#WeDNs - Wednesday 29th June 2016 8pm (GMT Standard Time)
Dementia care in the community
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Hosted by WeCommNurses using #WeDNs
In the UK there are over 850,000 people with dementia, with numbers set to rise to over 1 million by 2025 and to 2 million by 2051 (Alzheimer’s Society 2016). One in six people over the age of 80 have dementia and there are over 40,000 people under 65 with dementia in the UK.
An international perspective on dementia is contained within the World Health Organisation’ s (2012) report “Dementia:a public health priority”. This report raises awareness of dementia as a public health priority, and discusses a public health approach for action at international and national levels. Within the UK all four countries have developed strategies to provide care and support for people with dementia and their families and carers. You may find it useful to access the strategy relevant to the country you work in.
England:
Scotland:
http://www.gov.scot/Topics/Health/Services/Mental-Health/Dementia/DementiaStrategy1316
Wales:
http://gov.wales/topics/health/nhswales/mental-health-services/dementia/?lang=en
N Ireland:
It is widely known the right support given to the person with dementia can enable them to live independently at home for longer.
This chat will explore the role of the community nurse in supporting people with dementia, and their carers and families in the community. Prior to the chat you may also be interested in some stories around dementia on the ‘patient voices’ website:
http://www.patientvoices.org.uk/di.htm
Chat Questions
The questions we will explore are:
What impact do you think the growing number of people with dementia will have on community nursing in the uk?
How can we improveservices for people with dementia?
What have you seen that works in different care settings?
Are there any resources you have found useful to support people with dementia and their carers remain at home?
What technology is available in your area to support care of the person with dementia?
What members of the multidisciplinary team can support you nursing people with dementia in the community?
What is the best way to provide education for community nursing staff?
References
Alzheimer’s Society.2016. Facts on Dementia. [online] https://www.alzheimers.org.uk/site/scripts/documents_info.php?documentID=535&pageNumber=2
World HealthOrganisation. 2012. Dementia, A PublicHealth Priority. [online] http://www.who.int/mental_health/publications/dementia_report_2012/en/
UsefulResources
Alzheimer’sScotland
Butterfly Scheme
http://www.butterflyscheme.org.uk/
National Institute for Clinical Excellence:
http://www.nice.org.uk/guidance/QS30
The following resource developed by NHSEducation Scotland:
http://www.nes.scot.nhs.uk/media/350872/acute_dementia_interactive_2011.pdf
Royal College of Nursing:
Scottish Intercollegiate Guidelines Network:
http://www.sign.ac.uk/pdf/sign86.pdf
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#WeDNs transcript
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@WeCommNurses
29 June 2016 20:00
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good evening everyone please let us know you are here whether lurking or joining in #WeDNs |
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@HeatherBain9
29 June 2016 20:00
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Hello from the north #weDNs |
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@WeCommNurses
29 June 2016 20:03
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Is there anyone else joined big as @WeNurses #WeDNs |
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@WeCommNurses
29 June 2016 20:04
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Remember the #wedns https://twitter.com/saldri01/status/748229878990970880 |
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@WeCommNurses
29 June 2016 20:04
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Q1 what impact do you think the growing number of people with dementia will have on community nursing #WeDNs |
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@WeNurses
29 June 2016 20:06
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Chatting now via #WeDNs Dementia care in the community > http://buff.ly/292Vj1F HT @WeDistrictNurse https://t.co/b07SL91lOE |
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@HeatherBain9
29 June 2016 20:06
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Think smarter and supporting carers is such an important role #weDNs |
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@WeCommNurses
29 June 2016 20:07
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RT @WeNurses: Chatting now via #WeDNs Dementia care in the community > http://buff.ly/292Vj1F HT @WeDistrictNurse https://t.co/b07SL91l… |
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@WeCommNurses
29 June 2016 20:08
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What support can you offer carers? #WeDNs |
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@valburns2001
29 June 2016 20:08
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#WeDNs huge impact and DNs key to accessing support, -diagnosis throughout all stages of the illness to end of life. |
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@WeCommNurses
29 June 2016 20:09
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RT @WeDistrictNurse: What support can you offer carers? #WeDNs |
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@ADNEuk
29 June 2016 20:09
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RT @WeDistrictNurse: What support can you offer carers? #WeDNs |
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@rgumscap
29 June 2016 20:09
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RT @WeDistrictNurse: Q1 what impact do you think the growing number of people with dementia will have on community nursing #WeDNs |
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@ADNEuk
29 June 2016 20:09
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RT @WeDistrictNurse: Q1 what impact do you think the growing number of people with dementia will have on community nursing #WeDNs |
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@WeCommNurses
29 June 2016 20:10
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RT @valburns2001: #WeDNs huge impact and DNs key to accessing support, -diagnosis throughout all stages of the illness to end of life. |
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@WeCommNurses
29 June 2016 20:11
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@valburns2001 #wedns do you think DNs are involved early enough |
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@BibiMatthews
29 June 2016 20:11
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@WeDistrictNurse #WeDNs Information on help and services that can help integrated services physical and health needs 2 work together |
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@napplewhite6
29 June 2016 20:11
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RT @WeNurses: Chatting now via #WeDNs Dementia care in the community > http://buff.ly/292Vj1F HT @WeDistrictNurse https://t.co/b07SL91l… |
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@HeatherBain9
29 June 2016 20:12
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Sometimes DNs are not involved early enough to develop anticipatory care plans #WeDNs https://twitter.com/valburns2001/status/748231736010604544 |
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@WeCommNurses
29 June 2016 20:13
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RT @BibiMatthews: @WeDistrictNurse #WeDNs Information on help and services that can help integrated services physical and health needs 2 w… |
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@HeatherBain9
29 June 2016 20:13
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#wedns are we all in agreement that physical and mental health need considered together https://twitter.com/bibimatthews/status/748232414451892224 |
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@valburns2001
29 June 2016 20:14
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@WeDistrictNurse Referral to DN is often limited to when there is a functional need and crisis management #WeDNs |
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@WeCommNurses
29 June 2016 20:14
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So how can we improve services for people with dementia #WeDNs |
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@WeCommNurses
29 June 2016 20:15
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#wedns how can we address this ? https://twitter.com/valburns2001/status/748233080889020420 |
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@WeCommNurses
29 June 2016 20:16
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RT @HeatherBain9: #wedns are we all in agreement that physical and mental health need considered together https://twitter.com/bibimatthews/status/748232414451892224 |
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@valburns2001
29 June 2016 20:17
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#WeDNs shared care with mental health colleagues at diagnosis |
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@WeCommNurses
29 June 2016 20:18
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#weDns is any area of the UK doing this ? https://twitter.com/saldri01/status/748234098557206529 |
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@JillYGld
29 June 2016 20:19
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RT @HeatherBain9: #wedns are we all in agreement that physical and mental health need considered together https://twitter.com/bibimatthews/status/748232414451892224 |
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@WeCommNurses
29 June 2016 20:19
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RT @valburns2001: #WeDNs shared care with mental health colleagues at diagnosis |
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@WeCommNurses
29 June 2016 20:21
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What is the place of the voluntary agencies at his early stage #WeDNs |
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@HeatherBain9
29 June 2016 20:22
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Remember the #wedns https://twitter.com/bibimatthews/status/748234664398163968 |
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@WeCommNurses
29 June 2016 20:22
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RT @HeatherBain9: Remember the #wedns https://twitter.com/bibimatthews/status/748234664398163968 |
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@WeCommNurses
29 June 2016 20:23
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@BibiMatthews have you experience of a CPN social care lead you can share #WeDNs |
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@3Uknz
29 June 2016 20:23
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RT @WeNurses: IN 1 HOUR via #WeDNs Dementia care in the community > http://buff.ly/294sCEb HT @WeDistrictNurse https://t.co/JCmR5YrbdK |
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@JillYGld
29 June 2016 20:24
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RT @HeatherBain9: Remember the #wedns https://twitter.com/bibimatthews/status/748234664398163968 |
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@HeatherBain9
29 June 2016 20:24
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@brinklow_lyn #weDNs what are your views in the role of the DN in dementia care |
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@WeCommNurses
29 June 2016 20:27
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RT @HeatherBain9: @brinklow_lyn #weDNs what are your views in the role of the DN in dementia care |
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@RachelDoubleday
29 June 2016 20:27
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@WeDistrictNurse we need to tap into all resources for those with dementia & families #collaboration #WeDNs @DementiaFriends |
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@HeatherBain9
29 June 2016 20:29
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#wedns has anyone accessed a playlist for life as a resource https://twitter.com/racheldoubleday/status/748236550824144896 |
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@WeCommNurses
29 June 2016 20:29
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RT @RachelDoubleday: @WeDistrictNurse we need to tap into all resources for those with dementia & families #collaboration #WeDNs @DementiaF… |
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@valburns2001
29 June 2016 20:29
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#WeDNs recognition of cog changes & facilitation of diagnosis often by DN |
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@nursemaiden
29 June 2016 20:29
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RT @WeNurses: IN 1 HOUR via #WeDNs Dementia care in the community > http://buff.ly/294sCEb HT @WeDistrictNurse https://t.co/JCmR5YrbdK |
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@RachelDoubleday
29 June 2016 20:30
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@valburns2001 @WeDistrictNurse lack of awareness of potential support from DNs at early stage #WeDNs |
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@BibiMatthews
29 June 2016 20:30
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@WeDistrictNurse #WeDNs sharing notes both physical and MH can c vital info and access key players Arrange MDT quickly invite key people |
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@HeatherBain9
29 June 2016 20:30
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Remember #wedns @jillgould13 https://twitter.com/jillgould13/status/748236990072623104 |
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@nursemaiden
29 June 2016 20:31
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#wedns my experience with dad community nurses only involved in crisis situation and EOLC no proactive management of condition |
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@WeCommNurses
29 June 2016 20:31
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#WeDNs how many of you have shared notes between services https://twitter.com/bibimatthews/status/748237198374354944 |
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@WeCommNurses
29 June 2016 20:31
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RT @valburns2001: #WeDNs recognition of cog changes & facilitation of diagnosis often by DN |
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@rgumscap
29 June 2016 20:32
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RT @WeDistrictNurse: #WeDNs how many of you have shared notes between services https://twitter.com/bibimatthews/status/748237198374354944 |
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@RachelDoubleday
29 June 2016 20:32
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@HeatherBain9 @WeDistrictNurse @DementiaFriends play list great idea- need to personalise care #WeDNs |
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@MaryDunningTU
29 June 2016 20:33
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The Health & Well Being of Carers needs consideration. Being mindful of the impact of Loneliness & Isolation. #WeDNs |
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@valburns2001
29 June 2016 20:33
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@HeatherBain9 @JillGould13 DN @NAHSCP lead integrated hub meeting 'team around family' @NAdementia respite unit #WeDNs |
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@WeCommNurses
29 June 2016 20:33
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#wedns how can we change this approach ? https://twitter.com/nursemaiden/status/748237484564291584 |
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@WeCommNurses
29 June 2016 20:33
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RT @RachelDoubleday: @HeatherBain9 @WeDistrictNurse @DementiaFriends play list great idea- need to personalise care #WeDNs |
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@davidpugh25
29 June 2016 20:34
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@WeDistrictNurse @RachelDoubleday @DementiaFriends Hello from Bristol so sorry am late #WeDNS |
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@davidpugh25
29 June 2016 20:34
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RT @RachelDoubleday: @WeDistrictNurse we need to tap into all resources for those with dementia & families #collaboration #WeDNs @DementiaF… |
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@WeCommNurses
29 June 2016 20:34
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RT @MaryDunningTU: The Health & Well Being of Carers needs consideration. Being mindful of the impact of Loneliness & Isolation. #WeDNs |
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@WeCommNurses
29 June 2016 20:34
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RT @valburns2001: @HeatherBain9 @JillGould13 DN @NAHSCP lead integrated hub meeting 'team around family' @NAdementia respite unit #WeDNs |
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@davidpugh25
29 June 2016 20:35
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RT @valburns2001: @HeatherBain9 @JillGould13 DN @NAHSCP lead integrated hub meeting 'team around family' @NAdementia respite unit #WeDNs |
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@HeatherBain9
29 June 2016 20:35
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https://t.co/vGNE48eB9y #weDNs |
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@WeCommNurses
29 June 2016 20:36
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@davidpugh25 #wedns hello stranger , welcome |
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@JudyDean1
29 June 2016 20:36
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@WeDistrictNurse #weDNs caring for the carers and Using resources like "this is me" |
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@JudyDean1
29 June 2016 20:37
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@WeDistrictNurse @valburns2001 #WeDNs overcome through integrated teams, neighbourhood based |
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@valburns2001
29 June 2016 20:37
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#WeDNs DNs need to profile GP registers for individuals living with dem - proactive early intervention |
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@WeCommNurses
29 June 2016 20:38
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RT @JudyDean1: @WeDistrictNurse #weDNs caring for the carers and Using resources like "this is me" |
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@WeCommNurses
29 June 2016 20:38
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RT @valburns2001: #WeDNs DNs need to profile GP registers for individuals living with dem - proactive early intervention |
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@davidpugh25
29 June 2016 20:38
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@WeDistrictNurse @BibiMatthews oops forgot the #WeDNs |
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@davidpugh25
29 June 2016 20:38
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RT @valburns2001: #WeDNs DNs need to profile GP registers for individuals living with dem - proactive early intervention |
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@davidpugh25
29 June 2016 20:38
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RT @JudyDean1: @WeDistrictNurse #weDNs caring for the carers and Using resources like "this is me" |
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@HeatherBain9
29 June 2016 20:38
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#weDNs http://www.playlistforlife.org.uk/#2946 @PlaylistForLife |
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@WeCommNurses
29 June 2016 20:39
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What about the place of technology in supporting personas and their carers with dementia #WeDNs |
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@davidpugh25
29 June 2016 20:39
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RT @HeatherBain9: #weDNs http://www.playlistforlife.org.uk/#2946 @PlaylistForLife |
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@davidpugh25
29 June 2016 20:40
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@HeatherBain9 @PlaylistForLife This looks like a great resource #WeDNs |
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@nursemaiden
29 June 2016 20:40
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#wedns issues for proactive management is caseload. GP always said he was "social care" felt lonely and isolated |
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@WeCommNurses
29 June 2016 20:40
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RT @HeatherBain9: #weDNs http://www.playlistforlife.org.uk/#2946 @PlaylistForLife |
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@RStanden1
29 June 2016 20:40
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@RachelDoubleday @WeDistrictNurse making good links, both formal and informal with you local memory service and CMHT. #collaboration #WeDNs |
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@RStanden1
29 June 2016 20:40
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RT @BibiMatthews: @WeDistrictNurse #WeDNs sharing notes both physical and MH can c vital info and access key players Arrange MDT quickly i… |
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@HeatherBain9
29 June 2016 20:41
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RT @nursemaiden: #wedns issues for proactive management is caseload. GP always said he was "social care" felt lonely and isolated |
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@WeCommNurses
29 June 2016 20:41
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RT @nursemaiden: #wedns issues for proactive management is caseload. GP always said he was "social care" felt lonely and isolated |
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@RachelDoubleday
29 June 2016 20:41
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Have arranged for Admiral nurse from @StCuthsHospice to talk to DN stds @TeesUniSOHSC on EoLC for people with dementia #WeDNs |
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@HeatherBain9
29 June 2016 20:42
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@nursemaiden #weDNs we need to develop our language in describing nursing assessment - anticipatory care |
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@RStanden1
29 June 2016 20:42
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@BibiMatthews @WeDistrictNurse working together makes the care better for people and Nurses. Wrap the care around the person. #WeDNs |
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@WeCommNurses
29 June 2016 20:42
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RT @HeatherBain9: @nursemaiden #weDNs we need to develop our language in describing nursing assessment - anticipatory care |
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@RachelDoubleday
29 June 2016 20:43
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Need to get better at EoLC for people with dementia #WeDNs @WeDistrictNurse @TeesUniSOHSC |
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@davidpugh25
29 June 2016 20:43
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RT @HeatherBain9: @nursemaiden #weDNs we need to develop our language in describing nursing assessment - anticipatory care |
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@RivkahMiar
29 June 2016 20:43
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EOL care still not well managed in Dementia in my experience @jestercrafts #weDNs https://twitter.com/nursemaiden/status/748237484564291584 |
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@davidpugh25
29 June 2016 20:43
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@HeatherBain9 @WeDistrictNurse @nursemaiden Development of anticipatory care paramount #WeDNs |
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@WeCommNurses
29 June 2016 20:44
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A few examples of agencies that are useful being suggested #WeDNs |
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@RStanden1
29 June 2016 20:44
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@WeDistrictNurse technology to pro-actively manage risks. From medication dispensers to GPS locators, we need to make better use. #WeDNs |
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@WeCommNurses
29 June 2016 20:44
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#wedns have you suggestions how we can improve https://twitter.com/racheldoubleday/status/748240404160651264 |
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@WeCommNurses
29 June 2016 20:44
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RT @RivkahMiar: EOL care still not well managed in Dementia in my experience @jestercrafts #weDNs https://twitter.com/nursemaiden/status/748237484564291584 |
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@WeCommNurses
29 June 2016 20:45
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RT @davidpugh25: @HeatherBain9 @WeDistrictNurse @nursemaiden Development of anticipatory care paramount #WeDNs |
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@RachelDoubleday
29 June 2016 20:45
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@RStanden1 @WeDistrictNurse need to draw on local networks & expertise to get best outcomes #WeDNs @WeDistrictNurse |
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@valburns2001
29 June 2016 20:45
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#WeDNs @NAHSCP @NAdementia offered carer education and support for individuals in partnership with DN |
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@nursemaiden
29 June 2016 20:46
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@RachelDoubleday @davidpugh25 @StCuthsHospice @TeesUniSOHSC #WeDNs great if hospice care available for dementia we couldn't access ?? |
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@nursemaiden
29 June 2016 20:46
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RT @HeatherBain9: @nursemaiden #weDNs we need to develop our language in describing nursing assessment - anticipatory care |
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@RivkahMiar
29 June 2016 20:47
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RT @nursemaiden: @RachelDoubleday @davidpugh25 @StCuthsHospice @TeesUniSOHSC #WeDNs great if hospice care available for dementia we couldn'… |
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@shizc1
29 June 2016 20:47
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#wedns can offer support for patient and family members and give guidance as dementia progresses |
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@RStanden1
29 June 2016 20:47
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@RachelDoubleday @WeDistrictNurse we need to advocate and support ACP and the making of a life story to get EoLC on the radar. #WeDNs |
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@davidpugh25
29 June 2016 20:47
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@nursemaiden @RachelDoubleday @StCuthsHospice @TeesUniSOHSC This is one of the challenges faced the difference in services offered #WeDNs |
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@WeCommNurses
29 June 2016 20:47
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RT @shizc1: #wedns can offer support for patient and family members and give guidance as dementia progresses |
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@ADNEuk
29 June 2016 20:47
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RT @shizc1: #wedns can offer support for patient and family members and give guidance as dementia progresses |
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@davidpugh25
29 June 2016 20:47
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RT @shizc1: #wedns can offer support for patient and family members and give guidance as dementia progresses |
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@valburns2001
29 June 2016 20:48
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RT @shizc1: #wedns can offer support for patient and family members and give guidance as dementia progresses |
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@NAHSCP
29 June 2016 20:48
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RT @valburns2001: #WeDNs @NAHSCP @NAdementia offered carer education and support for individuals in partnership with DN |
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@WeCommNurses
29 June 2016 20:48
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what education do community nurses require to support the care of persons with dementia and their carers #WeDNs |
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@nursemaiden
29 June 2016 20:49
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@davidpugh25 @RachelDoubleday @StCuthsHospice @TeesUniSOHSC #WeDNs irony was dad in remission from bladder cancer and died of dementia |
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@davidpugh25
29 June 2016 20:49
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RT @WeDistrictNurse: what education do community nurses require to support the care of persons with dementia and their carers #WeDNs |
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@RStanden1
29 June 2016 20:50
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@RachelDoubleday @WeDistrictNurse completely agree. We've made good progress in Herts, but everyday things change. We must continue. #WeDNs |
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@RachelDoubleday
29 June 2016 20:50
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@nursemaiden @davidpugh25 @StCuthsHospice @TeesUniSOHSC more research money for cancer than dementia :( #WeDNs |
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@davidpugh25
29 June 2016 20:51
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@WeDistrictNurse Should it not be significant part of pre reg training #WeDNs |
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@HeatherBain9
29 June 2016 20:51
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#weDNs sad, my dad had dementia, little support at early stages and died suddenly from another cause - a relief https://twitter.com/nursemaiden/status/748241913917091841 |
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@shizc1
29 June 2016 20:51
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#wedns need links to nurse specialists to educate team and give regular updates and also act as resource when we encounter problems |
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@helenfindlay
29 June 2016 20:51
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RT @RachelDoubleday: @nursemaiden @davidpugh25 @StCuthsHospice @TeesUniSOHSC more research money for cancer than dementia :( #WeDNs |
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@WeCommNurses
29 June 2016 20:52
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Do you think there is enough in pre reg re dementia care #wedns https://twitter.com/davidpugh25/status/748242385893728256 |
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@WeCommNurses
29 June 2016 20:52
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RT @shizc1: #wedns need links to nurse specialists to educate team and give regular updates and also act as resource when we encounter prob… |
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@HeatherBain9
29 June 2016 20:52
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RT @shizc1: #wedns need links to nurse specialists to educate team and give regular updates and also act as resource when we encounter prob… |
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@rgumscap
29 June 2016 20:52
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RT @shizc1: #wedns need links to nurse specialists to educate team and give regular updates and also act as resource when we encounter prob… |
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@RStanden1
29 June 2016 20:52
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@WeDistrictNurse I don't think we make the most of each other. DNs teach physical health,CMHNs can teach mental health. #WorkTogether #WeDNs |
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@davidpugh25
29 June 2016 20:53
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RT @shizc1: #wedns need links to nurse specialists to educate team and give regular updates and also act as resource when we encounter prob… |
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@valburns2001
29 June 2016 20:53
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#WeDNs NES dementia skilled level essential or equivalent education |
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@KWebbNurse
29 June 2016 20:53
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RT @HeatherBain9: @nursemaiden #weDNs we need to develop our language in describing nursing assessment - anticipatory care |
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@KWebbNurse
29 June 2016 20:53
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RT @davidpugh25: @HeatherBain9 @WeDistrictNurse @nursemaiden Development of anticipatory care paramount #WeDNs |
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@MrsKALyons
29 June 2016 20:54
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RT @RivkahMiar: EOL care still not well managed in Dementia in my experience @jestercrafts #weDNs https://twitter.com/nursemaiden/status/748237484564291584 |
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@RivkahMiar
29 June 2016 20:54
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@WeDistrictNurse @davidpugh25 Not sure how much on the neurological changes & behavioural impact? And then approaches to care #wedns |
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@HeatherBain9
29 June 2016 20:55
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#wedns agree but mental and physical health need considered equally , can we blur boundaries of services https://twitter.com/rstanden1/status/748242858331742208 |
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@RivkahMiar
29 June 2016 20:55
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@RStanden1 @WeDistrictNurse But it's a neurological condition not a mental health one? #wedns |
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@WeCommNurses
29 June 2016 20:56
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#wedns NHS education Scotland have many good resources if you are not familiar with them https://twitter.com/valburns2001/status/748242970957209600 |
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@davidpugh25
29 June 2016 20:56
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@HeatherBain9 @RStanden1 @WeDistrictNurse Lets not just blur let's collaborate effectively #wedns |
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@WeCommNurses
29 June 2016 20:56
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Nearly time up any last words #WeDNs |
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@WeCommNurses
29 June 2016 20:56
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RT @HeatherBain9: #wedns agree but mental and physical health need considered equally , can we blur boundaries of services https://t.co/d6… |
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@WeCommNurses
29 June 2016 20:57
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RT @davidpugh25: @HeatherBain9 @RStanden1 @WeDistrictNurse Lets not just blur let's collaborate effectively #wedns |
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@valburns2001
29 June 2016 20:57
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#WeDNs DNs shadowed CPN @NAHSCP at early diagnosis and follow up for learning opportunity |
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@HeatherBain9
29 June 2016 20:58
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#wedns happy with that if accepted , step change ;) https://twitter.com/davidpugh25/status/748243732772827139 |
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@RivkahMiar
29 June 2016 20:58
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@WeDistrictNurse There are so many resources developed by people w dementia & their families @KateSwaffer @bethyb1886 @mason4233 etc #wedns |
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@WeCommNurses
29 June 2016 20:58
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RT @valburns2001: #WeDNs DNs shadowed CPN @NAHSCP at early diagnosis and follow up for learning opportunity |
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@davidpugh25
29 June 2016 20:58
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@WeDistrictNurse Really important for DNs to collaborate and feel equipped to provide best care possible #WeDNs |
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@davidpugh25
29 June 2016 20:58
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RT @HeatherBain9: #wedns happy with that if accepted , step change ;) https://twitter.com/davidpugh25/status/748243732772827139 |
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@WeCommNurses
29 June 2016 20:59
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Thanks all for joining, a small group but some good points raised #WeDNs |
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@disgamechanger
29 June 2016 20:59
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RT @HeatherBain9: #wedns happy with that if accepted , step change ;) https://twitter.com/davidpugh25/status/748243732772827139 |
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@HeatherBain9
29 June 2016 20:59
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Thanks all #wedns |
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@WeCommNurses
29 June 2016 20:59
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RT @davidpugh25: @WeDistrictNurse Really important for DNs to collaborate and feel equipped to provide best care possible #WeDNs |
Stats
Total contributers:
23
Total tweets:
142
Total reach:
930,316
