#WeLDNs - Tuesday 5th July 2016 8:30pm (GMT Standard Time)
Use of SSRI's in children with ASD and LD
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Chat Details
Hosted by WeLDnurses using #WeLDNs
This chat is guest hosted by @h88parry
For this chat we are lucky to have Holly Philips, a third year learning disability nursing student and Student Nursing Times Award 2016 finalist, join us again to guest host a chat on a topic that Holly has been researching as part of her placement. Holly is currently studying at the University of Cumbria where she actively participates in student peer support, is a student quality ambassador and campaigns for Changing Places.
''As part of my placement I have been set a piece of work looking at the use of selective serotonin re-uptake inhibitors(SSRIs) in children with learning disabilities for the reduction of symptoms from Autistic Spectrum Disorder (ASD).
NICE, (2013) says that 50% of children with a learning disability are diagnosed with ASD and is generally more commonly diagnosed within boys. According to NICE (2013) ASD is often accompanied by another psychiatric disorder requiring treatment, such as attention deficit hyperactivity disorder, this can be present in up to 70% of cases but can often go unrecognised.
My research so far, which has included many a journal hunt, including a read of a Cochrane Review (link below) which included 5 studies of children taking SSRIs, each leading to a conclusion to say that there is little to no evidence that use of SSRIs has any effect for these purposes.
Within placement however I have come to learn of cases to show the contrary. For example a young girl who has been intolerant of clothes, so will not dress, and is unable to leave the house presenting with very aggressive behaviour. After an unsuccessful course of experimenting with desensitisation/social stories etc. she has recently been trialled on fluoxetine and is now able to tolerate clothing to leave the house and go to school, shopping and out to play.
NICE (2013) indeed say that psycho-therapeutic methods should be used prior to considering medication, but this should be done on a case by case basis, where there may be decisions made to prescribe medication for ASD symptoms the beneficence and side-effects to the person must be thoroughly considered.
So considering this, there seems to be very few cases or pieces of research presenting some of these case by case situations
So my questions are these….
What has been your experience of using SSRIs for ASDsymptoms in children?
What treatmentpathways do you use for helping the symptoms of ASD in children?
Does it differ if youhave someone with or without a LD?
What psychotherapyapproaches have you used for children with ASD & LD?
What more could we doto encourage non medicine routes?
Is there more we can do to help recognise and treat theoften unrecognised coexisting conditions?''
So, join #WeLDNs and @h88Phillips at 20:30 on the 5th July to discuss this further.
Reading
NationalInstitute for Health and Care Excellence (NICE) (2013) Autism in Under 19s: Support and Management Available at: https://www.nice.org.uk/guidance/cg170/chapter/Introduction(Accessed: 21st May 2016)
Williams, K, Brignell, A, Randall, M, Silove, N, & Hazell, P (2013),'Selective serotonin reuptake inhibitors(SSRIs) for autism spectrum disorders (ASD)', Cochrane Database Of SystematicReviews, 8, pp. N.PAG-N.PAG 1p, CINAHL Plus with Full Text, EBSCOhost, (Accessed:22 May 2016)
Link: http://www.cochrane.org/CD004677/BEHAV_selective-serotonin-reuptake-inhibitors-for-treating-people-with-autism-spectrum-disorders
Chat Contributers
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Chat Summary
There would appear that those who have joined in the chat had, unsurprisingly, mixed experiences. This would most likely have to do with the services they were in or areas they were working. It would however appear that generally there was less of an emphasis to prescribe children with medication that there is amongst adults; with the speculation that it is more of a ‘goto’ approach in adults than in adolescents, but could this be as we grow older/bigger are our physical/behavioral symptoms harder to manage?
Throughout discussion the difference in school vs home demands appeared to be different too. This seems to be related to the responsibility of giving medication and therefore possibly the responsibility of that administration, whichever way round it is being requested. I feel though it is important to note at this point that the issue of waiting lists was brought up, as was the long waits families often face in services. Experiences of parents wanting medication was often referred to as a last resort and because they were “at the end of their tether” it is then perhaps as a result of those waiting lists parents/schools wish to explore the medication route more keenly? Had the situation escalated so much that medication could be seen as an ‘easy’ option or ‘quick’ fix?
A number of strategies were listed to try and support people with symptoms without the use of medications, social stories, communication strategies, positive behavior support, structured and regular respite, mindfulness, sensory profiles, Speech and language and Occupational Health input. As well as ensuring that the environmental and structure avenues are explored, such as having strong routines in place and ‘safe spaces’ for a child to be able to go to experience a calming and relaxing atmosphere.
In an ideal world each of us, in whatever service we work in, wish to be able to refer/triage/set pathway etc. as soon as possible, however within the reality of the high demands to services this is becoming more and more difficult every day. The overall conclusion to the discussion led to us recognising the benefits as well as factors to be wary of when considering the use of medication but first and foremost that we must be person centered and be in line with NICE (2013) to consider our strategies on a case by case basis, encouraging the consistency within the strategies which are best set for that child and family.
Useful resources1.
Mindfulness amongst other Downloads for children: http://www.relaxkids.com/store/2.
Book: Managing Family Meltdown: The Low Arousal Approach and Autism https://www.amazon.co.uk/Managing-Family-Meltdown-Arousal-Approach/dp/1849050090/ref=sr_1_1?s=books&ie=UTF8&qid=1467903748&sr=1-1&keywords=managing+family+meltdown3.
Early intervention for children with learning disabilities whose behaviours challenge: http://www.challengingbehaviour.org.uk/learning-disability-files/Briefing-Paper.pdf
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#WeLDNs transcript
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@ross_6479_RNLD
05 July 2016 20:30
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@h88phillips @WeLDnurses send some of those cookies my way please ?? #weldns |
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@WeLDnurses
05 July 2016 20:30
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Let's start by welcoming @h88phillips who is hosting #weldns tonight, lurking or chatting, let's have a round of hello's, #statsmatter #wave |
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@h88parry
05 July 2016 20:30
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@ross_6479 @WeLDnurses you would be lucky if there are crumbs left I am afraid! mmmmm double excitement IT IS TIME #weldns |
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@h88parry
05 July 2016 20:31
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RT @WeLDnurses: Let's start by welcoming @h88phillips who is hosting #weldns tonight, lurking or chatting, let's have a round of hello's, #… |
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@h88parry
05 July 2016 20:31
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RT @WeLDnurses: Let's start by welcoming @h88phillips who is hosting #weldns tonight, lurking or chatting, let's have a round of hello's, #… |
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@paintoolkit2
05 July 2016 20:31
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RT @WeLDnurses: 5 minutes to go guys! As we can chat about emotive topics, #weldns like to #THINK about how we tweet. https://t.co/SIjN2UC… |
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@ross_6479_RNLD
05 July 2016 20:31
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RT @WeLDnurses: Let's start by welcoming @h88phillips who is hosting #weldns tonight, lurking or chatting, let's have a round of hello's, #… |
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@salsa442
05 July 2016 20:31
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RT @WeLDnurses: Let's start by welcoming @h88phillips who is hosting #weldns tonight, lurking or chatting, let's have a round of hello's, #… |
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@ross_6479_RNLD
05 July 2016 20:31
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@WeLDnurses @h88phillips hi guys, Ross here #Waves from Northumberland #weldns |
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@salsa442
05 July 2016 20:32
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Hi all, Sal here #waving from Leicester and looking forward to @h88phillips chat very much #WeLDNs |
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@WeLDnurses
05 July 2016 20:32
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We all want to see the great stuff you have to share so we're using #weldns in every tweet & #ebp when you're sharing evidence |
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@samabdulla
05 July 2016 20:32
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@WeLDnurses @h88phillips evening all! #weldns |
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@WeLDnurses
05 July 2016 20:32
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RT @ross_6479: @WeLDnurses @h88phillips hi guys, Ross here #Waves from Northumberland #weldns |
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@caniswolf
05 July 2016 20:32
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RT @WeLDnurses: 5 minutes to go guys! As we can chat about emotive topics, #weldns like to #THINK about how we tweet. https://t.co/SIjN2UC… |
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@WeLDnurses
05 July 2016 20:32
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RT @samabdulla: @WeLDnurses @h88phillips evening all! #weldns |
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@WeLDnurses
05 July 2016 20:32
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RT @salsa442: Hi all, Sal here #waving from Leicester and looking forward to @h88phillips chat very much #WeLDNs |
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@h88parry
05 July 2016 20:32
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Hello all. Been looking forward to getting stuck into this #weldns https://twitter.com/weldnurses/status/750411627799937024 |
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@h88parry
05 July 2016 20:33
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RT @WeLDnurses: We all want to see the great stuff you have to share so we're using #weldns in every tweet & #ebp when you're sharing evide… |
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@salsa442
05 July 2016 20:33
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RT @WeLDnurses: We all want to see the great stuff you have to share so we're using #weldns in every tweet & #ebp when you're sharing evide… |
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@ross_6479_RNLD
05 July 2016 20:33
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RT @WeLDnurses: We all want to see the great stuff you have to share so we're using #weldns in every tweet & #ebp when you're sharing evide… |
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@salsa442
05 July 2016 20:33
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@h88phillips @WeLDnurses Same here Holly #WeLDNs |
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@WeLDnurses
05 July 2016 20:34
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We've been looking forward to it too @h88phillips #weldns https://twitter.com/h88phillips/status/750412159247585280 |
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@nursingSUni
05 July 2016 20:34
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@WeLDnurses Hello, a student nurse here @h88phillips #weldns #wave |
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@WeLDnurses
05 July 2016 20:34
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evening James #weldns https://twitter.com/mashedbannana/status/750412435966816256 |
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@WeSchoolNurses
05 July 2016 20:34
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@WeLDnurses oops #weldns |
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@mashedbannana
05 July 2016 20:35
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hello #weldns |
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@Magrat68
05 July 2016 20:35
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Evening all #WeLDNs |
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@LD_Northumbria
05 July 2016 20:35
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@ross_6479 @WeLDnurses #weldns #Waves @LD_Northumbria lurking. V interesting topic ???? |
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@WeLDnurses
05 July 2016 20:35
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We will hand over to the lovely @h88phillips to ask the questions tonight :) #weldns |
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@WeLDnurses
05 July 2016 20:35
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RT @nursingSUni: @WeLDnurses Hello, a student nurse here @h88phillips #weldns #wave |
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@WeLDnurses
05 July 2016 20:35
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RT @mashedbannana: hello #weldns |
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@WeLDnurses
05 July 2016 20:36
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RT @WeSchoolNurses: @WeLDnurses oops #weldns |
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@WeLDnurses
05 July 2016 20:36
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RT @MargaretHazeldi: Evening all #WeLDNs |
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@h88parry
05 July 2016 20:36
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after some intros here is Q1. What has been your experience of using SSRIs for ASDsymptoms in children? #weldns |
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@WeLDnurses
05 July 2016 20:36
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RT @LD_Northumbria: @ross_6479 @WeLDnurses #weldns #Waves @LD_Northumbria lurking. V interesting topic ???? |
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@salsa442
05 July 2016 20:36
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RT @WeLDnurses: We will hand over to the lovely @h88phillips to ask the questions tonight :) #weldns |
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@ross_6479_RNLD
05 July 2016 20:36
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RT @WeLDnurses: We will hand over to the lovely @h88phillips to ask the questions tonight :) #weldns |
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@h88parry
05 July 2016 20:36
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@MargaretHazeldi evening lovely you could join us #waves #weldns |
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@ross_6479_RNLD
05 July 2016 20:36
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RT @h88phillips: after some intros here is Q1. What has been your experience of using SSRIs for ASDsymptoms in children? #weldns |
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@WeLDnurses
05 July 2016 20:36
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RT @h88phillips: after some intros here is Q1. What has been your experience of using SSRIs for ASDsymptoms in children? #weldns |
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@salsa442
05 July 2016 20:36
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RT @h88phillips: after some intros here is Q1. What has been your experience of using SSRIs for ASDsymptoms in children? #weldns |
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@ross_6479_RNLD
05 July 2016 20:37
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@h88phillips @WeLDnurses I have to be honest, I've had very little experience in C&YP but interested to learn #weldns |
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@WeLDnurses
05 July 2016 20:37
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RT @h88phillips: @MargaretHazeldi evening lovely you could join us #waves #weldns |
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@salsa442
05 July 2016 20:38
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@h88phillips It's been a while since I worked in children's services,& most common Rx's were for Ritalin & risperidone back then #WeLDNs |
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@WeLDnurses
05 July 2016 20:38
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RT @ross_6479: @h88phillips @WeLDnurses I have to be honest, I've had very little experience in C&YP but interested to learn #weldns |
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@h88parry
05 July 2016 20:38
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@ross_6479 @WeLDnurses excellent to keep the open mind! #weldns #LifelongLearning |
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@samabdulla
05 July 2016 20:39
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@h88phillips in my experience drug therapies tend to be last resort for young people, much less so than adults #weldns |
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@WeLDnurses
05 July 2016 20:39
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RT @h88phillips: @ross_6479 @WeLDnurses excellent to keep the open mind! #weldns #LifelongLearning |
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@UOCLDNursing
05 July 2016 20:39
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We are here @h88phillips just doing a spot of lurking @WeLDnurses #weldns |
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@ross_6479_RNLD
05 July 2016 20:40
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@h88phillips @WeLDnurses #lifelonglearning indeed! Love me some CPD #WeLDNs |
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@WeLDnurses
05 July 2016 20:40
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RT @UOCLDNursing: We are here @h88phillips just doing a spot of lurking @WeLDnurses #weldns |
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@salsa442
05 July 2016 20:40
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@samabdulla @h88phillips Is that still the case?Good to hear if so,we used v few 'behavioural' medications (10yrs ago!) #WeLDNs |
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@WeLDnurses
05 July 2016 20:40
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@UOCLDNursing @h88phillips we love a lurker! #WeLDNs |
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@WeLDnurses
05 July 2016 20:40
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RT @samabdulla: @h88phillips in my experience drug therapies tend to be last resort for young people, much less so than adults #weldns |
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@WeSchoolNurses
05 July 2016 20:40
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Me personally..no experience #weldns https://twitter.com/h88phillips/status/750412955741814784 |
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@h88parry
05 July 2016 20:40
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@samabdulla do you think it seems to be a 'goto' a little more for adults #weldns |
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@Magrat68
05 July 2016 20:41
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For me were used to get a child through a school day issues then at home #WeLDNs |
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@WeLDnurses
05 July 2016 20:41
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@LD_Northumbria @ross_6479 lurk away, feel free to chip in too, we love a lurker :) #weldns |
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@salsa442
05 July 2016 20:41
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@UOCLDNursing @h88phillips @WeLDnurses Noisy lurkers are our favourite kind ;) #WeLDNs |
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@h88parry
05 July 2016 20:41
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RT @samabdulla: @h88phillips in my experience drug therapies tend to be last resort for young people, much less so than adults #weldns |
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@samabdulla
05 July 2016 20:41
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@salsa442 @h88phillips so many environmental/structural avenues to explore to reduce distress #weldns |
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@WeLDnurses
05 July 2016 20:41
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RT @ross_6479: @h88phillips @WeLDnurses #lifelonglearning indeed! Love me some CPD #WeLDNs |
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@WeLDnurses
05 July 2016 20:41
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What are others experiences of this? #weldns https://twitter.com/salsa442/status/750414021954768897 |
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@samabdulla
05 July 2016 20:41
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@h88phillips i think there is less of a taboo around medication for adults #weldns |
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@salsa442
05 July 2016 20:41
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@samabdulla @h88phillips Absolutely,must focus on physical/environmental before medication #WeLDNs |
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@WeLDnurses
05 July 2016 20:41
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RT @WeSchoolNurses: Me personally..no experience #weldns https://twitter.com/h88phillips/status/750412955741814784 |
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@WeLDnurses
05 July 2016 20:41
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RT @h88phillips: @samabdulla do you think it seems to be a 'goto' a little more for adults #weldns |
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@WeLDnurses
05 July 2016 20:42
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RT @MargaretHazeldi: For me were used to get a child through a school day issues then at home #WeLDNs |
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@WeLDnurses
05 July 2016 20:42
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RT @salsa442: @UOCLDNursing @h88phillips @WeLDnurses Noisy lurkers are our favourite kind ;) #WeLDNs |
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@WeLDnurses
05 July 2016 20:42
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RT @samabdulla: @salsa442 @h88phillips so many environmental/structural avenues to explore to reduce distress #weldns |
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@salsa442
05 July 2016 20:42
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RT @WeLDnurses: What are others experiences of this? #weldns https://twitter.com/salsa442/status/750414021954768897 |
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@WeSchoolNurses
05 July 2016 20:42
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RT @samabdulla: @salsa442 @h88phillips so many environmental/structural avenues to explore to reduce distress #weldns |
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@WeLDnurses
05 July 2016 20:42
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RT @samabdulla: @h88phillips i think there is less of a taboo around medication for adults #weldns |
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@WeLDnurses
05 July 2016 20:42
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RT @salsa442: @samabdulla @h88phillips Absolutely,must focus on physical/environmental before medication #WeLDNs |
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@WeCYPnurses
05 July 2016 20:42
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@WeLDnurses just started which may be of interest to some @WeCYPnurses #weldns https://twitter.com/WeLDnurses/status/750396603693948928 |
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@h88parry
05 July 2016 20:43
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interesting thought, how so? #weldns? https://twitter.com/samabdulla/status/750414369238941696 |
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@salsa442
05 July 2016 20:43
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@samabdulla @h88phillips I agree, is that because distress symptoms are harder to manage as people get older/bigger/stronger? #WeLDNs |
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@ross_6479_RNLD
05 July 2016 20:43
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@salsa442 @samabdulla @h88phillips from a personal perspective I hear a lot of parents 'seeking' medication #weldns |
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@salsa442
05 July 2016 20:43
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RT @WeCYPnurses: @WeLDnurses just started which may be of interest to some @WeCYPnurses #weldns https://t.co/wIOtBdtJ1S |
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@WeLDnurses
05 July 2016 20:43
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RT @WeCYPnurses: @WeLDnurses just started which may be of interest to some @WeCYPnurses #weldns https://t.co/wIOtBdtJ1S |
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@WeLDnurses
05 July 2016 20:43
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RT @h88phillips: interesting thought, how so? #weldns? https://t.co/1G1RuHXD7f |
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@h88parry
05 July 2016 20:44
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RT @WeCYPnurses: @WeLDnurses just started which may be of interest to some @WeCYPnurses #weldns https://t.co/wIOtBdtJ1S |
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@S411Y100
05 July 2016 20:44
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#weldns late lurking |
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@WeSchoolNurses
05 July 2016 20:44
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RT @h88phillips: interesting thought, how so? #weldns? https://twitter.com/samabdulla/status/750414369238941696 |
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@S411Y100
05 July 2016 20:44
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RT @samabdulla: @salsa442 @h88phillips so many environmental/structural avenues to explore to reduce distress #weldns |
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@salsa442
05 July 2016 20:44
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@ross_6479 @samabdulla @h88phillips That's interesting,a lot of parents I've supported are so opposite to that,even when theres need #WeLDNs |
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@h88parry
05 July 2016 20:44
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So for my 2nd Q... if you have had some experience What treatment pathways have you use for helping the symptoms of ASD ? #weldns |
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@WeLDnurses
05 July 2016 20:44
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RT @S411Y100: #weldns late lurking |
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@WeLDnurses
05 July 2016 20:45
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@S411Y100 lovely to have you here #weldns |
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@salsa442
05 July 2016 20:45
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@S411Y100 Welcome, and do feel free to be a noisy lurker ;) #WeLDNs |
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@h88parry
05 July 2016 20:45
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@ross_6479 @salsa442 @samabdulla I was just about to say this, have come across it many time, possible easy solution? #weldns |
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@h88parry
05 July 2016 20:45
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@S411Y100 hello how lovely to have you with us. #weldns #waves |
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@salsa442
05 July 2016 20:46
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@h88phillips Behavioural support,play therapy,PECS and other comm strategies,social stories #WeLDNs |
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@ross_6479_RNLD
05 July 2016 20:46
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@salsa442 @samabdulla @h88phillips I wonder how many of these parents I hear of have LDN input? #weldns |
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@WeSchoolNurses
05 July 2016 20:46
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Do school nurses have experience of this in relation to medication for ASD? #weldns https://twitter.com/ross_6479/status/750414859435663360 |
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@S411Y100
05 July 2016 20:46
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RT @salsa442: @samabdulla @h88phillips Absolutely,must focus on physical/environmental before medication #WeLDNs |
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@h88parry
05 July 2016 20:46
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Do you think this could be info they are being provided? accessing? #weldns? https://twitter.com/salsa442/status/750415133109841920 |
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@samabdulla
05 July 2016 20:46
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@h88phillips @ross_6479 @salsa442 "seeking" quite a loaded word? Parents come to us at breaking point. nobody wants services #weldns |
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@h88parry
05 July 2016 20:47
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RT @salsa442: @h88phillips Behavioural support,play therapy,PECS and other comm strategies,social stories #WeLDNs |
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@WeLDnurses
05 July 2016 20:47
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RT @salsa442: @h88phillips Behavioural support,play therapy,PECS and other comm strategies,social stories #WeLDNs |
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@WeLDnurses
05 July 2016 20:47
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RT @ross_6479: @salsa442 @samabdulla @h88phillips I wonder how many of these parents I hear of have LDN input? #weldns |
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@WeLDnurses
05 July 2016 20:47
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RT @WeSchoolNurses: Do school nurses have experience of this in relation to medication for ASD? #weldns https://twitter.com/ross_6479/status/750414859435663360 |
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@WeLDnurses
05 July 2016 20:47
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RT @h88phillips: @S411Y100 hello how lovely to have you with us. #weldns #waves |
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@WeLDnurses
05 July 2016 20:47
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RT @salsa442: @S411Y100 Welcome, and do feel free to be a noisy lurker ;) #WeLDNs |
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@salsa442
05 July 2016 20:47
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@ross_6479 @samabdulla @h88phillips Well all the ones I'm thinking of had me!! Real reluctance to accept 'head' medication #stigma #WeLDNs |
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@salsa442
05 July 2016 20:47
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RT @WeSchoolNurses: Do school nurses have experience of this in relation to medication for ASD? #weldns https://twitter.com/ross_6479/status/750414859435663360 |
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@nursingSUni
05 July 2016 20:47
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@h88phillips I am in the adult branch, so no direct experience of this. Here to learn from others @WeLDnurses #weldns |
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@ross_6479_RNLD
05 July 2016 20:47
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@h88phillips @salsa442 @samabdulla maybe...I think some parents see it as a 'quick fix' or at the end of tether #weldns |
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@samabdulla
05 July 2016 20:48
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@ross_6479 @h88phillips @salsa442 everyone has something to share. #weldns |
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@salsa442
05 July 2016 20:48
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@h88phillips @ross_6479 @samabdulla Possibly,or stigma around meds like SSRIs? #WeLDNs |
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@S411Y100
05 July 2016 20:48
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#weldns my previous experience is that when behaviours and social situation become more difficult medication becomes more acceptable. |
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@salsa442
05 July 2016 20:49
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#WeLDNs https://twitter.com/habitualjoshing/status/750415643896320001 |
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@samabdulla
05 July 2016 20:49
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@ross_6479 @h88phillips @salsa442 i wonder more end of tether, already at breaking point at time of ref, then how long till seen? #weldns |
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@h88parry
05 July 2016 20:49
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@salsa442 @ross_6479 @samabdulla there does seem to be a lot of media/thoughts which are negative to taking such medication #weldns |
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@WeLDnurses
05 July 2016 20:49
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@samabdulla @h88phillips @ross_6479 @salsa442 sorry, this is just my personal experience, not from prof view, i tot.appreciate that #weldns |
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@salsa442
05 July 2016 20:49
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@HabitualJoshing @ross_6479 @samabdulla @h88phillips Gosh yes I've come across that too, "he can have it when he's with you" #WeLDNs |
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@margaretOT360
05 July 2016 20:49
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RT @salsa442: @samabdulla @h88phillips Absolutely,must focus on physical/environmental before medication #WeLDNs |
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@HabitualJoshing
05 July 2016 20:50
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@salsa442 @ross_6479 @samabdulla @h88phillips sorry! I knew I'd forgotten something #weldns |
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@samabdulla
05 July 2016 20:50
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@h88phillips @salsa442 @ross_6479 parents shouldn't feel guilty if meds are needed #weldns |
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@Magrat68
05 July 2016 20:50
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|
For me it became chemical restraint sad to see schools inexperienced to cope #WeLDNs |
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@salsa442
05 July 2016 20:50
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@ross_6479 @h88phillips @samabdulla I'd say the majority are at the end of their coping arc in my exp #WeLDNs |
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@WeLDnurses
05 July 2016 20:50
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RT @nursingSUni: @h88phillips I am in the adult branch, so no direct experience of this. Here to learn from others @WeLDnurses #weldns |
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@WeLDnurses
05 July 2016 20:50
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RT @samabdulla: @ross_6479 @h88phillips @salsa442 everyone has something to share. #weldns |
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@WeLDnurses
05 July 2016 20:50
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RT @salsa442: @h88phillips @ross_6479 @samabdulla Possibly,or stigma around meds like SSRIs? #WeLDNs |
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@WeLDnurses
05 July 2016 20:51
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RT @S411Y100: #weldns my previous experience is that when behaviours and social situation become more difficult medication becomes more acc… |
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@salsa442
05 July 2016 20:51
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|
#WeLDNs https://twitter.com/margarethazeldi/status/750416016694472704 |
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@WeLDnurses
05 July 2016 20:51
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RT @salsa442: #WeLDNs https://twitter.com/habitualjoshing/status/750415643896320001 |
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@S411Y100
05 July 2016 20:51
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|
#weldns interesting pre chat info. I still love a sensory assessment and team work with speech and language and occ therapy ?? |
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@WeLDnurses
05 July 2016 20:51
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RT @HabitualJoshing: @salsa442 @ross_6479 @samabdulla @h88phillips sorry! I knew I'd forgotten something #weldns |
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@h88parry
05 July 2016 20:51
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RT @MargaretHazeldi: For me it became chemical restraint sad to see schools inexperienced to cope #WeLDNs |
|
@WeLDnurses
05 July 2016 20:51
|
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RT @samabdulla: @h88phillips @salsa442 @ross_6479 parents shouldn't feel guilty if meds are needed #weldns |
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@WeLDnurses
05 July 2016 20:51
|
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RT @MargaretHazeldi: For me it became chemical restraint sad to see schools inexperienced to cope #WeLDNs |
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@WeLDnurses
05 July 2016 20:51
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RT @salsa442: @ross_6479 @h88phillips @samabdulla I'd say the majority are at the end of their coping arc in my exp #WeLDNs |
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@S411Y100
05 July 2016 20:51
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RT @ross_6479: @h88phillips @salsa442 @samabdulla maybe...I think some parents see it as a 'quick fix' or at the end of tether #weldns |
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@WeLDnurses
05 July 2016 20:51
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|
RT @salsa442: #WeLDNs https://twitter.com/margarethazeldi/status/750416016694472704 |
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@HabitualJoshing
05 July 2016 20:51
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|
@salsa442 which makes me think what parents see as their child or personality, professionals may problematise? #weldns |
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@WeLDnurses
05 July 2016 20:51
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|
RT @S411Y100: #weldns interesting pre chat info. I still love a sensory assessment and team work with speech and language and occ therapy ?? |
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@h88parry
05 July 2016 20:52
|
|
RT @S411Y100: #weldns interesting pre chat info. I still love a sensory assessment and team work with speech and language and occ therapy ?? |
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@salsa442
05 July 2016 20:52
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|
RT @HabitualJoshing: @salsa442 which makes me think what parents see as their child or personality, professionals may problematise? #weldns |
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@ross_6479_RNLD
05 July 2016 20:52
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|
@samabdulla @h88phillips @salsa442 sorry, realise poor use of words, speaking more from personal exp not prof #WeLDNs |
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@WeLDnurses
05 July 2016 20:52
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RT @HabitualJoshing: @salsa442 which makes me think what parents see as their child or personality, professionals may problematise? #weldns |
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@h88parry
05 July 2016 20:52
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|
Thank you. Are these your routes to go down before considering medication? #weldns https://twitter.com/S411Y100/status/750416753201647617 |
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@samabdulla
05 July 2016 20:53
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|
@HabitualJoshing @salsa442 found that many parents find education around condition the most helpful as it helps "get" child #weldns |
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@salsa442
05 July 2016 20:53
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@HabitualJoshing I agree,tho some behaviours are so clearly anti-social they're #exclusionfromschool type,parental blinkers maybe? #WeLDNs |
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@WeSchoolNurses
05 July 2016 20:53
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RT @S411Y100: #weldns interesting pre chat info. I still love a sensory assessment and team work with speech and language and occ therapy ?? |
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@ross_6479_RNLD
05 July 2016 20:53
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|
@salsa442 @samabdulla @h88phillips I was just thinking of the ones I mentioned, many don't have LD service input, #WeLDNs |
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@HabitualJoshing
05 July 2016 20:53
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|
Absolutely vital to take this MDT approach to ASC, even NICE says so #weldns https://twitter.com/s411y100/status/750416753201647617 |
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@WeLDnurses
05 July 2016 20:53
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|
RT @ross_6479: @samabdulla @h88phillips @salsa442 sorry, realise poor use of words, speaking more from personal exp not prof #WeLDNs |
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@WeLDnurses
05 July 2016 20:53
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|
RT @h88phillips: Thank you. Are these your routes to go down before considering medication? #weldns https://twitter.com/S411Y100/status/750416753201647617 |
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@h88parry
05 July 2016 20:53
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|
Q3. So with the controversy of medication what have you seen/used before/instead of SSRIs to help symptoms such anxiety #weldns @weldnurses |
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@salsa442
05 July 2016 20:54
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|
@ross_6479 @samabdulla @h88phillips & I agree there's a huge gap in parents knowledge of LD services,& service availability #WeLDNs |
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@WeLDnurses
05 July 2016 20:54
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|
RT @ross_6479: @salsa442 @samabdulla @h88phillips I was just thinking of the ones I mentioned, many don't have LD service input, #WeLDNs |
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@WeLDnurses
05 July 2016 20:54
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|
RT @HabitualJoshing: Absolutely vital to take this MDT approach to ASC, even NICE says so #weldns https://twitter.com/s411y100/status/750416753201647617 |
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@S411Y100
05 July 2016 20:54
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|
@h88phillips #WeLDNs yes definitely in combination with nursing. Parents need to feel listened to, feeling of loss and failure, &exhausted |
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@margaretOT360
05 July 2016 20:55
|
|
RT @S411Y100: #weldns interesting pre chat info. I still love a sensory assessment and team work with speech and language and occ therapy ?? |
|
@h88parry
05 July 2016 20:55
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|
RT @S411Y100: @h88phillips #WeLDNs yes definitely in combination with nursing. Parents need to feel listened to, feeling of loss and failur… |
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@ross_6479_RNLD
05 July 2016 20:55
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|
@samabdulla @h88phillips @salsa442 I'd agree, that was my experience, still took 2.5 years to get help #weldns |
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@HabitualJoshing
05 July 2016 20:55
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|
@samabdulla @salsa442 I remember giving one of my families one of my uni books and it just clicked for them. reduced isolation. #weldns |
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@WeLDnurses
05 July 2016 20:55
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|
RT @S411Y100: @h88phillips #WeLDNs yes definitely in combination with nursing. Parents need to feel listened to, feeling of loss and failur… |
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@salsa442
05 July 2016 20:56
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|
@h88phillips @weldnurses In early days diazepam,clopixol,pericyazine,lithium, chlorpromazine,more recently risperidone, venlafaxine #WeLDNs |
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@WeLDnurses
05 July 2016 20:56
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|
RT @ross_6479: @samabdulla @h88phillips @salsa442 I'd agree, that was my experience, still took 2.5 years to get help #weldns |
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@h88parry
05 July 2016 20:56
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|
@HabitualJoshing @samabdulla @salsa442 is that the name of the book do you have a link possibly to it? #weldns |
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@WeLDnurses
05 July 2016 20:56
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|
#weldns https://twitter.com/MargaretHazeldi/status/750417957298311169 |
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@samabdulla
05 July 2016 20:57
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|
@salsa442 @h88phillips @weldnurses lots of fluoxetine #weldns |
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@Magrat68
05 July 2016 20:57
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|
Ensure inclusion of the child their perspective vital #weldns |
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@WeLDnurses
05 July 2016 20:57
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|
RT @h88phillips: @HabitualJoshing @samabdulla @salsa442 is that the name of the book do you have a link possibly to it? #weldns |
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@WeLDnurses
05 July 2016 20:57
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|
RT @samabdulla: @salsa442 @h88phillips @weldnurses lots of fluoxetine #weldns |
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@h88parry
05 July 2016 20:57
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|
@ross_6479 @samabdulla @salsa442 the time to access services has been quite overwhelming, must be so highly frustrating #weldns |
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@salsa442
05 July 2016 20:57
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|
@h88phillips @HabitualJoshing @samabdulla Ooo yes please Josh, a bit of #EBP for us! #WeLDNs |
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@HabitualJoshing
05 July 2016 20:58
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@h88phillips @WeLDnurses there's a strong evidence base for phys activity to support some people with ASC, which we may overlook #weldns |
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@WeSchoolNurses
05 July 2016 20:58
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|
Supporting the parents supports the child #weldns https://twitter.com/S411Y100/status/750417691668803584 |
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@WeLDnurses
05 July 2016 20:58
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|
Important point, involving the child in the process #weldns https://twitter.com/margarethazeldi/status/750418273456492546 |
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@h88parry
05 July 2016 20:58
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|
@samabdulla @salsa442 @WeLDnurses that is currently what I am seeing most, but lot of controversy to it #weldns |
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@salsa442
05 July 2016 20:58
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|
@samabdulla @h88phillips @WeLDnurses Oh gosh yes, and sertraline too #WeLDNs |
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@h88parry
05 July 2016 20:58
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RT @WeLDnurses: Important point, involving the child in the process #weldns https://twitter.com/margarethazeldi/status/750418273456492546 |
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@salsa442
05 July 2016 20:58
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|
@h88phillips @samabdulla @WeLDnurses Why controversy? #WeLDNs |
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@mashedbannana
05 July 2016 20:59
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|
I think if u could un asd some1 with a pill it would be like asding a non asd person with a pill. Which would be scary. #weldns |
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@h88parry
05 July 2016 20:59
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|
@HabitualJoshing @WeLDnurses do you have any useful links for this also? #weldns |
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@ross_6479_RNLD
05 July 2016 20:59
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|
@h88phillips @samabdulla @salsa442 def, and that's if you are fortunate to be able to access services #WeLDNs |
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@WeSchoolNurses
05 July 2016 20:59
|
|
RT @MargaretHazeldi: Ensure inclusion of the child their perspective vital #weldns |
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@WeLDnurses
05 July 2016 20:59
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|
Yes, we do love #ebp #weldns https://twitter.com/salsa442/status/750418461839519745 |
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@WeLDnurses
05 July 2016 20:59
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|
RT @WeSchoolNurses: Supporting the parents supports the child #weldns https://twitter.com/S411Y100/status/750417691668803584 |
|
@WeLDnurses
05 July 2016 20:59
|
|
RT @h88phillips: @samabdulla @salsa442 @WeLDnurses that is currently what I am seeing most, but lot of controversy to it #weldns |
|
@WeLDnurses
05 July 2016 20:59
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|
RT @salsa442: @samabdulla @h88phillips @WeLDnurses Oh gosh yes, and sertraline too #WeLDNs |
|
@salsa442
05 July 2016 21:00
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|
@ross_6479 @h88phillips @samabdulla The frustration of waiting only to be screened out at 1st consultation ?? #WeLDNs |
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@WeLDnurses
05 July 2016 21:00
|
|
RT @salsa442: @h88phillips @samabdulla @WeLDnurses Why controversy? #WeLDNs |
|
@WeLDnurses
05 July 2016 21:00
|
|
RT @h88phillips: @HabitualJoshing @WeLDnurses do you have any useful links for this also? #weldns |
|
@WeLDnurses
05 July 2016 21:00
|
|
RT @ross_6479: @h88phillips @samabdulla @salsa442 def, and that's if you are fortunate to be able to access services #WeLDNs |
|
@WeLDnurses
05 July 2016 21:00
|
|
RT @salsa442: @ross_6479 @h88phillips @samabdulla The frustration of waiting only to be screened out at 1st consultation ?? #WeLDNs |
|
@samabdulla
05 July 2016 21:00
|
|
@mashedbannana but if you can make something a little easier in the short term? #weldns |
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@h88parry
05 July 2016 21:01
|
|
is there ways that this could be improved? #weldns https://twitter.com/salsa442/status/750418996932055041 |
|
@ross_6479_RNLD
05 July 2016 21:01
|
|
@salsa442 @h88phillips @samabdulla so upsetting and deflating #weldns |
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@WeLDnurses
05 July 2016 21:01
|
|
RT @samabdulla: @mashedbannana but if you can make something a little easier in the short term? #weldns |
|
@WeLDnurses
05 July 2016 21:01
|
|
RT @h88phillips: is there ways that this could be improved? #weldns https://twitter.com/salsa442/status/750418996932055041 |
|
@HabitualJoshing
05 July 2016 21:01
|
|
@h88phillips @samabdulla @salsa442 no link but I found it on my shelf #weldns https://t.co/VEiSLRMVgZ |
|
@HabitualJoshing
05 July 2016 21:02
|
|
RT @MargaretHazeldi: Ensure inclusion of the child their perspective vital #weldns |
|
@HabitualJoshing
05 July 2016 21:02
|
|
RT @WeSchoolNurses: Supporting the parents supports the child #weldns https://twitter.com/S411Y100/status/750417691668803584 |
|
@salsa442
05 July 2016 21:02
|
|
@h88phillips @ross_6479 @samabdulla For me there should be a max of 3 weeks to be triaged,then pathways identified & signposted #WeLDNs |
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@h88parry
05 July 2016 21:02
|
|
@HabitualJoshing @samabdulla @salsa442 perfect thank you, I will have a hunt online for it #weldns |
|
@ross_6479_RNLD
05 July 2016 21:02
|
|
@h88phillips @salsa442 @samabdulla we need a larger work force. #weldns |
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@WeLDnurses
05 July 2016 21:02
|
|
RT @ross_6479: @salsa442 @h88phillips @samabdulla so upsetting and deflating #weldns |
|
@WeLDnurses
05 July 2016 21:02
|
|
RT @HabitualJoshing: @h88phillips @samabdulla @salsa442 no link but I found it on my shelf #weldns https://t.co/VEiSLRMVgZ |
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@samabdulla
05 July 2016 21:02
|
|
@ross_6479 @h88phillips @salsa442 amen. #weldns |
|
@salsa442
05 July 2016 21:03
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|
I think this still counts as #EBP thanks for sharing @HabitualJoshing #WeLDNs https://twitter.com/habitualjoshing/status/750419424453230592 |
|
@ross_6479_RNLD
05 July 2016 21:03
|
|
@HabitualJoshing @h88phillips @samabdulla @salsa442 I need this book! Thanks for the share #ebp #weldns |
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@WeLDnurses
05 July 2016 21:03
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|
RT @h88phillips: @HabitualJoshing @samabdulla @salsa442 perfect thank you, I will have a hunt online for it #weldns |
|
@WeLDnurses
05 July 2016 21:03
|
|
RT @ross_6479: @h88phillips @salsa442 @samabdulla we need a larger work force. #weldns |
|
@HabitualJoshing
05 July 2016 21:03
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|
RT @ross_6479: @h88phillips @salsa442 @samabdulla we need a larger work force. #weldns |
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@WeLDnurses
05 July 2016 21:03
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|
RT @samabdulla: @ross_6479 @h88phillips @salsa442 amen. #weldns |
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@WeLDnurses
05 July 2016 21:03
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|
RT @salsa442: I think this still counts as #EBP thanks for sharing @HabitualJoshing #WeLDNs https://twitter.com/habitualjoshing/status/750419424453230592 |
|
@samabdulla
05 July 2016 21:03
|
|
@ross_6479 @h88phillips @salsa442 and more joint working with children's services #weldns |
|
@Magrat68
05 July 2016 21:03
|
|
RT @HabitualJoshing: @h88phillips @samabdulla @salsa442 no link but I found it on my shelf #weldns https://t.co/VEiSLRMVgZ |
|
@salsa442
05 July 2016 21:03
|
|
Simple when you say it like that @ross_6479 #workforce #WeLDNs https://twitter.com/ross_6479/status/750419580850429952 |
|
@mashedbannana
05 July 2016 21:03
|
|
@samabdulla its a fine line between helping the symptoms of something and changing an intrinsic part of someones personality #weldns |
|
@Magrat68
05 July 2016 21:04
|
|
RT @samabdulla: @ross_6479 @h88phillips @salsa442 and more joint working with children's services #weldns |
|
@S411Y100
05 July 2016 21:04
|
|
RT @HabitualJoshing: @h88phillips @samabdulla @salsa442 no link but I found it on my shelf #weldns https://t.co/VEiSLRMVgZ |
|
@HabitualJoshing
05 July 2016 21:04
|
|
RT @samabdulla: @ross_6479 @h88phillips @salsa442 and more joint working with children's services #weldns |
|
@salsa442
05 July 2016 21:04
|
|
I remember this well #WeLDNs https://twitter.com/margarethazeldi/status/750419703563227136 |
|
@WeLDnurses
05 July 2016 21:04
|
|
RT @ross_6479: @HabitualJoshing @h88phillips @samabdulla @salsa442 I need this book! Thanks for the share #ebp #weldns |
|
@WeLDnurses
05 July 2016 21:04
|
|
RT @samabdulla: @ross_6479 @h88phillips @salsa442 and more joint working with children's services #weldns |
|
@samabdulla
05 July 2016 21:04
|
|
@mashedbannana would you say the same of non-dharma interventions? #weldns |
|
@ross_6479_RNLD
05 July 2016 21:05
|
|
@samabdulla @h88phillips @salsa442 yes!! Def this, we are seeing more LDNs working into these services which is great #weldns |
|
@salsa442
05 July 2016 21:05
|
|
RT @samabdulla: @ross_6479 @h88phillips @salsa442 and more joint working with children's services #weldns |
|
@WeLDnurses
05 July 2016 21:05
|
|
RT @salsa442: Simple when you say it like that @ross_6479 #workforce #WeLDNs https://twitter.com/ross_6479/status/750419580850429952 |
|
@h88parry
05 July 2016 21:05
|
|
Q4. Is there more then we could be doing to encourage non-medicinal approaches and what would be the benefits of that #weldns |
|
@WeLDnurses
05 July 2016 21:05
|
|
RT @salsa442: I remember this well #WeLDNs https://twitter.com/margarethazeldi/status/750419703563227136 |
|
@mashedbannana
05 July 2016 21:05
|
|
@samabdulla it could change their very perception of reality without them knowing what or why its changing.That wud b terrifying #weldns |
|
@salsa442
05 July 2016 21:05
|
|
RT @h88phillips: is there ways that this could be improved? #weldns https://twitter.com/salsa442/status/750418996932055041 |
|
@ross_6479_RNLD
05 July 2016 21:05
|
|
@salsa442 @MargaretHazeldi @h88phillips @samabdulla yup me too :( #weldns |
|
@WeLDnurses
05 July 2016 21:06
|
|
RT @samabdulla: @mashedbannana would you say the same of non-dharma interventions? #weldns |
|
@WeLDnurses
05 July 2016 21:06
|
|
RT @ross_6479: @samabdulla @h88phillips @salsa442 yes!! Def this, we are seeing more LDNs working into these services which is great #weldns |
|
@samabdulla
05 July 2016 21:06
|
|
@h88phillips i don't know if its helpful to consider it as either or? #weldns |
|
@S411Y100
05 July 2016 21:06
|
|
RT @MargaretHazeldi: Ensure inclusion of the child their perspective vital #weldns |
|
@samabdulla
05 July 2016 21:06
|
|
@mashedbannana very good point #weldns |
|
@WeLDnurses
05 July 2016 21:06
|
|
RT @samabdulla: @h88phillips i don't know if its helpful to consider it as either or? #weldns |
|
@WeLDnurses
05 July 2016 21:06
|
|
RT @samabdulla: @mashedbannana very good point #weldns |
|
@h88parry
05 July 2016 21:07
|
|
excellent point. so what could we be doing to encourage more 'non-medicinal' approaches? #weldns https://twitter.com/mashedbannana/status/750419949668139009 |
|
@WeLDnurses
05 July 2016 21:07
|
|
RT @h88phillips: excellent point. so what could we be doing to encourage more 'non-medicinal' approaches? #weldns https://twitter.com/mashedbannana/status/750419949668139009 |
|
@Magrat68
05 July 2016 21:07
|
|
Almost forgot having a safe space/place to calm down always a must #weldns |
|
@salsa442
05 July 2016 21:08
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@h88phillips Access to therapeutic services,& good consistent low arousal approaches,PBS,regular reviews in school,access to respite #WeLDNs |
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@S411Y100
05 July 2016 21:08
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@HabitualJoshing @h88phillips @WeLDnurses #weldns yes and also for attention issues and regulating self re sensory difficulties |
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@h88parry
05 July 2016 21:08
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RT @MargaretHazeldi: Almost forgot having a safe space/place to calm down always a must #weldns |
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@ross_6479_RNLD
05 July 2016 21:08
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@h88phillips @mashedbannana @samabdulla @WeLDnurses I think the key is in education and access to services #weldns |
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@HabitualJoshing
05 July 2016 21:08
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#weldns forgot again https://twitter.com/habitualjoshing/status/750420752814448640 |
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@WeLDnurses
05 July 2016 21:08
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RT @MargaretHazeldi: Almost forgot having a safe space/place to calm down always a must #weldns |
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@WeLDnurses
05 July 2016 21:08
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RT @S411Y100: @HabitualJoshing @h88phillips @WeLDnurses #weldns yes and also for attention issues and regulating self re sensory difficulti… |
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@salsa442
05 July 2016 21:08
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RT @h88phillips: excellent point. so what could we be doing to encourage more 'non-medicinal' approaches? #weldns https://twitter.com/mashedbannana/status/750419949668139009 |
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@salsa442
05 July 2016 21:09
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RT @MargaretHazeldi: Almost forgot having a safe space/place to calm down always a must #weldns |
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@HabitualJoshing
05 July 2016 21:09
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RT @S411Y100: @HabitualJoshing @h88phillips @WeLDnurses #weldns yes and also for attention issues and regulating self re sensory difficulti… |
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@WeLDnurses
05 July 2016 21:09
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RT @HabitualJoshing: #weldns forgot again https://twitter.com/habitualjoshing/status/750420752814448640 |
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@h88parry
05 July 2016 21:09
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RT @HabitualJoshing: #weldns forgot again https://twitter.com/habitualjoshing/status/750420752814448640 |
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@h88parry
05 July 2016 21:09
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RT @ross_6479: @h88phillips @mashedbannana @samabdulla @WeLDnurses I think the key is in education and access to services #weldns |
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@mashedbannana
05 July 2016 21:09
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@samabdulla no cos drugs change the way ur brain works. If you woke up n ur brain was working differently you would be scared #weldns. |
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@samabdulla
05 July 2016 21:09
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@salsa442 @h88phillips respite so often overlooked. Also school, thats not respite. #weldns |
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@salsa442
05 July 2016 21:09
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RT @ross_6479: @h88phillips @mashedbannana @samabdulla @WeLDnurses I think the key is in education and access to services #weldns |
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@Magrat68
05 July 2016 21:10
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RT @HabitualJoshing: #weldns forgot again https://twitter.com/habitualjoshing/status/750420752814448640 |
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@salsa442
05 July 2016 21:10
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@ross_6479 @h88phillips @mashedbannana @samabdulla @WeLDnurses Access to services in a timely way is key to preventing crisis IMO #WeLDNs |
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@WeLDnurses
05 July 2016 21:10
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RT @samabdulla: @salsa442 @h88phillips respite so often overlooked. Also school, thats not respite. #weldns |
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@salsa442
05 July 2016 21:11
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@HabitualJoshing @h88phillips Naughty step for you!! #WeLDNs https://t.co/lJZJEQiv7J |
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@mashedbannana
05 July 2016 21:11
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If you didnt understand it was the effects of drugs it wud be like someone spiking ur drink with lsd. G2g teas ready #weldns |
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@WeLDnurses
05 July 2016 21:11
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RT @salsa442: @HabitualJoshing @h88phillips Naughty step for you!! #WeLDNs https://t.co/lJZJEQiv7J |
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@HabitualJoshing
05 July 2016 21:11
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@samabdulla @salsa442 @h88phillips & the right respite and school that fits around the person and not expect it the other way round #weldns |
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@salsa442
05 July 2016 21:11
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Absolutely and in my exp respite was so valuable for so many families #WeLDNs https://twitter.com/samabdulla/status/750421482237485058 |
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@h88parry
05 July 2016 21:12
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|
Q5. What could then be the barriers to putting these methods into place? #weldns? |
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@S411Y100
05 July 2016 21:12
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|
#weldns plenty research from Chris Oliver &co about early intervention and assessment as indicator of significant difficulties as adult |
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@samabdulla
05 July 2016 21:12
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@h88phillips they take time and energy, but more importantly consistency #weldns |
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@Magrat68
05 July 2016 21:12
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RT @salsa442: Absolutely and in my exp respite was so valuable for so many families #WeLDNs https://twitter.com/samabdulla/status/750421482237485058 |
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@WeLDnurses
05 July 2016 21:12
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RT @salsa442: Absolutely and in my exp respite was so valuable for so many families #WeLDNs https://twitter.com/samabdulla/status/750421482237485058 |
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@WeLDnurses
05 July 2016 21:12
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RT @h88phillips: Q5. What could then be the barriers to putting these methods into place? #weldns? |
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@HabitualJoshing
05 July 2016 21:12
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@salsa442 @h88phillips not a bad idea. I've got some reading to do. My naughty step sojourn could be productive ;) #weldns |
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@WeLDnurses
05 July 2016 21:12
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|
RT @S411Y100: #weldns plenty research from Chris Oliver &co about early intervention and assessment as indicator of significant difficultie… |
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@WeLDnurses
05 July 2016 21:13
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RT @samabdulla: @h88phillips they take time and energy, but more importantly consistency #weldns |
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@h88parry
05 July 2016 21:13
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|
@S411Y100 Thats great, have you got any useful links you could share? #weldns |
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@S411Y100
05 July 2016 21:13
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RT @ross_6479: @h88phillips @mashedbannana @samabdulla @WeLDnurses I think the key is in education and access to services #weldns |
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@samabdulla
05 July 2016 21:13
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@HabitualJoshing @salsa442 @h88phillips no, lets keep trying to squash that square peg into that round hole ;) #weldns |
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@HabitualJoshing
05 July 2016 21:13
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RT @S411Y100: #weldns plenty research from Chris Oliver &co about early intervention and assessment as indicator of significant difficultie… |
|
@salsa442
05 July 2016 21:13
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|
@HabitualJoshing @h88phillips I'll make sure the cats don't get on it before you!! #WeLDNs |
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@WeLDnurses
05 July 2016 21:14
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|
Effective learning use of the naughty step, we like it!! #WeLDNs https://twitter.com/habitualjoshing/status/750422235136069632 |
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@WeLDnurses
05 July 2016 21:14
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|
RT @h88phillips: @S411Y100 Thats great, have you got any useful links you could share? #weldns |
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@h88parry
05 July 2016 21:14
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@samabdulla think consistency is absolute key, so often plans are put in and not followed or kept up, often leading bk to square 1 #weldns |
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@WeLDnurses
05 July 2016 21:14
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RT @samabdulla: @HabitualJoshing @salsa442 @h88phillips no, lets keep trying to squash that square peg into that round hole ;) #weldns |
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@WeLDnurses
05 July 2016 21:14
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RT @salsa442: @HabitualJoshing @h88phillips I'll make sure the cats don't get on it before you!! #WeLDNs |
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@S411Y100
05 July 2016 21:14
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|
RT @samabdulla: @h88phillips they take time and energy, but more importantly consistency #weldns |
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@WeLDnurses
05 July 2016 21:14
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|
#weldns https://twitter.com/carterjenny16/status/750422369878085632 |
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@salsa442
05 July 2016 21:14
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|
@samabdulla @HabitualJoshing @h88phillips Uh oh,move up Josh Sam's joining you on that step! #sarcasm ?? #WeLDNs |
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@samabdulla
05 July 2016 21:14
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|
@h88phillips things get better, lets drop/change plan. No things are better because of intervention. #weldns |
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@h88parry
05 July 2016 21:14
|
|
RT @WeLDnurses: Effective learning use of the naughty step, we like it!! #WeLDNs https://twitter.com/habitualjoshing/status/750422235136069632 |
|
@salsa442
05 July 2016 21:15
|
|
RT @h88phillips: Q5. What could then be the barriers to putting these methods into place? #weldns? |
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@h88parry
05 July 2016 21:15
|
|
@carterjenny16 @WeLDnurses in what way #weldns |
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@WeLDnurses
05 July 2016 21:15
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|
RT @salsa442: @samabdulla @HabitualJoshing @h88phillips Uh oh,move up Josh Sam's joining you on that step! #sarcasm ?? #WeLDNs |
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@WeLDnurses
05 July 2016 21:15
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|
RT @samabdulla: @h88phillips things get better, lets drop/change plan. No things are better because of intervention. #weldns |
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@h88parry
05 July 2016 21:15
|
|
RT @samabdulla: @h88phillips things get better, lets drop/change plan. No things are better because of intervention. #weldns |
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@ross_6479_RNLD
05 July 2016 21:16
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|
#weldns https://twitter.com/margarethazeldi/status/750422393185763328 |
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@salsa442
05 July 2016 21:16
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|
@h88phillips Available services,accessing services,services which are tailored to suit individuals are often V diff to access #WeLDNs |
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@WeLDnurses
05 July 2016 21:16
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RT @h88phillips: @carterjenny16 @WeLDnurses in what way #weldns |
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@HabitualJoshing
05 July 2016 21:16
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@salsa442 @samabdulla @h88phillips he should know better! ?? #weldns |
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@salsa442
05 July 2016 21:16
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@h88phillips Training & education,for teachers,support workers & parents #WeLDNs |
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@carterjenny16
05 July 2016 21:16
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|
@h88phillips @WeLDnurses people stuggle with change #weldns |
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@salsa442
05 July 2016 21:16
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|
RT @samabdulla: @h88phillips they take time and energy, but more importantly consistency #weldns |
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@EllzSummary
05 July 2016 21:17
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|
@mashedbannana @samabdulla I struggle with that, ADHD child on Ritalin, too much alters personality, to little =hyper child #balance #weldns |
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@WeLDnurses
05 July 2016 21:17
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RT @HabitualJoshing: @salsa442 @samabdulla @h88phillips he should know better! ?? #weldns |
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@salsa442
05 July 2016 21:17
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|
@samabdulla @h88phillips But then the 12week pathway to discharge does not allow for consistency #WeLDNs |
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@S411Y100
05 July 2016 21:17
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|
@h88phillips #weldns I will ask my Twitter guru @raig2505 to help me. Not my strong point ???? |
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@samabdulla
05 July 2016 21:17
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|
@HabitualJoshing @salsa442 @h88phillips should... #weldns |
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@WeLDnurses
05 July 2016 21:17
|
|
RT @salsa442: @h88phillips Training & education,for teachers,support workers & parents #WeLDNs |
|
@salsa442
05 July 2016 21:17
|
|
RT @samabdulla: @h88phillips things get better, lets drop/change plan. No things are better because of intervention. #weldns |
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@WeLDnurses
05 July 2016 21:17
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|
RT @carterjenny16: @h88phillips @WeLDnurses people stuggle with change #weldns |
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@S411Y100
05 July 2016 21:18
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|
RT @samabdulla: @HabitualJoshing @salsa442 @h88phillips no, lets keep trying to squash that square peg into that round hole ;) #weldns |
|
@WeLDnurses
05 July 2016 21:18
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|
RT @salsa442: @samabdulla @h88phillips But then the 12week pathway to discharge does not allow for consistency #WeLDNs |
|
@Magrat68
05 July 2016 21:18
|
|
Best support I now of is families who are going through same thing #weldns |
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@WeLDnurses
05 July 2016 21:18
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|
RT @S411Y100: @h88phillips #weldns I will ask my Twitter guru @raig2505 to help me. Not my strong point ???? |
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@HabitualJoshing
05 July 2016 21:18
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|
@S411Y100 @h88phillips @raig2505 he's good like that #weldns |
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@WeLDnurses
05 July 2016 21:18
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|
RT @samabdulla: @HabitualJoshing @salsa442 @h88phillips should... #weldns |
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@WeLDnurses
05 July 2016 21:18
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|
RT @MargaretHazeldi: Best support I now of is families who are going through same thing #weldns |
|
@JamesRNLD
05 July 2016 21:18
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|
@salsa442 @WeLDnurses @h88phillips agreed - why have specialist LD services that are only for those with 'severe' difficulties #weLDNs |
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@salsa442
05 July 2016 21:19
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|
Really impt this,family support networks,are they still happening? #WeLDNs https://twitter.com/margarethazeldi/status/750423529485639680 |
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@samabdulla
05 July 2016 21:19
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|
@JamesRNLD @salsa442 @WeLDnurses @h88phillips it shouldn't be about severity of LD. It should be that needs can't be met by generic #weldns |
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@h88parry
05 July 2016 21:19
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|
@salsa442 @samabdulla how come? could it be improved? #weldns |
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@ross_6479_RNLD
05 July 2016 21:20
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|
@MargaretHazeldi @WeLDnurses peer support is great, really valuable, important that there is some prof help in their too IMO #weldns |
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@WeLDnurses
05 July 2016 21:20
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|
RT @HabitualJoshing: @S411Y100 @h88phillips @raig2505 he's good like that #weldns |
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@WeLDnurses
05 July 2016 21:20
|
|
RT @salsa442: Really impt this,family support networks,are they still happening? #WeLDNs https://twitter.com/margarethazeldi/status/750423529485639680 |
|
@h88parry
05 July 2016 21:20
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|
@carterjenny16 @WeLDnurses yes absolutely. how could we help this change? #weldns |
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@mashedbannana
05 July 2016 21:20
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|
Bearing in mind the concept of #neurodiversity i think u need 2 b carefull "treating" a client group that cant neceserally consent #weldns |
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@WeLDnurses
05 July 2016 21:20
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|
RT @h88phillips: @salsa442 @samabdulla how come? could it be improved? #weldns |
|
@salsa442
05 July 2016 21:20
|
|
@JamesRNLD @WeLDnurses @h88phillips Absolutely- need to be needs-led irrespective of level of LD IMO #WeLDNs |
|
@WeSchoolNurses
05 July 2016 21:21
|
|
RT @MargaretHazeldi: Best support I now of is families who are going through same thing #weldns |
|
@S411Y100
05 July 2016 21:21
|
|
@h88phillips #weldns looking at the whole of the person and their environment and challenges. Creative thinking on an individual basis |
|
@WeLDnurses
05 July 2016 21:21
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|
RT @h88phillips: @carterjenny16 @WeLDnurses yes absolutely. how could we help this change? #weldns |
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@WeLDnurses
05 July 2016 21:21
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|
RT @salsa442: @JamesRNLD @WeLDnurses @h88phillips Absolutely- need to be needs-led irrespective of level of LD IMO #WeLDNs |
|
@WeLDnurses
05 July 2016 21:21
|
|
RT @S411Y100: @h88phillips #weldns looking at the whole of the person and their environment and challenges. Creative thinking on an individ… |
|
@salsa442
05 July 2016 21:21
|
|
@h88phillips @samabdulla If LD is a life long condition why are we discharging patients? Is 12weeks enough to deliver interventions? #WeLDNs |
|
@samabdulla
05 July 2016 21:21
|
|
Interesting point, although would it be unethical to not support some of the more distressing components? #weldns https://twitter.com/mashedbannana/status/750424180156461056 |
|
@h88parry
05 July 2016 21:21
|
|
so one final quick 1. What could be done to recognise coexisting conditions more as they are so often missed #weldns @WeLDnurses |
|
@HabitualJoshing
05 July 2016 21:22
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|
RT @S411Y100: @h88phillips #weldns looking at the whole of the person and their environment and challenges. Creative thinking on an individ… |
|
@samabdulla
05 July 2016 21:22
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|
@salsa442 @h88phillips my poor eye sight is life long. I don't need an optician all the time. #weldns |
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@WeLDnurses
05 July 2016 21:22
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|
RT @samabdulla: Interesting point, although would it be unethical to not support some of the more distressing components? #weldns https://t… |
|
@WeLDnurses
05 July 2016 21:22
|
|
RT @h88phillips: so one final quick 1. What could be done to recognise coexisting conditions more as they are so often missed #weldns @WeLD… |
|
@AlresfordBear
05 July 2016 21:23
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|
@samabdulla Other points about #neurodiversity as a concept of elitism? #weldns |
|
@salsa442
05 July 2016 21:23
|
|
I totally agree LDNs are really well placed to facilitate group sessions/peer support #WeLDNs https://twitter.com/ross_6479/status/750424053924724736 |
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@ross_6479_RNLD
05 July 2016 21:23
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|
@salsa442 @MargaretHazeldi @WeLDnurses there are quite a lot in my area, even more on #SoMe #weldns |
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@samabdulla
05 July 2016 21:23
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|
@salsa442 @h88phillips but agree length of intervention pathway is arbitrary. what takes weeks for some may take years for others #weldns |
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@h88parry
05 July 2016 21:23
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|
@salsa442 @JamesRNLD @WeLDnurses indeed, I fear it has become that way due to funding and then to prioritize #weldns |
|
@salsa442
05 July 2016 21:23
|
|
RT @samabdulla: Interesting point, although would it be unethical to not support some of the more distressing components? #weldns https://t… |
|
@WeLDnurses
05 July 2016 21:23
|
|
RT @samabdulla: @salsa442 @h88phillips my poor eye sight is life long. I don't need an optician all the time. #weldns |
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@AlresfordBear
05 July 2016 21:23
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|
@samabdulla This is quite prevelant online and there is a very fine line of empowerment and elitist essentialist perspectives. #weldns |
|
@WeLDnurses
05 July 2016 21:23
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|
RT @AlresfordBear: @samabdulla Other points about #neurodiversity as a concept of elitism? #weldns |
|
@WeLDnurses
05 July 2016 21:23
|
|
RT @salsa442: I totally agree LDNs are really well placed to facilitate group sessions/peer support #WeLDNs https://twitter.com/ross_6479/status/750424053924724736 |
|
@samabdulla
05 July 2016 21:23
|
|
@AlresfordBear in what context? #weldns |
|
@salsa442
05 July 2016 21:24
|
|
RT @h88phillips: so one final quick 1. What could be done to recognise coexisting conditions more as they are so often missed #weldns @WeLD… |
|
@S411Y100
05 July 2016 21:24
|
|
RT @samabdulla: @h88phillips things get better, lets drop/change plan. No things are better because of intervention. #weldns |
|
@WeLDnurses
05 July 2016 21:24
|
|
RT @h88phillips: @salsa442 @JamesRNLD @WeLDnurses indeed, I fear it has become that way due to funding and then to prioritize #weldns |
|
@WeLDnurses
05 July 2016 21:24
|
|
RT @samabdulla: @AlresfordBear in what context? #weldns |
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@AlresfordBear
05 July 2016 21:24
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|
@samabdulla The gracing of skills and abilities beyond perceived afforded social norms has a sonorous ring. #weldns |
|
@WeLDnurses
05 July 2016 21:25
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|
Wow what a fast chat with some fab sharing. Five mins to go... #weldns |
|
@S411Y100
05 July 2016 21:25
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|
RT @MargaretHazeldi: Best support I now of is families who are going through same thing #weldns |
|
@WeLDnurses
05 July 2016 21:25
|
|
RT @AlresfordBear: @samabdulla The gracing of skills and abilities beyond perceived afforded social norms has a sonorous ring. #weldns |
|
@h88parry
05 July 2016 21:25
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|
So for our last 5 minutes do we have any final thoughts? #weldns |
|
@samabdulla
05 July 2016 21:25
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|
@AlresfordBear implication that some may consider themselves above NT's? #weldns |
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@AlresfordBear
05 July 2016 21:25
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|
@samabdulla This can be quite commonly seen in a media context and in how people define their humanity. #weldns I watch it with interest. |
|
@h88parry
05 July 2016 21:25
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RT @WeLDnurses: Wow what a fast chat with some fab sharing. Five mins to go... #weldns |
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@salsa442
05 July 2016 21:25
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|
@samabdulla @h88phillips Great analogy but not parallel to anxiety in ASD,how many times does behav reoccur when intervention ends? #WeLDNs |
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@S411Y100
05 July 2016 21:25
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|
@MargaretHazeldi #weldns yes acceptance and feeling understood and not alone |
|
@ross_6479_RNLD
05 July 2016 21:25
|
|
RT @WeLDnurses: Wow what a fast chat with some fab sharing. Five mins to go... #weldns |
|
@Magrat68
05 July 2016 21:25
|
|
RT @WeLDnurses: Wow what a fast chat with some fab sharing. Five mins to go... #weldns |
|
@JamesRNLD
05 July 2016 21:25
|
|
@h88phillips @WeLDnurses is it better to have a diagnosis, or to have clear understanding of individual strengths and wishes? #weldns |
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@WeLDnurses
05 July 2016 21:26
|
|
RT @h88phillips: So for our last 5 minutes do we have any final thoughts? #weldns |
|
@WeLDnurses
05 July 2016 21:26
|
|
RT @samabdulla: @AlresfordBear implication that some may consider themselves above NT's? #weldns |
|
@WeLDnurses
05 July 2016 21:26
|
|
RT @AlresfordBear: @samabdulla This can be quite commonly seen in a media context and in how people define their humanity. #weldns I watch… |
|
@AlresfordBear
05 July 2016 21:26
|
|
@samabdulla Or be afforded a grandeur which has societal implications of elitism and grandeur. It is a slight worry. #weldns |
|
@samabdulla
05 July 2016 21:26
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|
@WeLDnurses it doesn't have to be either or, that adds to stigma of those reliant on use of medication #weldns |
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@WeLDnurses
05 July 2016 21:26
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|
RT @S411Y100: @MargaretHazeldi #weldns yes acceptance and feeling understood and not alone |
|
@salsa442
05 July 2016 21:26
|
|
@ross_6479 @MargaretHazeldi @WeLDnurses Good to hear #WeLDNs |
|
@AlresfordBear
05 July 2016 21:27
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|
@samabdulla A complex world. In which perhaps I see its complexity. #weldns |
|
@S411Y100
05 July 2016 21:27
|
|
RT @salsa442: I totally agree LDNs are really well placed to facilitate group sessions/peer support #WeLDNs https://twitter.com/ross_6479/status/750424053924724736 |
|
@samabdulla
05 July 2016 21:27
|
|
@JamesRNLD @h88phillips @WeLDnurses a diagnosis can really help, it can mean access to services and aid understanding #weldns |
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@WeLDnurses
05 July 2016 21:27
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RT @samabdulla: @WeLDnurses it doesn't have to be either or, that adds to stigma of those reliant on use of medication #weldns |
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@AlresfordBear
05 July 2016 21:27
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@samabdulla It isnt a view many will express. But I can see a pluralistic creation. Happens quite commonly within peer groupings. #weldns |
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@WeLDnurses
05 July 2016 21:27
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RT @salsa442: @ross_6479 @MargaretHazeldi @WeLDnurses Good to hear #WeLDNs |
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@WeLDnurses
05 July 2016 21:28
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in the fast pace of the fingers!! #WeLDNs https://twitter.com/MargaretHazeldi/status/750425552893386753 |
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@WeLDnurses
05 July 2016 21:28
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RT @AlresfordBear: @samabdulla A complex world. In which perhaps I see its complexity. #weldns |
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@salsa442
05 July 2016 21:28
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RT @WeLDnurses: Wow what a fast chat with some fab sharing. Five mins to go... #weldns |
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@salsa442
05 July 2016 21:28
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RT @h88phillips: So for our last 5 minutes do we have any final thoughts? #weldns |
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@Magrat68
05 July 2016 21:29
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@WeLDnurses @h88phillips great chat TY ttfn peeps God Bless ?? #weldns |
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@h88parry
05 July 2016 21:29
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Well what a fast hour, as always. Thank you everyone and @WeLDnurses for aving me its been a pleasure postchat to follow. #weldns |
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@JamesRNLD
05 July 2016 21:29
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@samabdulla @WeLDnurses @h88phillips fair point - diagnosis can guide you but doesn't define you #weldns |
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