#WeEOLC - Tuesday 6th September 2016 8pm (GMT Standard Time)
Care Homes and End of Life
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Hosted by WeEOLC using #WeEOLC
This chat is guest hosted by @elleysowerby @DHHCeducation @LearnPEOLC
What end of life care education interventions are helpful in care homes?
With @elleysowerby from @fp7PACE and @waynedeleeuw from @DHHCeducation and @learnhospice from @WeEOLC
Join us to discuss and explore end of life in care homes - what's your experience and your thoughts?
The number of people over 85 in the UK is predicted to more than double in the next 23 years (ONS 2015). This increase will place increasing pressure on the health and social care system, with greater reliance on care homes to meet the needs of frail older adults living with multiple co-morbidities and complex needs.
Many care homes seek to provide high standards of person centred care for their residents. However, the care home sector generally reports high staff turnover and low staff morale, exacerbated by a lack of external support, responsiveness and professional respect (Hussein et al 2015). A culture of palliative and end of life education and development is important to help support staff in their role, and ensure that care is responsive, person centred and optimised to meet the needs of the individual. The diversity and skills required to provide this care effectively can prove challenging as it places a great onus on care staff who may have minimal external support or education.
It is suggested by Anstey et al (2016) that education is an important factor in helping to overcome some of the challenges in the delivery of end of life care in care homes. With a range of palliative and end of life care training available what works best for individual care homes can vary. This may be dependent on multiple factors such as staff turnover, cost, if the training is off/on site, if there is any ongoing support and the flexibility and structure of the training. The heart of any palliative and end of life intervention should ultimately be about making a difference by helping to nurture, support, and embed sustainable change.
There are a number of palliative and end of life care educational interventions available to care homes but they rely heavily on care homes investing in palliative and end of life education. By developing a robust culture of continuing education and development within care homes it can help promote staff engagement, develop collaborative networks and ensure that care is responsive, person centred and optimised to meet the palliative and end of life needs of each individual.
Join us to discuss and explore:
- What are the advantages of end of life education in care homes?
- What are the disadvantages?
- What’s the best way to deliver palliative care interventions in care homes?
- What factors might help to support the embedding and sustainability of end of life education in care homes?
- How do we create supportive networks to support care home staff ?
- Should palliative care education be mandatory in care homes?
Further reading:
Anstey S, Powell T, Coles B et al. Education and training to enhance end-of-life care for nursing home staff: a systematic literature review. BMJ Supportive & Palliative Care 2016; 0:1-9
National population projections for the UK, 2014-based, Office for National Statistics, 2015
O’Brien M, Kirton J, Knighting K et al. Improving end of life care in care homes; an evaluation of the six steps to success programme. BMC Palliative Care 2016; 15:53
Spilsbury K, Hanratty B, McCaughan D Supporting nurses in care homes. University of York Project Report 2015
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@LearnPEOLC
06 September 2016 21:21
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some really important themes came up tonight: 1. partnership, education and doing with (learn from and with each other) 2. being with people as they die not just drug intervention symptom control 3. innovations such as social media, closed face book accounts, skype, technology and communities of practice 4. consider needs of managers, clinical and non clinical staff within care homes and within hospices and palliative care teams 5. education, coaching, mentoring, link nurse roles and simulation 6. defining what we mean by end of life and what type of education |
#WeEOLC transcript
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@WeEOLC
06 September 2016 20:00
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@AlresfordBear @learnhospice yup! #WeEOLC |
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@BridgetJohnst
06 September 2016 20:00
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RT @WeEOLC: Hope you are all fired up and ready @elleysowerby @DHHCeducation #WeEOLC |
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@WeEOLC
06 September 2016 20:00
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Welcome to #WeEOLC about care homes & EOL – please say hello & who you are.... TY 2 @DHHCeducation @elleysowerby for leading tonight! |
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@DHHCeducation
06 September 2016 20:00
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@WeEOLC @elleysowerby Yes all set and looking forward to the next hour! #WeEOLC |
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@LearnPEOLC
06 September 2016 20:01
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Sarah here on this and @WeEOLC account #WeEOLC worked in care home Educ in past https://twitter.com/weeolc/status/773234354818576385 |
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@DHHCeducation
06 September 2016 20:01
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@WeEOLC @elleysowerby Wayne here from Dorothy House #WeEolc |
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@WeEOLC
06 September 2016 20:01
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RT @DHHCeducation: @WeEOLC @elleysowerby Yes all set and looking forward to the next hour! #WeEOLC |
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@PhilBallRN
06 September 2016 20:02
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Hi I'm Philip, hospice director, joining in from home, #WeEOLC looking forward to seeing what I can #learn and #share |
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@WeEOLC
06 September 2016 20:02
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RT @WeEOLC: Hope you are all fired up and ready @elleysowerby @DHHCeducation #WeEOLC |
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@cewalshe
06 September 2016 20:02
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@DHHCeducation @WeEOLC @elleysowerby Darn forgot #weeolc already! |
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@WeEOLC
06 September 2016 20:02
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RT @learnhospice: Sarah here on this and @WeEOLC account #WeEOLC worked in care home Educ in past https://twitter.com/weeolc/status/773234354818576385 |
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@BridgetJohnst
06 September 2016 20:02
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And #weeolc https://twitter.com/bridgetjohnst/status/773234728283607041 |
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@WeEOLC
06 September 2016 20:02
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@DHHCeducation @elleysowerby fab! #WeEOLC |
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@WeEOLC
06 September 2016 20:02
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RT @DHHCeducation: @WeEOLC @elleysowerby Wayne here from Dorothy House #WeEolc |
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@elleysowerby
06 September 2016 20:02
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@cewalshe @WeEOLC @DHHCeducation @IOELC @PalliativeMedJ oops me too! #WeEOLC |
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@WeEOLC
06 September 2016 20:03
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@DHHCeducation @elleysowerby Hello Wayne!! #WeEOLC |
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@BridgetJohnst
06 September 2016 20:03
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@cewalshe @DHHCeducation @WeEOLC @elleysowerby I did too #weeolc |
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@WeEOLC
06 September 2016 20:03
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@hospicemanager great to see you Philip! @DHHCeducation @elleysowerby #WeEOLC |
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@WeEOLC
06 September 2016 20:04
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Don’t forget to add #WeEOLC to all your tweets so we can see your thoughts! Here is link to tonight chat #WeEOLC http://www.wecommunities.org/tweet-chats/chat-details/2791 |
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@cewalshe
06 September 2016 20:04
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Now I'm using tchat.io so it will add the # automatically! #weeolc |
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@WeEOLC
06 September 2016 20:04
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RT @BridgetJohnst: And #weeolc https://twitter.com/bridgetjohnst/status/773234728283607041 |
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@DHHCeducation
06 September 2016 20:04
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@WeEOLC @elleysowerby Hi, looking forward to discussing education for the 500,000 people who currently live in nursing homes #WeEOLC |
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@WeEOLC
06 September 2016 20:04
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RT @elleysowerby: @cewalshe @WeEOLC @DHHCeducation @IOELC @PalliativeMedJ oops me too! #WeEOLC |
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@BridgetJohnst
06 September 2016 20:04
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RT @WeEOLC: Don’t forget to add #WeEOLC to all your tweets so we can see your thoughts! Here is link to tonight chat #WeEOLC https://t.co/0… |
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@WeEOLC
06 September 2016 20:05
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RT @WeEOLC: @DHHCeducation @elleysowerby Hello Wayne!! #WeEOLC |
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@WeEOLC
06 September 2016 20:05
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RT @BridgetJohnst: @cewalshe @DHHCeducation @WeEOLC @elleysowerby I did too #weeolc |
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@WeEOLC
06 September 2016 20:05
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RT @WeEOLC: Don’t forget to add #WeEOLC to all your tweets so we can see your thoughts! Here is link to tonight chat #WeEOLC https://t.co/0… |
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@HolyBrookLtd
06 September 2016 20:05
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We believe #carehomes can empower the whole person as they end their story. Join us next month http://ow.ly/HfIX30369iw @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:05
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Question 1 coming up #WeEOLC :) |
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@WeEOLC
06 September 2016 20:06
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RT @cewalshe: Now I'm using tchat.io so it will add the # automatically! #weeolc |
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@Garuth_Chalfont
06 September 2016 20:06
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#WeEolc @Garuth_Chalfont here from @IOELC |
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@WeEOLC
06 September 2016 20:06
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Don’t forget to add #WeEOLC to all your tweets so we can see your thoughts! |
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@cewalshe
06 September 2016 20:06
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RT @Garuth_Chalfont: #WeEolc @Garuth_Chalfont here from @IOELC |
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@WeEOLC
06 September 2016 20:07
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@HolyBrookLtd fab photo - where is it from ? #WeEOLC |
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@WeEOLC
06 September 2016 20:07
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Q1: What are the advantages of EOL education in care homes? #WeEOLC |
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@dtbarron
06 September 2016 20:07
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RT @WeEOLC: Don’t forget to add #WeEOLC to all your tweets so we can see your thoughts! Here is link to tonight chat #WeEOLC https://t.co/0… |
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@WeEOLC
06 September 2016 20:07
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RT @WeEOLC: Question 1 coming up #WeEOLC :) |
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@elleysowerby
06 September 2016 20:07
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@WeEOLC @DHHCeducation #WeEOLC Hello I'm Elley Sowerby RN and UK PACE Country Trainer for @fp7PACE |
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@Luvphotosme
06 September 2016 20:08
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#weEolc Hi my name is Jacqueline. I am an ITU nurse but am interested in EoLC so will quietly watch the chat. |
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@dtbarron
06 September 2016 20:08
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Hello I'm Derek, Director of acre at @Erskine1916 looking forward to tonight's #WeEolc chat |
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@WeEOLC
06 September 2016 20:09
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@DorothyHouseHC @DHHCeducation @elleysowerby hinAnna! Don't forget #WeEOLC |
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@LeaBasra
06 September 2016 20:09
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@WeEOLC #WeEOLC training and increased knowledge to recognise a patient deteriorating from their illness preventing them been sent to hosp |
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@cewalshe
06 September 2016 20:09
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@WeEOLC Well, rather what are the disadvantages, given the high proportion of EOLC given there? #weeolc |
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@DorothyHouseHC
06 September 2016 20:09
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@WeEOLC cascading specialist hospice care knowledge to staff in care homes to benefit residents #weeolc |
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@helenfindlay
06 September 2016 20:09
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RT @WeEOLC: Q1: What are the advantages of EOL education in care homes? #WeEOLC |
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@helenfindlay
06 September 2016 20:10
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RT @cewalshe: @WeEOLC Well, rather what are the disadvantages, given the high proportion of EOLC given there? #weeolc |
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@WeEOLC
06 September 2016 20:10
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@dtbarron @Erskine1916 great to see you Derek ! TY for joining #WeEOLC suspect you will have a lot of expertise to share! |
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@dtbarron
06 September 2016 20:10
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@WeEOLC It is essential to support people to have a good EoL in a supportive caring environment that they know #WeEOLC |
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@BridgetJohnst
06 September 2016 20:10
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@WeEOLC not sure there are any disadvantages - improve care, encourage meaningful conversations, promote excellent eolc etc #WeEOLC |
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@DHHCeducation
06 September 2016 20:10
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#WeEOLC Sorry should have said education for the staff helping care for the 500,000 residents in 12,000 nursing homes across the UK |
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@helenfindlay
06 September 2016 20:10
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RT @learnhospice: Sarah here on this and @WeEOLC account #WeEOLC worked in care home Educ in past https://twitter.com/weeolc/status/773234354818576385 |
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@BridgetJohnst
06 September 2016 20:10
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@Luvphotosme you are very welcome #WeEOLC |
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@WeEOLC
06 September 2016 20:10
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@Luvphotosme Hi - TY for joining - lurk away - and value your thoughts too #WeEOLC |
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@BridgetJohnst
06 September 2016 20:10
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RT @dtbarron: Hello I'm Derek, Director of acre at @Erskine1916 looking forward to tonight's #WeEolc chat |
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@dtbarron
06 September 2016 20:10
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@WeEOLC That should have been Director of Care ?? oops #WeEOLC |
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@WeEOLC
06 September 2016 20:11
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Q1 again: What are the advantages of EOL education in care homes? #WeEOLC |
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@WeEOLC
06 September 2016 20:11
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RT @dtbarron: @WeEOLC It is essential to support people to have a good EoL in a supportive caring environment that they know #WeEOLC |
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@WeEOLC
06 September 2016 20:11
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RT @DorothyHouseHC: @WeEOLC cascading specialist hospice care knowledge to staff in care homes to benefit residents #weeolc |
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@dtbarron
06 September 2016 20:11
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Partially true @cewalshe but I'd rather make the positive case for it being essential given exactly what you've said @WeEOLC #WeEOLC |
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@BridgetJohnst
06 September 2016 20:11
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Lurkers welcome but please introduce yourself and way you come from #WeEOLC |
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@WeEOLC
06 September 2016 20:12
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@cewalshe ohhh that was our next question !!! #WeEOLC - spot the experienced researcher in the chat.....;) |
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@WeEOLC
06 September 2016 20:12
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RT @leajones2288: @WeEOLC #WeEOLC training and increased knowledge to recognise a patient deteriorating from their illness preventing them… |
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@helenfindlay
06 September 2016 20:12
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@WeEOLC Incredibly important for staff to care for resident with dementia at end of life & help families (where is a family) #WeEolc |
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@WeEOLC
06 September 2016 20:13
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RT @BridgetJohnst: Lurkers welcome but please introduce yourself and way you come from #WeEOLC |
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@helenfindlay
06 September 2016 20:13
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RT @leajones2288: @WeEOLC #WeEOLC training and increased knowledge to recognise a patient deteriorating from their illness preventing them… |
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@helenfindlay
06 September 2016 20:13
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RT @DorothyHouseHC: @WeEOLC cascading specialist hospice care knowledge to staff in care homes to benefit residents #weeolc |
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@WeEOLC
06 September 2016 20:13
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RT @dtbarron: @WeEOLC That should have been Director of Care ?? oops #WeEOLC |
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@helenfindlay
06 September 2016 20:13
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RT @dtbarron: @WeEOLC It is essential to support people to have a good EoL in a supportive caring environment that they know #WeEOLC |
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@helenfindlay
06 September 2016 20:13
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RT @WeEOLC: Q1 again: What are the advantages of EOL education in care homes? #WeEOLC |
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@PhilBallRN
06 September 2016 20:13
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I presume advtgs of education is improved satisfaction for staff, comfort for residents, and well planned care for end of life? #WeEOLC |
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@Garuth_Chalfont
06 September 2016 20:13
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#WeEolc some relatives respond favourably when looking back on the death, some staff learn new skills, training is appreciated by some... |
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@LeaBasra
06 September 2016 20:13
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@WeEOLC education will help the staffs knowledge and confidence to act on symptoms common at end of life #WeEOLC like secretions pain ect |
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@WeEOLC
06 September 2016 20:14
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@helenfindlay excellent point #WeEOLC |
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@dtbarron
06 September 2016 20:14
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@WeEOLC Important to equip staff with knowledge and skills to make EoL as person centred as possible - requires practical skills #WeEOLC |
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@dtbarron
06 September 2016 20:15
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I agree, but also to remember that EoL encompasses more than people living with dementia #WeEOLC https://twitter.com/helenfindlay/status/773237553516380162 |
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@helenfindlay
06 September 2016 20:15
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@WeEOLC Enable care home staff to feel prepared for eol care & also for the emotions they will personally feel at these times #WeEolc |
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@cewalshe
06 September 2016 20:15
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@hospicemanager Sadly however, there isn't much evidence that education makes a difference? http://www.ncbi.nlm.nih.gov/pubmed/27329513 #weeolc |
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@LearnPEOLC
06 September 2016 20:15
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#WeEolc +ve and -ve like to have an expectation of +ve so always aiming for excellence rather than managing -ve |
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@helenfindlay
06 September 2016 20:16
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RT @dtbarron: I agree, but also to remember that EoL encompasses more than people living with dementia #WeEOLC https://twitter.com/helenfindlay/status/773237553516380162 |
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@dtbarron
06 September 2016 20:16
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Same question would be - why have staff on a surgical ward that understand post surgical care #WeEOLC https://twitter.com/hospicemanager/status/773237806646849536 |
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@DorothyHouseHC
06 September 2016 20:16
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@WeEOLC supporting empowering staff who may be uncomfortable having EOL conversations- they can make a difference #WeEOLC |
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@BridgetJohnst
06 September 2016 20:16
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RT @cewalshe: @hospicemanager Sadly however, there isn't much evidence that education makes a difference? http://www.ncbi.nlm.nih.gov/pubmed/27329513 #weeolc |
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@CoxonGeorge
06 September 2016 20:16
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@WeEOLC Can I just say my staff are the ones who hold the hands of the dying -all the expert training around at times forgets this #WeEolc |
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@mrsbiffy
06 September 2016 20:16
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#WeEOLC hi, I'm Elizabeth. Fairly new to a hospital CNS palliative care role. Have worked in palliative care for over 15 years and love it |
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@dtbarron
06 September 2016 20:16
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RT @leajones2288: @WeEOLC education will help the staffs knowledge and confidence to act on symptoms common at end of life #WeEOLC like sec… |
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@BridgetJohnst
06 September 2016 20:16
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RT @dtbarron: I agree, but also to remember that EoL encompasses more than people living with dementia #WeEOLC https://twitter.com/helenfindlay/status/773237553516380162 |
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@cewalshe
06 September 2016 20:17
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Review shows that we do poor research on low quality education that wouldn't change behaviour. http://www.ncbi.nlm.nih.gov/pubmed/27329513 #weeolc |
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@WeEOLC
06 September 2016 20:17
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@dtbarron #WeEOLC agreed and we should never underestimate impt of practical common sense care...ie eye contact, friendliness etc etc |
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@WeEOLC
06 September 2016 20:17
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RT @dtbarron: I agree, but also to remember that EoL encompasses more than people living with dementia #WeEOLC https://twitter.com/helenfindlay/status/773237553516380162 |
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@elleysowerby
06 September 2016 20:17
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@dtbarron @WeEOLC Yes and familiarity #weeolc |
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@WeEOLC
06 September 2016 20:17
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RT @leajones2288: @WeEOLC education will help the staffs knowledge and confidence to act on symptoms common at end of life #WeEOLC like sec… |
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@dtbarron
06 September 2016 20:17
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Important point @helenfindlay - we also need to prepare and care for staff #WeEOLC https://twitter.com/helenfindlay/status/773238266975879168 |
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@WeEOLC
06 September 2016 20:17
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RT @Garuth_Chalfont: #WeEolc some relatives respond favourably when looking back on the death, some staff learn new skills, training is app… |
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@helenfindlay
06 September 2016 20:17
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@dtbarron Indeed. Care homes will have significant numbers of residents with dementia at varying stages but also frail & vulnerable #WeEolc |
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@HBrett1
06 September 2016 20:18
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@BridgetJohnst @WeEOLC Helen here educationalist at Dorothy House #WeEOLC |
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@BridgetJohnst
06 September 2016 20:18
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@CoxonGeorge @WeEOLC important point staff need to feel valued as well #WeEOLC |
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@helenfindlay
06 September 2016 20:18
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RT @dtbarron: Important point @helenfindlay - we also need to prepare and care for staff #WeEOLC https://twitter.com/helenfindlay/status/773238266975879168 |
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@DorothyHouseHC
06 September 2016 20:18
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@CoxonGeorge @WeEOLC so important to remember this - they are also well known by patient #WeEOLC |
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@BridgetJohnst
06 September 2016 20:19
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RT @HBrett1: @BridgetJohnst @WeEOLC Helen here educationalist at Dorothy House #WeEOLC |
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@PhilBallRN
06 September 2016 20:19
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Rural internet slows me down, will read link later @cewalshe TY, #WeEolc so anything that does help? https://twitter.com/cewalshe/status/773238312966492160 |
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@WeEOLC
06 September 2016 20:19
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#WeEOLC welcome - great to see you ! #WeEOLC https://twitter.com/mrsbiffy/status/773238583624859648 |
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@BridgetJohnst
06 September 2016 20:19
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RT @WeEOLC: @dtbarron #WeEOLC agreed and we should never underestimate impt of practical common sense care...ie eye contact, friendliness e… |
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@dtbarron
06 September 2016 20:19
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I'd disagree - where we have knowledgeable nurses/carers care is improved and more #personcentered @cewalshe @hospicemanager #WeEOLC |
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@helenfindlay
06 September 2016 20:19
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RT @Garuth_Chalfont: #WeEolc some relatives respond favourably when looking back on the death, some staff learn new skills, training is app… |
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@helenfindlay
06 September 2016 20:19
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RT @leajones2288: @WeEOLC education will help the staffs knowledge and confidence to act on symptoms common at end of life #WeEOLC like sec… |
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@MoniqueLhussier
06 September 2016 20:19
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RT @DorothyHouseHC: @WeEOLC cascading specialist hospice care knowledge to staff in care homes to benefit residents #weeolc |
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@DHHCeducation
06 September 2016 20:20
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@WeEOLC #WeEOLC Empowered stff who can make informed decsions, start ACP discussion earlier and also prevent unnecesary admissions |
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@DorothyHouseHC
06 September 2016 20:20
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@cewalshe @hospicemanager DHHC aiming for long term partnership & support to build relationship & skills in local homes #WeEOLC |
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@elleysowerby
06 September 2016 20:20
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@hospicemanager optimising person centred care - Improved staff retention - improved asst and sx control any other? #weeolc |
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@BridgetJohnst
06 September 2016 20:20
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.@cewalshe so all what do we say/evidence says is 'high quality' Education #WeEolc |
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@helenfindlay
06 September 2016 20:20
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RT @WeEOLC: #WeEOLC welcome - great to see you ! #WeEOLC https://twitter.com/mrsbiffy/status/773238583624859648 |
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@WeEOLC
06 September 2016 20:20
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impt point and same or communication skills education too I believe #WeEOLC @BMJ_SPCare https://twitter.com/cewalshe/status/773238673471143941 |
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@MoniqueLhussier
06 September 2016 20:20
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RT @leajones2288: @WeEOLC #WeEOLC training and increased knowledge to recognise a patient deteriorating from their illness preventing them… |
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@HBrett1
06 September 2016 20:20
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@leajones2288 @WeEOLC would agree with this #WeEOLC |
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@PhilBallRN
06 September 2016 20:20
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Am wondering if #WeEolc @WeEOLC we shouldn't take a similar approach across care settings? Has there been 'snobbery' about care homes care? |
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@helenfindlay
06 September 2016 20:20
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RT @hospicemanager: Rural internet slows me down, will read link later @cewalshe TY, #WeEolc so anything that does help? https://t.co/RxD5C… |
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@helenfindlay
06 September 2016 20:21
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RT @BridgetJohnst: @CoxonGeorge @WeEOLC important point staff need to feel valued as well #WeEOLC |
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@dtbarron
06 September 2016 20:21
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The 'expert' training is around preparation, not a substitute for practical experience - it's both IMO @CoxonGeorge @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:21
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@CoxonGeorge #WeEOLC - say more George? |
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@cewalshe
06 September 2016 20:21
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@dtbarron Agree knowledge, skills, attitudes essential. Just that we're not that good at education to facilitate this? #weeolc |
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@helenfindlay
06 September 2016 20:21
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RT @WeEOLC: impt point and same or communication skills education too I believe #WeEOLC @BMJ_SPCare https://twitter.com/cewalshe/status/773238673471143941 |
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@paulamadigan
06 September 2016 20:21
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I'm Paula, nurse in A+E. I see patients with terminal diagnosis die in resus cause relatives panic when they c deaths early signs #WeEolc |
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@BridgetJohnst
06 September 2016 20:21
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RT @hospicemanager: Am wondering if #WeEolc @WeEOLC we shouldn't take a similar approach across care settings? Has there been 'snobbery' ab… |
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@WeEOLC
06 September 2016 20:21
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RT @dtbarron: Same question would be - why have staff on a surgical ward that understand post surgical care #WeEOLC https://twitter.com/hospicemanager/status/773237806646849536 |
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@dtbarron
06 September 2016 20:22
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Snobbery in which direction? #WeEOLC @hospicemanager @WeEOLC |
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@cewalshe
06 September 2016 20:22
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@BridgetJohnst @cewalshe Important given the time and money costs of education. #weeolc |
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@BridgetJohnst
06 September 2016 20:22
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Communication skills training is essential but need to ensure the education has impact and the impact is measured #WeEOLC |
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@paulamadigan
06 September 2016 20:22
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Could we have classes to prepare relatives? We plan and educate partners for Birth but not death #WeEolc |
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@mrsbiffy
06 September 2016 20:22
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#WeEOLC have found big culture change from hospice to hospital. Fostering relationships, promoting communication and education in acute |
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@dtbarron
06 September 2016 20:22
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So perhaps the @WeEOLC question should be how we address that @cewalshe ? #WeEOLC |
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@WeEOLC
06 September 2016 20:22
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#WeEOLC Q2 coming up |
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@DHHCeducation
06 September 2016 20:22
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@dtbarron @WeEOLC #WeEOLC Agree, evidence is that staff in care homes need to understand this and also identifying when EoLC phase has begun |
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@BridgetJohnst
06 September 2016 20:22
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RT @cewalshe: @BridgetJohnst @cewalshe Important given the time and money costs of education. #weeolc |
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@elleysowerby
06 September 2016 20:22
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@helenfindlay @WeEOLC Encouraging staff debriefing and reflection as a tool to support and nurture staff learning 2 #weeolc |
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@WeEOLC
06 September 2016 20:22
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RT @cewalshe: @dtbarron Agree knowledge, skills, attitudes essential. Just that we're not that good at education to facilitate this? #weeolc |
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@Bricey99
06 September 2016 20:23
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#WeEolc hello I'm a heart failure nurse been doing research on EOLC for folks with heart failure at St Christopher's Hospice |
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@BridgetJohnst
06 September 2016 20:23
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RT @DHHCeducation: @dtbarron @WeEOLC #WeEOLC Agree, evidence is that staff in care homes need to understand this and also identifying when… |
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@helenfindlay
06 September 2016 20:24
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@WeEOLC Q1: Strong links/p'ship with local hospice(s) v necessary in my view-provide on-going training & mentor care home staff #WeEolc |
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@PhilBallRN
06 September 2016 20:24
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I wonder if hospices in past been not good at helping/advising care homes? #WeEolc @WeEOLC @dtbarron https://t.co/O5jmp1qbMv |
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@BridgetJohnst
06 September 2016 20:24
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RT @Bricey99: #WeEolc hello I'm a heart failure nurse been doing research on EOLC for folks with heart failure at St Christopher's Hospice |
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@WeEOLC
06 September 2016 20:24
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@cewalshe @dtbarron #WeEOLC or maybe we do things in isolation without looking at the whole needs of a home and their team |
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@dtbarron
06 September 2016 20:24
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Am reminded of Q what happens if we train staff and they leave? A. What happens if we don't and they stay? @cewalshe @BridgetJohnst #WeEOLC |
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@Daniels_Dash
06 September 2016 20:24
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RT @dtbarron: @WeEOLC It is essential to support people to have a good EoL in a supportive caring environment that they know #WeEOLC |
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@Owen7Kellie
06 September 2016 20:24
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RT @paulamadigan: Could we have classes to prepare relatives? We plan and educate partners for Birth but not death #WeEolc |
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@WeEOLC
06 September 2016 20:24
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@Bricey99 Hello Mary - great to see you ! #WeEOLC |
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@CoxonGeorge
06 September 2016 20:24
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@DorothyHouseHC @WeEOLC key for us is confidence, an ethos of calm &recognising the privilege &importance of #WeEolc &pride in doing it well |
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@LearnPEOLC
06 September 2016 20:25
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RT @DorothyHouseHC: @CoxonGeorge @WeEOLC so important to remember this - they are also well known by patient #WeEOLC |
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@dtbarron
06 September 2016 20:25
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Key point in supporting staff and 'allowing' them to feel emotion ie it's not wrong to care @elleysowerby @helenfindlay @WeEOLC #WeEOLC |
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@PhilBallRN
06 September 2016 20:25
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RT @WeEOLC: @cewalshe @dtbarron #WeEOLC or maybe we do things in isolation without looking at the whole needs of a home and their team |
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@Daniels_Dash
06 September 2016 20:25
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RT @WeEOLC: Q1: What are the advantages of EOL education in care homes? #WeEOLC |
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@LearnPEOLC
06 September 2016 20:26
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RT @DHHCeducation: @WeEOLC #WeEOLC Empowered stff who can make informed decsions, start ACP discussion earlier and also prevent unnecesary… |
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@WeEOLC
06 September 2016 20:26
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#WeEOL Q 2:What’s the best way to support palliative care educ in care homes? #WeEOLC |
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@LearnPEOLC
06 September 2016 20:26
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RT @HBrett1: @leajones2288 @WeEOLC would agree with this #WeEOLC |
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@dtbarron
06 September 2016 20:26
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Certainly worth further consideration @hospicemanager @WeEOLC I think both have a vital part to play #WeEOLC |
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@cewalshe
06 September 2016 20:27
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Train the trainer approaches appear to have potential. http://www.ncbi.nlm.nih.gov/pubmed/26801232 Who should facilitate this? #weeolc |
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@LearnPEOLC
06 September 2016 20:27
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@hospicemanager @WeEOLC say more? #WeEOLC |
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@MoniqueLhussier
06 September 2016 20:27
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RT @cewalshe: @hospicemanager Sadly however, there isn't much evidence that education makes a difference? http://www.ncbi.nlm.nih.gov/pubmed/27329513 #weeolc |
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@LearnPEOLC
06 September 2016 20:27
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RT @cewalshe: @dtbarron Agree knowledge, skills, attitudes essential. Just that we're not that good at education to facilitate this? #weeolc |
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@helenfindlay
06 September 2016 20:27
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@dtbarron @elleysowerby @WeEOLC Accept that we're all human! #WeEolc |
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@CoxonGeorge
06 September 2016 20:27
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@WeEOLC we have one of our chaps near. I'm on alert, I spent time with staff & family today we rely on risk share/shared care&calm #WeEolc |
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@BridgetJohnst
06 September 2016 20:27
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@WeEOLC good role models and leaders #WeEOLC |
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@WeEOLC
06 September 2016 20:28
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RT @WeEOLC: #WeEOL Q 2:What’s the best way to support palliative care educ in care homes? #WeEOLC |
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@WeEOLC
06 September 2016 20:28
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RT @BridgetJohnst: @WeEOLC good role models and leaders #WeEOLC |
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@dtbarron
06 September 2016 20:28
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We have much to learn from a practice development approach ie beyond didactic teaching - the essence of 'being with' staff @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:28
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RT @helenfindlay: @dtbarron @elleysowerby @WeEOLC Accept that we're all human! #WeEolc |
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@WeEOLC
06 September 2016 20:28
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RT @learnhospice: @hospicemanager @WeEOLC say more? #WeEOLC |
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@PhilBallRN
06 September 2016 20:28
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Just aware in past #WeEolc @WeEolc care homes seen in commercial terms and opportunities to collaborate lost? https://twitter.com/learnhospice/status/773241130402123776 |
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@DHHCeducation
06 September 2016 20:28
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@WeEOLC targetted skills for the registered and unregistered staff, our expereince shows that role play powerful tool #WeEOLC |
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@WeEOLC
06 September 2016 20:29
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@cewalshe absolutely #WeEOLC @learnhospice helped design that programme |
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@helenfindlay
06 September 2016 20:29
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@WeEOLC Q2: Establish good links with specialist palliative care teams in locale (or further) & develop proper training plans/budget #WeEolc |
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@helenfindlay
06 September 2016 20:29
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RT @cewalshe: @dtbarron Agree knowledge, skills, attitudes essential. Just that we're not that good at education to facilitate this? #weeolc |
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@DorothyHouseHC
06 September 2016 20:29
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@WeEOLC DHHC believes in fostering long term partnership support via 'link nurse' scheme - building ongoing relationships #WeEolc |
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@dtbarron
06 September 2016 20:29
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@cewalshe Key question - a merge between practice development, empirical knowledge and research evidence? #WeEOLC #multifactorial? |
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@helenfindlay
06 September 2016 20:29
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RT @dtbarron: Same question would be - why have staff on a surgical ward that understand post surgical care #WeEOLC https://twitter.com/hospicemanager/status/773237806646849536 |
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@dtbarron
06 September 2016 20:29
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RT @BridgetJohnst: @WeEOLC good role models and leaders #WeEOLC |
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@helenfindlay
06 September 2016 20:30
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RT @hospicemanager: Am wondering if #WeEolc @WeEOLC we shouldn't take a similar approach across care settings? Has there been 'snobbery' ab… |
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@BridgetJohnst
06 September 2016 20:30
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RT @dtbarron: @cewalshe Key question - a merge between practice development, empirical knowledge and research evidence? #WeEOLC #multifacto… |
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@WeEOLC
06 September 2016 20:30
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Add mentoring, coaching and learn with and from each other #WeEOLC https://twitter.com/dtbarron/status/773241424347336704 |
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@MoniqueLhussier
06 September 2016 20:30
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RT @WeEOLC: impt point and same or communication skills education too I believe #WeEOLC @BMJ_SPCare https://twitter.com/cewalshe/status/773238673471143941 |
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@paulamadigan
06 September 2016 20:30
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@WeEOLC high fidelity SIM ? Practice and reflect on the difficult conversations within a safe space #WeEOLC |
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@WeEOLC
06 September 2016 20:30
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RT @hospicemanager: Just aware in past #WeEolc @WeEolc care homes seen in commercial terms and opportunities to collaborate lost? https://t… |
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@dtbarron
06 September 2016 20:30
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Yep, leaders need to be nearby in order to share, understand and support @BridgetJohnst @WeEOLC #WeEOLC |
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@helenfindlay
06 September 2016 20:30
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RT @hospicemanager: Just aware in past #WeEolc @WeEolc care homes seen in commercial terms and opportunities to collaborate lost? https://t… |
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@WeEOLC
06 September 2016 20:31
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RT @dtbarron: @cewalshe Key question - a merge between practice development, empirical knowledge and research evidence? #WeEOLC #multifacto… |
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@WeEOLC
06 September 2016 20:31
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RT @paulamadigan: @WeEOLC high fidelity SIM ? Practice and reflect on the difficult conversations within a safe space #WeEOLC |
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@dtbarron
06 September 2016 20:31
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Got to say that isn't the experience everywhere, but acknowledge it might be reality for some #WeEOLC https://twitter.com/hospicemanager/status/773241530958094336 |
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@DHHCeducation
06 September 2016 20:31
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agree esssential #WeEOLC https://twitter.com/cewalshe/status/773241114165817345 |
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@WeEOLC
06 September 2016 20:32
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@paulamadigan #WeEOLC and communities of practice? |
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@cewalshe
06 September 2016 20:32
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@dtbarron Evidence seems to be that much facilitation and leadership needed to make a difference. http://www.ncbi.nlm.nih.gov/pubmed/24942282 #weeolc |
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@helenfindlay
06 September 2016 20:32
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@hospicemanager @WeEOLC Q2: Also maybe care home staff seen as lacking in basic skills/job with no prospects/low paid #WeEolc |
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@WeEOLC
06 September 2016 20:32
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Q2 again #WeEOLC What’s the best way to support palliative care educ in care homes? #WeEOLC |
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@WeEOLC
06 September 2016 20:32
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RT @dtbarron: Yep, leaders need to be nearby in order to share, understand and support @BridgetJohnst @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:32
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RT @DHHCeducation: agree esssential #WeEOLC https://twitter.com/cewalshe/status/773241114165817345 |
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@PhilBallRN
06 September 2016 20:32
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Does anyone care homes and hospices do #jobswaps or secondment or placement opportunities? #WeEOLC @WeEOLC would they help? |
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@elleysowerby
06 September 2016 20:32
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High quality research to help explore what educational interventions are able to make a difference?#weeolc https://twitter.com/cewalshe/status/773238673471143941 |
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@dtbarron
06 September 2016 20:33
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@DHHCeducation @WeEOLC sounds like a great research opportunity around how to develop this knowledge #WeEOLC |
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@WeEOLC
06 September 2016 20:33
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@cewalshe @dtbarron try for all the evidence Catherine #WeEOLC ?? |
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@WeEOLC
06 September 2016 20:33
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RT @WeEOLC: Q2 again #WeEOLC What’s the best way to support palliative care educ in care homes? #WeEOLC |
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@Owen7Kellie
06 September 2016 20:33
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End of life Practice Development Nurse educational sessions followed up with real time facilitation and good role modelling #WeEOLC |
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@MoniqueLhussier
06 September 2016 20:33
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@SoniaDalkin this echoes your findings - staff in care homes not always equipped to deal with Eol #WeEolc https://twitter.com/DHHCeducation/status/773240055431299073 |
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@helenfindlay
06 September 2016 20:33
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RT @WeEOLC: Add mentoring, coaching and learn with and from each other #WeEOLC https://twitter.com/dtbarron/status/773241424347336704 |
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@helenfindlay
06 September 2016 20:34
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RT @WeEOLC: Q2 again #WeEOLC What’s the best way to support palliative care educ in care homes? #WeEOLC |
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@dtbarron
06 September 2016 20:34
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@cewalshe Is that any different from anywhere else eg the NHS? #WeEOLC ergo important and I agree |
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@MoniqueLhussier
06 September 2016 20:34
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RT @DHHCeducation: @WeEOLC #WeEOLC Empowered stff who can make informed decsions, start ACP discussion earlier and also prevent unnecesary… |
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@WeEOLC
06 September 2016 20:34
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@cewalshe @dtbarron I mean TY...oops #WeEOLC |
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@WeEOLC
06 September 2016 20:35
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RT @MoniqueLhussier: @SoniaDalkin this echoes your findings - staff in care homes not always equipped to deal with Eol #WeEolc https://t.co… |
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@cewalshe
06 September 2016 20:35
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@WeEOLC Doing my best! Evidence base critically important. #weeolc |
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@helenfindlay
06 September 2016 20:35
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@cewalshe @WeEOLC @dtbarron Q2: Care home manager has enormous leadership role to play-sets standard for whole care home #WeEolc |
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@elleysowerby
06 September 2016 20:35
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@DHHCeducation @dtbarron @WeEOLC What about peer to peer support to help staff through the end of life care of residents? #weeolc |
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@helenfindlay
06 September 2016 20:35
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RT @DHHCeducation: agree esssential #WeEOLC https://twitter.com/cewalshe/status/773241114165817345 |
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@helenfindlay
06 September 2016 20:35
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RT @dtbarron: Yep, leaders need to be nearby in order to share, understand and support @BridgetJohnst @WeEOLC #WeEOLC |
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@MoniqueLhussier
06 September 2016 20:35
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RT @cewalshe: Train the trainer approaches appear to have potential. http://www.ncbi.nlm.nih.gov/pubmed/26801232 Who should facilitate this? #weeolc |
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@helenfindlay
06 September 2016 20:35
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RT @dtbarron: @cewalshe Key question - a merge between practice development, empirical knowledge and research evidence? #WeEOLC #multifacto… |
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@MoniqueLhussier
06 September 2016 20:35
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RT @WeEOLC: Add mentoring, coaching and learn with and from each other #WeEOLC https://twitter.com/dtbarron/status/773241424347336704 |
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@dtbarron
06 September 2016 20:36
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@WeEOLC I'd suggest that is the basis of practice development - it's about ' being with' #rolemodel #coach #WeEOLC |
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@helenfindlay
06 September 2016 20:36
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RT @MoniqueLhussier: @SoniaDalkin this echoes your findings - staff in care homes not always equipped to deal with Eol #WeEolc https://t.co… |
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@WeEOLC
06 September 2016 20:36
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@cewalshe #WeEOLC absolutely esp as quality implementation is a jigsaw of Educ, research, practice, passion, systems, process & willingness |
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@PhilBallRN
06 September 2016 20:36
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That's good to hear Elizabeth @mrsbiffy, shared experiences often create powerful learning #WeEolc @WeEOLC https://twitter.com/mrsbiffy/status/773243043029872640 |
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@BridgetJohnst
06 September 2016 20:37
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RT @WeEOLC: @cewalshe #WeEOLC absolutely esp as quality implementation is a jigsaw of Educ, research, practice, passion, systems, process &… |
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@WeEOLC
06 September 2016 20:37
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@helenfindlay @cewalshe @dtbarron #WeEOLC say more Helen? @DHHCeducation @elleysowerby |
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@paulamadigan
06 September 2016 20:37
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@WeEOLC developing palliative care SIM 'experts'? They already exist for other critical Specialties (obstetrics, neonates) y not #WeEolc ? |
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@WeEOLC
06 September 2016 20:37
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@elleysowerby @DHHCeducation @dtbarron g8 idea..have you examples? #WeEOLC |
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@WeEOLC
06 September 2016 20:37
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RT @dtbarron: @WeEOLC I'd suggest that is the basis of practice development - it's about ' being with' #rolemodel #coach #WeEOLC |
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@WeEOLC
06 September 2016 20:38
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@dtbarron agreed #WeEOLC |
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@dtbarron
06 September 2016 20:38
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Yep, although in the case of @Erskine1916 the House Manager is also an important culture carrier @helenfindlay @cewalshe @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:38
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RT @hospicemanager: That's good to hear Elizabeth @mrsbiffy, shared experiences often create powerful learning #WeEolc @WeEOLC https://t.c… |
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@elleysowerby
06 September 2016 20:38
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Essential....the bedrock of stability, vision, support and leadership #leadbyexample #weeolc https://twitter.com/bridgetjohnst/status/773241310597840897 |
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@CoxonGeorge
06 September 2016 20:38
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@helenfindlay @WeEOLC has to be blended approach, adapted / bespoke no 'one size fits all'. Not over our heads or patronising us ???? #WeEolc |
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@MoniqueLhussier
06 September 2016 20:38
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RT @WeEOLC: @cewalshe #WeEOLC absolutely esp as quality implementation is a jigsaw of Educ, research, practice, passion, systems, process &… |
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@WeEOLC
06 September 2016 20:39
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Ohhhh what does everyone think? #WeEOLC @DHHCeducation @elleysowerby https://twitter.com/paulamadigan/status/773243803348168704 |
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@Owen7Kellie
06 September 2016 20:39
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Encourage staff to share ideas and knowledge between homes forming a nursing home community. Encouraging good EOL care, #WeEOLC |
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@WeEOLC
06 September 2016 20:39
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@dtbarron @Erskine1916 @helenfindlay @cewalshe say more Derek? #WeEOLC |
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@WeEOLC
06 September 2016 20:39
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Next question coming up soon #weeolc |
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@dtbarron
06 September 2016 20:39
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Important around informal caring for each other, shouldn't be a reason to avoid formal support @elleysowerby @DHHCeducation @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:39
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RT @elleysowerby: Essential....the bedrock of stability, vision, support and leadership #leadbyexample #weeolc https://twitter.com/bridgetjohnst/status/773241310597840897 |
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@WeEOLC
06 September 2016 20:40
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Any lurkers out there? Don't forget to say hello using #WeEOLC we'd love to say 'hello'! |
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@BridgetJohnst
06 September 2016 20:41
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RT @WeEOLC: Any lurkers out there? Don't forget to say hello using #WeEOLC we'd love to say 'hello'! |
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@helenfindlay
06 September 2016 20:41
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@WeEOLC @cewalshe @dtbarron @DHHCeducation @elleysowerby Mum's CH had excellent manager who left few mths later, standards plummeted #WeEolc |
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@Moochu1
06 September 2016 20:41
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Interesting discussions going on and great ideas #weeolc |
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@WeEOLC
06 September 2016 20:41
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@CoxonGeorge @helenfindlay #WeEOLc agreed |
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@dtbarron
06 September 2016 20:42
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Our size means we at biggest Home we have HomeManager & x6 House Managers #culture @WeEOLC @Erskine1916 @helenfindlay @cewalshe #WeEOLC |
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@helenfindlay
06 September 2016 20:42
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@CoxonGeorge @WeEOLC Teamwork! (with resident at centre) #WeEolc |
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@HBrett1
06 September 2016 20:43
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@WeEOLC @DHHCeducation @elleysowerby @paulamadigan think it has some real potential involving mdt and different care settings #weeolc |
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@WeEOLC
06 September 2016 20:43
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@Luvphotosme @paulamadigan #WeEOLC simulation? |
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@dtbarron
06 September 2016 20:43
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Wish my mum could have been in the CH I'm now DoC at ?? @helenfindlay @WeEOLC @cewalshe @DHHCeducation @elleysowerby #WeEOLC |
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@PhilBallRN
06 September 2016 20:43
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Good Q, @paulamadigan I like this, should be an approach, #WeEOLC cld hospices have #rapidresponse 24/7 too? https://twitter.com/paulamadigan/status/773243803348168704 |
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@Moochu1
06 September 2016 20:43
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@DHHCEducation Do you have any initiatives to integrate your hospice's experience for care homes? #weeolc |
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@paulamadigan
06 September 2016 20:44
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@Luvphotosme @WeEOLC simulation. Using actors or interactive mannequin 2 SIMulate patient interaction. Normally video'd & debreifed #weEOLC |
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@dtbarron
06 September 2016 20:44
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Something for us all to remember and be aware of @elleysowerby @WeEOLC @DHHCeducation #WeEOLC |
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@WeEOLC
06 September 2016 20:44
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RT @hospicemanager: Good Q, @paulamadigan I like this, should be an approach, #WeEOLC cld hospices have #rapidresponse 24/7 too? https://t.… |
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@DHHCeducation
06 September 2016 20:44
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Agree, this is principle of our link scheme #WeEOLC https://twitter.com/Owen7Kellie/status/773244187600887808 |
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@WeEOLC
06 September 2016 20:44
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RT @dtbarron: Wish my mum could have been in the CH I'm now DoC at ?? @helenfindlay @WeEOLC @cewalshe @DHHCeducation @elleysowerby #WeEOLC |
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@WeEOLC
06 September 2016 20:44
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RT @helenfindlay: @CoxonGeorge @WeEOLC Teamwork! (with resident at centre) #WeEolc |
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@elleysowerby
06 September 2016 20:44
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@WeEOLC @DHHCeducation @paulamadigan be good to know more #weeolc |
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@WeEOLC
06 September 2016 20:44
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Next Q: How do we create supportive networks to support care home staff ? #WeEOLC |
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@helenfindlay
06 September 2016 20:44
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RT @dtbarron: Wish my mum could have been in the CH I'm now DoC at ?? @helenfindlay @WeEOLC @cewalshe @DHHCeducation @elleysowerby #WeEOLC |
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@WeEOLC
06 September 2016 20:44
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@Moochu1 #WeEOLC- yes some interesting and innovative suggestions and experiences.. |
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@WeEOLC
06 September 2016 20:45
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#WeEOLC https://twitter.com/elleysowerby/status/773244786438467584 |
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@BridgetJohnst
06 September 2016 20:45
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RT @DHHCeducation: Agree, this is principle of our link scheme #WeEOLC https://twitter.com/Owen7Kellie/status/773244187600887808 |
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@paulamadigan
06 September 2016 20:46
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@WeEOLC use technology to connect better? #WeEOLC Skype to hospice 4 advice and immediate feedback |
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@BridgetJohnst
06 September 2016 20:46
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RT @WeEOLC: #WeEOLC https://twitter.com/elleysowerby/status/773244786438467584 |
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@helenfindlay
06 September 2016 20:46
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@dtbarron @WeEOLC @cewalshe @DHHCeducation @elleysowerby Wish my mum could have as well! She was a veteran as was my dad #WeEolc |
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@WeEOLC
06 September 2016 20:46
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@Moochu1 @DHHCeducation #WeEOLC I have a feeling that some of the hospices in NW/NE have done this |
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@WeEOLC
06 September 2016 20:46
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RT @DHHCeducation: Agree, this is principle of our link scheme #WeEOLC https://twitter.com/Owen7Kellie/status/773244187600887808 |
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@helenfindlay
06 September 2016 20:47
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RT @DHHCeducation: Agree, this is principle of our link scheme #WeEOLC https://twitter.com/Owen7Kellie/status/773244187600887808 |
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@WeEOLC
06 September 2016 20:47
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RT @elleysowerby: @WeEOLC @DHHCeducation @paulamadigan be good to know more #weeolc |
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@WeEOLC
06 September 2016 20:47
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@elleysowerby @DHHCeducation @paulamadigan agreed #WeEOLC |
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@WeEOLC
06 September 2016 20:47
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RT @WeEOLC: Next Q: How do we create supportive networks to support care home staff ? #WeEOLC |
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@cewalshe
06 September 2016 20:47
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Developing evidence on simulation in palliative care, not necc NH care e.g. http://www.ncbi.nlm.nih.gov/pubmed/27307057 #weeolc |
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@dtbarron
06 September 2016 20:47
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Important to recognise that EoL is a part of living, not a failure @CoxonGeorge @elleysowerby @DHHCeducation @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:47
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RT @WeEOLC: @Moochu1 #WeEOLC- yes some interesting and innovative suggestions and experiences.. |
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@helenfindlay
06 September 2016 20:47
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RT @DHHCeducation: @dtbarron @WeEOLC #WeEOLC Agree, evidence is that staff in care homes need to understand this and also identifying when… |
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@ShazzaHudson
06 September 2016 20:47
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@WeEOLC @Owen7Kellie has set up a Facebook page #WeEolc (sorry I'm late) |
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@WeEOLC
06 September 2016 20:47
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RT @paulamadigan: @WeEOLC use technology to connect better? #WeEOLC Skype to hospice 4 advice and immediate feedback |
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@elleysowerby
06 September 2016 20:47
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RT @dtbarron: Important to recognise that EoL is a part of living, not a failure @CoxonGeorge @elleysowerby @DHHCeducation @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:48
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@paulamadigan @ProjectECHO has done this #WeEOLc |
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@Daniels_Dash
06 September 2016 20:48
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RT @dtbarron: Important to recognise that EoL is a part of living, not a failure @CoxonGeorge @elleysowerby @DHHCeducation @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:48
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Yikes! Only about 10 mins to go....but some great ideas, experiences and suggestions coming out tonight-feel a mind map coming on! #WeEOLC |
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@WeEOLC
06 September 2016 20:49
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RT @cewalshe: Developing evidence on simulation in palliative care, not necc NH care e.g. https://t.co/tGJAUnAlmr #weeolc |
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@helenfindlay
06 September 2016 20:49
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@DHHCeducation @dtbarron @WeEOLC V important-I got to my mum too late, she died while I was en route-not recognised what happening #WeEolc |
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@WeEOLC
06 September 2016 20:49
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RT @dtbarron: Important to recognise that EoL is a part of living, not a failure @CoxonGeorge @elleysowerby @DHHCeducation @WeEOLC #WeEOLC |
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@PhilBallRN
06 September 2016 20:49
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Reflecting #WeEolc 12 years ago my dad in CH died, team there made it a natural and relaxed event, took time, comfortable in role, @WeEOLC |
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@helenfindlay
06 September 2016 20:49
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RT @WeEOLC: Next Q: How do we create supportive networks to support care home staff ? #WeEOLC |
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@WeEOLC
06 September 2016 20:49
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@dtbarron @CoxonGeorge @elleysowerby @DHHCeducation absolutely...living with dying #WeEOLC |
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@DorothyHouseHC
06 September 2016 20:49
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@WeEOLC q3 is there adequate focus on devpt & support of non registered staff in homes?#WeEOLC |
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@WeEOLC
06 September 2016 20:50
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@ShazzaHudson @Owen7Kellie hello!!!!!! #WeEOLC |
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@helenfindlay
06 September 2016 20:50
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RT @WeEOLC: Ohhhh what does everyone think? #WeEOLC @DHHCeducation @elleysowerby https://t.co/vg7qPAIN1b |
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@LeaBasra
06 September 2016 20:50
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@WeEOLC #WeEOLC feel in my area good support during day help at end of phone but after 5pm not much support. |
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@helenfindlay
06 September 2016 20:50
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RT @hospicemanager: Good Q, @paulamadigan I like this, should be an approach, #WeEOLC cld hospices have #rapidresponse 24/7 too? https://t.… |
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@WeEOLC
06 September 2016 20:50
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RT @hospicemanager: Reflecting #WeEolc 12 years ago my dad in CH died, team there made it a natural and relaxed event, took time, comfortab… |
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@WeEOLC
06 September 2016 20:50
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#WeEOLC Ho do we create supportive networks to support care home staff ? #WeEOLC |
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@Owen7Kellie
06 September 2016 20:51
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Social media sites, can help encourage networking between homes, I have a closed group for homes to access resources and network #WeEOLC |
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@WeEOLC
06 September 2016 20:51
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@DorothyHouseHC excellent q #WeEOLC as care starts from the front door/road side |
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@WeEOLC
06 September 2016 20:51
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RT @leajones2288: @WeEOLC #WeEOLC feel in my area good support during day help at end of phone but after 5pm not much support. |
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@helenfindlay
06 September 2016 20:51
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RT @hospicemanager: Reflecting #WeEolc 12 years ago my dad in CH died, team there made it a natural and relaxed event, took time, comfortab… |
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@WeEOLC
06 September 2016 20:51
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RT @WeEOLC: #WeEOLC Ho do we create supportive networks to support care home staff ? #WeEOLC |
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@helenfindlay
06 September 2016 20:51
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RT @dtbarron: Important to recognise that EoL is a part of living, not a failure @CoxonGeorge @elleysowerby @DHHCeducation @WeEOLC #WeEOLC |
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@helenfindlay
06 September 2016 20:51
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RT @cewalshe: Developing evidence on simulation in palliative care, not necc NH care e.g. http://www.ncbi.nlm.nih.gov/pubmed/27307057 #weeolc |
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@WeEOLC
06 September 2016 20:52
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@Owen7Kellie #WeEOLC what sort of resources do you post? |
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@helenfindlay
06 September 2016 20:52
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RT @paulamadigan: @WeEOLC use technology to connect better? #WeEOLC Skype to hospice 4 advice and immediate feedback |
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@BridgetJohnst
06 September 2016 20:52
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RT @leajones2288: @WeEOLC #WeEOLC feel in my area good support during day help at end of phone but after 5pm not much support. |
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@elleysowerby
06 September 2016 20:52
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@ShazzaHudson @WeEOLC @Owen7Kellie peer support networks #weeolc |
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@dtbarron
06 September 2016 20:52
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Where that doesn't happen they will fail to deliver quality #EOLC whole team knowledge/skills are essential #WeEOLC https://twitter.com/dorothyhousehc/status/773246872475631616 |
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@BridgetJohnst
06 September 2016 20:53
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RT @elleysowerby: @ShazzaHudson @WeEOLC @Owen7Kellie peer support networks #weeolc |
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@helenfindlay
06 September 2016 20:53
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@paulamadigan @WeEOLC Yes, technology has a big role to play & will do in future especially for communications/support/advice #WeEolc |
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@BridgetJohnst
06 September 2016 20:53
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RT @dtbarron: Where that doesn't happen they will fail to deliver quality #EOLC whole team knowledge/skills are essential #WeEOLC https://… |
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@helenfindlay
06 September 2016 20:53
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RT @WeEOLC: #WeEOLC https://twitter.com/elleysowerby/status/773244786438467584 |
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@WeEOLC
06 September 2016 20:53
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#WeEOLC FINAL QUESTION should EOL Educ be mandatory in care homes and why? @DHHCeducation @elleysowerby |
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@paulamadigan
06 September 2016 20:53
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@elleysowerby @WeEOLC @DHHCeducation http://scschf.org/ #weEOLC #highfidelitySIM |
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@ProjectECHO
06 September 2016 20:53
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RT @WeEOLC: @paulamadigan @ProjectECHO has done this #WeEOLc |
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@helenfindlay
06 September 2016 20:53
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RT @leajones2288: @WeEOLC #WeEOLC feel in my area good support during day help at end of phone but after 5pm not much support. |
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@LearnPEOLC
06 September 2016 20:54
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RT @dtbarron: Where that doesn't happen they will fail to deliver quality #EOLC whole team knowledge/skills are essential #WeEOLC https://… |
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@elleysowerby
06 September 2016 20:54
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@Owen7Kellie Ditto use of a 'secret' facebook group to help develop and strengthen sustainable networks #weeolc |
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@ShazzaHudson
06 September 2016 20:55
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@elleysowerby @WeEOLC @Owen7Kellie Shared educational events, maybe #SchwartzRounds? Reflection, rotation with Hospice #WeEolc |
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@LearnPEOLC
06 September 2016 20:55
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#WeEOLC because it is common sense to believe everyone deserves best possible care...but should be partnership Educ https://twitter.com/weeolc/status/773247823601098752 |
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@LearnPEOLC
06 September 2016 20:55
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RT @WeEOLC: #WeEOLC FINAL QUESTION should EOL Educ be mandatory in care homes and why? @DHHCeducation @elleysowerby |
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@LearnPEOLC
06 September 2016 20:55
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RT @elleysowerby: @Owen7Kellie Ditto use of a 'secret' facebook group to help develop and strengthen sustainable networks #weeolc |
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@WeEOLC
06 September 2016 20:55
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RT @learnhospice: #WeEOLC because it is common sense to believe everyone deserves best possible care...but should be partnership Educ https… |
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@dtbarron
06 September 2016 20:56
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Yep, although similar to NHS we sometimes struggle to fully embrace digital possibilities @paulamadigan @WeEOLC #WeEOLC |
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@LearnPEOLC
06 September 2016 20:56
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RT @learnhospice: #WeEOLC because it is common sense to believe everyone deserves best possible care...but should be partnership Educ https… |
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@WeEOLC
06 September 2016 20:56
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RT @WeEOLC: #WeEOLC FINAL QUESTION should EOL Educ be mandatory in care homes and why? @DHHCeducation @elleysowerby |
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@WeEOLC
06 September 2016 20:56
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RT @WeEOLC: @Owen7Kellie #WeEOLC what sort of resources do you post? |
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@WeEOLC
06 September 2016 20:57
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RT @dtbarron: Yep, although similar to NHS we sometimes struggle to fully embrace digital possibilities @paulamadigan @WeEOLC #WeEOLC |
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@paulamadigan
06 September 2016 20:57
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@dtbarron @WeEOLC even though some of our patients don't #weEOLC #deathbedlive |
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@dtbarron
06 September 2016 20:57
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Unanswerable really as it would depend on what is meant by #EoLC @WeEOLC @DHHCeducation @elleysowerby #WeEOLC soz, doesn't answer Q |
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@PhilBallRN
06 September 2016 20:57
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I Wonder if care homes have better tech than hospices?#WeEOLC @WeEOLC @dtbarron because it make business sense? https://twitter.com/helenfindlay/status/773247685038075904 |
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@helenfindlay
06 September 2016 20:58
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RT @learnhospice: #WeEOLC because it is common sense to believe everyone deserves best possible care...but should be partnership Educ https… |
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@WeEOLC
06 September 2016 20:58
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#WeEOLC Sue Ryder have done some interesting human rights approach on this https://twitter.com/dhhceducation/status/773248629305843713 |
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@helenfindlay
06 September 2016 20:58
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RT @WeEOLC: #WeEOLC Ho do we create supportive networks to support care home staff ? #WeEOLC |
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@ShazzaHudson
06 September 2016 20:58
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Yes... Because 20% of us die there and deserve dignity in dying. Just education not enough though #WeEolc https://twitter.com/WeEOLC/status/773247823601098752 |
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@ShazzaHudson
06 September 2016 20:58
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RT @WeEOLC: #WeEOLC FINAL QUESTION should EOL Educ be mandatory in care homes and why? @DHHCeducation @elleysowerby |
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@helenfindlay
06 September 2016 20:58
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RT @dtbarron: Yep, although similar to NHS we sometimes struggle to fully embrace digital possibilities @paulamadigan @WeEOLC #WeEOLC |
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@WeEOLC
06 September 2016 20:58
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RT @paulamadigan: @dtbarron @WeEOLC even though some of our patients don't #weEOLC #deathbedlive |
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@dtbarron
06 September 2016 20:58
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Sorry - meant what we mean by EoL education (in previous tweet) @WeEOLC @DHHCeducation @elleysowerby #WeEOLC |
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@WeEOLC
06 September 2016 20:59
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@dtbarron @DHHCeducation @elleysowerby yes it does!!!! #WeEOLC. We should be clearer by what we mean by EOL and defy ( trick q!) |
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@MoniqueLhussier
06 September 2016 20:59
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RT @leajones2288: @WeEOLC #WeEOLC feel in my area good support during day help at end of phone but after 5pm not much support. |
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@WeEOLC
06 September 2016 20:59
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RT @hospicemanager: I Wonder if care homes have better tech than hospices?#WeEOLC @WeEOLC @dtbarron because it make business sense? https:/… |
Stats
Total contributers:
25
Total tweets:
337
Total reach:
1,747,985
