#Hpm Tweet Chat 5:23:12

7/31/2019 #Hpm Tweet Chat 5:23:12

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6/27/12 1:hpm - Healthcare Social Media Transcript

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#hpm transcript

Healthcare Social Media TranscriptFrom: Wed May 23 18:00:00 PDT 2012

To: Wed May 23 19:15:00 PDT 2012

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emarnold14 Holy Palliative Care! MA Senate approves requirement that all MDs & RNs discuss end-of-life options. http://t.co/iFF2zIty#hpm

Wed May 23 18:00:17 PDT 2012

ctsinclair RT @aliciabloom: Massachusetts senate passes Amendment No. 121: Palliative CareAwareness (http://t.co/Q4ENYQNj) #hpm

Wed May 23 18:00:22 PDT 2012

BillPfohl RT @emarnold14: MA Senate approves requirement that all MDs & RNs discuss end-of-lifeoptions. http://t.co/XKV0caMG#hpm

Wed May 23 18:01:12 PDT 2012

aliciabloom for the next hour, you'll see a flurry of #hospice & #palliative care related tweets fromme...it's #hpm chat time!

Wed May 23 18:01:12 PDT 2012

ctsinclair RT @aliciabloom: for the next hour, youll see a flurry of #hospice & #palliative care relatedtweets...its #hpm chat time! "Me too!" #hpm

Wed May 23 18:02:10 PDT 2012

nursefriendly RT @nursefriendly: Wednesday #Healthcare#Tweetchats (EST) 9p #dsma 9p #healthchat9p #hpm 9p #mHealth 9p #premeded 9p #SocMedChap

Wed May 23 18:02:29 PDT 2012
http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://twitter.com/24399366/status/205463424484909057http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://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/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=05-23-2012&shour=18&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://twitter.com/22638297/status/205463747815407616http://www.symplur.com/healthcare-hashtags/SocMedChap/http://www.symplur.com/healthcare-hashtags/premeded/http://www.symplur.com/healthcare-hashtags/mHealth/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthchat/http://www.symplur.com/healthcare-hashtags/dsma/http://www.symplur.com/healthcare-hashtags/Tweetchats/http://www.symplur.com/healthcare-hashtags/Healthcare/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/nursefriendlyhttp://twitter.com/17206739/status/205463669897834496http://www.symplur.com/healthcare-hashtags/hpm/http://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/ctsinclairhttp://twitter.com/24399366/status/205463424484909057http://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/16059326/status/205463424036110337http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/XKV0caMGhttp://www.twitter.com/emarnold14http://www.twitter.com/BillPfohlhttp://twitter.com/17206739/status/205463216640360449http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/62631803/status/205463196201521152http://www.symplur.com/healthcare-hashtags/hpm/http://t.co/iFF2zItyhttp://www.twitter.com/emarnold14http://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=05-23-2012&shour=18&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-hashtags/hpm/?hashtag=hpm&fdate=05-23-2012&shour=18&smin=0&tdate=05-23-2012&thour=19&tmin=15&ssec=00&tsec=00&img=1http://www.symplur.com/healthcare-social-media/

7/31/2019 #Hpm Tweet Chat 5:23:12

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aliciabloom welcome to #hpm tweetchat! let's get started with some introductions....Wed May 23 18:02:32 PDT 2012

BillPfohl Whoops sorry twitterverse I'm going to be involved in a #hpm chat... #hpmWed May 23 18:02:40 PDT 2012

nursefriendly RT @aliciabloom: for the next hour, you'll see a flurry of #hospice & #palliative care relatedtweets from me...it's #hpm chat time!

Wed May 23 18:03:29 PDT 2012

aliciabloom @BillPfohl i think the twitterverse loves our #hospice & #palliative care noise :) welcome!#hpm

Wed May 23 18:03:40 PDT 2012

ctsinclair Christian Sinclair - Palliative doc at Gentiva, editor of @pallimed blog, Douglas Adams fan#hpm

Wed May 23 18:04:02 PDT 2012

BillPfohl @aliciabloom Thank You! Can't wait to tell my son I spoke to the Incredibles! #hpmWed May 23 18:04:52 PDT 2012

April918 Hello all! HPM fellow in Kansas City. #HPMWed May 23 18:05:03 PDT 2012

aliciabloom @ctsinclair so happy you're here to participate tonight! i need to book you for some hostinggigs. #hpm

Wed May 23 18:05:09 PDT 2012

aliciabloom welcome back @April918! #hpmWed May 23 18:05:47 PDT 2012

TexasKidDoc Pediatric Resident - very into #pedspc, chronic care, and ICU. Not on call so here tweetchaing #palliative#hpm

Wed May 23 18:06:15 PDT 2012

ctsinclair @April918 You know April, we need to get more fellows here like @RyanWesthoff. We nee@RossJeanette@ewidera and @hollyby to help #hpm

Wed May 23 18:06:22 PDT 2012

aliciabloom @BillPfohl haha :) i stopped to hang with them during the Disney 1/2 Marathon. #hpmWed May 23 18:06:29 PDT 2012

ctsinclair @aliciabloom Yes please do ask me for some hosting nights. I am way overdue #hpmWed May 23 18:06:51 PDT 2012
http://twitter.com/17206739/status/205464846098120704http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/205464753219452929http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/205464724975001601http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/hollybyhttp://www.twitter.com/ewiderahttp://www.twitter.com/RossJeanettehttp://www.twitter.com/RyanWesthoffhttp://www.twitter.com/April918http://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/205464694591467520http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/pedspc/http://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/205464579420069888http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/April918http://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/205464419046662144http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/179338293/status/205464394681950209http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/April918http://twitter.com/16059326/status/205464348351668225http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/BillPfohlhttp://twitter.com/17206739/status/205464138397384707http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/pallimedhttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/205464046269497345http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/palliative/http://www.symplur.com/healthcare-hashtags/hospice/http://www.twitter.com/BillPfohlhttp://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/205464000111198208http://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/nursefriendlyhttp://twitter.com/16059326/status/205463792157597699http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/BillPfohlhttp://twitter.com/24399366/status/205463758548631552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloom

7/31/2019 #Hpm Tweet Chat 5:23:12

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April918 @aliciabloom glad to be here!! #HPMWed May 23 18:07:03 PDT 2012

nursefriendly Hello Andrew Lopez, RN from New Jersey, multitasking #dsma#healthchat#hpm#mHealt#premeded#SocMedChap#nurseup#nursefriendly

Wed May 23 18:07:35 PDT 2012

aliciabloom welcome @TexasKidDoc! #hpmWed May 23 18:07:42 PDT 2012

theCEUgroup #hpm save 10% on #End-Of-Life Care certificate with #couponcode "ceugroup" athttp://t.co/pG0K5AOU#CareerBooster

Wed May 23 18:07:50 PDT 2012

ctsinclair @TexasKidDoc Hey great to see a resident here! I'm sure you already know but just in case#PedPC is pediatric palliative care hashtag #hpm

Wed May 23 18:08:03 PDT 2012

pamressler Hello All -- Pam Ressler from Boston. Teaching Palliative and EOL in the Pain ResearchEduc & Policy program at Tufts Univ Med School #hpm

Wed May 23 18:08:25 PDT 2012

diabetesalish RT @nursefriendly: Hello Andrew Lopez, RN from New Jersey, multitasking #dsma#healthchat#hpm#mHealth#premeded#SocMedChap#nurseup # ...

Wed May 23 18:08:30 PDT 2012

diabetesalish @nursefriendly you are quite the multi-tasker! # multitasking #dsma#healthchat#hpm#mHealth#premeded#SocMedChap#nurseup#nursefriendly

Wed May 23 18:09:05 PDT 2012

TexasKidDoc whoops! typed too fast. Darn s.... #hpmWed May 23 18:09:19 PDT 2012

aliciabloom hi @pamressler! thanks for joining. we're about to get started. #hpmWed May 23 18:09:19 PDT 2012

ctsinclair @TexasKidDoc I always forget and add the extra s, but @KUKidsHP and @HaslingerPPCadvocate for #PedPC over PedsPC #hpm

Wed May 23 18:09:21 PDT 2012

ctsinclair @TexasKidDoc When each character counts that s may make all the difference! #hpmWed May 23 18:09:46 PDT 2012

ctsinclair Hey @RevDoc are you going to join us for Tweetchat? Long time no see. #hpmWed May 23 18:10:11 PDT 2012
http://twitter.com/17206739/status/205465687660048385http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/RevDochttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/205465579774152705http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/205465474899783680http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/PedPC/http://www.twitter.com/HaslingerPPChttp://www.twitter.com/KUKidsHPhttp://www.twitter.com/TexasKidDochttp://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/205465468180508672http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/pamresslerhttp://www.twitter.com/aliciabloomhttp://twitter.com/291849321/status/205465465617776640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/19726024/status/205465408667525123http://www.symplur.com/healthcare-hashtags/nursefriendly/http://www.symplur.com/healthcare-hashtags/nurseup/http://www.symplur.com/healthcare-hashtags/SocMedChap/http://www.symplur.com/healthcare-hashtags/premeded/http://www.symplur.com/healthcare-hashtags/mHealth/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthchat/http://www.symplur.com/healthcare-hashtags/dsma/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/diabetesalishhttp://twitter.com/19726024/status/205465263431364608http://www.symplur.com/healthcare-hashtags/nurseup/http://www.symplur.com/healthcare-hashtags/SocMedChap/http://www.symplur.com/healthcare-hashtags/premeded/http://www.symplur.com/healthcare-hashtags/mHealth/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthchat/http://www.symplur.com/healthcare-hashtags/dsma/http://www.twitter.com/nursefriendlyhttp://www.twitter.com/diabetesalishhttp://twitter.com/17479266/status/205465242266910720http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/pamresslerhttp://twitter.com/17206739/status/205465147043622912http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/PedPC/http://www.twitter.com/TexasKidDochttp://www.twitter.com/ctsinclairhttp://twitter.com/370376370/status/205465093155205120http://www.symplur.com/healthcare-hashtags/CareerBooster/http://t.co/pG0K5AOUhttp://www.symplur.com/healthcare-hashtags/couponcode/http://www.symplur.com/healthcare-hashtags/End/http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/theCEUgrouphttp://twitter.com/24399366/status/205465060527710209http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/aliciabloomhttp://twitter.com/22638297/status/205465032241328128http://www.symplur.com/healthcare-hashtags/nursefriendly/http://www.symplur.com/healthcare-hashtags/nurseup/http://www.symplur.com/healthcare-hashtags/SocMedChap/http://www.symplur.com/healthcare-hashtags/premeded/http://www.symplur.com/healthcare-hashtags/mHealth/http://www.symplur.com/healthcare-hashtags/hpm/http://www.symplur.com/healthcare-hashtags/healthchat/http://www.symplur.com/healthcare-hashtags/dsma/http://www.twitter.com/nursefriendlyhttp://twitter.com/179338293/status/205464897918738432http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/aliciabloomhttp://www.twitter.com/April918

7/31/2019 #Hpm Tweet Chat 5:23:12

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CAPhO_ACPhO RT @ctsinclair: How and Why to participate in #HPM tweetchat via @GoBeMoRehttp://t.co/BbTJYoU2 8pm CT Wednesday nights

Wed May 23 18:10:12 PDT 2012

pamressler I will be chatting for the next hour about palliative care -- sorry about the excess # oftweets...join us at #hpm

Wed May 23 18:10:25 PDT 2012

TexasKidDoc @ctsinclair True! I'm still working on getting my character counts down! #hpmWed May 23 18:10:37 PDT 2012

pamressler @aliciabloom Thanks, Alicia...great to be able to join in tonight #hpmWed May 23 18:10:59 PDT 2012

aliciabloom T1: @NYMag "A Life Worth Ending" (http://t.co/GNlWmefI) raises a lot of key #hpm relatedissues. any initial reactions to the piece?

Wed May 23 18:11:07 PDT 2012

nursefriendly RT @ctsinclair: How and Why to participate in #HPM tweetchat via @GoBeMoRehttp://t.co/BbTJYoU2 8pm CT Wednesday nights

Wed May 23 18:12:40 PDT 2012

nursefriendly RT @aliciabloom: T1: @NYMag "A Life Worth Ending" (http://t.co/GNlWmefI) raises a lot ofkey #hpm related issues. any initial reactions ...

Wed May 23 18:12:53 PDT 2012

ctsinclair T1: Important quote: "what I feel most intensely when I sit by my mothers bed is a crushingsense of guilt for keeping her alive" #hpm

Wed May 23 18:13:17 PDT 2012

aliciabloom a striking message: "modern medicine is a random process without a real point of view &without anyone ultimately being in charge." #hpm

Wed May 23 18:14:49 PDT 2012

April918 @ctsinclair t1: good quote, I think many family members don't want to say this outloud#HPM

Wed May 23 18:15:06 PDT 2012

TexasKidDoc@April918 T1: I think there is a lot of "don't say it out loud" in this article #hpm

Wed May 23 18:16:20 PDT 2012

aliciabloom @April918 an excellent point. families are often afraid to be so honest for fear of how it'sreceived. appreciated author's honesty. #hpm

Wed May 23 18:16:29 PDT 2012

ctsinclair @April918 Exactly, many family members have trouble opening up to health care staff aboufrustrations of caregiving, aging, and dying #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/April918http://www.twitter.com/ctsinclairhttp://twitter.com/24399366/status/205467272112906240http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/April918http://www.twitter.com/aliciabloomhttp://twitter.com/291849321/status/205467232921333761http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/April918http://www.twitter.com/TexasKidDochttp://twitter.com/179338293/status/205466922601558016http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/April918http://twitter.com/24399366/status/205466852292444160http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/205466466919792641http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://twitter.com/22638297/status/205466363576336384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/NYMaghttp://www.twitter.com/aliciabloomhttp://www.twitter.com/nursefriendlyhttp://twitter.com/22638297/status/205466309977313283http://t.co/BbTJYoU2http://www.twitter.com/GoBeMoRehttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/nursefriendlyhttp://twitter.com/24399366/status/205465922620760066http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/NYMaghttp://www.twitter.com/aliciabloomhttp://twitter.com/17479266/status/205465886470049792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/pamresslerhttp://twitter.com/291849321/status/205465793473953792http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/TexasKidDochttp://twitter.com/17479266/status/205465745642106880http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/pamresslerhttp://twitter.com/355636558/status/205465689207738368http://t.co/BbTJYoU2http://www.twitter.com/GoBeMoRehttp://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/ctsinclairhttp://www.twitter.com/CAPhO_ACPhO

7/31/2019 #Hpm Tweet Chat 5:23:12

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Wed May 23 18:17:33 PDT 2012

ctsinclair @aliciabloom@april918 and as HC professionals we have to strive to maintain neutrality invery tense emotional situations #hpm

Wed May 23 18:18:30 PDT 2012

pamressler MT @ctsinclair: @April918 many family members have trouble opening up 2 health care

staff about frustrations of caregiving, aging,dying #hpmWed May 23 18:19:10 PDT 2012

ctsinclair @aliciabloom medicine as random process has some truth but much of that randomnesscomes from the complexity inherent in the system #hpm

Wed May 23 18:19:55 PDT 2012

aliciabloom he talks re: "first effort to talk directly about the elephant" & recounts how the healthcareproviders couldn't quite meet them there #hpm

Wed May 23 18:20:07 PDT 2012

aliciabloom @ctsinclair the system is not currently well designed for patients & families to navigate itwith ease, so it feels random & complex. #hpm

Wed May 23 18:21:32 PDT 2012

April918 @aliciabloom agree, our healthcare system is made for when patients have acuteexacerbation, not chronically ill #HPM

Wed May 23 18:23:39 PDT 2012

aliciabloom the piece highlights the serious need to address reality & implications of an agingpopulation. where do we start to make an impact? #hpm

Wed May 23 18:24:10 PDT 2012

TexasKidDoc We doctors are often too afraid to be paternalistic that we don't give enough guidance whenfamilies are asking for it #hpm

Wed May 23 18:24:38 PDT 2012

ctsinclair @TexasKidDoc pendulum has swung in medicine from paternalistic era to the autonomy er- need to move towards shared decision making #hpm

Wed May 23 18:25:55 PDT 2012

ctsinclair @aliciabloom Well Obama did state the Alzheimer's was a national priority for research.That is a start, but not comprehensive #hpm

Wed May 23 18:26:23 PDT 2012

April918 @aliciabloom my gut reaction to that question....NOT with medicine, need to address basicneeds first #hpm

Wed May 23 18:26:38 PDT 2012

aliciabloom +1 MT @ctsinclair: pendulum has swung in medicine from paternalistic era to autonomy era- need to move towards shared decision making #hpm
http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/179338293/status/205469823927455746http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/April918http://twitter.com/17206739/status/205469760589283329http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/205469644721618945http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://www.twitter.com/ctsinclairhttp://twitter.com/291849321/status/205469321173008384http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/TexasKidDochttp://twitter.com/24399366/status/205469204630081537http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/179338293/status/205469074048815104http://www.symplur.com/healthcare-hashtags/HPM/http://www.twitter.com/aliciabloomhttp://www.twitter.com/April918http://twitter.com/24399366/status/205468542357864450http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/ctsinclairhttp://www.twitter.com/aliciabloomhttp://twitter.com/24399366/status/205468186538291200http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://twitter.com/17206739/status/205468133467754496http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/17479266/status/205467947815280640http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/April918http://www.twitter.com/ctsinclairhttp://www.twitter.com/pamresslerhttp://twitter.com/17206739/status/205467776603799552http://www.symplur.com/healthcare-hashtags/hpm/http://www.twitter.com/april918http://www.twitter.com/aliciabloomhttp://www.twitter.com/ctsinclairhttp://twitter.com/17206739/status/205467537704624128

7/31/2019 #Hpm Tweet Chat 5:23:12

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Wed May 23 18:27:01 PDT 2012

pamressler Yes MT @ctsinclair: @TexasKidDoc pendulum has swung from paternalistic era 2autonomy era - need to move towards shared decision making #hpm

Wed May 23 18:27:10 PDT 2012

ctsinclair @aliciabloom we need a national initiative on aging and function with 2 priorities: home care

and improving nursing homes #hpmWed May 23 18:27:27 PDT 2012

nursefriendly RT @April918: @aliciabloom agree, our healthcare system is made for when patients haveacute exacerbation, not chronically ill #HPM

Wed May 23 18:28:13 PDT 2012

April918 @ctsinclair agreed, nursing homes have great potential #hpmWed May 23 18:28:48 PDT 2012

aliciabloom @ctsinclair definitely need to improve the continuum of care for aging population. love theidea of a national initiative #hpmWed May 23 18:29:04 PDT 2012

PracticalWisdom Wow, Thanks 4 this! RT @MarySiegner "Before I die" project coming Toronto -http://t.co/ZIDsyVhp - What would you add? #HCSM#HPM#HCSMANZ

Wed May 23 18:29:10 PDT 2012

ctsinclair @April918@aliciabloom To address aging if we look at medicine, we are missing muchmore to be done in prevention/wellness/environment #hpm

Wed May 23 18:29:15 PDT 2012

pamressler Redefining aging and illness to a new paradigm of a comprehensive care model not fee forservice will be a start #hpm

Wed May 23 18:29:21 PDT 2012

BillPfohl Is shared decision making a reality or a pipe dream. Can a family in crisis take a full part inmaking a shared decision? #hpm

Wed May 23 18:29:49 PDT 2012

ctsinclair RT @April918: nursing homes have great potential "We have sorely underfunded andunderstaffed and not provided enough expertise in NH" #hpm

Wed May 23 18:31:07 PDT 2012

ctsinclair RT @BillPfohl: Is shared decision making a reality/pipe dream? Can family in crisis take afull part in making a shared decision? #hpm

Wed May 23 18:31:35 PDT 2012

pamressler @BillPfohl Shared decision making hopefully starts before crisis. Agree that in midst of crispt wishes are often not articulated #hpm

Wed May 23 18:32:34 PDT 2012
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7/31/2019 #Hpm Tweet Chat 5:23:12

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ctsinclair @BillPfohl Family in crisis can get to shared decision making with a lot of listening andsupport. Not always easy to do. #hpm

Wed May 23 18:32:49 PDT 2012

TexasKidDoc RT @BillPfohl: Is shared decision making a reality or pipe dream. Can a family in crisis takea full part in making a shared decision? #hpm

Wed May 23 18:33:03 PDT 2012

April918 Also NH staff with too high turnover to develop experienced based expertise #hpmWed May 23 18:33:05 PDT 2012

ctsinclair @pamressler Excellent point Pam. Be Prepared! #hpmWed May 23 18:33:07 PDT 2012

nursefriendly and #hpm 2 more RT @Pocket_Health Looks like a busy night for Twitter chats with #dsmaand #healthchat. What's your can't-miss Twitter chat?

Wed May 23 18:33:12 PDT 2012

aliciabloom shared decision making encourages patients/families to make decisions with their providersinput & guidance. hopefully reducing burden #hpm

Wed May 23 18:33:48 PDT 2012

aliciabloom RT @pamressler: Redefining aging and illness to a new paradigm of a comprehensive caremodel not fee for service will be a start #hpm

Wed May 23 18:34:58 PDT 2012

DeathwDignity RT @embeedub: Listen up, doctors: Here's how to talk to your patients -http://t.co/Y5wo3ZTA "Get you hand of the goddamn doorknob" #HPMWed May 23 18:35:00 PDT 2012

nursefriendly RT @TexasKidDoc: We doctors are often too afraid to be paternalistic that we don't giveenough guidance when families are asking for it #hpm

Wed May 23 18:35:01 PDT 2012

BillPfohl I'm guessing that shared decision making in reality will leave MD's in a tough spot. Is thereany Docs that agree with that? #hpm

Wed May 23 18:35:38 PDT 2012

TexasKidDoc Decisions are very difficult. I've known family to give up custody b/c they couldn't cope w/making them for their chronically ill kid. #hpm

Wed May 23 18:35:56 PDT 2012

ctsinclair @Pocket_Health How could you leave out the first specialty to have its own health carechat? Tweeting strong since 2010 #HPM

Wed May 23 18:35:59 PDT 2012
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7/31/2019 #Hpm Tweet Chat 5:23:12

8/13



ctsinclair @BillPfohl I think younger MD's are seeing shared decision making more in training so theyare more comfortable with implementing #hpm

Wed May 23 18:38:04 PDT 2012

pamressler @TexasKidDoc Very different dealing with pediatric palliative issues versus geriatric. Thankyou for the work you do #hpm

Wed May 23 18:38:11 PDT 2012

April918 @TexasKidDoc Interesting thought, shared decision making in peds, complicated. #hpmWed May 23 18:38:15 PDT 2012

SusanCadell Just had a lovely glass and long chat, mostly about bikes and #ppc#hpm research. Thanks@zwigli. Wish you were here @hbsaeg

Wed May 23 18:38:42 PDT 2012

April918 @ctsinclair Agree, but I see docs in training get uncomfortable with the paternalisticapproach, even when its appropriate #hpm

Wed May 23 18:39:36 PDT 2012

aliciabloom EoL decision making for pediatric patients has its own complexities, especially for terminallyill adolescents #hpm

Wed May 23 18:40:09 PDT 2012

aliciabloom another point for our T1: @NYMag piece talks about #hospice as "not for the certainly dyingbut the promptly dying." thoughts? #hpm

Wed May 23 18:40:26 PDT 2012

pamressler Yes RT @aliciabloom: EoL decision making for pediatric patients has its own complexities,esp for terminally ill adolescents #hpm

Wed May 23 18:41:13 PDT 2012

ctsinclair @pamressler@TexasKidDoc but some issues about decision making and competency arevery similar in geriatrics and pediatrics #hpm

Wed May 23 18:42:06 PDT 2012

aliciabloom great point--> RT @ctsinclair: but some issues about decision making and competency arevery similar in geriatrics and pediatrics #hpm

Wed May 23 18:43:00 PDT 2012

TexasKidDoc Agreed-many r the same RT @ctsinclair: but some issues about decision making andcompetency are very similar in geriatrics and peds #hpmWed May 23 18:43:40 PDT 2012

ctsinclair Well @aliciabloom the NHPCO stats show #hospice care is usually less than 20 dayshttp://t.co/EOKPqQya#HPM

Wed May 23 18:44:44 PDT 2012

@ctsinclair i know. it feels like this vicious cycle-- late referrals reinforce this notion that
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7/31/2019 #Hpm Tweet Chat 5:23:12

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aliciabloom hospice is only for the actively dying #hpmWed May 23 18:46:26 PDT 2012

ctsinclair @aliciabloom SO TRUE!! #HPMWed May 23 18:47:40 PDT 2012

aliciabloom as i read the @NYMag piece & reflected on my own experiences, i couldn't help but wondeif the dementia criteria should reconsidered. #hpmWed May 23 18:48:02 PDT 2012

hollyby Hello all! Between sessions at Upaya. Just checking in to see all the wonderful commentsand people. #hpm

Wed May 23 18:48:13 PDT 2012

ctsinclair @aliciabloom the dementia criteria for hospice eligibility is one that needs much moreevidence based prognostic support #hpm

Wed May 23 18:49:35 PDT 2012

aliciabloom hi @hollyby! we've been discussing issues raised in the @NYMag piece "A Life WorthEnding." glad you've stopped by. #hpm

Wed May 23 18:49:38 PDT 2012

ClaudiaNichols RT @TexasKidDoc: Finding an off ramp on the "Freeway to ICU" #TED Talk - Peter Saul:Lets talk about dying http://t.co/jGcFagYL#HPM, # ...

Wed May 23 18:49:51 PDT 2012

ClaudiaNichols RT @TexasKidDoc: RT @rfberry Facebook admits error in deleting moms photos of dyingson http://t.co/xVnOo0Lh#pedspc#hpm#palliative

Wed May 23 18:50:10 PDT 2012

ClaudiaNichols RT @TexasKidDoc: Massachusetts passes law requiring counseling on end of life decisionwith dying patients: http://t.co/rZIzVOIU#hpm # ...

Wed May 23 18:50:47 PDT 2012

aliciabloom @ctsinclair there are times when i feel like the dementia criteria for #hospice is limitingpatient/family access to needed support #hpm

Wed May 23 18:50:49 PDT 2012

ctsinclair @hollyby Hey Holly, glad to see your face! #hpmWed May 23 18:51:12 PDT 2012

ctsinclair @aliciabloom Agreed. But with the slow decline of Alzheimer's we need to balance goodutilization of the medicare hospice benefit #hpm

Wed May 23 18:51:47 PDT 2012

ctsinclair @aliciabloom And maybe find other resources/parts of the system to help support peoplewith dementia pre-hospice #hpm
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Wed May 23 18:52:11 PDT 2012

aliciabloom @ctsinclair absolutely- such an important point & a fine line. definitely need alternativecommunity based support to manage dementia #hpm

Wed May 23 18:53:13 PDT 2012

April918 It is also frustrating when a person with dementia is 'stable' so are decertified, its hard to tell

family-call back when they are sick #hpmWed May 23 18:53:21 PDT 2012

TexasKidDoc @ctsinclair maybe we just need good medical homes, family in this article used ER/hospitaadmit when stuck at decision points #hpm

Wed May 23 18:53:23 PDT 2012

Pocket_Health @ctsinclair Will definitely check out #HPM - interested to follow along with the discussionand participants!

Wed May 23 18:53:24 PDT 2012

BillPfohl For the past 60 yrs the public has been told that medicine can cure anything. That's whyhospice gets called late. #hpm

Wed May 23 18:53:33 PDT 2012

April918 PACE programs are great support for elderly and chronically ill, not in all states #hpmWed May 23 18:54:00 PDT 2012

pamressler Will now to to the MA house RT @TexasKidDoc: MA passes law requiring counseling onEOL decisions w dying pts: http://t.co/hk3EZ8Vs#hpm

Wed May 23 18:54:17 PDT 2012

aliciabloom RT @BillPfohl: For the past 60 yrs the public has been told that medicine can cure anythingThat's why hospice gets called late. #hpm

Wed May 23 18:54:23 PDT 2012

ctsinclair RT @April918: PACE programs are great support for elderly and chronically ill, not in allstates #hpm

Wed May 23 18:54:30 PDT 2012

aliciabloom would love to these expanded! RT @April918: PACE programs are great support for elderlyand chronically ill, not in all states #hpm

Wed May 23 18:54:50 PDT 2012

April918 @Billpfohl You have great insight, good one liners! #hpmWed May 23 18:55:18 PDT 2012

pamressler @BillPfohl Yes we practice an acute model of health care -- not great with chronicconditions #hpm

Wed May 23 18:55:27 PDT 2012
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7/31/2019 #Hpm Tweet Chat 5:23:12

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ctsinclair @TexasKidDoc If one had to choose, the ER is the last place I'd want to be when faced wita critical decision. #hpm

Wed May 23 18:55:29 PDT 2012

Pocket_Health @nursefriendly Peeking in on #hpm now. Thanks for the recommendation!Wed May 23 18:56:24 PDT 2012

aliciabloom @ctsinclair@TexasKidDoc ER definitely not the best environment for critical decisionmaking, particularly in advanced illness. #hpm

Wed May 23 18:57:21 PDT 2012

TexasKidDoc And yet so many decisions are made there! MT @ctsinclair: the ER is the last place Id wanto be when faced with a critical decision. #hpm

Wed May 23 18:57:32 PDT 2012

aliciabloom as the hour comes to a close, please share any final thoughts for tonight... #hpmWed May 23 18:58:03 PDT 2012

TexasKidDoc People often don't have good plans in place to follow through with pre-decided decisions athome, so show up in ER afraid #hpm

Wed May 23 18:58:57 PDT 2012

April918 More info on PACE programs: http://t.co/26fXLnec#HPMWed May 23 18:59:01 PDT 2012

aliciabloom @TexasKidDoc@ctsinclair many decisions are made in ER, but because it's a crisissituation, they're often reactive & not reflective #hpm

Wed May 23 18:59:06 PDT 2012

ctsinclair Final Thought: Tweetchatting with other Tweetchatters in person is very fun! Thanks@April918#hpm

Wed May 23 18:59:32 PDT 2012

ctsinclair @aliciabloom I like that alliteration: Reactive not reflective #hpmWed May 23 18:59:46 PDT 2012

April918 @ctsinclair Agreed! Thanks for coming over! #hpmWed May 23 19:00:17 PDT 2012

aliciabloom final thoughts: thank you to a small, but mighty group. we had some great conversationtonight. join us next week & bring a friend! #hpm

Wed May 23 19:00:40 PDT 2012

TexasKidDoc RT @aliciabloom: many decisions are made in ER, but because its a crisis situation, theyreoften reactive & not reflective #hpm

Wed May 23 19:00:47 PDT 2012
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7/31/2019 #Hpm Tweet Chat 5:23:12

12/13



aliciabloom @ctsinclair thanks! #hpmWed May 23 19:01:01 PDT 2012

TexasKidDoc Thanks for letting me join in despite my little ones being a little different sometimes #hpmWed May 23 19:01:54 PDT 2012

aliciabloom i'm hoping some of the #socmedchap folks might join us next week at 9pmEST for #hpmtweetchat!

Wed May 23 19:01:58 PDT 2012

ctsinclair Yes next week, bring a friend! I am planning to tweet in person with someone new nextweek. #hpm

Wed May 23 19:02:24 PDT 2012

BillPfohl Here is a crazy idea...you cannot get a drivers license unless you fill out a health care proxy& filed it in a national data bank... #hpm

Wed May 23 19:02:26 PDT 2012

pamressler This is the new frontier in health care -- we can define how we want it to look or go with thestatus quo. Let's think outside the box #hpm

Wed May 23 19:03:09 PDT 2012

aliciabloom @TexasKidDoc glad to have you here! would love to have a #PedPC focused chat sometime. let me know if you'd like to host. #hpm

Wed May 23 19:03:19 PDT 2012

April918 @BillPfohl Not a bad idea.....they already ask about organ donation. They could moresymbols on driver's license #hpmWed May 23 19:03:55 PDT 2012

ctsinclair @BillPfohl or chemo or dialysis or surgery. And your AD can say whatever YOU want, notwhat I want. Just please do it people. #hpm

Wed May 23 19:04:14 PDT 2012

TexasKidDoc @aliciabloom Thanks! Hosting might be above my pay grade! #hpmWed May 23 19:04:26 PDT 2012

aliciabloom @pamressler yes! and i think #hospice & #palliative care are uniquely positioned to be asolution to challenges healthcare system faces #hpm

Wed May 23 19:04:31 PDT 2012

pamressler @BillPfohl Love it! #hpmWed May 23 19:05:00 PDT 2012

ctsinclair @April918@BillPfohl well your Facebook status can now include organ donation, what
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7/31/2019 #Hpm Tweet Chat 5:23:12

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about presence/absence of advance directives? #hpm

Wed May 23 19:05:01 PDT 2012

aliciabloom @TexasKidDoc i really doubt it. you'd have some help preparing. we don't leave youhanging! #hpm

Wed May 23 19:05:16 PDT 2012

ctsinclair @TexasKidDoc Hosting is a real treat and very illuminating. Not above your paygrade at allWe can focus on medical education #hpmWed May 23 19:05:45 PDT 2012

ctsinclair Good night all! #hpmWed May 23 19:05:59 PDT 2012

April918 Goodnight, see ya next time!! #hpmWed May 23 19:06:37 PDT 2012

pamressler Thanks for hosting tonight @aliciabloom. Good night everyone #hpmWed May 23 19:07:08 PDT 2012

aliciabloom thanks, everyone! see next week and bring a friend! #hpmWed May 23 19:07:09 PDT 2012

BillPfohl Good night from the almost east coast! #hpmWed May 23 19:07:14 PDT 2012

aliciabloom thanks, everyone! see you next week & bring a friend :) #hpmWed May 23 19:07:37 PDT 2012

TexasKidDoc Good night y'all (gotta talk the texan talk!) #hpmWed May 23 19:08:06 PDT 2012

ctsinclair Me and @April918 tweetchatting together for #hpm (check out the sticker)http://t.co/CdVQapom

Wed May 23 19:10:30 PDT 2012

BillPfohl Dear chatters...please check This TED talk about it's worth the time http://t.co/K6kqT0Bq

#hpmWed May 23 19:12:23 PDT 2012
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#Hpm Tweet Chat 5:23:12

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