of act 3. totally agree #hpmWed Nov 9 18:39:15 PST 2011

jordangrumet @equijada experience allows us to step in in harmful situations and intervene.Sometimespatients need you to make decisions withfor them#hpm

Wed Nov 9 18:39:21 PST 2011

IM4PBS agree! RT @aliciabloom: the word hospice is still scary, like dropping a bomb. good #eoldiscussions focus on values 1st, not hospice. #hpm

Wed Nov 9 18:39:27 PST 2011

SheyontheBay @equijada If concern for safety of anyone in the home exists, family or visitor, must makeapprpriate call #hpm

Wed Nov 9 18:39:30 PST 2011

equijada RT @SheyontheBay: @equijada If concern for safety of anyone in the home exists, familyor visitor, must make apprpriate call #hpm

Wed Nov 9 18:40:04 PST 2011

aliciabloom @equijada the front line realities are there. don't mean to diminish it. when safety is trulycompromised (weapons, signs of abuse). #hpm

Wed Nov 9 18:40:22 PST 2011

equijada @SheyontheBay I totally agree, I regret when I make the call too late. #hpmWed Nov 9 18:40:46 PST 2011

jordangrumet @equijada great questions! #hpm

Wed Nov 9 18:40:52 PST 2011

AfternoonNapper Patient safety and caregiver safety is of utmost importance. Without both the care isunsuccessful. #hpm

Wed Nov 9 18:41:00 PST 2011

jordangrumet RT @AfternoonNapper: Patient safety and caregiver safety is of utmost importance.Without both the care is unsuccessful. #hpm

Wed Nov 9 18:41:21 PST 2011

IM4PBSHospice! Provided all family members w needed support! RT @equijada: @im4pbs - whatwas the most helpful thing for you as a caregiver? #hpm

Wed Nov 9 18:41:34 PST 2011

aliciabloom @equijada@Sheyonthebay it's such a tough call and a fine line. #hpmWed Nov 9 18:41:37 PST 2011

SheyontheBay RT @equijada: @SheyontheBay I totally agree, I regret when I make the call too late.

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Wed Nov 9 18:41:52 PST 2011

equijada it's always awkward, because we are coming into act 3. what we're seeing might be normafor the patient. Part of their narrative. #hpm

Wed Nov 9 18:42:21 PST 2011

jordangrumet Goal of care :Patient dignity>caregiver dignity>healthcare worker dignity #hpmWed Nov 9 18:42:47 PST 2011

IM4PBS I felt gr8 relief! MT @annwax: When I explain 2caregivers they will have +quality time w/ apt. if they use hospice #hpm they feel better

Wed Nov 9 18:42:56 PST 2011

equijada Though are goals are dignity, maybe are goals should be to be with them through act 4#hpm

Wed Nov 9 18:43:00 PST 2011

aliciabloom +1 agree! MT @equijada: always awkward, because we are coming into act 3. what wereseeing might be normal. part of their narrative. #hpmWed Nov 9 18:43:13 PST 2011

SheyontheBay @equijada That's one reason I so appreciate interdisciplinary team! #hpmWed Nov 9 18:43:20 PST 2011

equijada Ok, t3 coming up and let's LIGHTEN THIS THING UP! haha #hpmWed Nov 9 18:43:39 PST 2011

ManonC1sports RT @AfternoonNapper: Patient safety and caregiver safety is of utmost importance.Without both the care is unsuccessful. #hpmWed Nov 9 18:43:40 PST 2011

aliciabloom RT @jordangrumet: Goal of care: patient dignity > caregiver dignity > healthcare workerdignity #hpm

Wed Nov 9 18:43:55 PST 2011

equijada t3: give me beautiful caregiver stories. There are lots of them #hpmWed Nov 9 18:44:07 PST 2011

IM4PBS RT @aliciabloom: honest discussion with patient or their health care proxy about caregiveconcerns is a good place to start. #hpm

Wed Nov 9 18:44:14 PST 2011

AfternoonNapper @equijada@aliciabloom No matter if it is part of the narrative, abuse is unacceptable.#hpm

Wed Nov 9 18:44:25 PST 2011
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aliciabloom wife of 63 years at the bedside of her husband who is non-responsive s/p CVA holding hishand, telling the story of how they met. #hpm

Wed Nov 9 18:45:49 PST 2011

IM4PBS RT @equijada: t3: give me beautiful caregiver stories. There are lots of them #hpmWed Nov 9 18:46:15 PST 2011

authordhallman T3 Readers tell me August Farewell is part pall/care & part love story. Not for me to say.#hpmWed Nov 9 18:46:18 PST 2011

SheyontheBay t3 I witnessed a nurse with the most angelic voice singing to an actively dying pt- felt like Isaw the notes lift her to heaven! #hpm

Wed Nov 9 18:46:29 PST 2011

equijada Here is a caregiver I'll never forget http://t.co/y3hnniYg#hpmWed Nov 9 18:46:30 PST 2011

jordangrumet t3: for caregiver stories follow my blog. Are many of them there. http://t.co/0M7eq8ie.#hpmWed Nov 9 18:46:34 PST 2011

IM4PBS RT @SheyontheBay: t3 I witnessed a nurse with the most angelic voice singing to anactively dying pt- felt like I saw the notes lift her to heaven! #hpm

Wed Nov 9 18:46:56 PST 2011

jordangrumet RT @SheyontheBay: t3 I witnessed a nurse with the most angelic voice singing to anactively dying pt- felt like I saw the notes lift her to heaven! #hpm

Wed Nov 9 18:47:05 PST 2011

IM4PBS RT @authordhallman: T3 Readers tell me August Farewell is part pall/care & part lovestory. Not for me to say. #hpm

Wed Nov 9 18:47:08 PST 2011

IM4PBS RT @aliciabloom: wife of 63 years at the bedside of her husband who is non-responsives/p CVA holding his hand, telling the story of how they met. #hpm

Wed Nov 9 18:47:13 PST 2011

IM4PBS RT @equijada: Here is a caregiver I'll never forget http://t.co/W4o9ntRs#hpmWed Nov 9 18:47:22 PST 2011

aliciabloom @jordangrumet your link isn't working :( #hpmWed Nov 9 18:47:24 PST 2011

_lizzy_ RT @aliciabloom: remember, we're coming to the theater during act 3. we can't change nofully understand first 2 acts & act 4 will continue without us. #hpm

Wed Nov 9 18:47:26 PST 2011
http://twitter.com/15739043/status/134462138679967744http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/_lizzy_http://twitter.com/24399366/status/134462128924016641http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/jordangrumethttp://www.twitter.com/aliciabloomhttp://twitter.com/115726363/status/134462121927909376http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/W4o9ntRshttp://www.twitter.com/equijadahttp://www.twitter.com/IM4PBShttp://twitter.com/115726363/status/134462084661526529http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/IM4PBShttp://twitter.com/115726363/status/134462064403030017http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://www.twitter.com/IM4PBShttp://twitter.com/366631406/status/134462051153227776http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/jordangrumethttp://twitter.com/115726363/status/134462012888580096http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://www.twitter.com/IM4PBShttp://twitter.com/366631406/status/134461917694668800http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/0M7eq8ie.http://www.twitter.com/jordangrumethttp://twitter.com/22651861/status/134461902192513024http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/y3hnniYghttp://www.twitter.com/equijadahttp://twitter.com/16857263/status/134461899722067968http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/SheyontheBayhttp://twitter.com/284885422/status/134461852389355520http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/authordhallmanhttp://twitter.com/115726363/status/134461838204207104http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/equijadahttp://www.twitter.com/IM4PBShttp://twitter.com/24399366/status/134461732671340545http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloom

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IM4PBS RT @jordangrumet: t3: for caregiver stories follow my blog. Are many of them there.http://t.co/0M7eq8ie.#hpm

Wed Nov 9 18:47:30 PST 2011

IM4PBS RT @jordangrumet: t3: for caregiver stories follow my blog. Are many of them there.http://t.co/iSDNR5cu#hpm

Wed Nov 9 18:47:35 PST 2011

AfternoonNapper This is a caregiver story/love story about what happens when a new marriage is hit by asudden health event. http://t.co/y1AND4qY#hpm

Wed Nov 9 18:48:04 PST 2011

jessicajohanna That's incredible RT @equijada: Here is a caregiver Ill never forget http://t.co/t9NnNtGe#hpm

Wed Nov 9 18:48:17 PST 2011

equijada @jessicajohanna I've had so many caregivers teach me about Love. With the capital L#hpm

Wed Nov 9 18:49:03 PST 2011

renee_berry RT @equijada: @jessicajohanna Ive had so many caregivers teach me about Love. Withthe capital L #hpm

Wed Nov 9 18:49:22 PST 2011

_lizzy_ Planning a "Make It Happen" bowling outing for #hospice patient. Love volunteering. #hpmWed Nov 9 18:49:50 PST 2011

aliciabloom RT @equijada: @jessicajohanna Ive had so many caregivers teach me about Love. Withthe capital L.

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IM4PBS RT @equijada: thanks for your stories. final thoughts about caregiving? #hpmWed Nov 9 18:51:17 PST 2011

renee_berry Thanks for chatting tonight! RT @equijada: Thanks for chatting everyone. Heading off alittle early! #hpm

Wed Nov 9 18:51:19 PST 2011

jordangrumet @aliciabloom I think it works now #hpmWed Nov 9 18:51:34 PST 2011

aliciabloom @equijada thanks for hosting! enjoyed the caregiver focus of tonight's #hpm tweetchat#hpm

Wed Nov 9 18:51:37 PST 2011

joltdude Final thought about caregiving.. Listen to the one being cared for and let them steer whatsgoing on when they can #hpm

Wed Nov 9 18:51:38 PST 2011

equijada @renee_berry thanks for caregiving for your family tonight! #hpmWed Nov 9 18:51:55 PST 2011

AfternoonNapper Thank you to all for sharing. Thank you for caring. Really. #hpmWed Nov 9 18:52:11 PST 2011

renee_berry RT @aliciabloom: @equijada thanks for hosting! enjoyed the caregiver focus of tonight's#hpm tweetchat #hpm

Wed Nov 9 18:52:14 PST 2011

IM4PBS #eol and #hpm discussions held and decisions made in healthy times makes caregiving intrying terminal times easier.

Wed Nov 9 18:53:09 PST 2011

authordhallman Thanks friends for another good hpm tweetchat #hpmWed Nov 9 18:53:10 PST 2011

jordangrumet Great chat.#hpmWed Nov 9 18:53:11 PST 2011

equijada @AfternoonNapper thanks! #hpmWed Nov 9 18:53:20 PST 2011

IM4PBS RT @joltdude: Final thought about caregiving.. Listen to the one being cared for and letthem steer whats going on when they can #hpm

Wed Nov 9 18:53:37 PST 2011
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IM4PBS :-) RT @AfternoonNapper: Thank you to all for sharing. Thank you for caring. Really. #hpmWed Nov 9 18:53:56 PST 2011

aliciabloom RT @equijada: @renee_berry thanks for caregiving for your family tonight!

#Hpm Tweet Chat 11:9:11

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