#WeDNs - Wednesday 20th May 2015 8pm (GMT Standard Time)
Just in case medicines
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Over 561,000 people die in the UK every year (Macmillan 2013) and it’s in the final few days of life that many people are admitted to hospital for symptom control. Anticipatory prescribing can be integral to planning a “good death” and help to keep people in their own homes at the end of their life. Managing symptoms, including pain, can be a complex issue, “anticipatory prescriptions are often issued by GPs for patients nearing the end of life, ahead of symptoms they may experience. These prescriptions are often activated by nurses” (Wilson et al 2014 )
Wilson et al (2014) explore a study around nurses experiences of using anticipatory prescriptions and state that nurses highlighted four things that must be met before administrating an anticipatory prescription:
• Symptoms that were both irreversible and due to the entry into the dying phase
• Inability to take oral medication
• Patient consent, where possible
• Decisions made independently of influence from relatives
Wilson et al (2014) go on to state “By using anticipatory prescriptions nurses tried to ensure patients were “comfortable and settled” by providing a gradual symptom relief on the lowest dose possible” However the use of anticipatory medicines can have its challenges, from getting it prescribed to discussing the use of them with relatives and from when to commence the medicines to how we monitor their effectiveness.
This #WeDNs discussion aims to explore the following questions in relation to end of life care and anticipatory medicines:
• How can anticipatory medicines help people to stay in their preferred place of death?
• What are the benefits of anticipatory medicines?
• What are the challenges with anticipatory medicines?
• How can we overcome these challenges?
• When do we start to use anticipatory medicines?
• How do we discuss this with patients and relatives?
• What is best practice in relation to anticipatory medicines?
References
Macmillan (2013) [Online] The rich picture on people at the end of life Accessed 14 May 2015
Wilson, E. Seymor, J. Morbey, H. Payne, S. Brown, J. (2014) Anticipatory prescribing in end of life care Nursing Times Accessed 14 may 2015
Background Reading
End of life care for adults – NICE
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#WeDNs transcript
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@WeCommNurses
20 May 2015 20:00
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Hello and welcome to tonights #WeDNs How are you all this evening ? |
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@rebecca_wright2
20 May 2015 20:00
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RT @WeDistrictNurse: Hello and welcome to tonights #WeDNs How are you all this evening ? |
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@AgencyNurse
20 May 2015 20:00
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@WeDistrictNurse hello Teresa here - not a DN but really inetersted in this subject #wedns |
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@davidpugh25
20 May 2015 20:00
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RT @WeDistrictNurse: 5 mins until tonights #WeDNs chat "Just incase medicines" |
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@HeatherBain9
20 May 2015 20:00
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@WeDistrictNurse hello, a busy day so looking forward to a chat #WeDNs |
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@rebecca_wright2
20 May 2015 20:00
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@WeDistrictNurse Hi ?? #WeDNs |
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@SallyPCovPhys
20 May 2015 20:01
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@JaneToms1 #dyingmatters at 8pm its the 2/ 3 chats on the subject this week Join @WeDistrictNurse @ 8pm via #WeDns http://t.co/dXCF8gh3mQ” |
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@WeCommNurses
20 May 2015 20:01
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Tonight we are discussing - Just in case medicines in end of life care #WeDNs |
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@Helenakelly73
20 May 2015 20:01
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@WeDistrictNurse #WeDns good evening looking forward to chatting again |
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@rebecca_wright2
20 May 2015 20:01
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RT @WeDistrictNurse: Tonight we are discussing - Just in case medicines in end of life care #WeDNs |
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@WeCommNurses
20 May 2015 20:01
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we are very well thank you #wedns https://t.co/FmEp5fBKQX |
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@HeatherBain9
20 May 2015 20:02
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@WeDistrictNurse Palliative care and end of life care is a large part of the DN role #WeDNs |
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@rebecca_wright2
20 May 2015 20:02
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@WeDistrictNurse should be very interesting and very relevant #WeDNs |
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@rebecca_wright2
20 May 2015 20:02
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RT @HeatherBain9: @WeDistrictNurse Palliative care and end of life care is a large part of the DN role #WeDNs |
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@jacduff
20 May 2015 20:02
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I am a nurse prescriber in palliative working in the community , I prescribed JIC meds on a daily basis #WeDNs |
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@rgumscap
20 May 2015 20:02
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RT @WeDistrictNurse: Tonight we are discussing - Just in case medicines in end of life care #WeDNs |
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@HeatherBain9
20 May 2015 20:02
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RT @WeDistrictNurse: Tonight we are discussing - Just in case medicines in end of life care #WeDNs |
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@rebecca_wright2
20 May 2015 20:02
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@HeatherBain9 @WeDistrictNurse certainly is! #WeDNs |
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@WeCommNurses
20 May 2015 20:03
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so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@HeatherBain9
20 May 2015 20:03
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@jacduff #WeDNs are you a district nurse or d you have another role? |
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@WeCommNurses
20 May 2015 20:03
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@jacduff wow great to have you part of the conversation #wedns |
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@turnip2k
20 May 2015 20:03
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Hello! Looking forwards to chatting. V relevant #wedns |
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@WeCommNurses
20 May 2015 20:03
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RT @HeatherBain9: @WeDistrictNurse Palliative care and end of life care is a large part of the DN role #WeDNs |
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@WeNurses
20 May 2015 20:03
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RT @WeDistrictNurse: so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@AgencyNurse
20 May 2015 20:03
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RT @WeDistrictNurse: so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@WeNurses
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeAHPs
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeCYPnurses
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeCommissioners
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeMedSts
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeGPNs
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeLDnurses
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeCommNurses
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeDocs
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeMHNurses
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeMidwives
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeSchoolNurses
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WePharmacists
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@WeParamedics
20 May 2015 20:03
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two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME happy chatting all |
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@ADNEuk
20 May 2015 20:04
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RT @WeDistrictNurse: so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@HeatherBain9
20 May 2015 20:04
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RT @WeDistrictNurse: so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@WeCommNurses
20 May 2015 20:04
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#wedns https://t.co/qsQShlBBXJ |
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@rebecca_wright2
20 May 2015 20:04
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RT @WeDistrictNurse: so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@davidpugh25
20 May 2015 20:04
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@HeatherBain9 @WeDistrictNurse @rebecca_wright2 Fundamental part of the DN role #weDNs |
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@rebecca_wright2
20 May 2015 20:05
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RT @davidpugh25: @HeatherBain9 @WeDistrictNurse @rebecca_wright2 Fundamental part of the DN role #weDNs |
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@AgencyNurse
20 May 2015 20:05
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they are medicines that are prescribed to be use when and if needed for symptom control in EOLC #wedns |
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@turnip2k
20 May 2015 20:05
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Meds to alleviate physical symptoms at the eol #wedns |
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@WeCommNurses
20 May 2015 20:05
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RT @turnip2k: Meds to alleviate physical symptoms at the eol #wedns |
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@AgencyNurse
20 May 2015 20:05
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RT @turnip2k: Meds to alleviate physical symptoms at the eol #wedns |
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@WeNurses
20 May 2015 20:05
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RT @turnip2k: Meds to alleviate physical symptoms at the eol #wedns |
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@Helenakelly73
20 May 2015 20:05
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@WeDistrictNurse #WeDns medicines that will manage various symptoms at end of life, through careful planning with staff, pts and families |
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@WeCommNurses
20 May 2015 20:06
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What are the benefits of anticipatory medicines in EOLC? #wedns |
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@WeCommNurses
20 May 2015 20:06
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RT @Helenak58412632: @WeDistrictNurse #WeDns medicines that will manage various symptoms at end of life, through careful planning with sta… |
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@WeCommNurses
20 May 2015 20:06
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#wedns https://t.co/chK3WGqPT5 |
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@rebecca_wright2
20 May 2015 20:06
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RT @Helenak58412632: @WeDistrictNurse #WeDns medicines that will manage various symptoms at end of life, through careful planning with sta… |
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@hepworth_becky
20 May 2015 20:06
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3 chats I want to join tonight... #wedns #WeDocs and #ebnjc which to choose or try all 3?! |
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@AgencyNurse
20 May 2015 20:06
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RT @WeDistrictNurse: What are the benefits of anticipatory medicines in EOLC? #wedns |
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@WeNurses
20 May 2015 20:06
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RT @WeDistrictNurse: What are the benefits of anticipatory medicines in EOLC? #wedns |
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@beckylupton
20 May 2015 20:06
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?? hello #wedns |
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@HealthUKTD
20 May 2015 20:06
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RT @WeDistrictNurse: so first question ... what do we mean b anticipatory medicines in end of life care ? #wedns |
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@HeatherBain9
20 May 2015 20:06
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#weDNs interested to know assessment tools used in end of life care to support the use of just in case medicines? |
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@rebecca_wright2
20 May 2015 20:06
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RT @turnip2k: Meds to alleviate physical symptoms at the eol #wedns |
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@Helenakelly73
20 May 2015 20:06
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@WeDistrictNurse #WeDns ensuring the prescriptions are written properly is a huge challenge as can delay care |
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@WeCommNurses
20 May 2015 20:07
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Great question Heather > #wedns https://t.co/VcQD9Su2Al |
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@rebecca_wright2
20 May 2015 20:07
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RT @HeatherBain9: #weDNs interested to know assessment tools used in end of life care to support the use of just in case medicines? |
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@rebecca_wright2
20 May 2015 20:07
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RT @Helenak58412632: @WeDistrictNurse #WeDns ensuring the prescriptions are written properly is a huge challenge as can delay care |
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@turnip2k
20 May 2015 20:07
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Often addressing pts physical symptoms helps alleviate family's psychological needs #wedns |
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@Gray3Gray
20 May 2015 20:07
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@WeDistrictNurse plan ahead, be prepared have meds in place to alleviate symptoms and promote comfort #wedns |
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@WeCommNurses
20 May 2015 20:07
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good point - can nurse prescribers help with this challenge ? #wedns https://t.co/QSn1dJchkw |
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@WeNurses
20 May 2015 20:08
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RT @Gray3Gray: @WeDistrictNurse plan ahead, be prepared have meds in place to alleviate symptoms and promote comfort #wedns |
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@WeNurses
20 May 2015 20:08
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RT @WeDistrictNurse: Great question Heather > #wedns https://t.co/VcQD9Su2Al |
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@Helenakelly73
20 May 2015 20:08
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@WeDistrictNurse #WeDns lead at the moment by the new Lothian palliative care guideline since fall of LCP |
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@HealthUKTD
20 May 2015 20:08
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RT @turnip2k: Meds to alleviate physical symptoms at the eol #wedns |
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@HealthUKTD
20 May 2015 20:08
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RT @WeDistrictNurse: What are the benefits of anticipatory medicines in EOLC? #wedns |
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@WeCommNurses
20 May 2015 20:08
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#wedns https://t.co/RUjupdREBs |
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@HeatherBain9
20 May 2015 20:08
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RT @WeDistrictNurse: good point - can nurse prescribers help with this challenge ? #wedns https://t.co/QSn1dJchkw |
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@rebecca_wright2
20 May 2015 20:08
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@Helenak58412632 @WeDistrictNurse yes especially when anticipatory meds not written in advance #WeDNs lots of time chasing up prescriptions? |
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@AgencyNurse
20 May 2015 20:09
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@Helenak58412632 @WeDistrictNurse wow that sounds interesting - what is now in place instead of LCP ? #wedns |
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@HeatherBain9
20 May 2015 20:09
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#WeDNs #EBP http://t.co/BQcVJ4A7ux who uses this tool in the assessment of palliative care? |
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@WeNurses
20 May 2015 20:09
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RT @rebecca_wright2: @Helenak58412632 @WeDistrictNurse yes especially when anticipatory meds not written in advance #WeDNs lots of time cha… |
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@BenMcKay89
20 May 2015 20:09
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@WeDistrictNurse @AgencyNurse @LetsTalkDeath oops for missing a hash tag #wedns |
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@shizc1
20 May 2015 20:09
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#wedns nurse practitioner pivotal in getting jic meds into patients houses has encouraged gp's to prescribe most pts who need them have them |
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@Helenakelly73
20 May 2015 20:10
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@WeDistrictNurse #wedns definitely however few v300 prescribers in Lothian |
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@HeatherBain9
20 May 2015 20:10
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@Helenak58412632 @WeDistrictNurse #WeDNs #EBP http://t.co/ch2eKgkeIq |
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@AgencyNurse
20 May 2015 20:10
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RT @HeatherBain9: #WeDNs #EBP http://t.co/BQcVJ4A7ux who uses this tool in the assessment of palliative care? |
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@WeCommNurses
20 May 2015 20:10
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RT @HeatherBain9: #WeDNs #EBP http://t.co/BQcVJ4A7ux who uses this tool in the assessment of palliative care? |
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@WeNurses
20 May 2015 20:10
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RT @HeatherBain9: #WeDNs #EBP http://t.co/BQcVJ4A7ux who uses this tool in the assessment of palliative care? |
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@rebecca_wright2
20 May 2015 20:10
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@Helenak58412632 @WeDistrictNurse that sounds very interesting can you tell us more about how that works? #WeDNs |
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@Gray3Gray
20 May 2015 20:10
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@HeatherBain9 gold standards framework rag tool #wedns |
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@HeatherBain9
20 May 2015 20:10
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RT @Helenak58412632: @WeDistrictNurse #WeDns lead at the moment by the new Lothian palliative care guideline since fall of LCP |
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@HeatherBain9
20 May 2015 20:10
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RT @AgencyNurse: @Helenak58412632 @WeDistrictNurse wow that sounds interesting - what is now in place instead of LCP ? #wedns |
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@HeatherBain9
20 May 2015 20:10
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RT @rebecca_wright2: @Helenak58412632 @WeDistrictNurse yes especially when anticipatory meds not written in advance #WeDNs lots of time cha… |
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@AgencyNurse
20 May 2015 20:10
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would more nurse prescribers be beneficial ? #wedns https://t.co/LwvUQDFSs7 |
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@WeCommNurses
20 May 2015 20:10
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RT @Gray3Gray: @HeatherBain9 gold standards framework rag tool #wedns |
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@CapacityforJoy
20 May 2015 20:10
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RT @WePharmacists: two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOM… |
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@wendyjpitt61
20 May 2015 20:10
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reassurance for pt family and nurse that they will be available to use in time of need #WeDNs |
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@WeCommNurses
20 May 2015 20:11
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#wedns > https://t.co/01C9BQmu1E |
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@HeatherBain9
20 May 2015 20:11
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@turnip2k #weDNs that's a good point |
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@WeCommNurses
20 May 2015 20:11
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RT @shizc1: #wedns nurse practitioner pivotal in getting jic meds into patients houses has encouraged gp's to prescribe most pts who need t… |
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@AgencyNurse
20 May 2015 20:11
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RT @shizc1: #wedns nurse practitioner pivotal in getting jic meds into patients houses has encouraged gp's to prescribe most pts who need t… |
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@WeNurses
20 May 2015 20:11
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RT @shizc1: #wedns nurse practitioner pivotal in getting jic meds into patients houses has encouraged gp's to prescribe most pts who need t… |
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@Helenakelly73
20 May 2015 20:11
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@AgencyNurse @WeDistrictNurse #wedns absolutely need to promote the benefits to management |
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@beckylupton
20 May 2015 20:11
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#wedns ensuring anticipatory medication is prescribed in a timely manner can be challenging |
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@rebecca_wright2
20 May 2015 20:11
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RT @WeDistrictNurse: good point - can nurse prescribers help with this challenge ? #wedns https://t.co/QSn1dJchkw |
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@AgencyNurse
20 May 2015 20:12
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@Helenak58412632 @WeDistrictNurse it seems sensible to me as often the DN very aware of pts needs at end of life #wedns |
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@rebecca_wright2
20 May 2015 20:12
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@WeDistrictNurse @Helenak58412632 yes they can definately help, I think it speeds up the process less delay and #continuity #WeDNs |
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@HeatherBain9
20 May 2015 20:12
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@Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of life care? |
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@HealthUKTD
20 May 2015 20:12
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RT @HeatherBain9: #WeDNs #EBP http://t.co/BQcVJ4A7ux who uses this tool in the assessment of palliative care? |
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@HeatherBain9
20 May 2015 20:12
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RT @Gray3Gray: @HeatherBain9 gold standards framework rag tool #wedns |
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@HeatherBain9
20 May 2015 20:12
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RT @rebecca_wright2: @Helenak58412632 @WeDistrictNurse that sounds very interesting can you tell us more about how that works? #WeDNs |
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@AgencyNurse
20 May 2015 20:13
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@Helenak58412632 @WeDistrictNurse was interested to read that most end of life hosp admissions are due to poor symptom control #wedns |
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@ShazzaHudson
20 May 2015 20:13
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@HeatherBain9 We use this http://t.co/K29F5ejkCC #WeDNs |
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@rgumscap
20 May 2015 20:13
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RT @HeatherBain9: @Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of life care? |
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@WeCommNurses
20 May 2015 20:13
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RT @HeatherBain9: @Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of life care? |
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@rebecca_wright2
20 May 2015 20:13
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RT @HeatherBain9: #WeDNs #EBP http://t.co/BQcVJ4A7ux who uses this tool in the assessment of palliative care? |
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@davidpugh25
20 May 2015 20:13
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RT @Gray3Gray: @HeatherBain9 gold standards framework rag tool #wedns |
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@HeatherBain9
20 May 2015 20:13
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RT @AgencyNurse: @Helenak58412632 @WeDistrictNurse it seems sensible to me as often the DN very aware of pts needs at end of life #wedns |
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@WeCommNurses
20 May 2015 20:13
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RT @ShazzaHudson: @HeatherBain9 We use this http://t.co/K29F5ejkCC #WeDNs |
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@WeNurses
20 May 2015 20:13
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RT @ShazzaHudson: @HeatherBain9 We use this http://t.co/K29F5ejkCC #WeDNs |
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@Helenakelly73
20 May 2015 20:13
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@WeDistrictNurse #WeDNs early intervention is essential |
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@davidpugh25
20 May 2015 20:14
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RT @HeatherBain9: @Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of life care? |
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@HeatherBain9
20 May 2015 20:14
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RT @ShazzaHudson: @HeatherBain9 We use this http://t.co/K29F5ejkCC #WeDNs |
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@HeatherBain9
20 May 2015 20:14
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RT @Helenak58412632: @WeDistrictNurse #WeDNs early intervention is essential |
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@WeCommNurses
20 May 2015 20:14
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#wedns https://t.co/0zMg1dSL3n |
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@ShazzaHudson
20 May 2015 20:14
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@beckylupton Hard to define best time, I wonder if linked to our worries about addressing with patient? #WeDNs |
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@HealthUKTD
20 May 2015 20:14
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RT @shizc1: #wedns nurse practitioner pivotal in getting jic meds into patients houses has encouraged gp's to prescribe most pts who need t… |
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@turnip2k
20 May 2015 20:15
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In Wales we use the ICP - Integrated Care Pathway. Similar to LCP but fundamental focus is on communication #wedns |
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@rebecca_wright2
20 May 2015 20:15
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@HeatherBain9 @WeDistrictNurse @Helenak58412632 integration with MacMillan is also fantastic #WeDNs |
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@WeCommNurses
20 May 2015 20:15
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really good point @ShazzaHudson @beckylupton How do we define "best time" to start anticipatory meds in EOLC ? #wedns |
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@ShazzaHudson
20 May 2015 20:15
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@AgencyNurse @Helenak58412632 @WeDistrictNurse More frequently for those over 85 and for breathlessness with non-cancer diagnosis #WeDNs |
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@WeCommNurses
20 May 2015 20:15
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lol double bonus !!! #wedns https://t.co/2souKKn5PI |
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@HeatherBain9
20 May 2015 20:15
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@AgencyNurse @Helenak58412632 @WeDistrictNurse #weDNs do you think the availability of services is also a factor ? |
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@ShazzaHudson
20 May 2015 20:16
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RT @rebecca_wright2: @HeatherBain9 @WeDistrictNurse @Helenak58412632 integration with MacMillan is also fantastic #WeDNs |
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@WeCommNurses
20 May 2015 20:16
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#wedns > what do others think ? https://t.co/VlnNp6yJvd |
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@rebecca_wright2
20 May 2015 20:16
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RT @WeDistrictNurse: lol double bonus !!! #wedns https://t.co/2souKKn5PI |
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@shizc1
20 May 2015 20:16
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@HeatherBain9 #wedns no need if jic meds in place, find dn's that have these skills are leaving for better paid jobs eg practioner matron |
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@AgencyNurse
20 May 2015 20:16
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RT @turnip2k: In Wales we use the ICP - Integrated Care Pathway. Similar to LCP but fundamental focus is on communication #wedns |
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@WeNurses
20 May 2015 20:16
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RT @turnip2k: In Wales we use the ICP - Integrated Care Pathway. Similar to LCP but fundamental focus is on communication #wedns |
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@HeatherBain9
20 May 2015 20:16
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@ShazzaHudson #weDNs interested in the differing tools and how they are adopted in different areas. |
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@WeNurses
20 May 2015 20:16
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RT @ShazzaHudson: @beckylupton Hard to define best time, I wonder if linked to our worries about addressing with patient? #WeDNs |
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@HeatherBain9
20 May 2015 20:16
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RT @turnip2k: In Wales we use the ICP - Integrated Care Pathway. Similar to LCP but fundamental focus is on communication #wedns |
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@AgencyNurse
20 May 2015 20:16
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RT @WeDistrictNurse: really good point @ShazzaHudson @beckylupton How do we define "best time" to start anticipatory meds in EOLC ? #wedns |
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@WeNurses
20 May 2015 20:16
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RT @WeDistrictNurse: really good point @ShazzaHudson @beckylupton How do we define "best time" to start anticipatory meds in EOLC ? #wedns |
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@HeatherBain9
20 May 2015 20:16
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RT @rebecca_wright2: @HeatherBain9 @WeDistrictNurse @Helenak58412632 integration with MacMillan is also fantastic #WeDNs |
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@CherylCassidy80
20 May 2015 20:16
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@WeDistrictNurse @AgencyNurse it can help reduce unnecessary hospital admissions if the pts wish is to die at home #WeDNs |
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@rebecca_wright2
20 May 2015 20:16
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RT @WeDistrictNurse: #wedns > what do others think ? https://t.co/VlnNp6yJvd |
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@Helenakelly73
20 May 2015 20:17
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@WeDistrictNurse #WeDNs it is useful to encourage Gps to introduce the DNservice to patients at the beginning of their palliative journey? |
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@ShazzaHudson
20 May 2015 20:17
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@HeatherBain9 @AgencyNurse @Helenak58412632 @WeDistrictNurse Yes, when we are able to offer 24/7 hands on care it changes outcomes #WeDNs |
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@PhilipRABall
20 May 2015 20:17
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Hi bit late joining, sorry! Do you use in peoples homes and or inpatient unit @ShazzaHudson? #wedns https://t.co/BRn1sU38YV |
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@HeatherBain9
20 May 2015 20:17
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@WeDistrictNurse @ShazzaHudson @beckylupton #WeDNs is this back to the assessment tools we use and professional judgement |
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@AgencyNurse
20 May 2015 20:17
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oops !!! #wedns https://t.co/lK2eFaZcqH |
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@ShazzaHudson
20 May 2015 20:18
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@HeatherBain9 Also use GSF green, Amber, red but not enough #WeDNs |
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@rebecca_wright2
20 May 2015 20:18
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RT @AgencyNurse: oops !!! #wedns https://t.co/lK2eFaZcqH |
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@Helenakelly73
20 May 2015 20:18
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@WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations easier |
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@HealthUKTD
20 May 2015 20:18
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RT @turnip2k: In Wales we use the ICP - Integrated Care Pathway. Similar to LCP but fundamental focus is on communication #wedns |
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@HealthUKTD
20 May 2015 20:18
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RT @WeDistrictNurse: really good point @ShazzaHudson @beckylupton How do we define "best time" to start anticipatory meds in EOLC ? #wedns |
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@shizc1
20 May 2015 20:18
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#wedns @ShazzaHudson @beckylupton as pt approaches terminal phase, gsf amber to red need jic dnar etc |
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@WeCommNurses
20 May 2015 20:19
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great point ... does this happen ? #wedns https://t.co/jeTrT2RjOx |
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@ShazzaHudson
20 May 2015 20:19
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@Helenak58412632 @WeDistrictNurse Yes, we encourage this as part of GSF pathway, have defined points for DN input. #wedns |
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@rebecca_wright2
20 May 2015 20:19
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@AgencyNurse @ShazzaHudson @Helenak58412632 @WeDistrictNurse that's why early referral to DN is essential for support and trust #WeDNs |
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@AgencyNurse
20 May 2015 20:19
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RT @HeatherBain9: @WeDistrictNurse @ShazzaHudson @beckylupton #WeDNs is this back to the assessment tools we use and professional judgement |
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@WeCommNurses
20 May 2015 20:19
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RT @HeatherBain9: @WeDistrictNurse @ShazzaHudson @beckylupton #WeDNs is this back to the assessment tools we use and professional judgement |
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@shizc1
20 May 2015 20:19
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@ShazzaHudson @beckylupton #wedns when experiences symptoms and unable to take oral meds |
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@AgencyNurse
20 May 2015 20:19
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@WeNurses
20 May 2015 20:19
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@Helenakelly73
20 May 2015 20:19
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@WeDistrictNurse #wedns yes but requires regular engagement with go practice |
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@WeCommNurses
20 May 2015 20:19
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RT @shizc1: #wedns @ShazzaHudson @beckylupton as pt approaches terminal phase, gsf amber to red need jic dnar etc |
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@ShazzaHudson
20 May 2015 20:20
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@PhilipRABall Both, as part of our assessment #WeDNs |
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@HeatherBain9
20 May 2015 20:20
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@shizc1 #weDNs another potential debate here lol |
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@WeCommNurses
20 May 2015 20:20
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RT @ShazzaHudson: @Helenak58412632 @WeDistrictNurse Yes, we encourage this as part of GSF pathway, have defined points for DN input. #wedns |
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@ShazzaHudson
20 May 2015 20:20
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@HeatherBain9
20 May 2015 20:20
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RT @PhilipRABall: Hi bit late joining, sorry! Do you use in peoples homes and or inpatient unit @ShazzaHudson? #wedns https://t.co/BRn1sU38… |
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@WeCommNurses
20 May 2015 20:20
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RT @Helenak58412632: @WeDistrictNurse #wedns yes but requires regular engagement with go practice |
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@rebecca_wright2
20 May 2015 20:20
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@AgencyNurse @ShazzaHudson @Helenak58412632 @WeDistrictNurse building a rapport, opportunities to discuss as soon as appropriate #WeDNs |
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@HeatherBain9
20 May 2015 20:20
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@PhilipRABall @ShazzaHudson #wedns we are focussing on in the home |
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@HeatherBain9
20 May 2015 20:20
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RT @ShazzaHudson: @HeatherBain9 Also use GSF green, Amber, red but not enough #WeDNs |
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@jacduff
20 May 2015 20:20
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I write a prescription for the anticipatory Meds, I also write the meds chart to leave in the home , saving lots of running around #wedns |
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@WeCommNurses
20 May 2015 20:20
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#wedns https://t.co/eY9dV6jfU1 |
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@davidpugh25
20 May 2015 20:21
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@PhilipRABall
20 May 2015 20:21
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@ShazzaHudson thanks Sharon #useful to know #wedns :-) |
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@WeNurses
20 May 2015 20:21
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@rebecca_wright2 @AgencyNurse @ShazzaHudson @Helenak58412632 I think dns are well placed to do this #wedns |
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@Gray3Gray
20 May 2015 20:22
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@CherylCassidy80 @WeDistrictNurse @AgencyNurse involve the patient, plan ahead find out their wishes offer just in case med #WeDNs |
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@davidpugh25
20 May 2015 20:22
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RT @WeNurses: @rebecca_wright2 @AgencyNurse @ShazzaHudson @Helenak58412632 I think dns are well placed to do this #wedns |
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@WeCYPnurses
20 May 2015 20:22
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@jacduff reassurance for families and for staff to have things ready and for some thought to have gone into it. #wedns |
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@jacduff
20 May 2015 20:22
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I also teach family members how to give meds if there is likely to be a delay in a nurse visiting & use buccal #wedns |
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@HealthUKTD
20 May 2015 20:22
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@WeCommNurses
20 May 2015 20:22
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RT @jacduff: I also teach family members how to give meds if there is likely to be a delay in a nurse visiting & use buccal #wedns |
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@ShazzaHudson
20 May 2015 20:22
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@CherylCassidy80 @WeDistrictNurse @AgencyNurse Helps to have in place for discharge home for EoL too #WeDNs |
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@WeCommNurses
20 May 2015 20:23
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@WeCommNurses
20 May 2015 20:23
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RT @ShazzaHudson: @HeatherBain9 Also use GSF green, Amber, red but not enough #WeDNs |
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@WeCommNurses
20 May 2015 20:23
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RT @rebecca_wright2: @HeatherBain9 @WeDistrictNurse @Helenak58412632 integration with MacMillan is also fantastic #WeDNs |
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@WeCommNurses
20 May 2015 20:23
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RT @turnip2k: In Wales we use the ICP - Integrated Care Pathway. Similar to LCP but fundamental focus is on communication #wedns |
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@WeCommNurses
20 May 2015 20:23
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Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@AgencyNurse
20 May 2015 20:23
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RT @WeDistrictNurse: Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@WeNurses
20 May 2015 20:23
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RT @WeDistrictNurse: Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@Helenakelly73
20 May 2015 20:23
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@WeDistrictNurse #WeDNs the first thing patients and families often say is 'I want to be comfortable in my own home' |
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@AgencyNurse
20 May 2015 20:24
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RT @jacduff: I also teach family members how to give meds if there is likely to be a delay in a nurse visiting & use buccal #wedns |
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@PhilipRABall
20 May 2015 20:24
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@HeatherBain9 @ShazzaHudson thanks Heather, I have mostly hospice ipu experience so good to know what is happening elsewhere #wedns :-) |
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@lukehulton
20 May 2015 20:24
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@HeatherBain9
20 May 2015 20:24
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RT @WeDistrictNurse: Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@rgumscap
20 May 2015 20:24
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RT @WeDistrictNurse: Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@WeCYPnurses
20 May 2015 20:24
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@WeDistrictNurse openly and honestly. Also remembering to talk about safe storage. #wedns |
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@WeCommNurses
20 May 2015 20:24
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RT @Helenak58412632: @WeDistrictNurse #WeDNs the first thing patients and families often say is 'I want to be comfortable in my own home' |
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@AgencyNurse
20 May 2015 20:24
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RT @Helenak58412632: @WeDistrictNurse #WeDNs the first thing patients and families often say is 'I want to be comfortable in my own home' |
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@WeNurses
20 May 2015 20:24
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RT @Helenak58412632: @WeDistrictNurse #WeDNs the first thing patients and families often say is 'I want to be comfortable in my own home' |
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@rebecca_wright2
20 May 2015 20:24
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@shizc1 that's a shame, imo that's why integration works well as relationship building among disciplines as well as patients #WeDNs |
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@ShazzaHudson
20 May 2015 20:24
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@WeDistrictNurse Explain just in case, to prevent delays when there is a need. Needs to be part of EoL conversations #WeDNs |
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@HeatherBain9
20 May 2015 20:25
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@PhilipRABall @ShazzaHudson #weDNs sure the principles should be the same in any setting |
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@ShazzaHudson
20 May 2015 20:25
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RT @WeCYPnurses: @WeDistrictNurse openly and honestly. Also remembering to talk about safe storage. #wedns |
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@shizc1
20 May 2015 20:25
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#wedns jic meds there to treat symptoms to save waiting for dr and are available 24/7 give dn numbers helps to reassure pts and family |
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@rebecca_wright2
20 May 2015 20:25
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RT @Helenak58412632: @WeDistrictNurse #WeDNs the first thing patients and families often say is 'I want to be comfortable in my own home' |
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@Helenakelly73
20 May 2015 20:25
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@WeDistrictNurse #WeDNs open and honest discussion about their purpose and how it reduces stress, anxiety and manages symptoms seamlessly |
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@rebecca_wright2
20 May 2015 20:26
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@Helenak58412632 @WeDistrictNurse and it is a privilege to be able to respect their wishes #dignity #WeDNs |
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@turnip2k
20 May 2015 20:26
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Good, open communication with families followed by reassurance that nurses can called out at any time #wedns |
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@AgencyNurse
20 May 2015 20:26
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@ShazzaHudson @WeDistrictNurse every family different some very aware of everything others in denial ...such a balance #wedns #artofnursing |
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@HealthUKTD
20 May 2015 20:26
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RT @WeDistrictNurse: Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@HealthUKTD
20 May 2015 20:26
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RT @Helenak58412632: @WeDistrictNurse #WeDNs the first thing patients and families often say is 'I want to be comfortable in my own home' |
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@WeNurses
20 May 2015 20:26
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RT @shizc1: #wedns jic meds there to treat symptoms to save waiting for dr and are available 24/7 give dn numbers helps to reassure pts and… |
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@rebecca_wright2
20 May 2015 20:26
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@ShazzaHudson
20 May 2015 20:26
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@shizc1 We are doing work locally to address this, DN's seen by GP as 'nursing task' #WeDNs |
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@shizc1
20 May 2015 20:26
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@rebecca_wright2 #wedns i agree but others not including DN's quickly enough working as silo's |
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@PhilipRABall
20 May 2015 20:27
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Is it part of future planning? Gives opportunity to discuss care for dying at home and what that may mean?#wedns https://t.co/u1Q36aF90a |
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@WeCommNurses
20 May 2015 20:27
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RT @Helenak58412632: @WeDistrictNurse #WeDNs open and honest discussion about their purpose and how it reduces stress, anxiety and manages … |
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@JillYGld
20 May 2015 20:27
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RT @shizc1: #wedns jic meds there to treat symptoms to save waiting for dr and are available 24/7 give dn numbers helps to reassure pts and… |
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@davidpugh25
20 May 2015 20:27
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RT @Helenak58412632: @WeDistrictNurse #WeDNs open and honest discussion about their purpose and how it reduces stress, anxiety and manages … |
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@WeCommNurses
20 May 2015 20:27
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RT @HeatherBain9: @PhilipRABall @ShazzaHudson #weDNs sure the principles should be the same in any setting |
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@CherylCassidy80
20 May 2015 20:27
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@WendyJNicholson @WeDistrictNurse @AgencyNurse definitely, when discharging for EoL meds being available are reassurance to family. #wedns |
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@AgencyNurse
20 May 2015 20:27
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I think this is really important - families need to know support is there #wedns https://t.co/XVFxUMVHIM |
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@Helenakelly73
20 May 2015 20:27
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@rebecca_wright2 @shizc1 @WeDistrictNurse #wedns I am researching integration at end of life with QMU between dn and SW interesting |
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@ShazzaHudson
20 May 2015 20:28
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@shizc1 Have audited referrals in to Macmillan this month, only 20% have been referred to DN #WeDNs |
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@JillYGld
20 May 2015 20:28
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“@HeatherBain9: @Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of life care?” YES! |
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@cjdaeli
20 May 2015 20:28
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RT @WeMidwives: two #WeChats on RIGHT NOW! @WeDistrictNurse Just in case medicines #WeDNs @WeDocs work place bullying #WeDocs ALL WELCOME h… |
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@rebecca_wright2
20 May 2015 20:28
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RT @AgencyNurse: I think this is really important - families need to know support is there #wedns https://t.co/XVFxUMVHIM |
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@davidpugh25
20 May 2015 20:28
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RT @AgencyNurse: I think this is really important - families need to know support is there #wedns https://t.co/XVFxUMVHIM |
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@WeCommNurses
20 May 2015 20:28
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#wedns https://t.co/xKqyOrEDG2 |
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@davidpugh25
20 May 2015 20:28
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RT @JillGould13: “@HeatherBain9: @Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of … |
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@rebecca_wright2
20 May 2015 20:28
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RT @ShazzaHudson: @shizc1 Have audited referrals in to Macmillan this month, only 20% have been referred to DN #WeDNs |
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@WeCommNurses
20 May 2015 20:28
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RT @PhilipRABall: Is it part of future planning? Gives opportunity to discuss care for dying at home and what that may mean?#wedns https://… |
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@WeNurses
20 May 2015 20:28
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RT @PhilipRABall: Is it part of future planning? Gives opportunity to discuss care for dying at home and what that may mean?#wedns https://… |
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@ShazzaHudson
20 May 2015 20:28
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RT @turnip2k: Good, open communication with families followed by reassurance that nurses can called out at any time #wedns |
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@WeCommNurses
20 May 2015 20:29
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#wedns > https://t.co/86dubtVkkv |
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@rebecca_wright2
20 May 2015 20:29
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@ShazzaHudson @shizc1 this is surprising #WeDNs |
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@HeatherBain9
20 May 2015 20:29
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@JillGould13 @Helenak58412632 @WeDistrictNurse I agree Jill they are educated to understand the complexity of care in the community #weDNs |
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@ShazzaHudson
20 May 2015 20:29
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@AgencyNurse @WeDistrictNurse Very much so, can be the tool that opens the conversation #WeDNs |
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@rebecca_wright2
20 May 2015 20:29
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RT @Helenak58412632: @rebecca_wright2 @shizc1 @WeDistrictNurse #wedns I am researching integration at end of life with QMU between dn and S… |
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@Helenakelly73
20 May 2015 20:29
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@rebecca_wright2 @WeDistrictNurse #WeDNs to ensure Choice at end of life is the ultimate privilege |
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@WeCommNurses
20 May 2015 20:29
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RT @rebecca_wright2: @Helenak58412632 @WeDistrictNurse and it is a privilege to be able to respect their wishes #dignity #WeDNs |
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@AgencyNurse
20 May 2015 20:30
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@ShazzaHudson @WeDistrictNurse indeed - not a DN but have had many of these conversations and they are very tough #wedns |
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@cjdaeli
20 May 2015 20:30
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RT @WeMidwives: #dyingmatters so much at 8pm its the 2nd of 3 chats on the subject this week Join @WeDistrictNurse @ 8pm via #WeDns http://… |
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@WeCommNurses
20 May 2015 20:30
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RT @Helenak58412632: @rebecca_wright2 @WeDistrictNurse #WeDNs to ensure Choice at end of life is the ultimate privilege |
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@shizc1
20 May 2015 20:30
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@ShazzaHudson #wedns no surprise we usually get friday afternoon crisis before bh mac nurse gets credit doesn't raise dn profile |
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@WeCommNurses
20 May 2015 20:30
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@Helenak58412632 @rebecca_wright2 @shizc1 #WeDNs that sounds interesting |
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@WeCommNurses
20 May 2015 20:30
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#wedns https://t.co/TtmQCcqla6 |
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@ShazzaHudson
20 May 2015 20:30
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@rebecca_wright2 @shizc1 To me too! #WeDNs Working to address this |
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@WeCommNurses
20 May 2015 20:30
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RT @JillGould13: “@HeatherBain9: @Helenak58412632 @WeDistrictNurse #weDNs do you think all DNS should be v300 prescribers to manage end of … |
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@KWebbNurse
20 May 2015 20:30
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RT @Helenak58412632: @rebecca_wright2 @WeDistrictNurse #WeDNs to ensure Choice at end of life is the ultimate privilege |
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@CherylCassidy80
20 May 2015 20:30
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@WendyJNicholson @WeDistrictNurse @AgencyNurse absolutely, otherwise they can panic/get scared and plans unravel #wedns |
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@davidpugh25
20 May 2015 20:30
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RT @rebecca_wright2: @Helenak58412632 @WeDistrictNurse and it is a privilege to be able to respect their wishes #dignity #WeDNs |
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@rebecca_wright2
20 May 2015 20:30
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RT @ShazzaHudson: @rebecca_wright2 @shizc1 To me too! #WeDNs Working to address this |
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@davidpugh25
20 May 2015 20:31
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RT @AgencyNurse: @ShazzaHudson @WeDistrictNurse indeed - not a DN but have had many of these conversations and they are very tough #wedns |
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@WeCommNurses
20 May 2015 20:31
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RT @CherylCassidy80: @WendyJNicholson @WeDistrictNurse @AgencyNurse absolutely, otherwise they can panic/get scared and plans unravel #wedns |
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@rebecca_wright2
20 May 2015 20:31
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RT @Helenak58412632: @rebecca_wright2 @WeDistrictNurse #WeDNs to ensure Choice at end of life is the ultimate privilege |
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@WeCommNurses
20 May 2015 20:31
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@ShazzaHudson #WeDNs why do you think that is ? |
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@davidpugh25
20 May 2015 20:31
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RT @Helenak58412632: @rebecca_wright2 @WeDistrictNurse #WeDNs to ensure Choice at end of life is the ultimate privilege |
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@CherylCassidy80
20 May 2015 20:31
|
|
RT @shizc1: #wedns jic meds there to treat symptoms to save waiting for dr and are available 24/7 give dn numbers helps to reassure pts and… |
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@WeCommNurses
20 May 2015 20:31
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What are the challenges with anticipatory medicines? #wedns |
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@WendyJNicholson
20 May 2015 20:31
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RT @CherylCassidy80: @WendyJNicholson @WeDistrictNurse @AgencyNurse absolutely, otherwise they can panic/get scared and plans unravel #wedns |
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@WeNurses
20 May 2015 20:32
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RT @ShazzaHudson: @shizc1 Have audited referrals in to Macmillan this month, only 20% have been referred to DN #WeDNs |
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@rebecca_wright2
20 May 2015 20:32
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RT @WeDistrictNurse: What are the challenges with anticipatory medicines? #wedns |
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@rgumscap
20 May 2015 20:32
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RT @WeDistrictNurse: What are the challenges with anticipatory medicines? #wedns |
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@ADNEuk
20 May 2015 20:32
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RT @WeDistrictNurse: What are the challenges with anticipatory medicines? #wedns |
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@HeatherBain9
20 May 2015 20:32
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RT @WeDistrictNurse: What are the challenges with anticipatory medicines? #wedns |
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@RuthDymock
20 May 2015 20:32
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#wedns @ districtnurse try to ensure safe prescribing by using firm LCHS guidelines on EOL gold sheet in preemptive meds |
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@ShazzaHudson
20 May 2015 20:32
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@shizc1 There is a problem with perception of DN role, Mac nurse clearly seen as EoL, DN can be seen as 'nursing task' #weDNs |
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@Helenakelly73
20 May 2015 20:32
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@shizc1 @ShazzaHudson @WeDistrictNurse #weDNs media to blame how can we raise our profile as central to providing end of life care at home? |
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@HeatherBain9
20 May 2015 20:33
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@WeDistrictNurse #weDNs like all end of life medications, not all understand their place in managing symptoms |
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@JillAnneWill
20 May 2015 20:33
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RT @HeatherBain9: #weDNs interested to know assessment tools used in end of life care to support the use of just in case medicines? |
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@rebecca_wright2
20 May 2015 20:33
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@WeDistrictNurse dosages? Sliding scales depending upon breakthrough meds? #WeDNs |
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@AgencyNurse
20 May 2015 20:33
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This surprises me as I see DNs as being very skilled in EOLC #wedns https://t.co/bW1wxmvKaE |
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@shizc1
20 May 2015 20:33
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@jacduff @ShazzaHudson #wedns you must be exception well done i could do with you in my area #whatitsallabout pt centred care |
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@HeatherBain9
20 May 2015 20:33
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@ShazzaHudson @shizc1 #WeDNs I don't think that is the perception in all areas of the UK. |
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@JJMJohn92
20 May 2015 20:34
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RT @ShazzaHudson: @shizc1 Have audited referrals in to Macmillan this month, only 20% have been referred to DN #WeDNs |
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@ShazzaHudson
20 May 2015 20:34
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@WeDistrictNurse Perception of roles. Mac role clearly EoL, perception of DN can be 'nursing task'. Mac has more time? #WeDNs |
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@WeCommNurses
20 May 2015 20:34
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RT @Helenak58412632: @shizc1 @ShazzaHudson @WeDistrictNurse #weDNs media to blame how can we raise our profile as central to providing end … |
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@WeCommNurses
20 May 2015 20:34
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RT @HeatherBain9: @WeDistrictNurse #weDNs like all end of life medications, not all understand their place in managing symptoms |
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@WeCommNurses
20 May 2015 20:34
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RT @rebecca_wright2: @WeDistrictNurse dosages? Sliding scales depending upon breakthrough meds? #WeDNs |
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@WeCommNurses
20 May 2015 20:34
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ooh yes tricky .... how do others feel re this ? #wedns https://t.co/7rfc1jnL26 |
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@ShazzaHudson
20 May 2015 20:34
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@WeDistrictNurse Right dose, assessing pain v's agitation, #WeDNs |
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@WeNurses
20 May 2015 20:34
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RT @HeatherBain9: @WeDistrictNurse #weDNs like all end of life medications, not all understand their place in managing symptoms |
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@WeCommNurses
20 May 2015 20:35
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RT @AgencyNurse: This surprises me as I see DNs as being very skilled in EOLC #wedns https://t.co/bW1wxmvKaE |
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@CherylCassidy80
20 May 2015 20:35
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RT @AgencyNurse: This surprises me as I see DNs as being very skilled in EOLC #wedns https://t.co/bW1wxmvKaE |
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@WeCommNurses
20 May 2015 20:35
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RT @HeatherBain9: @ShazzaHudson @shizc1 #WeDNs I don't think that is the perception in all areas of the UK. |
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@turnip2k
20 May 2015 20:35
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Gps sometimes reluctant to prescribe appropriate doses. Often DNs need to calculate and liaise with gps #wedns |
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@eperrykhanh
20 May 2015 20:35
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@ShazzaHudson
20 May 2015 20:35
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@Helenak58412632 @shizc1 @WeDistrictNurse Keep working together, GSF helps, #WeDNs |
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@shizc1
20 May 2015 20:35
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RT @ShazzaHudson: @Helenak58412632 @shizc1 @WeDistrictNurse Keep working together, GSF helps, #WeDNs |
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@HeatherBain9
20 May 2015 20:35
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RT @WeDistrictNurse: ooh yes tricky .... how do others feel re this ? #wedns https://t.co/7rfc1jnL26 |
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@Gray3Gray
20 May 2015 20:35
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@WeDistrictNurse having tools in place to support patient in preferred place if care needs to be supported with training in comms #wedns |
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@AgencyNurse
20 May 2015 20:36
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assessing this is often down to clinical judgement, experience & knowing your pt don't you think ? #wedns https://t.co/HHFJkBTcf8 |
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@rebecca_wright2
20 May 2015 20:36
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@shizc1 @WeDistrictNurse raising the DN profile is essential! Here it is again! #WeDNs |
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@HeatherBain9
20 May 2015 20:36
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@turnip2k #WeDNs so does this go back to DNs having the V300? |
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@rebecca_wright2
20 May 2015 20:36
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RT @ShazzaHudson: @Helenak58412632 @shizc1 @WeDistrictNurse Keep working together, GSF helps, #WeDNs |
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@WeCommNurses
20 May 2015 20:36
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RT @HeatherBain9: @turnip2k #WeDNs so does this go back to DNs having the V300? |
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@PhilipRABall
20 May 2015 20:36
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Can @TheRCN and @TheQNI have a role in this? #weDNs https://t.co/w9SQnqhjDg |
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@HeatherBain9
20 May 2015 20:36
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@ShazzaHudson @WeDistrictNurse #weDNs agree that can be a challenge for many |
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@ShazzaHudson
20 May 2015 20:36
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@HeatherBain9 @shizc1 No your right, only describing local experience, when DN team involved it works ?? #weDNs |
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@davidpugh25
20 May 2015 20:37
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RT @rebecca_wright2: @shizc1 @WeDistrictNurse raising the DN profile is essential! Here it is again! #WeDNs |
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@HeatherBain9
20 May 2015 20:37
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RT @AgencyNurse: assessing this is often down to clinical judgement, experience & knowing your pt don't you think ? #wedns https://t.co/HH… |
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@WeCommNurses
20 May 2015 20:37
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#wedns > https://t.co/AlHkJxsF4Z |
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@WeCommNurses
20 May 2015 20:37
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RT @ShazzaHudson: @Helenak58412632 @shizc1 @WeDistrictNurse Keep working together, GSF helps, #WeDNs |
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@WeCommNurses
20 May 2015 20:37
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#wedns https://t.co/CXUDgkdGSz |
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@WeCommNurses
20 May 2015 20:37
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RT @AgencyNurse: assessing this is often down to clinical judgement, experience & knowing your pt don't you think ? #wedns https://t.co/HH… |
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@WeCommNurses
20 May 2015 20:37
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RT @rebecca_wright2: @shizc1 @WeDistrictNurse raising the DN profile is essential! Here it is again! #WeDNs |
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@shizc1
20 May 2015 20:37
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@ShazzaHudson @Helenak58412632 #wedns we have gsf meeting 1 day a month rest of month little communication, just informed when crisis |
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@WeCommNurses
20 May 2015 20:37
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#wedns https://t.co/9obioNNMp2 |
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@WeCommNurses
20 May 2015 20:38
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RT @ShazzaHudson: @HeatherBain9 @shizc1 No your right, only describing local experience, when DN team involved it works ?? #weDNs |
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@ShazzaHudson
20 May 2015 20:38
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@AgencyNurse Yes, and when they are involved it's fab . It's the perception from referrers (and families) Macmillan = EoL #WeDNs |
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@CherylCassidy80
20 May 2015 20:38
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@shizc1 I once tried to refer a pt to DNs as I knew she would need EoL care and thought relationships could be started but 1/2 #wedns |
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@rebecca_wright2
20 May 2015 20:38
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@Helenak58412632 @WeDistrictNurse is this because independant prescriber is reviewing regularly therefore no need for sliding scale? #WeDNs |
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@HeatherBain9
20 May 2015 20:38
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@shizc1 @ShazzaHudson @Helenak58412632 #weDNs how do others communicate |
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@Gray3Gray
20 May 2015 20:38
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@HeatherBain9 @turnip2k @WeDistrictNurse helpful but not essential, good communication with patient, family and mdt discussions #wedns |
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@HeatherBain9
20 May 2015 20:38
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RT @WeDistrictNurse: #wedns https://t.co/9obioNNMp2 |
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@rebecca_wright2
20 May 2015 20:39
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@Helenak58412632 @WeDistrictNurse which would make more sense, again time efficient #WeDNs |
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@shizc1
20 May 2015 20:39
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@rebecca_wright2 #wedns yep i agree but dn role being marginilised by specialist nurses who take credit for work we do |
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@AgencyNurse
20 May 2015 20:39
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this needs to change ... as #wedns so skilled in EOLC Do DNs need to share their good work in this area ? https://t.co/N3OWsCMagl |
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@ShazzaHudson
20 May 2015 20:39
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@AgencyNurse Yes, very much based on expertise and relationship #WeDNs |
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@CherylCassidy80
20 May 2015 20:39
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@shizc1 2/2 was refused because there was no nursing task and they didn't just visit for a chat didn't I know! #weDNs |
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@ShazzaHudson
20 May 2015 20:39
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RT @rebecca_wright2: @shizc1 @WeDistrictNurse raising the DN profile is essential! Here it is again! #WeDNs |
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@WeCommNurses
20 May 2015 20:40
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@ShazzaHudson @AgencyNurse #wedns do you think we need to change this perception ? |
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@shizc1
20 May 2015 20:40
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@CherylCassidy80 #wedns i welcome early referal put things in place helps stop admission crisis and re assures pt and family |
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@AgencyNurse
20 May 2015 20:40
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@ShazzaHudson tough when you are a DN on your own in the community ! Have always had another nurses there to discuss #wedns |
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@rebecca_wright2
20 May 2015 20:40
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@shizc1 @WeDistrictNurse I think it's important that we work together sharing expertise with a patient focus #WeDNs |
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@WeCommNurses
20 May 2015 20:40
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Just a few of us dropping the vital >> #WeDNS << in our tweets :( Add #WeDns so those not following you yet can see your valuable input :) |
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@WeCommNurses
20 May 2015 20:40
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RT @HeatherBain9: @shizc1 @ShazzaHudson @Helenak58412632 #weDNs how do others communicate |
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@WeCYPnurses
20 May 2015 20:40
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@ShazzaHudson @AgencyNurse clear guidelines to follow and confidence also helps #WeDNs |
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@AgencyNurse
20 May 2015 20:41
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this makes sense to me #wedns https://t.co/xb5gloH5hz |
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@HeatherBain9
20 May 2015 20:41
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RT @shizc1: @CherylCassidy80 #wedns i welcome early referal put things in place helps stop admission crisis and re assures pt and family |
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@VickiJNurse
20 May 2015 20:41
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@AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@WeCommNurses
20 May 2015 20:41
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RT @AgencyNurse: this needs to change ... as #wedns so skilled in EOLC Do DNs need to share their good work in this area ? https://t.co/… |
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@WeCommNurses
20 May 2015 20:41
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really good point - what can we do in these circumstances #wedns > https://t.co/1P5NtvgutT |
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@blondieburnsuk
20 May 2015 20:41
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@rebecca_wright2 @WeDistrictNurse @shizc1 DN placements for students raise profile of DNs immensely #wedns specialists in many areas ?? |
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@WeCommNurses
20 May 2015 20:42
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#wedns > https://t.co/W1e2i3GVSV |
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@shizc1
20 May 2015 20:42
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@CherylCassidy80 #wedns short sighted of them did you speak to dn maybe was a csn or admin i would welcome this kind of ref |
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@VickiJNurse
20 May 2015 20:42
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@shizc1 @HeatherBain9 @CherylCassidy80 agree, we are happy to have early referral for support #WeDNs |
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@WeCommNurses
20 May 2015 20:42
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RT @rebecca_wright2: @shizc1 @WeDistrictNurse I think it's important that we work together sharing expertise with a patient focus #WeDNs |
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@WeCommNurses
20 May 2015 20:42
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@CherylCassidy80 @shizc1 #weDNs sounds like that is not the practice of all DNs so need to promote best practice |
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@WeCommNurses
20 May 2015 20:42
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#wedns > https://t.co/HIqshdtlAO |
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@Gray3Gray
20 May 2015 20:42
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GSF gets people talking and supports patients wishes and keeps those that need to know informed. Continuity of care #WeDNs |
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@HeatherBain9
20 May 2015 20:42
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RT @blondieburnsuk: @rebecca_wright2 @WeDistrictNurse @shizc1 DN placements for students raise profile of DNs immensely #wedns specialists … |
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@WeCommNurses
20 May 2015 20:42
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#wedns > https://t.co/bYEeSrNGQE |
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@RuthDymock
20 May 2015 20:43
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@WeDistrictNurse #wedns thank you for hint to newbies |
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@CherylCassidy80
20 May 2015 20:43
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@shizc1 that was my thinking too! If the pt & family knew the DN team it would make everything much easier #weDNs |
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@HeatherBain9
20 May 2015 20:43
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RT @Vickis_Kitchen: @shizc1 @HeatherBain9 @CherylCassidy80 agree, we are happy to have early referral for support #WeDNs |
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@shizc1
20 May 2015 20:43
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@davidpugh25 @ShazzaHudson @HeatherBain9 @rebecca_wright2 #wedns definitely pts have misconception regarding what mac nurses do |
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@rebecca_wright2
20 May 2015 20:43
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RT @blondieburnsuk: @rebecca_wright2 @WeDistrictNurse @shizc1 DN placements for students raise profile of DNs immensely #wedns specialists … |
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@WeCommNurses
20 May 2015 20:43
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RT @Vickis_Kitchen: @AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@AgencyNurse
20 May 2015 20:43
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RT @Vickis_Kitchen: @AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@WeNurses
20 May 2015 20:43
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RT @Vickis_Kitchen: @AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@ShazzaHudson
20 May 2015 20:43
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@WeDistrictNurse @AgencyNurse YES. Keep talking. I am contacting all referrers to ask for DN involvement #weDNs |
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@WeCommNurses
20 May 2015 20:43
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RT @AgencyNurse: this makes sense to me #wedns https://t.co/xb5gloH5hz |
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@ShazzaHudson
20 May 2015 20:44
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RT @Vickis_Kitchen: @AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@AgencyNurse
20 May 2015 20:44
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@Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@WeCommNurses
20 May 2015 20:44
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RT @Vickis_Kitchen: @shizc1 @HeatherBain9 @CherylCassidy80 agree, we are happy to have early referral for support #WeDNs |
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@VickiJNurse
20 May 2015 20:44
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@shizc1 @davidpugh25 @ShazzaHudson @HeatherBain9 @rebecca_wright2 agree often pt think WE are Macmillan #WeDNs |
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@WeCommNurses
20 May 2015 20:44
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RT @CherylCassidy80: @shizc1 that was my thinking too! If the pt & family knew the DN team it would make everything much easier #weDNs |
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@turnip2k
20 May 2015 20:44
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After a bereavement visit often get thanks from families for the hard work Marie Curie nurses have provided, but rarely the DNs #wedns |
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@WeCommNurses
20 May 2015 20:44
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RT @Gray3Gray: GSF gets people talking and supports patients wishes and keeps those that need to know informed. Continuity of care #WeDNs |
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@shizc1
20 May 2015 20:44
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#wedns very true too busy doing a good job to blow our trumpets means others get the praise whle we work late to set up driver collect meds |
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@Helenakelly73
20 May 2015 20:44
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@ShazzaHudson
20 May 2015 20:44
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RT @Gray3Gray: GSF gets people talking and supports patients wishes and keeps those that need to know informed. Continuity of care #WeDNs |
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@rebecca_wright2
20 May 2015 20:44
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RT @Vickis_Kitchen: @AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@VickiJNurse
20 May 2015 20:44
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@rebecca_wright2
20 May 2015 20:44
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RT @AgencyNurse: this needs to change ... as #wedns so skilled in EOLC Do DNs need to share their good work in this area ? https://t.co/… |
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@rebecca_wright2
20 May 2015 20:45
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@HeatherBain9
20 May 2015 20:45
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@WeCommNurses
20 May 2015 20:45
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@CherylCassidy80
20 May 2015 20:45
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@shizc1 definitely DN, put me off making this kind of request for a while but now I'm a bit more pushy ?? #wedns |
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@RuthDymock
20 May 2015 20:45
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@rebecca_wright2 @WeDistrictNurse #wedns but we team of community nurses support care when prescribing DN off, so range needed |
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@WeCommNurses
20 May 2015 20:45
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RT @shizc1: #wedns very true too busy doing a good job to blow our trumpets means others get the praise whle we work late to set up driver … |
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@davidpugh25
20 May 2015 20:45
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RT @rebecca_wright2: @shizc1 @WeDistrictNurse I think it's important that we work together sharing expertise with a patient focus #WeDNs |
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@KatMcACT
20 May 2015 20:45
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@WeCommNurses
20 May 2015 20:45
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RT @ShazzaHudson: @WeDistrictNurse @AgencyNurse YES. Keep talking. I am contacting all referrers to ask for DN involvement #weDNs |
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@PhilipRABall
20 May 2015 20:45
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Would @WeDistrictNurse #WeDNs welcome introduction visit to referred people in #hospice? Be included in mdt feedback? @wenurses |
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@ShazzaHudson
20 May 2015 20:46
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@Vickis_Kitchen @shizc1 @davidpugh25 @HeatherBain9 @rebecca_wright2 Pts have misconception of our role, related to advertising #WeDNs |
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@WeCommNurses
20 May 2015 20:46
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RT @PhilipRABall: Would @WeDistrictNurse #WeDNs welcome introduction visit to referred people in #hospice? Be included in mdt feedback? @we… |
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@PhilipRABall
20 May 2015 20:46
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@ShazzaHudson
20 May 2015 20:46
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@HeatherBain9
20 May 2015 20:46
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RT @PhilipRABall: Would @WeDistrictNurse #WeDNs welcome introduction visit to referred people in #hospice? Be included in mdt feedback? @we… |
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@Gray3Gray
20 May 2015 20:46
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@rebecca_wright2 @shizc1 @WeDistrictNurse specialist input not always required. DNs can call cns if required. DN is key worker #wedns |
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@ClaireCNWL
20 May 2015 20:46
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RT @WeDistrictNurse: Lots of discussion re family How do we discuss just in case meds with patients and relatives? #wedns |
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@HealthUKTD
20 May 2015 20:46
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RT @Vickis_Kitchen: @AgencyNurse we do need to share this we pride ourselves in our area on people dying where they want to be #WeDNs |
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@WeCommNurses
20 May 2015 20:46
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#wedns https://t.co/VQVgOKYk5X |
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@JillYGld
20 May 2015 20:46
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@HealthUKTD
20 May 2015 20:48
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RT @AgencyNurse: @Vickis_Kitchen YES you need to shout about it from the roof tops !!!!! #WeDNs are highly skilled in compassionate EOLC |
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@HeatherBain9
20 May 2015 20:48
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#WeDNs do all DNs feel they have the required education to manage just in case medications |
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@WeCommNurses
20 May 2015 20:49
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Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out now ? #wedns |
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@rebecca_wright2
20 May 2015 20:49
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RT @HeatherBain9: #WeDNs do all DNs feel they have the required education to manage just in case medications |
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@WeCommNurses
20 May 2015 20:49
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RT @HeatherBain9: #WeDNs do all DNs feel they have the required education to manage just in case medications |
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@CherylCassidy80
20 May 2015 20:49
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@WeDistrictNurse @mjosiris I think it comes down to building a relationship with the family and the pt, them knowing and trusting you #WeDNs |
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@JillYGld
20 May 2015 20:49
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“@turnip2k: ...often get thanks from families for the hard work of Marie Curie #wedns” True- and sometimes they've only had District nurses! |
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@HeatherBain9
20 May 2015 20:49
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RT @WeDistrictNurse: Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out … |
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@ADNEuk
20 May 2015 20:49
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RT @WeDistrictNurse: Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out … |
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@rgumscap
20 May 2015 20:49
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RT @WeDistrictNurse: Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out … |
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@WeCommNurses
20 May 2015 20:49
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Good question - do DNs feel prepared to manage just in case medisines ? #wedns https://t.co/KFhn9mqrYC |
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@shizc1
20 May 2015 20:49
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@rebecca_wright2 #wedns dn's and gp should take lead in community in truth we are last to know often not told when pt dies so we do visit |
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@AgencyNurse
20 May 2015 20:50
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RT @WeDistrictNurse: Good question - do DNs feel prepared to manage just in case medisines ? #wedns https://t.co/KFhn9mqrYC |
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@WeNurses
20 May 2015 20:50
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RT @WeDistrictNurse: Good question - do DNs feel prepared to manage just in case medisines ? #wedns https://t.co/KFhn9mqrYC |
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@JillYGld
20 May 2015 20:50
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“@Vickis_Kitchen: @shizc1 @davidpugh25 @ShazzaHudson @HeatherBain9 @rebecca_wright2 agree often pt think WE are Macmillan #WeDNs” Too true! |
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@davidpugh25
20 May 2015 20:50
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RT @WeDistrictNurse: Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out … |
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@ShazzaHudson
20 May 2015 20:50
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@Gray3Gray @rebecca_wright2 @shizc1 @WeDistrictNurse As a CNS of 10 years, this is the model that works #WeDNs |
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@StellaWelsh
20 May 2015 20:50
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@WeDistrictNurse sorry forgot my #WeDNs ?? |
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@Helenakelly73
20 May 2015 20:50
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@HeatherBain9 @WeDistrictNurse #wedns YES |
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@ShazzaHudson
20 May 2015 20:50
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RT @WeDistrictNurse: Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out … |
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@WeCommNurses
20 May 2015 20:50
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#wedns :D https://t.co/mYhfT6SkyO |
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@rebecca_wright2
20 May 2015 20:50
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@HeatherBain9 it's important to do joint visits with newly qualified band 5s or those new to community to help develop those skills #WeDNs |
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@heblau
20 May 2015 20:50
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@shizc1 @davidpugh25 @ShazzaHudson @HeatherBain9 @rebecca_wright2 joint visits are great, esp early, to clarify & support #teamwork #WeDNs |
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@WeCommNurses
20 May 2015 20:50
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#wedns > https://t.co/tgTxv2oVLp |
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@shizc1
20 May 2015 20:51
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@HeatherBain9 #wedns we have fantastic crib sheet on back of prescription chart explains recommended doses etc useful for drs and nurses |
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@NurseKindness
20 May 2015 20:51
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RT @WeDistrictNurse: 5 mins until tonights #WeDNs chat "Just incase medicines" |
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@VickiJNurse
20 May 2015 20:51
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@rebecca_wright2 @davidpugh25 @HeatherBain9 we have excellent palliative care study days I always send my Band 5 on #WeDNs |
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@WeCommNurses
20 May 2015 20:51
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#WeDNS https://t.co/gr5z9xgKPB |
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@WeCommNurses
20 May 2015 20:51
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Interesting point - is there any confusion ... and whose roe is it ? #wedns https://t.co/gr5z9xgKPB |
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@rebecca_wright2
20 May 2015 20:51
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@HeatherBain9 @WeDistrictNurse the need for growth and development for autonomy in such a specialised area of practice #WeDNs #familiarity |
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@heblau
20 May 2015 20:51
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@Gray3Gray @rebecca_wright2 @shizc1 @WeDistrictNurse agree agree agree! #weDNs |
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@WeCommNurses
20 May 2015 20:52
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RT @shizc1: @HeatherBain9 #wedns we have fantastic crib sheet on back of prescription chart explains recommended doses etc useful for drs a… |
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@HealthUKTD
20 May 2015 20:52
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RT @WeDistrictNurse: Good question - do DNs feel prepared to manage just in case medisines ? #wedns https://t.co/KFhn9mqrYC |
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@rebecca_wright2
20 May 2015 20:52
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@HeatherBain9 @WeDistrictNurse but yes! I feel I have had opportunities to develop knowledge and skills #WeDNs |
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@WeCommNurses
20 May 2015 20:52
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With 8 mins left - what is best practice re just in case medicines ? #toptips #wedns |
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@AgencyNurse
20 May 2015 20:52
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RT @WeDistrictNurse: With 8 mins left - what is best practice re just in case medicines ? #toptips #wedns |
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@WeNurses
20 May 2015 20:52
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RT @WeDistrictNurse: With 8 mins left - what is best practice re just in case medicines ? #toptips #wedns |
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@WeCommNurses
20 May 2015 20:53
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RT @heblau: @Gray3Gray @rebecca_wright2 @shizc1 @WeDistrictNurse agree agree agree! #weDNs |
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@WeCommNurses
20 May 2015 20:53
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RT @rebecca_wright2: @HeatherBain9 @WeDistrictNurse but yes! I feel I have had opportunities to develop knowledge and skills #WeDNs |
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@VerityTay
20 May 2015 20:53
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RT @WeDistrictNurse: Lots of chat re DNs role not being seen / recognised in EOLC ... so what do #WeDNs do in EOLC ... can we shout it out … |
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@WeCommNurses
20 May 2015 20:53
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#wedns https://t.co/ZpLeAImS2V |
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@Debbs3006
20 May 2015 20:53
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@HeatherBain9 @WeDistrictNurse #wedns! |
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@rebecca_wright2
20 May 2015 20:53
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RT @WeDistrictNurse: With 8 mins left - what is best practice re just in case medicines ? #toptips #wedns |
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@WeCommNurses
20 May 2015 20:53
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#wedns https://t.co/3sYjZVdU4d |
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@RuthDymock
20 May 2015 20:53
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#WeDNs and we haven't yet touched on involving carers giving breakthrough meds following risk assessment and with enormous support ! |
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@HeatherBain9
20 May 2015 20:53
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RT @WeDistrictNurse: With 8 mins left - what is best practice re just in case medicines ? #toptips #wedns |
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@StellaWelsh
20 May 2015 20:54
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@WeDistrictNurse #WeDNs we are 1st point of contact for families and can alleviate pts pain anxiety nausea and agitation . We also cry! |
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@WeCommNurses
20 May 2015 20:54
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really interesting points ... any quick tweets re this ? > #wedns https://t.co/dmFOWH4fbT |
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@HealthUKTD
20 May 2015 20:54
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RT @WeDistrictNurse: With 8 mins left - what is best practice re just in case medicines ? #toptips #wedns |
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@Missemmaapple
20 May 2015 20:54
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RT @Helenak58412632: @WeDistrictNurse #WeDNs through early intervention we can build trust and confidence making difficult conversations ea… |
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@WeCommNurses
20 May 2015 20:54
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RT @StellaWelsh: @WeDistrictNurse #WeDNs we are 1st point of contact for families and can alleviate pts pain anxiety nausea and agitation .… |
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@WeNurses
20 May 2015 20:54
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RT @StellaWelsh: @WeDistrictNurse #WeDNs we are 1st point of contact for families and can alleviate pts pain anxiety nausea and agitation .… |
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@AgencyNurse
20 May 2015 20:54
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RT @WeDistrictNurse: really interesting points ... any quick tweets re this ? > #wedns https://t.co/dmFOWH4fbT |
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@WeNurses
20 May 2015 20:54
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RT @WeDistrictNurse: really interesting points ... any quick tweets re this ? > #wedns https://t.co/dmFOWH4fbT |
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@shizc1
20 May 2015 20:55
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@AmandaJStephen1 #wedns whoever feels in their clinical judgement that they are needed if nurse may need to get gp to agree and prescribe |
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@Helenakelly73
20 May 2015 20:55
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@WeDistrictNurse #wedns best practice is early intervention, evidence based with patient and family central to decision making and choice |
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@WeCommNurses
20 May 2015 20:55
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#wedns https://t.co/dvC9lNc5jb |
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@HeatherBain9
20 May 2015 20:55
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@Debbs3006 @WeDistrictNurse #weDNs you can view transcript later. Do you have guidelines in your area for just in case medicines #EBP |
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@davidpugh25
20 May 2015 20:55
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RT @StellaWelsh: @WeDistrictNurse #WeDNs we are 1st point of contact for families and can alleviate pts pain anxiety nausea and agitation .… |
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@Gray3Gray
20 May 2015 20:55
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RT @Helenak58412632: @WeDistrictNurse #wedns best practice is early intervention, evidence based with patient and family central to decisio… |
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@WeCommNurses
20 May 2015 20:55
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RT @Helenak58412632: @WeDistrictNurse #wedns best practice is early intervention, evidence based with patient and family central to decisio… |
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@rebecca_wright2
20 May 2015 20:55
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@WeDistrictNurse oh yes how could I forget communication is key! #WeDNs |
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@WeCommNurses
20 May 2015 20:55
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RT @rebecca_wright2: @WeDistrictNurse oh yes how could I forget communication is key! #WeDNs |
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@JillYGld
20 May 2015 20:56
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RT @Helenak58412632: @WeDistrictNurse #wedns best practice is early intervention, evidence based with patient and family central to decisio… |
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@WeCYPnurses
20 May 2015 20:56
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@WeDistrictNurse we rely heaviliy on parents doing this for their child. Careful teaching and support given #WeDNs |
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@WeCommNurses
20 May 2015 20:56
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RT @HeatherBain9: @Debbs3006 @WeDistrictNurse #weDNs you can view transcript later. Do you have guidelines in your area for just in case me… |
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@ShazzaHudson
20 May 2015 20:56
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@RuthDymock So emotive. I always worry about bereavement impact of this #wedns |
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@JillYGld
20 May 2015 20:56
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RT @StellaWelsh: @WeDistrictNurse #WeDNs we are 1st point of contact for families and can alleviate pts pain anxiety nausea and agitation .… |
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@rebecca_wright2
20 May 2015 20:56
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RT @StellaWelsh: @WeDistrictNurse #WeDNs we are 1st point of contact for families and can alleviate pts pain anxiety nausea and agitation .… |
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@Debbs3006
20 May 2015 20:56
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@HeatherBain9 @WeDistrictNurse thanks yes we do #wedns |
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@RuthDymock
20 May 2015 20:56
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RT @WeDistrictNurse: #wedns https://t.co/dvC9lNc5jb |
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@JillYGld
20 May 2015 20:56
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RT @rebecca_wright2: @WeDistrictNurse oh yes how could I forget communication is key! #WeDNs |
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@HealthUKTD
20 May 2015 20:56
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RT @WeDistrictNurse: really interesting points ... any quick tweets re this ? > #wedns https://t.co/dmFOWH4fbT |
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@davidpugh25
20 May 2015 20:56
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RT @Helenak58412632: @WeDistrictNurse #wedns best practice is early intervention, evidence based with patient and family central to decisio… |
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@rebecca_wright2
20 May 2015 20:56
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@StellaWelsh @WeDistrictNurse we are only human #compassion it's good to cry too #WeDNs |
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@WeCommNurses
20 May 2015 20:56
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RT @WeCYPnurses: @WeDistrictNurse we rely heaviliy on parents doing this for their child. Careful teaching and support given #WeDNs |
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@davidpugh25
20 May 2015 20:56
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RT @rebecca_wright2: @WeDistrictNurse oh yes how could I forget communication is key! #WeDNs |
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@WeCommNurses
20 May 2015 20:57
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RT @ShazzaHudson: @RuthDymock So emotive. I always worry about bereavement impact of this #wedns |
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@Gemstaffnurse
20 May 2015 20:57
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RT @ShazzaHudson: @Helenak58412632 @shizc1 @WeDistrictNurse Keep working together, GSF helps, #WeDNs |
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@shizc1
20 May 2015 20:57
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@RuthDymock #wedns have taught family to give in patient with mnd or where pt expected to hemorrhage jic usually has buccal lorazepam |
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@WeCommNurses
20 May 2015 20:57
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RT @rebecca_wright2: @StellaWelsh @WeDistrictNurse we are only human #compassion it's good to cry too #WeDNs |
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@AgencyNurse
20 May 2015 20:57
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RT @rebecca_wright2: @StellaWelsh @WeDistrictNurse we are only human #compassion it's good to cry too #WeDNs |
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@bobjbrown
20 May 2015 20:57
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@WeDistrictNurse experience tells me that when good end of life care happens, very often it's a superb DN who is leading the way #WeDNs |
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@rebecca_wright2
20 May 2015 20:57
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RT @WeDistrictNurse: #wedns https://t.co/3sYjZVdU4d |
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@rebecca_wright2
20 May 2015 20:57
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RT @WeDistrictNurse: #wedns https://t.co/ZpLeAImS2V |
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@davidpugh25
20 May 2015 20:57
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RT @rebecca_wright2: @StellaWelsh @WeDistrictNurse we are only human #compassion it's good to cry too #WeDNs |
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@WeCommNurses
20 May 2015 20:57
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#wedns https://t.co/T4VmvhndZA |
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@JillAnneWill
20 May 2015 20:57
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RT @WeDistrictNurse: really interesting points ... any quick tweets re this ? > #wedns https://t.co/dmFOWH4fbT |
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@heblau
20 May 2015 20:57
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@RuthDymock think this may become increasingly common with support, telemedicine & sublingual preparations... #weDNs |
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@WeCommNurses
20 May 2015 20:57
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#wedns https://t.co/Vx2xELpi4l |
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@JillYGld
20 May 2015 20:58
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“@ShazzaHudson: @RuthDymock So emotive. I always worry about bereavement impact of this #wedns” Good point. |
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@WeCommNurses
20 May 2015 20:58
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@Debbs3006 @HeatherBain9 #wedns some shared earlier. Interesting #EBP |
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@PhilipRABall
20 May 2015 20:58
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Thanks @WeDistrictNurse #WeDNs for focused chat, interesting #learning for me, #thoughtprovoking good to know too you're there @wenurses |
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@WeCommNurses
20 May 2015 20:58
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#wedns https://t.co/iUK3tMobwr |
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@shizc1
20 May 2015 20:58
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@HeatherBain9 @Debbs3006 #wedns have guidelines and agreement with chemist who stock whats needed |
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@Gray3Gray
20 May 2015 20:58
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@WeDistrictNurse ensure dns get in early, support holistic care and plan ahead. Call cns if required partnership with gp. Inform oohs #wedns |
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@WeNurses
20 May 2015 20:58
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RT @PhilipRABall: Thanks @WeDistrictNurse #WeDNs for focused chat, interesting #learning for me, #thoughtprovoking good to know too you're … |
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@WeCommNurses
20 May 2015 20:58
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RT @PhilipRABall: Thanks @WeDistrictNurse #WeDNs for focused chat, interesting #learning for me, #thoughtprovoking good to know too you're … |
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@heblau
20 May 2015 20:58
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@RuthDymock can't replace the rest of holistic care, but might avoid long, anxiety-provoking waiting #WeDNs |
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@StellaWelsh
20 May 2015 20:58
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@WeDistrictNurse #WeDNs early discussion with pt. and family. Good communication with services inc GP. Safe effective person centred care |
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@ShazzaHudson
20 May 2015 20:58
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District Nurses, GP's and Palliative Care Teams together work for EoL care if we communicate and know and respect each other's roles #wedns |
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@blondieburnsuk
20 May 2015 20:58
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@RuthDymock #weDNs @WeDistrictNurse vital to involve carers, we feel helpless sometimes and promotes empowerment for all |
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@WeCommNurses
20 May 2015 20:58
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RT @heblau: @RuthDymock can't replace the rest of holistic care, but might avoid long, anxiety-provoking waiting #WeDNs |
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@davidpugh25
20 May 2015 20:58
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RT @PhilipRABall: Thanks @WeDistrictNurse #WeDNs for focused chat, interesting #learning for me, #thoughtprovoking good to know too you're … |
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@WeCommNurses
20 May 2015 20:59
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RT @blondieburnsuk: @RuthDymock #weDNs @WeDistrictNurse vital to involve carers, we feel helpless sometimes and promotes empowerment for all |
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@AgencyNurse
20 May 2015 20:59
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RT @blondieburnsuk: @RuthDymock #weDNs @WeDistrictNurse vital to involve carers, we feel helpless sometimes and promotes empowerment for all |
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@rebecca_wright2
20 May 2015 20:59
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RT @blondieburnsuk: @RuthDymock #weDNs @WeDistrictNurse vital to involve carers, we feel helpless sometimes and promotes empowerment for all |
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@Gemstaffnurse
20 May 2015 20:59
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RT @shizc1: #wedns jic meds there to treat symptoms to save waiting for dr and are available 24/7 give dn numbers helps to reassure pts and… |
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@rebecca_wright2
20 May 2015 20:59
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@ShazzaHudson @WeDistrictNurse totally agree ? #WeDNs |
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@heblau
20 May 2015 20:59
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@WeDistrictNurse don't leap to meds without thorough assessment, remember reversible causes of agitation #WeDNs |
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@WeCommNurses
20 May 2015 20:59
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Thank you all for a wonderful discussion this evening Lots of great info shared #wedns |
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@ShazzaHudson
20 May 2015 20:59
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@shizc1 @HeatherBain9 @Debbs3006 Yes, have local pharmacy networks to support this #WeDNs |
Stats
Total contributers:
56
Total tweets:
505
Total reach:
6,227,508
