#WeEOLC - Tuesday 1st November 2016 8pm (GMT Standard Time)
Can we care too much?
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Hosted by WeEOLC using #WeEOLC
This chat is guest hosted by @heblau
Inspired by a recent Schwartz Round in the hospice where I work, I have been thinking about this issue for some time.
Many of us are familiar with the idea of compassion fatigue - a state experienced by those helping people who are suffering; it is an extreme state of tension and preoccupation with the suffering of those being helped to the degree that it can create a secondary traumatic stress for the helper. Regardless of our professional role, our work is focused on providing care.
The dictionary definition of care varies:
- the provision of what is necessary for the health, welfare, maintenance, and protection of someone (for example - "care of the elderly")
- serious attention or consideration applied to doing something correctly or to avoid damage or risk (for example - "it was necessary to plan the discharge with great care")
- to look after and provide for the needs of (for example - "I have fifteen patients to care for today")
- feel concern or interest; attach importance to something "I care about where I am looked after when I am dying"
There is also an important difference between caring for, and caring about.
But is it possible to care too much? And what would this mean for us, and for the people who are the recipients of this care?
How do we strike a balance between supportive empowerment, and paternalistic dis-empowerment?
This chat will ask you to think about this in the context of your role in end of life care - or you may be a person with a life-limiting illness or a family member or friend who wants to say something about this issue.
We look forward to seeing you on the 1st!
Photo thanks to @mattjr_photo
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#WeEOLC transcript
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@WeEOLC
01 November 2016 20:00
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Good evening all, it's @heblau here tweeting from @WeEOLC for tonight's chat - give us a wave if you are joining or lurking ... #WeEOLC |
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@WeEOLC
01 November 2016 20:01
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Don't forget to use the hashtag #WeEOLC so others can see your posts and follow the convo |
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@WeEOLC
01 November 2016 20:02
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We are asking whether you think it is possible to care "too much".If you didn't see pre-chat info here it is http://wecommunities.org/tweet-chats/chat-details/2888 #WeEOLC |
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@heblau
01 November 2016 20:02
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So if you have just arrived and not done your homework, grab a cuppa (or something stronger) and read on... #WeEOLC https://t.co/nMdoqMVWL1 |
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@WeEOLC
01 November 2016 20:02
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So if you have just arrived and not done your homework, grab a cuppa (or something stronger) and read on... #WeEOLC https://t.co/frFxm8pOQa |
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@heblau
01 November 2016 20:03
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RT @WeEOLC: So if you have just arrived and not done your homework, grab a cuppa (or something stronger) and read on... #WeEOLC https://t.c… |
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@BridgetJohnst
01 November 2016 20:03
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RT @WeEOLC: So if you have just arrived and not done your homework, grab a cuppa (or something stronger) and read on... #WeEOLC https://t.c… |
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@BridgetJohnst
01 November 2016 20:03
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RT @heblau: So if you have just arrived and not done your homework, grab a cuppa (or something stronger) and read on... #WeEOLC https://t.c… |
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@NurChat
01 November 2016 20:03
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@WeEOLC Good evening @heblau Donna here #Weeolc |
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@BridgetJohnst
01 November 2016 20:03
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RT @WeEOLC: Don't forget to use the hashtag #WeEOLC so others can see your posts and follow the convo |
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@WeEOLC
01 November 2016 20:03
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@NurChat @heblau Welcome #WeEOLC |
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@Bartontd
01 November 2016 20:04
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#weeolc #davewave #lurking #swansea |
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@ndccharity
01 November 2016 20:04
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RT @WeEOLC: So if you have just arrived and not done your homework, grab a cuppa (or something stronger) and read on... #WeEOLC https://t.c… |
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@BridgetJohnst
01 November 2016 20:04
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It's Bridget here @BridgetJohnst tweeting from my own account and if I can multitask @WeEOLC (as well as Laura) #weeolc |
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@WeEOLC
01 November 2016 20:05
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.@Bartontd hello David, glad you joining us. Don't lurk! #WeEOLC |
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@WeEOLC
01 November 2016 20:05
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RT @BridgetJohnst: It's Bridget here @BridgetJohnst tweeting from my own account and if I can multitask @WeEOLC (as well as Laura) #weeolc |
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@WeEOLC
01 November 2016 20:05
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@BridgetJohnst haha. I've left poor @heblau in the sidelines for this one so you just be yourself :) #WeEOLC |
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@WeEOLC
01 November 2016 20:06
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So the first thing to ask is what people think we mean by "care" - dictionary has lots of thoughts but what does it mean to you? #WeEOLC |
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@WeEOLC
01 November 2016 20:07
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Hi Simon - don't forget to use the hashtag #WeEOLC so others can see your tweets. Welcome, glad you could join https://t.co/ZUcUfKqeki |
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@binkle767
01 November 2016 20:08
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#weEOLC @WeChaplains and @binkle767 lurking mostly tonight |
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@PUNC16_Caitlin
01 November 2016 20:09
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@WeEOLC to me, it's ensuring the health and welfare of someone #weEOLC |
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@WeEOLC
01 November 2016 20:09
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RT @PUNC16_Caitlin: @WeEOLC to me, it's ensuring the health and welfare of someone #weEOLC |
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@WeEOLC
01 November 2016 20:10
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.@PUNC16_Caitlin Interesting - do others agree? #WeEOLC |
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@NurChat
01 November 2016 20:10
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@WeEOLC Look after, provide for, nurture, responsibility #weeolc |
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@WeEOLC
01 November 2016 20:11
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So... is there a difference between caring for someone and caring about them? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:11
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It's about attitude and behaviour, helping with +ve intent, concern for others #weeolc |
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@WeEOLC
01 November 2016 20:11
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RT @BridgetJohnst: It's about attitude and behaviour, helping with +ve intent, concern for others #weeolc |
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@WeEOLC
01 November 2016 20:11
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RT @NurChat: @WeEOLC Look after, provide for, nurture, responsibility #weeolc |
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@BridgetJohnst
01 November 2016 20:12
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RT @WeEOLC: @BridgetJohnst haha. I've left poor @heblau in the sidelines for this one so you just be yourself :) #WeEOLC |
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@NurChat
01 November 2016 20:12
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RT @WeEOLC: So... is there a difference between caring for someone and caring about them? #WeEOLC |
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@binkle767
01 November 2016 20:12
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There is a range from love and kindness which are more emotional/relational to a responsibility type role #weEOLC |
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@WeEOLC
01 November 2016 20:12
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Ok. So a few different thoughts about what care actually means then...#WeEOLC |
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@WeEOLC
01 November 2016 20:12
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RT @binkle767: There is a range from love and kindness which are more emotional/relational to a responsibility type role #weEOLC |
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@WeEOLC
01 November 2016 20:13
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So the first thing to ask is - what do you think "care" means? The dictionary has lots of definitions, but what is it to you? #WeEOLC |
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@PaulaDoherty864
01 November 2016 20:13
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RT @WeEOLC: So... is there a difference between caring for someone and caring about them? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:13
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RT @binkle767: There is a range from love and kindness which are more emotional/relational to a responsibility type role #weEOLC |
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@NurChat
01 November 2016 20:13
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@WeEOLC Caring for someone could be seen as a physical need where as caring about someone is more about emotions #weeolc |
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@ndccharity
01 November 2016 20:13
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‘Grief is so overpowering – it consumes you’: readers on death and dying @guardian https://t.co/bH7SpNjUzs @GreenFuneralCo #hpm #WeEOLC |
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@WeEOLC
01 November 2016 20:14
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So in terms of your own professional practice, what does it mean to you? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:14
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Thanks .. Good definition here #weeolc https://t.co/Zjr6u4mygw |
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@WeEOLC
01 November 2016 20:15
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Interesting perspective #WeEOLC https://twitter.com/NurChat/status/793546499754000390 |
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@DeLdiVisiOn
01 November 2016 20:15
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@WeEOLC I care about all my patients when caring for them (that sounds cryptic!) #WeEOLC |
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@heblau
01 November 2016 20:15
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Duty of care versus "caring attitude" #WeEOLC https://twitter.com/BridgetJohnst/status/793546793216831496 |
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@WeEOLC
01 November 2016 20:15
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RT @delboyzz: @WeEOLC I care about all my patients when caring for them (that sounds cryptic!) #WeEOLC |
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@NurChat
01 November 2016 20:15
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@WeEOLC I provide care for the people I look after, I care about them and have a responsibility to ensure they are well cared for #weeolc |
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@BridgetJohnst
01 November 2016 20:16
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RT @heblau: Duty of care versus "caring attitude" #WeEOLC https://twitter.com/BridgetJohnst/status/793546793216831496 |
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@binkle767
01 November 2016 20:16
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Good care, doing what I am meant to do and doing it well. Minimalist I know #weEOLC |
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@WeEOLC
01 November 2016 20:16
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We are asking if it we can care "too much" Given the lack of resources etc in "care" let's assume we are talking about "caring about"#WeEOLC |
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@WeEOLC
01 November 2016 20:18
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Thanks Emily - don't forget the hashtag #WeEOLC - this is a really interesting point. What do others think? Can y… https://t.co/T1HwjTepbT |
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@heblau
01 November 2016 20:19
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RT @WeEOLC: Thanks Emily - don't forget the hashtag #WeEOLC - this is a really interesting point. What do others think? Can you get too a… |
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@BridgetJohnst
01 November 2016 20:19
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Interesting phenomenon 'caring too much' what do we mean. ? Overstepping boundaries ? #WeEOLC |
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@WeEOLC
01 November 2016 20:19
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RT @BridgetJohnst: Interesting phenomenon 'caring too much' what do we mean. ? Overstepping boundaries ? #WeEOLC |
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@NurChat
01 November 2016 20:19
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@WeEOLC Often not enough time to reflect/debrief on a day. Take work home and think about what's happened #weeolc Not caring for ourselves |
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@WeEOLC
01 November 2016 20:20
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What would concern you about getting 'attached' to a patient? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:20
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And is attachment necessarily a bad thing. Role boundaries important but also important to 'show' we care. #WeEOLC https://t.co/r14y1g08XN |
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@NurChat
01 November 2016 20:20
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@WeEOLC Possibly. Important to remember your boundaries and remain professional, but we are only human #weeolc |
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@WeEOLC
01 November 2016 20:21
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Interesting - are you saying there is a balance to be struck between caring for self and caring for others? #WeEOLC https://t.co/Jxt9MMWV71 |
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@WeEOLC
01 November 2016 20:21
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RT @NurChat: @WeEOLC Possibly. Important to remember your boundaries and remain professional, but we are only human #weeolc |
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@sharontwriter
01 November 2016 20:21
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RT @WeEOLC: Interesting - are you saying there is a balance to be struck between caring for self and caring for others? #WeEOLC https://t.c… |
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@NurChat
01 November 2016 20:21
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@WeEOLC Definitely. You need to remember to look after yourself. Self care is so important when you are caring for others #weeolc |
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@BridgetJohnst
01 November 2016 20:22
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I like the definition of professional caring from Alistair Campbell a theologian who talked about 'moderated love' #WeEOLC |
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@punc14Nathan
01 November 2016 20:22
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#weEOLC #lurking and listening |
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@NurChat
01 November 2016 20:23
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@WeEOLC When it impacts on decision making. When boundaries are blurred professionally #weeolc |
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@punc14Nathan
01 November 2016 20:23
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RT @BridgetJohnst: It's about attitude and behaviour, helping with +ve intent, concern for others #weeolc |
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@binkle767
01 November 2016 20:23
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Think concerns about caring too much really link to legitimate fears of unsustainable care models #weEOLC |
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@BridgetJohnst
01 November 2016 20:23
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@punc14Nathan you are welcome @WeEOLC #WeEOLC |
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@WeEOLC
01 November 2016 20:23
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@punc14Nathan I'm sure you have an opinion....#WeEOLC ... join in, we don't bite. We CARE |
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@BridgetJohnst
01 November 2016 20:24
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When are Boundaries are blurred? #WeEOLC https://t.co/Ru4cBze58K |
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@WeEOLC
01 November 2016 20:24
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@binkle767 "unsustainable care models" - do you mean number of patients in limited time? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:25
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Is this related to workforce issues -unsafe levels of staff? #WeEOLC https://twitter.com/binkle767/status/793549083168432128 |
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@WeEOLC
01 November 2016 20:25
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Good question and one I reckon many will have experienced...anyone brave enough to share an example? #WeEOLC https://twitter.com/BridgetJohnst/status/793549279071707136 |
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@NurChat
01 November 2016 20:25
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RT @WeEOLC: Good question and one I reckon many will have experienced...anyone brave enough to share an example? #WeEOLC https://t.co/uwD9r… |
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@punc14Nathan
01 November 2016 20:25
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I think this is the main reason, then care is hampered by emotion and thinking of oneself #weeolc https://t.co/4fRfbY1ucO |
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@binkle767
01 November 2016 20:26
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Thinking mainly of personal cost. Not always linked to busyness. Some patients cost more to care for #weEOLC |
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@BridgetJohnst
01 November 2016 20:26
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RT @punc14Nathan: I think this is the main reason, then care is hampered by emotion and thinking of oneself #weeolc https://t.co/4fRfbY1ucO |
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@WeEOLC
01 November 2016 20:26
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RT @binkle767: Thinking mainly of personal cost. Not always linked to busyness. Some patients cost more to care for #weEOLC |
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@WeEOLC
01 November 2016 20:26
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RT @punc14Nathan: I think this is the main reason, then care is hampered by emotion and thinking of oneself #weeolc https://t.co/4fRfbY1ucO |
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@NurChat
01 November 2016 20:26
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@WeEOLC Not acting in the best interest of the person. Acting on emotions rather than evidence/research #weeolc |
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@WeEOLC
01 November 2016 20:27
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@punc14Nathan Bring it on ;) #WeEOLC |
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@punc14Nathan
01 November 2016 20:27
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RT @WeEOLC: @punc14Nathan Bring it on ;) #WeEOLC |
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@PUNC16_Caitlin
01 November 2016 20:27
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@WeEOLC when professional boundaries become blurry and you begin to favour one patient over another #WeEOLC |
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@ShazzaHudson
01 November 2016 20:27
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RT @binkle767: Thinking mainly of personal cost. Not always linked to busyness. Some patients cost more to care for #weEOLC |
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@BridgetJohnst
01 November 2016 20:27
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@punc14Nathan @NurChat @WeEOLC ? happen when the patient or family member feels the need to support you rather than other way round #WeEOLC |
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@heblau
01 November 2016 20:27
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RT @PUNC16_Caitlin: @WeEOLC when professional boundaries become blurry and you begin to favour one patient over another #WeEOLC |
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@BridgetJohnst
01 November 2016 20:27
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RT @binkle767: Thinking mainly of personal cost. Not always linked to busyness. Some patients cost more to care for #weEOLC |
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@BridgetJohnst
01 November 2016 20:27
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RT @NurChat: @WeEOLC Not acting in the best interest of the person. Acting on emotions rather than evidence/research #weeolc |
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@LeaBasra
01 November 2016 20:28
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@WeEOLC #WeEOLC i dont think getting attached to pts is a bad thing as long as all pts are treated equally and fairly. |
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@ShazzaHudson
01 November 2016 20:28
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@binkle767 Recognising this and acknowledging this within your teams of vital importance #weeolc |
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@LeaBasra
01 November 2016 20:28
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@WeEOLC #WeEOLC but attachments in EOLC can be difficult to deal with when the pt dies |
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@NurChat
01 November 2016 20:28
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RT @leajones2288: @WeEOLC #WeEOLC i dont think getting attached to pts is a bad thing as long as all pts are treated equally and fairly. |
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@WeEOLC
01 November 2016 20:29
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@ShazzaHudson @binkle767 hi Sharon :) #WeEOLC |
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@punc14Nathan
01 November 2016 20:29
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@BridgetJohnst @NurChat @WeEOLC I have never experienced this but I would suggest clear boundaries and remaining professional #weeolc |
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@WeEOLC
01 November 2016 20:29
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@leajones2288 Is that a reason not to get attached? #WeEOLC |
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@binkle767
01 November 2016 20:29
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@ShazzaHudson agreed #weeolc |
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@WeEOLC
01 November 2016 20:30
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Maybe ta way of avoiding burnout is avoiding attaching "too much"...#WeEOLC https://twitter.com/leajones2288/status/793550399164874753 |
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@binkle767
01 November 2016 20:31
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@leajones2288 @WeEOLC I think that is one of my concerns. Can't stop this, only natural, but cost is higher #weEolc |
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@ShazzaHudson
01 November 2016 20:31
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@leajones2288 @WeEOLC Do you think that leads to nurses creating 'safe distance' at eol? #weeolc |
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@BridgetJohnst
01 November 2016 20:31
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@punc14Nathan @NurChat @WeEOLC but important to know its ok to get upset. It's normal and can show you care #weeolc |
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@LetsTalkDeath
01 November 2016 20:31
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@binkle767 @leajones2288 human response to respond to someone dying. When it is your work, though... #WeEOLC |
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@ShazzaHudson
01 November 2016 20:32
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@WeEOLC ?????????? #weeolc |
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@nicolabell25
01 November 2016 20:32
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@WeEOLC @leajones2288 or having good support and supervision in place #weEOLC |
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@NurChat
01 November 2016 20:32
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@BridgetJohnst @punc14Nathan @WeEOLC Agree. We are human and have emotions as well #weeolc |
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@heblau
01 November 2016 20:32
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Good question #WeEOLC https://t.co/wPCFK21WD2 |
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@BridgetJohnst
01 November 2016 20:32
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What's a 'safe distance' #weeolc https://t.co/Fpsn26FbBc |
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@punc14Nathan
01 November 2016 20:32
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But there must be a balance without isolating the pt. #weeolc https://t.co/wy1TAikUQd |
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@BridgetJohnst
01 November 2016 20:32
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RT @nicolabell25: @WeEOLC @leajones2288 or having good support and supervision in place #weEOLC |
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@BridgetJohnst
01 November 2016 20:33
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RT @NurChat: @BridgetJohnst @punc14Nathan @WeEOLC Agree. We are human and have emotions as well #weeolc |
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@BridgetJohnst
01 November 2016 20:33
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@punc14Nathan @WeEOLC good point Nathan #weeolc |
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@NurChat
01 November 2016 20:33
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RT @punc14Nathan: But there must be a balance without isolating the pt. #weeolc https://t.co/wy1TAikUQd |
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@binkle767
01 November 2016 20:33
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So, a patient I instantly like, one that reminds me of mum etc. Emotional connection but care can have a higher price at EOL #weEOLC |
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@NursingUoB
01 November 2016 20:33
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RT @punc14Nathan: But there must be a balance without isolating the pt. #weeolc https://t.co/wy1TAikUQd |
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@punc14Nathan
01 November 2016 20:33
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Really good question #weeolc https://t.co/g1Z6p5Mn4l |
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@WeEOLC
01 November 2016 20:34
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This is such an important point #WeEOLC https://t.co/ywA1gvrju2 |
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@nicolabell25
01 November 2016 20:34
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@BridgetJohnst @ShazzaHudson @leajones2288 @WeEOLC by protecting yourself do you pull away from doing what's right for the pt? #weEOLC |
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@WeEOLC
01 November 2016 20:34
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Probably no assessment tool for that. Yet #WeEOLC |
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@WeEOLC
01 November 2016 20:35
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.@nicolabell25 @ShazzaHudson @leajones2288 and conversely, is it possible to disempower a patient by smothering them with care? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:35
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Safe distance maybe individual. Being self aware is key here #weeolc |
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@ShazzaHudson
01 November 2016 20:35
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@BridgetJohnst Perceived emotional protection by not getting too involved - does fear of cost prevent meaningful relationship? #weeolc |
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@LeaBasra
01 November 2016 20:35
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@LetsTalkDeath you do have to put up a boundary but on the other hand its ok to cry but if it affects your personal life its bot ok#WeEOLC |
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@NurChat
01 November 2016 20:36
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@binkle767 Agree it can but also contributing to that persons care and making a positive difference at eol can help you deal 1/2 #weeolc |
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@heblau
01 November 2016 20:36
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@ShazzaHudson @BridgetJohnst We all have our defences...but you know what I think about that! #deathanxiety #WeEOLC |
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@nicolabell25
01 November 2016 20:36
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@BridgetJohnst @ShazzaHudson @leajones2288 @WeEOLC really important things to reflect on in action #weEOLC |
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@BridgetJohnst
01 November 2016 20:37
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Self awareness and caring #evidence http://onlinelibrary.wiley.com/doi/10.1111/j.1471-6712.2012.01033.x/full #weeolc |
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@NurChat
01 November 2016 20:37
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@binkle767 with your emotions effectively. Knowing you've made a difference 2/2 #weeolc |
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@WeEOLC
01 November 2016 20:37
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an example: lady in bed is tired and asks for bedpan but trying to get her strong enough for home...#WeEOLC |
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@NurChat
01 November 2016 20:38
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RT @BridgetJohnst: Safe distance maybe individual. Being self aware is key here #weeolc |
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@BridgetJohnst
01 November 2016 20:38
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Self awareness and caring #evidence https://t.co/ODYbsyLNSE #weeolc |
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@BridgetJohnst
01 November 2016 20:38
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RT @nicolabell25: @BridgetJohnst @ShazzaHudson @leajones2288 @WeEOLC really important things to reflect on in action #weEOLC |
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@ShazzaHudson
01 November 2016 20:38
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@WeEOLC @binkle767 Does clinical supervision help this- Recognising transference? #weeolc |
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@prentice_joanna
01 November 2016 20:38
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RT @BridgetJohnst: Self awareness and caring #evidence https://t.co/ODYbsyLNSE #weeolc |
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@WeEOLC
01 November 2016 20:39
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@ShazzaHudson @binkle767 Can you explain transference - not everyone familiar with it - in 140 characters?! #WeEOLC |
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@binkle767
01 November 2016 20:39
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Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@BridgetJohnst
01 November 2016 20:40
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RT @binkle767: Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@NurChat
01 November 2016 20:40
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RT @binkle767: Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@punc14Nathan
01 November 2016 20:40
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RT @binkle767: Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@punc14Nathan
01 November 2016 20:41
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RT @BridgetJohnst: Self awareness and caring #evidence https://t.co/ODYbsyLNSE #weeolc |
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@ShazzaHudson
01 November 2016 20:41
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I think this one of my most favourite ever tweets #weeolc https://t.co/JdSfe018Dl |
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@heblau
01 November 2016 20:41
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RT @ShazzaHudson: I think this one of my most favourite ever tweets #weeolc https://t.co/JdSfe018Dl |
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@LetsTalkDeath
01 November 2016 20:41
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RT @ShazzaHudson: I think this one of my most favourite ever tweets #weeolc https://t.co/JdSfe018Dl |
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@WeEOLC
01 November 2016 20:41
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RT @ShazzaHudson: I think this one of my most favourite ever tweets #weeolc https://t.co/JdSfe018Dl |
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@tracethenurse
01 November 2016 20:41
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RT @binkle767: Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@WeEOLC
01 November 2016 20:41
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@ShazzaHudson Agreed #WeEOLC |
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@LeaBasra
01 November 2016 20:41
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RT @ShazzaHudson: I think this one of my most favourite ever tweets #weeolc https://twitter.com/binkle767/status/793553048308154368 |
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@WeEOLC
01 November 2016 20:42
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@ShazzaHudson I think other health professionals have a lot to learn from chaplaincy about spiritual care and self care #WeEOLC |
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@binkle767
01 November 2016 20:42
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Transference: hm that's weird. I feel an emotion that doesn't not fit with my life story, it better matches the Pt I've seen. Hmm #weEOLC |
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@LeaBasra
01 November 2016 20:42
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RT @WeEOLC: @ShazzaHudson I think other health professionals have a lot to learn from chaplaincy about spiritual care and self care #WeEOLC |
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@NurChat
01 November 2016 20:42
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If you show no emotion you could be perceived as not caring enough. Cold #Weeolc |
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@heblau
01 November 2016 20:43
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@binkle767 Good summary. Now...counter-transference anyone? (goes into teacher mode accidentally) #WeEOLC |
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@WeEOLC
01 November 2016 20:43
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@NurChat Interesting. For you then, caring means showing feelings? Or is it more about actions? #WeEOLC |
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@WeEOLC
01 November 2016 20:43
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RT @heblau: @binkle767 Good summary. Now...counter-transference anyone? (goes into teacher mode accidentally) #WeEOLC |
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@onehandedpotter
01 November 2016 20:43
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RT @binkle767: Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@BridgetJohnst
01 November 2016 20:44
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Exactly I agree showing emotion can be a good thing Warm #weeolc https://t.co/Nok23pGu1V |
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@ShazzaHudson
01 November 2016 20:44
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The unconscious transfer of feelings and emotions from ones own past to (in this situation) a patient #weeolc https://twitter.com/WeEOLC/status/793552964040482817 |
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@WeEOLC
01 November 2016 20:45
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.@binkle767 relates to what we are talking about here.. ie you transfer your emotions on to the person you are caring for #WeEOLC |
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@punc14Nathan
01 November 2016 20:45
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RT @heblau: @binkle767 Good summary. Now...counter-transference anyone? (goes into teacher mode accidentally) #WeEOLC |
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@WeEOLC
01 November 2016 20:45
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RT @ShazzaHudson: The unconscious transfer of feelings and emotions from ones own past to (in this situation) a patient #weeolc https://t.c… |
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@iprofunco
01 November 2016 20:45
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RT @binkle767: Distance also seems an inappropriate defence when laughter, tears or silence may be central to care needed #weEOLC |
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@punc14Nathan
01 November 2016 20:45
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RT @NurChat: If you show no emotion you could be perceived as not caring enough. Cold #Weeolc |
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@NurChat
01 November 2016 20:45
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@WeEOLC Good mix of both. Actions and feelings #weeolc |
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@WeEOLC
01 November 2016 20:45
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RT @BridgetJohnst: Exactly I agree showing emotion can be a good thing Warm #weeolc https://twitter.com/nurchat/status/793553906857046020 |
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@WeEOLC
01 November 2016 20:46
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@BridgetJohnst Authenticity #WeEOLC |
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@punc14Nathan
01 November 2016 20:46
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RT @WeEOLC: @ShazzaHudson @binkle767 Can you explain transference - not everyone familiar with it - in 140 characters?! #WeEOLC |
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@BridgetJohnst
01 November 2016 20:46
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RT @WeEOLC: @BridgetJohnst Authenticity #WeEOLC |
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@punc14Nathan
01 November 2016 20:46
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@ShazzaHudson @WeEOLC @binkle767 thank you #weeolc |
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@LeaBasra
01 November 2016 20:46
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RT @BridgetJohnst: Exactly I agree showing emotion can be a good thing Warm #weeolc https://twitter.com/nurchat/status/793553906857046020 |
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@VickiJNurse
01 November 2016 20:47
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@BridgetJohnst @WeEOLC Agree, No denying you do get close to familes esp in District Nursing in their own homes #weeolc |
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@WeEOLC
01 November 2016 20:47
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If you were a patient, what might caring "too much" look/feel like? #WeEOLC |
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@BridgetJohnst
01 November 2016 20:47
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@WeEOLC and also reciprocity part of an empathic caring relationship #weeolc |
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@NurChat
01 November 2016 20:47
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RT @WeEOLC: If you were a patient, what might caring "too much" look/feel like? #WeEOLC |
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@ShazzaHudson
01 November 2016 20:47
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RT @WeEOLC: @ShazzaHudson I think other health professionals have a lot to learn from chaplaincy about spiritual care and self care #WeEOLC |
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@punc14Nathan
01 November 2016 20:47
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@WeEOLC @binkle767 understand now lol #weeolc |
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@nicolabell25
01 November 2016 20:47
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@ShazzaHudson @WeEOLC @binkle767 you do need a team that you can trust and say help me...I'm transferring #weEOLC |
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@BridgetJohnst
01 November 2016 20:48
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RT @VickiJNurse: @BridgetJohnst @WeEOLC Agree, No denying you do get close to familes esp in District Nursing in their own homes #weeolc |
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@NurChat
01 November 2016 20:48
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RT @BridgetJohnst: @WeEOLC and also reciprocity part of an empathic caring relationship #weeolc |
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@punc14Nathan
01 November 2016 20:48
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In this case can roles be reversed #weeolc https://t.co/OtrXEYJEmE |
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@WeEOLC
01 November 2016 20:48
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but...also means that you are not interrupted by buzzers etc as in hospital. Does clinical setting make a difference to boundaries? #WeEOLC |
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@WeEOLC
01 November 2016 20:48
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@punc14Nathan What do you think? #WeEOLC |
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@nicolabell25
01 November 2016 20:49
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@WeEOLC @VickiJNurse @BridgetJohnst yes indeed, your in their world and it's more real #weEOLC |
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@VickiJNurse
01 November 2016 20:50
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@WeEOLC I would think so I have arranged visits when have needed spend more time with families doubt can be done in hosp #weeolc |
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@binkle767
01 November 2016 20:50
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Caring too much for me personally is if you try verbally giving me permission to cry, or is that just bad caring? #weEOLC |
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@BridgetJohnst
01 November 2016 20:50
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RT @nicolabell25: @WeEOLC @VickiJNurse @BridgetJohnst yes indeed, your in their world and it's more real #weEOLC |
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@punc14Nathan
01 November 2016 20:51
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Yes maybe I think it depends on the resilience of the carer and the strength of character of all involved #weeolc https://t.co/gi8M7RLn6T |
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@WeEOLC
01 November 2016 20:51
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.@binkle767 It's rare for a person to cry just because they are given permission! People usually cry when they feel safe #WeEOLC |
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@WeEOLC
01 November 2016 20:54
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Ok with a few minutes to go -what are your thoughts on tonights chat - is it possible to care "too much"? And what have you learned? #WeEOLC |
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@binkle767
01 November 2016 20:55
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@WeEOLC exactly. So caring too much, as perceived by Pt, may be someone trying to squeeze every aspect of care into encounters #WeEOLC |
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@WeEOLC
01 November 2016 20:55
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There has been a lot of talk about self vs patient, and boundaries...#WeEOLC |
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@NurChat
01 November 2016 20:55
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@WeEOLC I think it is possible to care too much. Caring for ourselves is just as important as caring for others. Need to balance #weeolc |
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@LeaBasra
01 November 2016 20:55
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@WeEOLC #WeEOLC i dont think its possible to care too much i think more risk of looking like not caring enough due to rushing staff shortage |
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@punc14Nathan
01 November 2016 20:56
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@WeEOLC I think it depends on the resilience of the carer and the strength of character of all involved #weeolc |
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@heblau
01 November 2016 20:56
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A caring encounter does not need to be lengthy #smallactions #compassion #WeEOLC https://t.co/Iql6DNvRaY |
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@LeaBasra
01 November 2016 20:56
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@WeEOLC #WeEOLC ive learned about transference and realised ive seen colleagues doing this now im aware of it can try not to do it myself |
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@nicolabell25
01 November 2016 20:57
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@WeEOLC it is possible to care too much with a -ve effect on you and the pt..good support, awareness and supervision needed #weEOLC |
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@punc14Nathan
01 November 2016 20:57
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RT @WeEOLC: Thanks for that Leanne - it is a very useful idea for health staff working in emotionally difficult situations #WeEOLC https://… |
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@SP_Duckworth
01 November 2016 20:59
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You can't care too much. You can deliver ineffective and inappropriate care. #WeEOLC https://t.co/B1EPpCleB4 |
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@nicolabell25
01 November 2016 21:00
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@leajones2288 @WeEOLC me too leanne. .coming up to one yr anniversary of my dad's death and aware today of some transferring #weEOLC |
Stats
Total contributers:
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Total tweets:
195
Total reach:
1,235,588
