#WeNurses - Thursday 28th May 2015 8pm (GMT Standard Time) Joining The Dots: Mental & Physical Health

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This chat is guest hosted by @IMPARTSP

Twitter Chat hosted by @IMPARTSP for @wenurses & supported by @Mental_Elf

@IMPARTSP is a @kingshealth initiative supported by @Mental_Elf, @MaudsleyLearn, @wenurses, @KingsIoPPN & @MaudsleyNHS


(The chaotic: Ruth Thorne-Thomsen, Dot Lady, 1983. From The Body: Photographs of the Human Form by William A. Ewing, 1994.)


Mrs J had schizophrenia. She also had diabetes. It was kidney failure from diabetes complications that killed her. 

Mr M had a debilitating arthritic condition & more pain than any person should have to bear. He became depressed & tried to take his own life.


We hear the stories of people like Mrs J & Mr M every day in our work in psychological medicine (mental health doctors, nurses & psychologists working in the acute hospital). In our field we’re very aware that mental disorders are common in patients with physical illnesses, and that comorbid mental illness impacts adversely on physical health outcomes . However despite the daily occurrence of these stories the evidence tells us that mental health & physical health issues are not thought about in a joined up way .

We have been doing some work in Kings Health Partners to address this issue of whole person care. This includes training staff in mental health skills on a course that is part of the IMPARTS project . This year on the course we discussed a paper by Elizabeth Reisinger Walker & colleagues which looked at mortality in mental disorders . One of their most shocking findings was that people with mental health conditions can lose 10 or more years of their lives compared to the average person in the population. This is sometimes referred to as the ‘stolen years’.

On the IMPARTS course we took a closer look at this paper using the Critical Appraisal Skills Programme (CASP) [v] to decide to what extent we could trust the findings & then to discuss its relevance to our everyday practice and to our patients.

We would love you to join us for a twitter chat to take this discussion further. See http://www.wecommunities.org/tweet-chats/chat-guide for guidance on how to get involved in a Twitter Chat. Be sure to save 28 May in your diary and log in by 8pm to join the discussion. As we are running this Twitter chat with @WeNurses, we will be using the #wenurses hashtag so remember to include this hashtag in all of your tweets.


Some of the questions we will look at include:

Does integrating physical & mental health issues matter?

How do health & care professionals do this in everyday practice?

How can evidence like the Reisinger Walker paper help us to do the best for our patients?


We’re looking forward to chatting with you soon.

Lia Ali (@LJ_Ali1), Roman Duncko, Jane Hutton and Anna Simpson


Improving ‘Whole Person Care’ – A report on mental health related services offered by King’s Health Partners’ acute trusts

Professor Matthew Hotopf, Lauren Rayner & Dr Koranvangattu Valsraj

http://www.kcl.ac.uk/ioppn/depts/pm/research/imparts/Quick-links/Mapping-Report.pdf

Moore S, Shiers D, Daly B, Mitchell AJ, Gaughran F. Promoting physical health for people with schizophrenia by reducing disparities in medical and dental care. Acta Psychiatr Scand 2015: 1–13 

http://www.kcl.ac.uk/ioppn/depts/pm/research/imparts/

Mortality in Mental Disorders
and Global Disease Burden Implications A Systematic Review and Meta-analysis Elizabeth Reisinger Walker, PhD, MPH, MAT; Robin E. McGee, MPH; Benjamin G. Druss, MD, MPH JAMA Psychiatry. 2015;72(4):334-341. doi:10.1001/jamapsychiatry.2014.2502.

http://www.healthknowledge.org.uk/interactive-learning/fae/overall-intro-to-critical-appraisal






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 #WeNurses transcript

 
@debscooper131
28 May 2015 20:00
Trying out tweetdeck for tonight's #WeNurses chat, it may fail spectacularly as I'm not that great at technology type stuff!
@IMPARTSP
28 May 2015 20:00
what does integrating mental & physical health mean to you? #WeNurses
@WeNurses
28 May 2015 20:01
Hello and welcome to tonights #WeNurses - please say Hi if you are joining us
@cfprofessionals
28 May 2015 20:01
RT @WeNurses: Hello and welcome to tonights #WeNurses - please say Hi if you are joining us
@FaceEquality
28 May 2015 20:01
RT @WeNurses: Hello and welcome to tonights #WeNurses - please say Hi if you are joining us
@cfprofessionals
28 May 2015 20:01
.@WeNurses We’re ready and waiting! #WeNurses
@sharon_boyle
28 May 2015 20:01
RT @WeNurses: If you want to use tonights #WeNurses as part of your CPD this may help > http://t.co/TRAmVnecYr http://t.co/YTknQRqGAP
@shizc1
28 May 2015 20:02
hi #WeNurses
@WePharmacists
28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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28 May 2015 20:02
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@WeDocs
28 May 2015 20:02
chatting RIGHT NOW @WePharmacists with @TheGPhC via #WePH @WeAHPs via #WeAHPs @WeNurses via #WeNurses Prechats here http://t.co/3I1FwAb2Si
@debscooper131
28 May 2015 20:02
@WeNurses #waves Hi, looking forward to tonight's discussion #WeNurses
@WeNurses
28 May 2015 20:02
Welcome @IMPARTSP - tonights subject is Mental & physical health and here is the 1st Question #WeNurses https://t.co/nJqewP1syh
@IMPARTSP
28 May 2015 20:02
@WeNurses Hi from @IMPARTSP team. Our 1st question is: what does integrating mental & physical health mean to you? #WeNurses
@AgencyNurse
28 May 2015 20:02
RT @LJ_Ali1: @IMPARTSP waiting to hear from you #WeNurses joining the dots: mental & physical health http://t.co/UKMwW0J14f
@WeNurses
28 May 2015 20:02
RT @LJ_Ali1: @IMPARTSP waiting to hear from you #WeNurses joining the dots: mental & physical health http://t.co/UKMwW0J14f
@cfprofessionals
28 May 2015 20:02
For us, it’s about ensuring that a patient’s psychosocial needs aren’t neglected at any stage of care. #WeNurses https://t.co/EUPAVqaWPQ
@HeatherHenry4
28 May 2015 20:02
Hello lurking #WeNurses but really bad at it
@Chris5anne
28 May 2015 20:03
@WeNurses Hi #WeNurses Ready for chat.
@WeNurses
28 May 2015 20:03
@debscooper131 oooh cool !!! #WeNurses
@shizc1
28 May 2015 20:03
holistic assessment and care planning to include physical and mental health #WeNurses @IMPARTSP
@AgencyNurse
28 May 2015 20:03
Hi Teresa here - eating birthday cake in Bristol #WeNurses
@CapacityforJoy
28 May 2015 20:03
RT @WeCYPnurses: chatting RIGHT NOW @WePharmacists with @TheGPhC via #WePH @WeAHPs via #WeAHPs @WeNurses via #WeNurses Prechats here http:/…
@WeNurses
28 May 2015 20:03
RT @IMPARTSP: @WeNurses Hi from @IMPARTSP team. Our 1st question is: what does integrating mental & physical health mean to you? #WeNurses
@AgencyNurse
28 May 2015 20:03
RT @IMPARTSP: @WeNurses Hi from @IMPARTSP team. Our 1st question is: what does integrating mental & physical health mean to you? #WeNurses
@HeatherHenry4
28 May 2015 20:04
RT @WeNurses: Welcome @IMPARTSP - tonights subject is Mental & physical health and here is the 1st Question #WeNurses https://t.co/nJqewP1…
@IMPARTSP
28 May 2015 20:04
RT @WeNurses: @debscooper131 oooh cool !!! #WeNurses
@Prof_Bess
28 May 2015 20:04
RT @WeNurses: Welcome @IMPARTSP - tonights subject is Mental & physical health and here is the 1st Question #WeNurses https://t.co/nJqewP1…
@cfprofessionals
28 May 2015 20:04
Our 'Look At Me' report highlighted failures in psychosocial care for patients with skin conditions. #WeNurses https://t.co/LIHfX2hxQ6
@WeNurses
28 May 2015 20:04
Please, please. PLEASE Don't forget to add #WeNurses to your tweets :) Those not following you (yet) will be able to see your tweets then :)
@debscooper131
28 May 2015 20:04
@IMPARTSP @WeNurses we aren't separate mind/body, I think we need to integrate services to make sure no factor of health is missed #WeNurses
@HealthUKTD
28 May 2015 20:04
RT @LJ_Ali1: @IMPARTSP waiting to hear from you #WeNurses joining the dots: mental & physical health http://t.co/UKMwW0J14f
@LorraineFacey
28 May 2015 20:04
RT @LJ_Ali1: @IMPARTSP waiting to hear from you #WeNurses joining the dots: mental & physical health http://t.co/UKMwW0J14f
@AgencyNurse
28 May 2015 20:04
RT @WeNurses: Please, please. PLEASE Don't forget to add #WeNurses to your tweets :) Those not following you (yet) will be able to see your…
@AgencyNurse
28 May 2015 20:04
@IMPARTSP to me it means considering the whole person and how mental & physical health are integral #WeNurses
@FaceEquality
28 May 2015 20:05
Make sure you're following @CFprofessionals right NOW for our contributions to the #WeNurses twitter chat on mental and physical health!
@WeNurses
28 May 2015 20:05
RT @cfprofessionals: For us, it’s about ensuring that a patient’s psychosocial needs aren’t neglected at any stage of care. #WeNurses http…
@AlresfordBear
28 May 2015 20:05
@WeNurses @HeatherHenry4 @IMPARTSP An industry for integration gurus. #wenurses
@IMPARTSP
28 May 2015 20:05
@shizc1 #wenurses absolutely agree. any specific conditions or examples you can give us
@WeNurses
28 May 2015 20:05
RT @shizc1: holistic assessment and care planning to include physical and mental health #WeNurses @IMPARTSP
@Bartontd
28 May 2015 20:05
Evening All - #davewave #swansea #wenurses
@IMPARTSP
28 May 2015 20:05
RT @shizc1: holistic assessment and care planning to include physical and mental health #WeNurses @IMPARTSP
@Chris5anne
28 May 2015 20:05
@IMPARTSP @WeNurses Speaking from patient perspective to me it means considering me as a whole person not clinical parts #WeNurses
@Lauren_OT
28 May 2015 20:05
@IMPARTSP @WeNurses seeing the person as a whole and acknowledging that physical and MH are interlinked #wenurses
@Bartontd
28 May 2015 20:06
RT @AgencyNurse: Hi Teresa here - eating birthday cake in Bristol #WeNurses
@Bartontd
28 May 2015 20:06
RT @shizc1: holistic assessment and care planning to include physical and mental health #WeNurses @IMPARTSP
@debscooper131
28 May 2015 20:06
We've been taught at uni about treating patients holistically (adult nursing) to see psycho-social aspects as well as physical #WeNurses
@Bartontd
28 May 2015 20:06
RT @WeNurses: Welcome @IMPARTSP - tonights subject is Mental & physical health and here is the 1st Question #WeNurses https://t.co/nJqewP1…
@paulhouston6833
28 May 2015 20:06
#WeNurses setting up REAL SUPPORT FOUNDATION by sept will keep you posted we need you and they need us
@cfprofessionals
28 May 2015 20:06
Our research found that only 11% of patients seeing their GP for a dermatology complaint were offered psychosocial care. #WeNurses
@WeNurses
28 May 2015 20:06
thanks for joining @LorraineFacey if you add #wenurses to your tweets everybody can see them, which is really important :)
@annedraya
28 May 2015 20:07
@WeNurses @IMPARTSP Getting rid of the artificial distinction between physical/mental health & treating each problem holistically #WeNurses
@Chris5anne
28 May 2015 20:07
RT @Lauren_OT: @IMPARTSP @WeNurses seeing the person as a whole and acknowledging that physical and MH are interlinked #wenurses
@AgencyNurse
28 May 2015 20:07
@debscooper131 the more i nurse the more i realise that all interconnected - mental health affects physical & vice versa #wenurses
@IMPARTSP
28 May 2015 20:07
@Chris5anne @WeNurses Great point, how can we as professionals see you as the whole person? #WeNurses
@WeNurses
28 May 2015 20:07
lovely to have you join #wenurses @Chris5anne thanks for being here!
@kingshealth
28 May 2015 20:07
RT @AgencyNurse: @IMPARTSP to me it means considering the whole person and how mental & physical health are integral #WeNurses
@kingshealth
28 May 2015 20:07
RT @IMPARTSP: @WeNurses Hi from @IMPARTSP team. Our 1st question is: what does integrating mental & physical health mean to you? #WeNurses
@AlresfordBear
28 May 2015 20:08
@shizc1 @Bartontd @IMPARTSP Doesnae really consider stigma. #wenurses
@JacquieRidge
28 May 2015 20:08
RT @WeNurses: 1 HOUR KLAXON Mental & Physical Health with @IMPARTSP #WeNurses 8pm http://t.co/1vLAv2Ex4o http://t.co/JVos8eYVft
@HeatherHenry4
28 May 2015 20:08
RT @AgencyNurse: @IMPARTSP to me it means considering the whole person and how mental & physical health are integral #WeNurses
@shizc1
28 May 2015 20:08
#IMPARTSP #wenurses everything we deal with can have mental/physical impact, leg ulcers affect body image, cause pain both can impact on mh
@WeNurses
28 May 2015 20:08
RT @IMPARTSP: @Chris5anne @WeNurses Great point, how can we as professionals see you as the whole person? #WeNurses
@Bartontd
28 May 2015 20:08
@WeNurses @IMPARTSP #Axiomatic that Physical Well-being & Mental Well-being are intimately related #wenurses
@NurChat
28 May 2015 20:08
RT @rararougemakeup: Tonight's lecture: forensic medicine in A&E. Should be fascinating! #Forensics #Nurchat #WeNurses
@AgencyNurse
28 May 2015 20:08
@annedraya @WeNurses @IMPARTSP interesting choice of words Andrea - I agree with you but have never thought of it that way #WeNurses
@HealthUKTD
28 May 2015 20:08
RT @shizc1: holistic assessment and care planning to include physical and mental health #WeNurses @IMPARTSP
@AlresfordBear
28 May 2015 20:08
@shizc1 @Bartontd @IMPARTSP The functionality isnt the problem (apart fae lack of knowledge). Its the lack of parity afforded. #wenurses
@Chris5anne
28 May 2015 20:08
@debscooper131 So why is it so hard to get the whole,picture instead of just concentrating on one element of health? #WeNurses
@IMPARTSP
28 May 2015 20:08
@annedraya @WeNurses great comment couldn't agree more so many people don't realise how artificial the distinction is #wenurses
@Bartontd
28 May 2015 20:08
RT @shizc1: #IMPARTSP #wenurses everything we deal with can have mental/physical impact, leg ulcers affect body image, cause pain both can …
@WeNurses
28 May 2015 20:08
RT @shizc1: #IMPARTSP #wenurses everything we deal with can have mental/physical impact, leg ulcers affect body image, cause pain both can …
@annedraya
28 May 2015 20:09
@debscooper131 @IMPARTSP @WeNurses it's just nonsense that health services continue to treat mind/body as separate entities #WeNurses
@HeatherHenry4
28 May 2015 20:09
@AgencyNurse yep agree. Also understanding the causal link both ways #WeNurses
@Bartontd
28 May 2015 20:09
RT @IMPARTSP: @Chris5anne @WeNurses Great point, how can we as professionals see you as the whole person? #WeNurses
@debscooper131
28 May 2015 20:09
@annedraya artificial is a great way of putting it, I think the separation of mind & body is 2 make things "easier" for statistics #WeNurses
@AgencyNurse
28 May 2015 20:09
@shizc1 absolutely and even something like pain can have a huge psychological impact #wenurses
@IMPARTSP
28 May 2015 20:09
@AlresfordBear @shizc1 @Bartontd can you tell us a bit more about that? #wenurses
@AgencyNurse
28 May 2015 20:10
@shizc1 not forgetting the other way round and how MH can lead to phsyical health difficulties #wenurses
@AgencyNurse
28 May 2015 20:10
RT @Bartontd: @WeNurses @IMPARTSP #Axiomatic that Physical Well-being & Mental Well-being are intimately related #wenurses
@WeNurses
28 May 2015 20:10
RT @Bartontd: @WeNurses @IMPARTSP #Axiomatic that Physical Well-being & Mental Well-being are intimately related #wenurses
@cfprofessionals
28 May 2015 20:10
The National Standards For Burn Care are a great example of a holistic approach to combined mental / physical health #WeNurses
@Bartontd
28 May 2015 20:10
@IMPARTSP @Chris5anne @WeNurses Empathy, Compassion, Skill, Knowledge, Communication #nursing #wenurses
@Crowley2j
28 May 2015 20:10
@shizc1 @IMPARTSP #WeNurses in order to holistically assess and care plan, values and skills are required which are inclusive of phy & MH
@HealthUKTD
28 May 2015 20:10
RT @IMPARTSP: @WeNurses Hi from @IMPARTSP team. Our 1st question is: what does integrating mental & physical health mean to you? #WeNurses
@HealthUKTD
28 May 2015 20:10
RT @shizc1: #IMPARTSP #wenurses everything we deal with can have mental/physical impact, leg ulcers affect body image, cause pain both can …
@Chris5anne
28 May 2015 20:10
@debscooper131 @annedraya Just because something can easily be counted doesn't mean it's the right data to collect? #WeNurses
@WeNurses
28 May 2015 20:11
Good question - what do people think ? #WeNurses https://t.co/r1PkzOPptn
@Debspinkterror
28 May 2015 20:11
@IMPARTSP #WeNurses small example,nurse who came to take my dads B/P disregarded 20 'In Sympathy' cards & me saying his wife had died.B/P ok
@debscooper131
28 May 2015 20:11
@AgencyNurse @shizc1 definitely important to remember that, either side effects of meds or the MH condition can have huge impact #WeNurses
@AgencyNurse
28 May 2015 20:11
Absolutely agree #Wenurses https://t.co/kwyQSwE0yW
@debscooper131
28 May 2015 20:12
@Chris5anne @annedraya yes! I agree, but statisticians who don't have clinical experience might not appreciate the important link #WeNurses
@Chris5anne
28 May 2015 20:12
@IMPARTSP @WeNurses Ask pertinent questions & listen to what patient tells you-coaching style rather than directive maybe? #WeNurses
@IMPARTSP
28 May 2015 20:12
@debscooper131 @WeNurses It's great to hear this is being included on education at this level! #WeNurses
@AgencyNurse
28 May 2015 20:12
@debscooper131 @shizc1 yes infact back along we held a discussion re constipation and the effect of meds and further effect on MH #WeNurses
@cfprofessionals
28 May 2015 20:12
. @AgencyNurse @shizc1 Absolutely. Lots of evidence that #Psoriasis can be exacerbated if patient distressed and anxious #WeNurses
@annedraya
28 May 2015 20:12
@debscooper131 roots in medicine- psychiatry & neurology separated which just reflects that we know hardly anything abt the brain #WeNurses
@AgencyNurse
28 May 2015 20:13
RT @Debspinkterror: @IMPARTSP #WeNurses small example,nurse who came to take my dads B/P disregarded 20 'In Sympathy' cards & me saying his…
@WeNurses
28 May 2015 20:13
RT @Bartontd: @IMPARTSP @Chris5anne @WeNurses Empathy, Compassion, Skill, Knowledge, Communication #nursing #wenurses
@Lauren_OT
28 May 2015 20:13
@Chris5anne @debscooper131 think because of service demands, resources, time, expertise.. Maybe that nurses specialise #WeNurses
@IMPARTSP
28 May 2015 20:13
@Crowley2j @shizc1 really great point- so how can health & care professionals do this every day practice? #wenurses
@shizc1
28 May 2015 20:13
@Chris5anne @debscooper131 #wenurses maybe down to time constraints causng nurses tobe task focused lack of assessment skills missing q's
@Chris5anne
28 May 2015 20:13
@Debspinkterror @IMPARTSP Typical, but very sad example in my personal experience #WeNurses- focus too tunnel vision.
@WeNurses
28 May 2015 20:13
RT @Lauren_OT: @IMPARTSP @WeNurses seeing the person as a whole and acknowledging that physical and MH are interlinked #wenurses
@Chris5anne
28 May 2015 20:13
RT @Debspinkterror: @IMPARTSP #WeNurses small example,nurse who came to take my dads B/P disregarded 20 'In Sympathy' cards & me saying his…
@cfprofessionals
28 May 2015 20:13
We’re also concerned around lack of focus on stigma - can have debilitating mental health effects. #WeNurses
@AgencyNurse
28 May 2015 20:14
@Debspinkterror @IMPARTSP gosh thats very sad indeed - so important to ask "how are you?" simple but effective #Wenurses
@youngblood263
28 May 2015 20:14
RT @Bartontd: @IMPARTSP @Chris5anne @WeNurses Empathy, Compassion, Skill, Knowledge, Communication #nursing #wenurses
@Chris5anne
28 May 2015 20:14
RT @shizc1: #IMPARTSP #wenurses everything we deal with can have mental/physical impact, leg ulcers affect body image, cause pain both can …
@Chris5anne
28 May 2015 20:14
RT @Bartontd: @WeNurses @IMPARTSP #Axiomatic that Physical Well-being & Mental Well-being are intimately related #wenurses
@IMPARTSP
28 May 2015 20:14
@cfprofessionals #wenurses great to hear it. Can you share a link?
@annedraya
28 May 2015 20:14
@IMPARTSP @debscooper131 @WeNurses we are definitely taught from a holistic care standpoint but then get very little MH theory #WeNurses
@benhannigan
28 May 2015 20:14
Need gd care coordination in the community to make sure physical and mental health needs are equally met: services are fragmented #WeNurses
@WeNurses
28 May 2015 20:14
RT @Crowley2j: @shizc1 @IMPARTSP #WeNurses in order to holistically assess and care plan, values and skills are required which are inclusiv…
@WeNurses
28 May 2015 20:14
Hi @LorraineFacey if you add #wenurses to your tweets we can all see them and share views and ideas with you :)
@cfprofessionals
28 May 2015 20:14
All staff need to be given appropriate training on psychological impacts of treatments and conditions. We deliver this nationally. #WeNurses
@AlresfordBear
28 May 2015 20:14
@benhannigan Or non existent for many. #wenurses
@debscooper131
28 May 2015 20:15
@Lauren_OT @Chris5anne specialisation is good but I don't think adult RNs should ignore MH impact on overall health & vice versa #WeNurses
@AlresfordBear
28 May 2015 20:15
@benhannigan A values game. #wenurses And a geographical one.
@TLCPCP
28 May 2015 20:15
#wenurses patients with long term health conditions thinking about their #lifestory #palliativecare #oncology https://t.co/wAKhCOHubM
@cfprofessionals
28 May 2015 20:15
. @IMPARTSP Here’s a link (PDF): http://t.co/trOsploK5g #WeNurses
@Bartontd
28 May 2015 20:15
RT @IMPARTSP: @Crowley2j @shizc1 really great point- so how can health & care professionals do this every day practice? #wenurses
@AgencyNurse
28 May 2015 20:15
@cfprofessionals @shizc1 yes and the flare up can cause further distress #viciouscircle #wenurses
@cfprofessionals
28 May 2015 20:15
RT @AgencyNurse: @cfprofessionals @shizc1 yes and the flare up can cause further distress #viciouscircle #wenurses
@janewells99
28 May 2015 20:15
RT @Crowley2j: @shizc1 @IMPARTSP #WeNurses in order to holistically assess and care plan, values and skills are required which are inclusiv…
@debscooper131
28 May 2015 20:16
@annedraya @IMPARTSP @WeNurses same here, it's a start & v important but room for improvement, just how to do it?! #WeNurses
@Chris5anne
28 May 2015 20:16
@IMPARTSP @annedraya @WeNurses Definitely looks artificial as patient-but learn as patient to only describe one symptom/speciality #WeNurses
@benhannigan
28 May 2015 20:16
@AlresfordBear And a feature of the health and social care system #wenurses
@Lauren_OT
28 May 2015 20:17
@debscooper131 @Chris5anne I don't think they should ignore but as I said in the 1st part, they may be factors which influence #Wenurses
@AgencyNurse
28 May 2015 20:17
@annedraya @IMPARTSP @debscooper131 it was the same when i trained - very little MH, have learnt lots along the way #WeNurses
@cfprofessionals
28 May 2015 20:17
Our training includes assessment of patient needs and how to deal sensitively and appropriately. https://t.co/oRmZdV1LES #WeNurses
@IMPARTSP
28 May 2015 20:17
on r course we find staff already know 2 ask these qs but don't have time to ask or framework to use #wenurses https://t.co/UdqhdWCsVD
@Chris5anne
28 May 2015 20:17
RT @Crowley2j: @shizc1 @IMPARTSP #WeNurses in order to holistically assess and care plan, values and skills are required which are inclusiv…
@Bartontd
28 May 2015 20:17
@WeNurses Medical Model - a focus on pathophysiology, differential diagnosis, rather than on the whole person #wenurses
@debscooper131
28 May 2015 20:18
@Lauren_OT @Chris5anne yeah, I understand that too. You often don't have time for it on a bust ward, but we can't ignore MH issues #WeNurses
@AgencyNurse
28 May 2015 20:18
@annedraya @IMPARTSP @debscooper131 think i have learnt lots by just "listening" to people like @Sectioned_ on here too #wenurses
@Ruthiemccarroll
28 May 2015 20:18
@debscooper131 @IMPARTSP @WeNurses @Bartontd at transition services fight over appropriate team why can't they see whole person #wenurses
@Bartontd
28 May 2015 20:18
RT @WeNurses: Good question - what do people think ? #WeNurses https://t.co/r1PkzOPptn
@WeNurses
28 May 2015 20:18
RT @Bartontd: @WeNurses Medical Model - a focus on pathophysiology, differential diagnosis, rather than on the whole person #wenurses
@IMPARTSP
28 May 2015 20:18
@annedraya @WeNurses @debscooper131 Do you have any opportunities to feed that back? #WeNurses
@AlresfordBear
28 May 2015 20:18
@benhannigan Indeed and a lack of trust of individual story and narrative with the user as the guide to their life course. #wenurses
@cfprofessionals
28 May 2015 20:18
@AgencyNurse @shizc1 Absolutely. And a further cost for the NHS. GPs can reduce this cost by offering psych. support early. #WeNurses
@AgencyNurse
28 May 2015 20:18
@annedraya @IMPARTSP @debscooper131 also being around fab MH nurses like @MrsGracePoole and @VanessaLGarrity on here helps #wenurses
@Bartontd
28 May 2015 20:18
RT @cfprofessionals: We’re also concerned around lack of focus on stigma - can have debilitating mental health effects. #WeNurses
@annedraya
28 May 2015 20:18
@Chris5anne @debscooper131 think many nurses don't feel confident in their 'outside field' knowledge- not given right training? #WeNurses
@AlresfordBear
28 May 2015 20:19
@benhannigan Had some right bags of sports balls, physical health wise. :) #wenurses
@HeatherHenry4
28 May 2015 20:19
RT @WeNurses: @debscooper131 @IMPARTSP it’s just nonsense that health services continue to treat mind/body as separate entities #WeNurses
@Chris5anne
28 May 2015 20:19
@Crowley2j @shizc1 @IMPARTSP Listening & questioning in coaching style can elicit whole picture if done well #WeNurses
@debscooper131
28 May 2015 20:19
@AgencyNurse @annedraya @IMPARTSP @MrsGracePoole @VanessaLGarrity I love twtter for being a great learning resource like this #WeNurses
@WeNurses
28 May 2015 20:19
RT @IMPARTSP: on r course we find staff already know 2 ask these qs but don't have time to ask or framework to use #wenurses https://t.co/U…
@JanetDurrans
28 May 2015 20:19
RT @Crowley2j: @shizc1 @IMPARTSP #WeNurses in order to holistically assess and care plan, values and skills are required which are inclusiv…
@shizc1
28 May 2015 20:19
RT @Chris5anne: @Crowley2j @shizc1 @IMPARTSP Listening & questioning in coaching style can elicit whole picture if done well #WeNurses
@cfprofessionals
28 May 2015 20:19
Really encouraging to see focus on MH aspects at a policy level. It’s taking too long to embed in practice. though. #WeNurses
@benhannigan
28 May 2015 20:19
@AlresfordBear Have to listen to, and trust, the person at the centre! #WeNurses
@annedraya
28 May 2015 20:19
@IMPARTSP @WeNurses @debscooper131 oh yes. Uni have heard from me lots! I get told no more room in curriculum #WeNurses
@cfprofessionals
28 May 2015 20:20
RT @benhannigan: @AlresfordBear Have to listen to, and trust, the person at the centre! #WeNurses
@IMPARTSP
28 May 2015 20:20
@Debspinkterror #wenurses we're so sorry to hear that
@HeatherHenry4
28 May 2015 20:20
@AgencyNurse @Debspinkterror @IMPARTSP A sign of a nurse close to burnout? #WeNurses
@AgencyNurse
28 May 2015 20:20
#WeNurses I guess theres only time for so much in 3 years of training https://t.co/9ls7buz0O0
@cfprofessionals
28 May 2015 20:20
We often hear from health professionals who know to ask the right questions, but often don’t have the time to be able to deal. #WeNurses
@IMPARTSP
28 May 2015 20:21
@WeNurses @debscooper131 #wenurses anyone got some evidence for @annedraya to use to persuade uni
@WeNurses
28 May 2015 20:21
RT @IMPARTSP: @WeNurses @debscooper131 #wenurses anyone got some evidence for @annedraya to use to persuade uni
@AgencyNurse
28 May 2015 20:21
RT @IMPARTSP: @WeNurses @debscooper131 #wenurses anyone got some evidence for @annedraya to use to persuade uni
@Lauren_OT
28 May 2015 20:21
@debscooper131 @Chris5anne I'm not advocating ignorance at all. I work in elderly MH and look at pt's phys health. I'm an OT tho! #WeNurses
@Chris5anne
28 May 2015 20:21
@debscooper131 @Lauren_OT Or vice versa as have LTCs both physical & mental sometimes forget the physical impact on me #WeNurses
@cfprofessionals
28 May 2015 20:21
It’s essential that we get buy in from commissioners and service managers to MH services #WeNurses
@debscooper131
28 May 2015 20:21
@AgencyNurse maybe there's a need to include out of field awareness/training in preceptorship programes? #WeNurses
@AgencyNurse
28 May 2015 20:22
@HeatherHenry4 @Debspinkterror @IMPARTSP it could be - perhaps a nurse with "lots to do" #NoTime :( #wenurses
@Lauren_OT
28 May 2015 20:22
@Chris5anne @debscooper131 yep lots of MH problems come with physical symptoms and difficulties too!#wenurses
@PinkRibbon411
28 May 2015 20:22
Breast cancer 'alters bone to help it spread' http://t.co/cB9CncCUkr #WeNurses #breastcancer #CureCancer
@IMPARTSP
28 May 2015 20:22
@AlresfordBear @benhannigan #wenurses stories are so important
@Lauren_OT
28 May 2015 20:23
@annedraya @Chris5anne @debscooper131 this is what I meant by expertise and nurses specialising #WeNurses
@cfprofessionals
28 May 2015 20:23
An injury or condition that leads to a changed appearance often have huge MH impact. Our Practitioners work across country. #WeNurses
@benhannigan
28 May 2015 20:23
@cfprofessionals I agree mental health much more prominent now in policy. #WeNurses
@AlresfordBear
28 May 2015 20:23
@benhannigan But we dont because it might mean awkward deconstructions. #wenurses
@Chris5anne
28 May 2015 20:23
@annedraya @debscooper131 Or maybe not trained to respond or afraid to due to perceived professional constraints? #WeNurses
@AlresfordBear
28 May 2015 20:23
@benhannigan And a complexity that causes a pluralistic social faux pas. #wenurses
@mary_titchener
28 May 2015 20:23
@IMPARTSP @Chris5anne @WeNurses Need to understand limits of experience: physical & MH colleagues working together with patients #WeNurses
@AgencyNurse
28 May 2015 20:23
@annedraya @IMPARTSP @WeNurses @debscooper131 i can see that is an issue as only so much time .. so whats the solution here ? #wenurses
@AlresfordBear
28 May 2015 20:24
@IMPARTSP @benhannigan Not if they arent heard. Then no one gives a toss. #wenurses
@AgencyNurse
28 May 2015 20:24
@annedraya @IMPARTSP @WeNurses @debscooper131 .. perhaps the uni could point students towards extra learning ? #wenurses
@AlresfordBear
28 May 2015 20:24
@IMPARTSP @benhannigan Some tug the harp more than others. #wenurses
@Bartontd
28 May 2015 20:24
RT @AgencyNurse: #WeNurses I guess theres only time for so much in 3 years of training https://t.co/9ls7buz0O0
@annedraya
28 May 2015 20:24
@debscooper131 @AgencyNurse all adult staff nurses at the VERY LEAST should do mental health first aid training #WeNurses @MHFAEngland
@cfprofessionals
28 May 2015 20:24
MH must be included in care plan - its absence will mean no resource or time allocated to it. #WeNurses
@IMPARTSP
28 May 2015 20:24
@HeatherHenry4 @AgencyNurse @Debspinkterror #WeNurses we need to find ways to take care of ourselves too
@WeNurses
28 May 2015 20:25
RT @cfprofessionals: MH must be included in care plan - its absence will mean no resource or time allocated to it. #WeNurses
@AgencyNurse
28 May 2015 20:25
RT @cfprofessionals: MH must be included in care plan - its absence will mean no resource or time allocated to it. #WeNurses
@IMPARTSP
28 May 2015 20:25
RT @shizc1: #IMPARTSP #wenurses everything we deal with can have mental/physical impact, leg ulcers affect body image, cause pain both can …
@Debspinkterror
28 May 2015 20:25
@IMPARTSP I was ashamed on behalf of all nurses - surely we should be teaching them the basics ?#WeNurses
@AgencyNurse
28 May 2015 20:25
This sounds like a nice idea to me #wenurses > https://t.co/dklZVBURRn
@IMPARTSP
28 May 2015 20:25
@annedraya #wenurses what criteria is used to choose topics? mental illness can steal 20+ years of life>should merit top place curriculum
@WeNurses
28 May 2015 20:26
What do others think ? > #wenurses https://t.co/SnndHUd4Uf
@annedraya
28 May 2015 20:26
@AgencyNurse @IMPARTSP @debscooper131 it needs to be part of regular curriculum- the students who need it most won't do extra #WeNurses
@Chris5anne
28 May 2015 20:26
@AgencyNurse @annedraya @IMPARTSP @debscooper131 Can recommend Mental Health First Aid course as starter for ten in any training #WeNurses
@AgencyNurse
28 May 2015 20:26
@annedraya @IMPARTSP @debscooper131 yes you have a point there #wenurses .... so what is the solution ... does something else get dropped ?
@SKasaven
28 May 2015 20:27
@mary_titchener @WeNurses @IMPARTSP @Chris5anne #WeNurses absolutely..we in MH hospital have rgns wkg alongside our rmns from next week
@mary_titchener
28 May 2015 20:27
@AgencyNurse @annedraya @IMPARTSP @WeNurses @debscooper131 Complexity of both physical & MH req collaborative working as the norm #WeNurses
@WeNurses
28 May 2015 20:27
Good question #wenurses https://t.co/1AcX1jodcs
@mary_titchener
28 May 2015 20:27
RT @SKasaven: @mary_titchener @WeNurses @IMPARTSP @Chris5anne #WeNurses absolutely..we in MH hospital have rgns wkg alongside our rmns from…
@debscooper131
28 May 2015 20:27
@AgencyNurse @annedraya @IMPARTSP it's a fine balancing act getting everything right & I'm not sure there is an easy solution #WeNurses
@IMPARTSP
28 May 2015 20:27
@annedraya • Mortality in Mental Disorders°and Global Disease Burden Implications, Walker et al http://t.co/bCTmI2U2k2 #wenurses #ebp
@Debspinkterror
28 May 2015 20:28
@IMPARTSP Get Nurse Managers out from computers so they can be good role models for new nurses,encompass all in conversations #WeNurses
@annedraya
28 May 2015 20:28
@Chris5anne @AgencyNurse @IMPARTSP @debscooper131 I did MHFA training in my own time last year- it is excellent. #WeNurses
@Bartontd
28 May 2015 20:28
@MargoG11 @AgencyNurse @annedraya @IMPARTSP @debscooper131 ANP Spec Practice Skills needs to come from your Clinical Mentorship #wenurses
@Lauren_OT
28 May 2015 20:28
@Chris5anne @annedraya @debscooper131 could ask the questions but then not know what to do with the answers #wenurses
@Gulzar035
28 May 2015 20:28
RT @Lauren_OT: @IMPARTSP @WeNurses seeing the person as a whole and acknowledging that physical and MH are interlinked #wenurses
@Chris5anne
28 May 2015 20:28
RT @Debspinkterror: @IMPARTSP I was ashamed on behalf of all nurses - surely we should be teaching them the basics ?#WeNurses
@cfprofessionals
28 May 2015 20:28
We need a model care pathway with MH/psychosocial care mapped in throughout #WeNurses
@HealthUKTD
28 May 2015 20:28
RT @cfprofessionals: MH must be included in care plan - its absence will mean no resource or time allocated to it. #WeNurses
@Chris5anne
28 May 2015 20:28
RT @debscooper131: @AgencyNurse maybe there's a need to include out of field awareness/training in preceptorship programes? #WeNurses
@debscooper131
28 May 2015 20:28
@annedraya @Chris5anne @AgencyNurse @IMPARTSP it's on my to do list! Prior experience has helped me through so far #WeNurses
@Chris5anne
28 May 2015 20:28
RT @annedraya: @debscooper131 @AgencyNurse all adult staff nurses at the VERY LEAST should do mental health first aid training #WeNurses @M…
@WeNurses
28 May 2015 20:29
What do people think ? #wenurses https://t.co/6ZAneVKgVf
@annedraya
28 May 2015 20:29
@IMPARTSP I very much agree. But in adult nurse training, mental health is very much seen as an add on #WeNurses
@WeNurses
28 May 2015 20:29
RT @annedraya: @IMPARTSP I very much agree. But in adult nurse training, mental health is very much seen as an add on #WeNurses
@Ruthiemccarroll
28 May 2015 20:29
@Chris5anne @annedraya @debscooper131 is it easier in community setting where we are looking at whole pic ? #wenurses
@debscooper131
28 May 2015 20:29
@Lauren_OT @Chris5anne @annedraya I do think that's an issue, don't want to ask re:MH as unsure how to then do anything to help #WeNurses
@shizc1
28 May 2015 20:29
@mary_titchener @AgencyNurse @annedraya @IMPARTSP #WeNurses @debscooper131 effective communication and assessment skills
@Chris5anne
28 May 2015 20:30
@annedraya @debscooper131 @AgencyNurse @MHFAEngland Think should be mandatory for all health professionals, support & admin staff #WeNurses
@WeNurses
28 May 2015 20:30
So how can we think about mental a physical health in a joined up way ? How do we achieve this ? #wenurses
@cfprofessionals
28 May 2015 20:30
We should shout about and celebrate good practice at conferences and events. We can be too shy to celebrate what works! #WeNurses
@WeNurses
28 May 2015 20:30
OOOHH @TatianaNLN @GeriSoc @nsna @UCLANursing @ananurses bit busy running #WeNurses right now :) hope you enjoy #ACESXPRESS over there
@IMPARTSP
28 May 2015 20:30
What kind of integrated training would people like to see offered? #WeNurses
@Chris5anne
28 May 2015 20:31
RT @IMPARTSP: @annedraya #wenurses what criteria is used to choose topics? mental illness can steal 20+ years of life>should merit top plac…
@AgencyNurse
28 May 2015 20:31
RT @IMPARTSP: What kind of integrated training would people like to see offered? #WeNurses
@WeNurses
28 May 2015 20:31
RT @IMPARTSP: What kind of integrated training would people like to see offered? #WeNurses
@cfprofessionals
28 May 2015 20:31
By embedding it from the very start, in every service at every level. #WeNurses https://t.co/zTg2YUgX4s
@maxneill
28 May 2015 20:31
RT @TLCPCP: #wenurses patients with long term health conditions thinking about their #lifestory #palliativecare #oncology https://t.co/wAKh…
@IMPARTSP
28 May 2015 20:31
#wenurses that's what we find on the imparts course. always think this is related to the compassion agenda too https://t.co/jn0iRF7t4w
@annedraya
28 May 2015 20:31
@WeNurses @cfprofessionals think this is a good idea- holistic care should get pride of place in any care pathway/guideline #Wenurses
@mary_titchener
28 May 2015 20:32
@Lauren_OT @Chris5anne @annedraya @debscooper131 Pathways of care with signposting 4 staff could b designed btwn phys & MH teams #WeNurses
@Debspinkterror
28 May 2015 20:32
@HeatherHenry4 @AgencyNurse @IMPARTSP Not burnout - complete task orientation in that case, and ? 'I don't know what to say'#WeNurses
@cherylwilson2
28 May 2015 20:32
RT @WeNurses: So how can we think about mental a physical health in a joined up way ? How do we achieve this ? #wenurses
@AgencyNurse
28 May 2015 20:32
@IMPARTSP yes indeed - i think experience and confidence also has lots to do with both #wenurses
@IMPARTSP
28 May 2015 20:32
RT @cfprofessionals: By embedding it from the very start, in every service at every level. #WeNurses https://t.co/zTg2YUgX4s
@annedraya
28 May 2015 20:32
Also let's not forget physical health care in mental health nursing is very often lacking to say the least, works both ways #WeNurses
@blondieburnsuk
28 May 2015 20:33
@IMPARTSP @AgencyNurse case studies are a great approach more person centred that just theory #wenurses
@cfprofessionals
28 May 2015 20:33
We once developed a care model with @DHgovuk on skin lesions, with MH assessment central to care plan, and ongoing assessments. #WeNurses
@shizc1
28 May 2015 20:33
holistic assessments to encompass both, a knowledge of who to refer onto if we uncover a problem we are not able to deal with #WeNurses
@IMPARTSP
28 May 2015 20:33
@SKasaven @mary_titchener @WeNurses @Chris5anne Sounds like a great development! Would be interesting to hear more as it happens #WeNurses
@Chris5anne
28 May 2015 20:33
@WeNurses Check out both whatever the obvious presentation? #WeNurses
@janewells99
28 May 2015 20:33
@PrisonHealth primary care prison nursing is great opportunity to learn about integrated whole person care skills - very rewarding #WeNurses
@Lauren_OT
28 May 2015 20:33
@mary_titchener @Chris5anne @annedraya @debscooper131 sounds great idea I work in CMHT, we have pathways easy-ish as links with GP #WeNurses
@AgencyNurse
28 May 2015 20:33
@Debspinkterror @HeatherHenry4 @IMPARTSP oh dear ! Did you feedback ? #WeNurses
@WeNurses
28 May 2015 20:33
RT @blondieburnsuk: @IMPARTSP @AgencyNurse case studies are a great approach more person centred that just theory #wenurses
@AgencyNurse
28 May 2015 20:33
RT @blondieburnsuk: @IMPARTSP @AgencyNurse case studies are a great approach more person centred that just theory #wenurses
@mary_titchener
28 May 2015 20:33
@shizc1 @AgencyNurse @annedraya @IMPARTSP @debscooper131 Imperative that assessments ask right questions around both phys & MH #WeNurses
@MacdonaldJkeith
28 May 2015 20:33
RT @Lauren_OT: @IMPARTSP @WeNurses seeing the person as a whole and acknowledging that physical and MH are interlinked #wenurses
@Liztaylor501
28 May 2015 20:33
@IMPARTSP @AgencyNurse #wenurses public health model useful as holistic approach with patient in centre as individual, family and community
@Prof_Bess
28 May 2015 20:34
@IMPARTSP @annedraya I’m keen that we understand how create mental wellbeing equally with recog & treatment of illness #WeNurses
@sharp_pam
28 May 2015 20:34
briefly popping into the chat #WeNurses I hink The student branches learning together is good for #holism they share experiences
@IMPARTSP
28 May 2015 20:34
RT @Liztaylor501: @IMPARTSP @AgencyNurse #wenurses public health model useful as holistic approach with patient in centre as individual, fa…
@HealthUKTD
28 May 2015 20:34
RT @IMPARTSP: What kind of integrated training would people like to see offered? #WeNurses
@Lauren_OT
28 May 2015 20:34
@mary_titchener @Chris5anne @annedraya @debscooper131 as an OT we look at occupation, phys, MH, environment and social in our ax #WeNurses
@WeNurses
28 May 2015 20:34
RT @sharp_pam: briefly popping into the chat #WeNurses I hink The student branches learning together is good for #holism they share experi…
@annedraya
28 May 2015 20:34
.@Debspinkterror @HeatherHenry4 @AgencyNurse @IMPARTSP Why become a nurse if you're not prepared to engage with peoples' emotions? #WeNurses
@cherylwilson2
28 May 2015 20:35
@annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@shizc1
28 May 2015 20:35
#WeNurses better training and sharing of knowledge between disciplines intergrated teams
@cfprofessionals
28 May 2015 20:35
.@annedraya But is it a lack of want, or a lack of time/resource? #WeNurses https://t.co/T04Xw6wt3W
@debscooper131
28 May 2015 20:35
@shizc1 I think knowing who to refer to is key, if nurses feel they are supported in exploring pts MH problems they'll do more #WeNurses
@mary_titchener
28 May 2015 20:36
@Lauren_OT @Chris5anne @annedraya @debscooper131 Unfortunately not always equal weight put on this in nursing assessment docs #WeNurses
@WeNurses
28 May 2015 20:36
. @annedraya the fab @WeMHNurses have a discussion coming up about this very soon #wenurses http://t.co/X6gtknmFrU http://t.co/KmtkOOpA9G
@Chris5anne
28 May 2015 20:36
@annedraya @WeNurses @cfprofessionals No new pathways needed just an overall, holistic view for everyone-whatever pathway #WeNurses
@cfprofessionals
28 May 2015 20:36
Mental health needs should be factored in at every stage of pathway e.g. diagnosis, giving consent, preparing for discharge #WeNurses
@WeNurses
28 May 2015 20:36
RT @Liztaylor501: @IMPARTSP @AgencyNurse #wenurses public health model useful as holistic approach with patient in centre as individual, fa…
@annedraya
28 May 2015 20:36
@cherylwilson2 that sounds fabulous! #WeNurses
@WeNurses
28 May 2015 20:36
RT @Chris5anne: @WeNurses Check out both whatever the obvious presentation? #WeNurses
@shizc1
28 May 2015 20:36
@debscooper131 #wenurses i think some nurses are frightened to ask as don;t know what to do with what they unearth choose to ignore q's
@Chris5anne
28 May 2015 20:37
@mary_titchener @Lauren_OT @annedraya @debscooper131 This should be core- not an additional layer #WeNurses
@janewells99
28 May 2015 20:37
Training should be whole person to population health in scope plus person centred and preventative in collaboration with patients #WeNurses
@janewells99
28 May 2015 20:37
RT @Liztaylor501: @IMPARTSP @AgencyNurse #wenurses public health model useful as holistic approach with patient in centre as individual, fa…
@StevenAE_21
28 May 2015 20:37
Important to remember, lack of cross field skills works both ways i.e. mental health nurses' inability to manage physically ill #WeNurses
@WeNurses
28 May 2015 20:38
What do others think ? #wenurses https://t.co/XZKMRDxjNk
@debscooper131
28 May 2015 20:38
@shizc1 yes, if you ask about it you have a responsibility to do something about it, what if you don't know what to do! #WeNurses
@WeNurses
28 May 2015 20:38
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@cherylwilson2
28 May 2015 20:38
@annedraya it's a great team truly lots of knowledge to share to enhance our pt #care #wenurses #dementia
@IMPARTSP
28 May 2015 20:38
@shizc1 agree-recommendations 4 onward referral r integral 2 IMPARTS.It's not just about discussing MH, but knowing what 2 do next.#wenurses
@annedraya
28 May 2015 20:38
@WeNurses @WeMHNurses yes I know! I hope the discussion will include all people with MH problems and not just bipolar & psychosis #wenurses
@AgencyNurse
28 May 2015 20:38
@cherylwilson2 @annedraya i have worked in many places where this happens Cheryl - makes for a great team #wenurses
@cherylwilson2
28 May 2015 20:38
RT @WeNurses: What do others think ? #wenurses https://t.co/XZKMRDxjNk
@IMPARTSP
28 May 2015 20:38
@Debspinkterror @HeatherHenry4 #wenurses Feedback to services will remind them that compassion and humanity is central to all we do
@Bartontd
28 May 2015 20:39
RT @cfprofessionals: .@annedraya But is it a lack of want, or a lack of time/resource? #WeNurses https://t.co/T04Xw6wt3W
@cfprofessionals
28 May 2015 20:39
We hear nurses sometimes have to close down conversations because they don’t have the resources to refer patients to if they need #WeNurses
@mary_titchener
28 May 2015 20:39
@Chris5anne @Lauren_OT @annedraya @debscooper131 Agree-that's why pathways are ideal with patient involved as the expert #WeNurses
@Bartontd
28 May 2015 20:39
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@PinCTV
28 May 2015 20:39
RT @PinkRibbon411: Breast cancer 'alters bone to help it spread' http://t.co/cB9CncCUkr #WeNurses #breastcancer #CureCancer
@Chris5anne
28 May 2015 20:39
@StevenAE_21 Really? I find that hard to believe- is it skill or expectation? #WeNurses
@WeNurses
28 May 2015 20:39
RT @IMPARTSP: @Debspinkterror @HeatherHenry4 #wenurses Feedback to services will remind them that compassion and humanity is central to all…
@cherylwilson2
28 May 2015 20:39
@AgencyNurse @annedraya and great #nurse tales too #diverse #nursing #team #wenurses
@IMPARTSP
28 May 2015 20:39
@debscooper131 @shizc1 sometimes just being there is all that's needed #WeNurses
@Lauren_OT
28 May 2015 20:40
#wenurses do those of you who work in acute trusts have a psych liaison service? @WeNurses
@MandyHollis3
28 May 2015 20:40
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@IMPARTSP
28 May 2015 20:40
@annedraya #wenurses the flip side of r project looks @ that see http://t.co/eCWZpju5El #ebp
@debscooper131
28 May 2015 20:40
@IMPARTSP @shizc1 yup, letting your patients know you're there if they need you! It can open up important discussions #WeNurses
@LinGrahamRay1
28 May 2015 20:40
RT @Crowley2j: @shizc1 @IMPARTSP #WeNurses in order to holistically assess and care plan, values and skills are required which are inclusiv…
@MandyHollis3
28 May 2015 20:41
Here here! #WeNurses https://t.co/T95rRmskFC
@Chris5anne
28 May 2015 20:41
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@cfprofessionals
28 May 2015 20:41
The experience of the patient and their family is critical to aid learning and improvement of service. #WeNurses
@IMPARTSP
28 May 2015 20:41
RT @sharp_pam: briefly popping into the chat #WeNurses I hink The student branches learning together is good for #holism they share experi…
@Liztaylor501
28 May 2015 20:41
@IMPARTSP @AgencyNurse @shizc1 agreed knowing what we can offer and when to refer on for help #WeNurses
@SKasaven
28 May 2015 20:41
@cherylwilson2 @annedraya #wenurses we r doing same across our wards RMNS, RGNS, LD nurses = holistic care & increases confidence in #ptexp
@mary_titchener
28 May 2015 20:41
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@shizc1
28 May 2015 20:41
@debscooper131 #wenurses senior nurses should act as a resource coach, mentor, in nursing will never no everything need 2 support coleagues
@cfprofessionals
28 May 2015 20:41
The Patient Panel at the British Burns Assoc conference last week got a standing ovation - they are powerful advocates #WeNurses
@AgencyNurse
28 May 2015 20:41
@cherylwilson2 @annedraya have seen this model most in LTC dementia settings, but would work well in many areas #wenurses
@AgencyNurse
28 May 2015 20:41
RT @Liztaylor501: @IMPARTSP @AgencyNurse @shizc1 agreed knowing what we can offer and when to refer on for help #WeNurses
@IMPARTSP
28 May 2015 20:41
What small steps could you make to improve integration of mental and physical health in your work? #WeNurses
@cfprofessionals
28 May 2015 20:41
RT @IMPARTSP: What small steps could you make to improve integration of mental and physical health in your work? #WeNurses
@annedraya
28 May 2015 20:42
@cfprofessionals @Debspinkterror @HeatherHenry4 @AgencyNurse possible to deliver effective psychosocial care in brief encounters #WeNurses
@WeNurses
28 May 2015 20:42
Great question - #WeNurses https://t.co/UK8RVtkgph
@WeNurses
28 May 2015 20:42
#wenurses https://t.co/viOOn461Q2
@debscooper131
28 May 2015 20:42
@shizc1 as a STN I've been lucky to have mentors who have been attentive to pts MH needs on medical/surgical wards, good examples! #WeNurses
@HealthUKTD
28 May 2015 20:42
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@IMPARTSP
28 May 2015 20:42
@Lauren_OT @WeNurses #wenurses there is a big drive to secure &incr these services. If u see the need please shout about it
@cherylwilson2
28 May 2015 20:42
Agree #itworks #wenurses #diverse #teams ?? https://t.co/Sd1w7pjhJ9
@WeNurses
28 May 2015 20:43
RT @cherylwilson2: Agree #itworks #wenurses #diverse #teams ?? https://t.co/Sd1w7pjhJ9
@AgencyNurse
28 May 2015 20:43
RT @cherylwilson2: Agree #itworks #wenurses #diverse #teams ?? https://t.co/Sd1w7pjhJ9
@Chris5anne
28 May 2015 20:43
@shizc1 @debscooper131 I have experienced that as a 'physical health' patient having mental health problems- sad but true #WeNurses
@caej90
28 May 2015 20:43
RT @cherylwilson2: @annedraya why diverse teams work #wenurses ?? I have RGN RMN & RNLDs in #dementia care makes for great #pt #care
@caej90
28 May 2015 20:43
RT @SKasaven: @cherylwilson2 @annedraya #wenurses we r doing same across our wards RMNS, RGNS, LD nurses = holistic care & increases confid…
@caej90
28 May 2015 20:43
RT @AgencyNurse: @cherylwilson2 @annedraya have seen this model most in LTC dementia settings, but would work well in many areas #wenurses
@Chris5anne
28 May 2015 20:44
RT @AgencyNurse: @cherylwilson2 @annedraya have seen this model most in LTC dementia settings, but would work well in many areas #wenurses
@AlysColeKing
28 May 2015 20:44
@WeNurses @WeLDnurses sorry can't join chat + v imp topic! Will share article @basesuk soon interface emotional+ physical health #WeNurses
@WeNurses
28 May 2015 20:44
Well, you're all doing a fab job of adding #WeNurses to your tweets Please put this on your fridge, after the chat!!! http://t.co/CwRwHouYjI
@cfprofessionals
28 May 2015 20:44
Simple questions (like asking patients how they are coping with an illness or disease) can be helpful & validate their experience. #WeNurses
@MandyHollis3
28 May 2015 20:44
@Lauren_OT @WeNurses where worked previously had whole team, Psychiatrists & nurses. Big trust, building up service as I left. #WeNurses
@Chris5anne
28 May 2015 20:44
@AgencyNurse @cherylwilson2 @annedraya All areas seems like common sense? #WeNurses
@cherylwilson2
28 May 2015 20:44
RT @WeNurses: Great question - #WeNurses https://t.co/UK8RVtkgph
@Lauren_OT
28 May 2015 20:44
@IMPARTSP @WeNurses @nottmhospitals psych liaison service invaluable when I worked there! Now I work for MH trust #wenurses
@AgencyNurse
28 May 2015 20:44
Totally agree here - do we ask this enough ? #wenurses https://t.co/uwML6vqlRj
@shizc1
28 May 2015 20:44
#WeNurses network with colleagues, i had afternoon tea with other members of MDT on nurses day, have an open door policy
@Chris5anne
28 May 2015 20:45
RT @IMPARTSP: @Lauren_OT @WeNurses #wenurses there is a big drive to secure &incr these services. If u see the need please shout about it
@AgencyNurse
28 May 2015 20:45
@AlysColeKing @WeNurses @WeLDnurses @basesuk thanks Alys #wenurses
@Bartontd
28 May 2015 20:45
Mother in Law 88yrs informed me this evening (in Hospital) that she was 14 Yrs Old, & ready to catch a Cab home #Dementia #wenurses #holism
@mary_titchener
28 May 2015 20:45
@AgencyNurse @cherylwilson2 @annedraya We must also remember pts in forensic psychiatry settings also have physical health needs #WeNurses
@cherylwilson2
28 May 2015 20:45
RT @WeNurses: Well, you're all doing a fab job of adding #WeNurses to your tweets Please put this on your fridge, after the chat!!! http://…
@Bartontd
28 May 2015 20:45
RT @AgencyNurse: Totally agree here - do we ask this enough ? #wenurses https://t.co/uwML6vqlRj
@C7RKY
28 May 2015 20:45
RT @AgencyNurse: Totally agree here - do we ask this enough ? #wenurses https://t.co/uwML6vqlRj
@WeNurses
28 May 2015 20:46
obviously not :) @cfprofessionals #wenurses or...maybe!
@Bartontd
28 May 2015 20:46
RT @WeNurses: Well, you're all doing a fab job of adding #WeNurses to your tweets Please put this on your fridge, after the chat!!! http://…
@AgencyNurse
28 May 2015 20:46
yes indeed - room for integrated thinking in both areas #wenurses https://t.co/swWCrLLHYp
@HealthUKTD
28 May 2015 20:46
RT @cherylwilson2: Agree #itworks #wenurses #diverse #teams ?? https://t.co/Sd1w7pjhJ9
@WeNurses
28 May 2015 20:47
thinks for popping your head around the door @AlysColeKing :) @WeLDnurses @basesuk #wenurses
@AgencyNurse
28 May 2015 20:47
@Chris5anne @cherylwilson2 @annedraya yes - but even just working together more helps - get to know a MH nurses (or adult nurse) #WeNurses
@cfprofessionals
28 May 2015 20:47
Ask questions about how they are managing at home - are they getting out and about, seeing friends, getting to work. #WeNurses
@shizc1
28 May 2015 20:47
@cfprofessionals @mary_titchener #wenurses how they are sleeping and how their appetite is can indicate mood
@MandyHollis3
28 May 2015 20:47
@IMPARTSP As RMN in acute trust Transformation Team, I'm always using exp to influence this. I've learnt lots too. #WeNurses
@Chris5anne
28 May 2015 20:47
@cfprofessionals Exactly-human compassion could cope with that, without any specialist training #WeNurses
@cfprofessionals
28 May 2015 20:47
RT @shizc1: @cfprofessionals @mary_titchener #wenurses how they are sleeping and how their appetite is can indicate mood
@sharon_boyle
28 May 2015 20:48
RT @IMPARTSP: What small steps could you make to improve integration of mental and physical health in your work? #WeNurses
@IMPARTSP
28 May 2015 20:48
@IMPARTSP try directing patients to self-help materials. Review http://t.co/GmK47fIvke & materials http://t.co/Xt34hZsQZy #Wenurses #EBP
@AgencyNurse
28 May 2015 20:48
@Chris5anne @cherylwilson2 @annedraya now know (via twitter)nurses from all specialities,wish i had this earlier in my career #wenurses
@IMPARTSP
28 May 2015 20:48
@MandyHollis3 #wenurses we can learn so much from day-to-day working together
@JohnathanLaird
28 May 2015 20:48
My take on mental health as a community pharmacist http://t.co/q4SmQse7M9 #WeNurses @KatyBeckford @louisebrady17 @WeNurses @WeNursesToo
@janewells99
28 May 2015 20:48
Champion on hearing patient stories to help us truly focus on wellness, self efficacy, empowered and proactive patients #WeNurses
@HealthUKTD
28 May 2015 20:48
RT @WeNurses: Well, you're all doing a fab job of adding #WeNurses to your tweets Please put this on your fridge, after the chat!!! http://…
@cfprofessionals
28 May 2015 20:48
@Chris5anne Without training, though, we risk a ‘pull yourself together’ response. #WeNurses https://t.co/jiru7Z6caY
@cherylwilson2
28 May 2015 20:48
RT @AgencyNurse: Totally agree here - do we ask this enough ? #wenurses https://t.co/uwML6vqlRj
@KatyBeckford
28 May 2015 20:49
RT @JohnathanLaird: My take on mental health as a community pharmacist http://t.co/q4SmQse7M9 #WeNurses @KatyBeckford @louisebrady17 @WeNur…
@EleanorMcManus
28 May 2015 20:49
@AgencyNurse @cfprofessionals No, we don't. But a good idea. Probably also a good idea to ask relatives too. #wenurses
@WeNurses
28 May 2015 20:49
RT @IMPARTSP: @MandyHollis3 #wenurses we can learn so much from day-to-day working together
@debscooper131
28 May 2015 20:49
@IMPARTSP leading my example, if as a adult STN I can be more proactive in integrating MH issues into my work it will show others! #WeNurses
@LJ_Ali1
28 May 2015 20:49
@IMPARTSP #WeNurses & all q's should apply to carers too. Too often forgotten
@shizc1
28 May 2015 20:50
@cfprofessionals @mary_titchener #wenurses it can be relief to pts when you ask about mh may have issues they've not been able to talk about
@cfprofessionals
28 May 2015 20:50
RT @shizc1: @cfprofessionals @mary_titchener #wenurses it can be relief to pts when you ask about mh may have issues they've not been able …
@annedraya
28 May 2015 20:50
@cfprofessionals @Chris5anne that's not very compassionate then! #WeNurses
@annedraya
28 May 2015 20:50
RT @Chris5anne: @cfprofessionals Exactly-human compassion could cope with that, without any specialist training #WeNurses
@thesismum
28 May 2015 20:50
@Bartontd In her time line she is. #dementia #WeNurses
@MandyHollis3
28 May 2015 20:50
@Chris5anne @shizc1 @debscooper131 this is true, however I also found it's often lack of confidence rather than lack of skill. #WeNurses
@Chris5anne
28 May 2015 20:50
RT @cfprofessionals: @Chris5anne Without training, though, we risk a ‘pull yourself together’ response. #WeNurses https://t.co/jiru7Z6caY
@Chris5anne
28 May 2015 20:50
RT @annedraya: @cfprofessionals @Chris5anne that's not very compassionate then! #WeNurses
@hospitalcaterer
28 May 2015 20:50
RT @LJ_Ali1: @IMPARTSP #WeNurses & all q's should apply to carers too. Too often forgotten
@AgencyNurse
28 May 2015 20:50
@EleanorMcManus @cfprofessionals yes agree - talking and listening a great way to nurse #wenurses
@JohnathanLaird
28 May 2015 20:50
#WeNurses http://t.co/1LRDvBYAvJ @KatyBeckford @NursesWeekly #WeNurses @WeNursesToo @murphieRNC @NursingTimes @NurseGroups @AgencyNurse
@MandyHollis3
28 May 2015 20:50
RT @WeNurses: Well, you're all doing a fab job of adding #WeNurses to your tweets Please put this on your fridge, after the chat!!! http://…
@WeNurses
28 May 2015 20:50
RT @AgencyNurse: @EleanorMcManus @cfprofessionals yes agree - talking and listening a great way to nurse #wenurses
@mary_titchener
28 May 2015 20:51
@AgencyNurse @Chris5anne @cherylwilson2 @annedraya Me too! I have learned so much about MH since working in integrated services. #WeNurses
@cfprofessionals
28 May 2015 20:51
Remember there are a range of charities out there who can help! (Like @FaceEquality!) https://t.co/HM5yzRPgDO #WeNurses
@WeNurses
28 May 2015 20:51
@DrMarkRawlinson will send out an RT after #wenurses Mark :)
@AgencyNurse
28 May 2015 20:51
@MandyHollis3 @Chris5anne @shizc1 @debscooper131 agree Mandy as Newly Qualified adult nurse i found talking about MH very tricky #wenurses
@annedraya
28 May 2015 20:51
@debscooper131 @IMPARTSP me too. I make a point of ensuring mental health needs of my pts are addressed when on placement #Wenurses
@MandyHollis3
28 May 2015 20:52
@IMPARTSP yes, I've been lucky to have benefited as much as I hope I've contributed. #WeNurses
@Chris5anne
28 May 2015 20:52
@annedraya @cfprofessionals Have to agree sadly- but Mental Health First Aid would raise awareness quickly for less compassionate #WeNurses
@hospitalcaterer
28 May 2015 20:52
#wenurses Good Evening ALL. Hope you re all well. Andy
@sharp_pam
28 May 2015 20:52
@blondieburnsuk @WeNurses @AdultUWE Sounds great! We teach skills together as well as a multi prof. module each year too #WeNurses
@mary_titchener
28 May 2015 20:52
RT @LJ_Ali1: @IMPARTSP #WeNurses & all q's should apply to carers too. Too often forgotten
@Chris5anne
28 May 2015 20:52
RT @LJ_Ali1: @IMPARTSP #WeNurses & all q's should apply to carers too. Too often forgotten
@cfprofessionals
28 May 2015 20:53
We often find health care professionals value our training for the validation that actually they are doing it well! #WeNurses
@hospitalcaterer
28 May 2015 20:53
#wenurses Can I say I find asking patients/Careers and Nurses is agreat way to find out what is wanted and when etc. I always do it
@cherylwilson2
28 May 2015 20:53
@mary_titchener @AgencyNurse @Chris5anne @annedraya same essential in current healthcare system and our older adult population #wenurses
@Mental_Elf
28 May 2015 20:53
Hi everyone - sorry to rock up 5 mins from the end. I had trouble getting my elflings to bed this evening :-( #wenurses
@shizc1
28 May 2015 20:53
@AgencyNurse @MandyHollis3 @Chris5anne @debscooper131 #wenurses it can be the skill of listening or hearing what is being said.
@cfprofessionals
28 May 2015 20:53
(And there is LOTS of really great integrated care going on out there - our hats off to you all!) #WeNurses
@WeNurses
28 May 2015 20:53
Should we give @WeMHNurses some #wenurses lines ? @annedraya @NHSIQ http://t.co/CEM3sNwSVU
@sharp_pam
28 May 2015 20:53
RT @hospitalcaterer: #wenurses Can I say I find asking patients/Careers and Nurses is agreat way to find out what is wanted and when etc. I…
@Liztaylor501
28 May 2015 20:54
RT @AgencyNurse: @EleanorMcManus @cfprofessionals yes agree - talking and listening a great way to nurse #wenurses
@AgencyNurse
28 May 2015 20:54
@shizc1 @MandyHollis3 @Chris5anne @debscooper131 and i guess acting on what you hear too #wenurses
@debscooper131
28 May 2015 20:54
@shizc1 @AgencyNurse @MandyHollis3 @Chris5anne I think that's a skill that comes with time & practice so have to try to get there #WeNurses
@IMPARTSP
28 May 2015 20:54
RT @LJ_Ali1: @IMPARTSP #WeNurses & all q's should apply to carers too. Too often forgotten
@Mental_Elf
28 May 2015 20:54
Looks like I've missed a great chat. Will peruse the discussion and add my thoughts tomorrow #wenurses
@cherylwilson2
28 May 2015 20:54
RT @WeNurses: Should we give @WeMHNurses some #wenurses lines ? @annedraya @NHSIQ http://t.co/CEM3sNwSVU
@WeNurses
28 May 2015 20:54
6 mins to go @IMPARTSP - what are your final points #wenurses :)
@Bartontd
28 May 2015 20:54
Interesting Chat #wenurses #applause #davewave Thanks Folks
@mary_titchener
28 May 2015 20:55
RT @AgencyNurse: @shizc1 @MandyHollis3 @Chris5anne @debscooper131 and i guess acting on what you hear too #wenurses
@cherylwilson2
28 May 2015 20:55
RT @WeNurses: 6 mins to go @IMPARTSP - what are your final points #wenurses :)
@WeNurses
28 May 2015 20:55
What a fab idea #WeNurses https://t.co/tn2VyCCOr4
@shizc1
28 May 2015 20:55
@AgencyNurse @MandyHollis3 @Chris5anne @debscooper131 #wenurses we have junior team have discussions daily at handover time to coach/direct
@WeNurses
28 May 2015 20:55
thanks @Bartontd for stopping by and sharing your passion & knowledge when you have a lot going on :) #wenurses
@IMPARTSP
28 May 2015 20:56
@annedraya #wenurses yes - students can really get qualified staff thinking
@louisebrady17
28 May 2015 20:56
RT @JohnathanLaird: My take on mental health as a community pharmacist http://t.co/q4SmQse7M9 #WeNurses @KatyBeckford @louisebrady17 @WeNur…
@Chris5anne
28 May 2015 20:56
RT @AgencyNurse: @shizc1 @MandyHollis3 @Chris5anne @debscooper131 and i guess acting on what you hear too #wenurses
@NickyMountford
28 May 2015 20:56
RT @WeNurses: What a fab idea #WeNurses https://t.co/tn2VyCCOr4
@Chris5anne
28 May 2015 20:56
RT @shizc1: @AgencyNurse @MandyHollis3 @Chris5anne @debscooper131 #wenurses we have junior team have discussions daily at handover time to …
@MandyHollis3
28 May 2015 20:56
@AgencyNurse @Chris5anne @shizc1 @debscooper131 regardless of discipline, nurses have so many difficult conversations #skilled #WeNurses
@AgencyNurse
28 May 2015 20:56
yes they certainly can - Andrea has got me thinking tonight :D #wenurses https://t.co/2V2qiVV25T
@VanessaRNMH
28 May 2015 20:56
@AgencyNurse @annedraya @IMPARTSP @debscooper131 @MrsGracePoole Thank you! That's nice :) Sorry I've missed it tonight! #WeNurses
@cherylwilson2
28 May 2015 20:57
RT @WeNurses: What a fab idea #WeNurses https://t.co/tn2VyCCOr4
@cfprofessionals
28 May 2015 20:57
If you work with patients with a disfigurement, do follow us and @FaceEquality - we’re the UK’s leading charity in this area. #WeNurses
@NickyMountford
28 May 2015 20:57
RT @WeNurses: . @annedraya the fab @WeMHNurses have a discussion coming up about this very soon #wenurses http://t.co/X6gtknmFrU http://t.c…
@annedraya
28 May 2015 20:57
RT @AgencyNurse: yes they certainly can - Andrea has got me thinking tonight :D #wenurses https://t.co/2V2qiVV25T
@cherylwilson2
28 May 2015 20:57
@WeNurses @Bartontd #Dave #Wave #wenurses ????
@cfprofessionals
28 May 2015 20:58
…and do bookmark our self-help guides that your clients may find very useful https://t.co/HM5yzRPgDO #WeNurses
@IMPARTSP
28 May 2015 20:58
#wenurses @wenurses final points remind your colleagues to listen "it can be the skill of listening or hearing what is said" buddy systems?
@dr_shibley
28 May 2015 20:58
RT @WeNurses: thanks @Bartontd for stopping by and sharing your passion & knowledge when you have a lot going on :) #wenurses
@AgencyNurse
28 May 2015 20:58
RT @IMPARTSP: #wenurses @wenurses final points remind your colleagues to listen "it can be the skill of listening or hearing what is said" …
@WeNurses
28 May 2015 20:58
RT @IMPARTSP: #wenurses @wenurses final points remind your colleagues to listen "it can be the skill of listening or hearing what is said" …
@IMPARTSP
28 May 2015 20:59
#wenurses @wenurses final final points remember the whole person & as we've proved today we can learn from each other
@janewells99
28 May 2015 20:59
RT @IMPARTSP: #wenurses @wenurses final points remind your colleagues to listen "it can be the skill of listening or hearing what is said" …
@cfprofessionals
28 May 2015 20:59
RT @IMPARTSP: #wenurses @wenurses final final points remember the whole person & as we've proved today we can learn from each other
@debscooper131
28 May 2015 20:59
@wendyjpitt61 @shizc1 yes, confidence & experience, I have family/friends with MH illness so ask those questions easier than some #WeNurses
@AgencyNurse
28 May 2015 20:59
RT @WeNurses: . @annedraya the fab @WeMHNurses have a discussion coming up about this very soon #wenurses http://t.co/X6gtknmFrU http://t.c…
@Chris5anne
28 May 2015 20:59
RT @IMPARTSP: #wenurses @wenurses final points remind your colleagues to listen "it can be the skill of listening or hearing what is said" …
@annedraya
28 May 2015 20:59
@WeNurses @IMPARTSP Let's not give lip service to holistic care for mind, body & spirit. Let's make it a reality. #wenurses
@MandyHollis3
28 May 2015 20:59
@shizc1 @AgencyNurse @Chris5anne @debscooper131 Yes don't underestimate power of listening, don't always need 2 act, just b there #WeNurses
@AgencyNurse
28 May 2015 20:59
Final thoughts - I am an adult nurse but know that MH sooo important & has huge impact - keep nursing the whole person #wenurses




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