#WeNurses - Thursday 2nd March 2017 8pm (GMT Standard Time)
Is MUST a must?
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MUST ! Or (to avoid abbreviations!) the Malnutrition Universal Screening Tool is a widely used tool to assess adults who are at risk of malnutrition or obese. My guess is that we have all seen it ... and many of us use it in our day to day practice ... but what do you think of it?
There can be no doubt that malnutrition is a serious problem, BAPEN explore the scale of malnutrition in the video below:
The RCN state "Nutritional screening is a quick, simple procedure that should be undertaken during the first meeting with the patient. Best practice is to undertake this screening as part of the admission or inital assessment of a person and that it is completed within the first 24 hours of arriving in a care setting. This review should be undertaken by a doctor, a registered nurse, or an HCA. It is critical for the early identification of the existence or high risk of malnutrition. Using an accredited screening tool, such as the 'Malnutrition Universal Screening Tool' ('MUST') raises the awareness of a patient's risk of malnutrition. If screening is not undertaken, patient safety may be compromised"
There is some evidence behind using MUST:
Assessing the benefits of a malnutrition screening tool - Nursing Times
The utilisation of the MUST nutritional screening tool on vascular surgical wards - BMJ
Nutritional assessment in elderly care: A MUST! - BMJ
Screening for malnutrition and the risk of malnutrition in hospital and the community - NCBI
These are just a few studies .... this #WeNurses discussion aims to explore beyond this and delve into your experience and thoughts around MUST. We aim to ask the following questions:
- Why is nutritional screening important?
- Who should we screen for malnutrition?
- What are the advantages of using MUST?
- What are the limitations of MUST?
- What happens after we have assessed with MUST?
Please join us to discuss screening for malnutrition - all views welcome.
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Here are some of the tweets that most resonated with us during this discussion:
The final word goes to David Barton who tweeted:
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#WeNurses transcript
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@WeNurses
02 March 2017 20:00
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@MargaretHazeldi hello nice to see you #WeNurses |
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@LesleyReilly20
02 March 2017 20:00
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RT @AnnMarieRiley10: Really looking forward to sharing great work from our CAS division @LesleyReilly20 @scott1purser #wenurses https://t.c… |
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@WeNurses
02 March 2017 20:00
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@debscooper131 nice to have you here #WeNurses |
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@AgencyNurse
02 March 2017 20:00
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Teresa here - ready to talk MUST #WeNurses |
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@mynameisAndyJ
02 March 2017 20:00
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#wenurses Hello All from Turkey! MUST is so important to patient care and reducing malnutrition in patients |
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@debscooper131
02 March 2017 20:01
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@WeNurses Hello!! Looking forward to tonight's chat on MUST For those who don't know me, my name is Debs & I'm an NQN in west mids #WeNurses |
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@WeNurses
02 March 2017 20:01
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Tonights discussion is all about the Malnutrition Universal Screening Tool - MUST Heres a link > https://t.co/pM1NK8ICjH #WeNurses |
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@WeNurses
02 March 2017 20:02
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@mynameisAndyJ welcome Andy .... Turkey !!! Wow how lovely #WeNurses |
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@mynameisAndyJ
02 March 2017 20:02
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@debscooper131 @WeNurses #WeNurses Hi Debs what is an NQN?? I think I know but never presume |
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@mynameisAndyJ
02 March 2017 20:03
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@WeNurses #wenurses I am working here sharing my small bit of knowledge on the NHS with them |
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@debscooper131
02 March 2017 20:03
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@mynameisAndyJ @WeNurses I use it to me newly qualified nurse, it may have other meanings though! #WeNurses |
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@WeNurses
02 March 2017 20:04
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FIRST QUESTION Why is nutritional screening important? #WeNurses https://t.co/TXYgZCBHCn |
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@mynameisAndyJ
02 March 2017 20:04
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@debscooper131 @WeNurses #WeNurses I thought so Congrats on qualifying. to what is very special vocation |
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@WeNurses
02 March 2017 20:04
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#WeNurses - welcome :) https://twitter.com/TracyWothers5/status/837393198322487297 |
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@debscooper131
02 March 2017 20:05
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@WeNurses because people may not realise they are malnourished & often the impact it has on health & healing can be huge #WeNurses |
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@AgencyNurse
02 March 2017 20:06
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malnutrition has such a huge impact - healing, wellbeing, cost, morbidity, mortality, length of hops stay #WeNurses https://t.co/nVH4wlNxx3 |
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@mynameisAndyJ
02 March 2017 20:07
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@WeNurses #WeNurses Often when admitted people do not realise that they are malnourished and the impact this as on their wellbeing |
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@TracyWothers5
02 March 2017 20:08
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Nutrition screening help us to identify people who are at risk of malnutrition or already malnourished #WeNurses |
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@mynameisAndyJ
02 March 2017 20:08
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@WeNurses #WeNurses It ensures that the patient gets the right nutritional intake whilst they are being cared for #foodfirst |
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@AgencyNurse
02 March 2017 20:08
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This outlines the importance of screening really well Nutritional screening in the elderly: A MUST http://qir.bmj.com/content/4/1/u204810.w2031.full #WeNurses #EBP |
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@debscooper131
02 March 2017 20:08
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@AgencyNurse the statistics about extended hospital stay & impact on mortality etc are shocking, a lot of people don't realise #WeNurses |
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@walton_annmarie
02 March 2017 20:08
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RT @AnnMarieRiley10: Really looking forward to sharing great work from our CAS division @LesleyReilly20 @scott1purser #wenurses https://t.c… |
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@WeNurses
02 March 2017 20:08
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RT @TracyWothers5: Nutrition screening help us to identify people who are at risk of malnutrition or already malnourished #WeNurses |
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@AgencyNurse
02 March 2017 20:08
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RT @mynameisAndyJ: @WeNurses #WeNurses Often when admitted people do not realise that they are malnourished and the impact this as on their… |
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@WeNurses
02 March 2017 20:08
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RT @mynameisAndyJ: @WeNurses #WeNurses Often when admitted people do not realise that they are malnourished and the impact this as on their… |
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@derekfisher2907
02 March 2017 20:09
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RT @mynameisAndyJ: @WeNurses #WeNurses It ensures that the patient gets the right nutritional intake whilst they are being cared for #foodf… |
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@AgencyNurse
02 March 2017 20:09
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@mynameisAndyJ @WeNurses gald you mentioned wellbeing too Andy ... I agree can be a huge impact on wellbeing #WeNurses |
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@WeNurses
02 March 2017 20:09
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RT @mynameisAndyJ: @WeNurses #WeNurses It ensures that the patient gets the right nutritional intake whilst they are being cared for #foodf… |
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@mynameisAndyJ
02 March 2017 20:10
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RT @TracyWothers5: Nutrition screening help us to identify people who are at risk of malnutrition or already malnourished #WeNurses |
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@dtbarron
02 March 2017 20:10
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RT @WeNurses: Tonight's #WeNurses is a MUST ! Malnutrition screening ... how valuable is it? > http://buff.ly/2lWZdSM https://t.co/s3Pm… |
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@dtbarron
02 March 2017 20:11
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RT @TracyWothers5: Nutrition screening help us to identify people who are at risk of malnutrition or already malnourished #WeNurses |
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@WeNurses
02 March 2017 20:11
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NEXT QUESTION Who should we screen for malnutrition? #WeNurses https://t.co/Ws6Q0V8hyG |
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@WeNurses
02 March 2017 20:11
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#WeNurses https://t.co/dSmFZgzmFN |
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@WeNurses
02 March 2017 20:11
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A really good point #WeNurses https://t.co/VVSb7eCOIt |
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@mynameisAndyJ
02 March 2017 20:12
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RT @WeNurses: NEXT QUESTION Who should we screen for malnutrition? #WeNurses https://t.co/Ws6Q0V8hyG |
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@Gemrose84
02 March 2017 20:12
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@WeNurses it's vital information we need on admission that we need to be aware of. #WeNurses |
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@dtbarron
02 March 2017 20:12
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@mynameisAndyJ @WeNurses In previous role I had it actually highlighted a hidden vulnerable adult abuse issue #wenurses |
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@debscooper131
02 March 2017 20:12
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@Jodi_sparkles yeah, the focus can be on medications/surgical intervention/therapy input but proper nutrition can be overlooked #WeNurses |
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@RDaSH_DoncCG
02 March 2017 20:13
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RT @WeNurses: A really good point #WeNurses https://t.co/VVSb7eCOIt |
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@Gemrose84
02 March 2017 20:13
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@AgencyNurse @WeNurses it can also give us indicators to other things- are they depressed? #wenurses |
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@dtbarron
02 March 2017 20:13
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@WeNurses If you don't know where you start ie screening how can you measure improvement/deteriorate - hugely important #wenurses |
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@mynameisAndyJ
02 March 2017 20:13
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@WeNurses #wenurses A2 in My view everyone! but esp over 3 to 16yrs and over 55yrs. But remember you can be obese but malnourished |
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@janey513
02 March 2017 20:13
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@WeNurses do people screen in maternity inpatient areas @WeMidwives #wenurses |
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@TracyWothers5
02 March 2017 20:13
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We should screen all patients that come into our care and we should rescreen them at least every 7 days #WeNurses |
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@mynameisAndyJ
02 March 2017 20:13
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RT @dtbarron: @mynameisAndyJ @WeNurses In previous role I had it actually highlighted a hidden vulnerable adult abuse issue #wenurses |
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@debscooper131
02 March 2017 20:13
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@WeNurses EVERYONE! You can't assume a patient is getting adequate nourishment. At my hosp we do MUST as part of admission for all #WeNurses |
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@Gemrose84
02 March 2017 20:14
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@WeNurses I'm in mental health inpatient and we screen everyone #WeNurses |
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@debscooper131
02 March 2017 20:14
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@Gemrose84 @WeNurses totally agree, we do MUST (along with falls & waterlow assessment) on every admission #WeNurses |
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@PSMJW
02 March 2017 20:14
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@WeNurses everyone should be screened, provides a baseline and a threshold for treatment #WeNurses |
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@AgencyNurse
02 March 2017 20:15
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@WeNurses NICE have some guidance on this > https://www.nice.org.uk/guidance/qs24/chapter/quality-statement-1-screening-for-the-risk-of-malnutrition #WeNurses #EBP https://t.co/YqdZsCKNN9 |
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@dtbarron
02 March 2017 20:15
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@WeNurses Remember screening isn't only relevant in hospitals!! We use MUST in care home sector #wenurses nutrition equally import there |
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@AgencyNurse
02 March 2017 20:15
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RT @Gemrose84: @AgencyNurse @WeNurses it can also give us indicators to other things- are they depressed? #wenurses |
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@mynameisAndyJ
02 March 2017 20:15
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RT @TracyWothers5: We should screen all patients that come into our care and we should rescreen them at least every 7 days #WeNurses |
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@mynameisAndyJ
02 March 2017 20:15
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RT @AgencyNurse: @WeNurses NICE have some guidance on this > https://www.nice.org.uk/guidance/qs24/chapter/quality-statement-1-screening-for-the-risk-of-malnutrition #WeNurses #EBP https://t.co/YqdZsCKNN9 |
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@WeNurses
02 March 2017 20:15
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Lots of great hashtagging this eve everyone! Keep it up... Add #wenurses & click on it to see each others tweets :) https://t.co/OoX3ShMLL6 |
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@captaintau
02 March 2017 20:16
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@WeNurses malnutrition prevention absolutely essential. That's a given. Question is what better tools are out there? BMI outdated. #wenurses |
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@AgencyNurse
02 March 2017 20:16
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@Gemrose84 @WeNurses yes indeed - do we think WHY enough ? What has caused them to be malnourished or at risk of ? #WeNurses |
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@Gemrose84
02 March 2017 20:16
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@debscooper131 @WeNurses yes we do too. It's basic info but with lots of info if you know what I mean!followed by careplanning #WeNurses |
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@katiel0uise
02 March 2017 20:16
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@WeNurses every person you come into contact with! nutrition impacts hugely on physical & mental health #WeNurses |
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@WeNurses
02 March 2017 20:16
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RT @Gemrose84: @WeNurses it's vital information we need on admission that we need to be aware of. #WeNurses |
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@dtbarron
02 March 2017 20:17
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@debscooper131 @Gemrose84 @WeNurses I was looking at that today with @Pollybird1 as we re-wrote admission clinical/care standards #wenurses |
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@debscooper131
02 March 2017 20:17
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Agree with this! If a patient is in hospital long term we need a baseline and for ongoing monitoring #WeNurses https://twitter.com/dtbarron/status/837395468187492352 |
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@WeNurses
02 March 2017 20:17
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Gosh - a really important point to raise #WeNurses https://twitter.com/dtbarron/status/837395157985157122 |
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@mynameisAndyJ
02 March 2017 20:17
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@captaintau @WeNurses #WeNurses Agree fully BMI needs replacing it does not reflect the current point in time |
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@Gemrose84
02 March 2017 20:17
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@TracyWothers5 this happens in my place of work and more frequent screening where required #WeNurses |
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@lamplight58
02 March 2017 20:18
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RT @TracyWothers5: We should screen all patients that come into our care and we should rescreen them at least every 7 days #WeNurses |
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@AgencyNurse
02 March 2017 20:18
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And likes and preferences ! So much can be done by working WITH the people we care for #WeNurses https://twitter.com/debscooper131/status/837395230903054336 |
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@alisen_dube
02 March 2017 20:18
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RT @WeNurses: A really good point #WeNurses https://twitter.com/karamac7/status/837394660444233731 |
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@debscooper131
02 March 2017 20:18
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I think it's vital to remember obese people can be malnourished too, don't make assumptions!! #WeNurses https://twitter.com/mynameisAndyJ/status/837395479025577985 |
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@WeNurses
02 March 2017 20:19
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Interesting question ? #WeNurses @WeMidwives https://t.co/N315cJEc61 |
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@Gemrose84
02 March 2017 20:19
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@AgencyNurse @WeNurses I'm glad to see my area follows these guidelines #wenurses |
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@mynameisAndyJ
02 March 2017 20:19
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RT @katiel0uise: @WeNurses every person you come into contact with! nutrition impacts hugely on physical & mental health #WeNurses |
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@AgencyNurse
02 March 2017 20:19
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I'm also interested about community settings ? @WeDistrictNurse #WeNurses https://twitter.com/janey513/status/837395480439054338 |
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@dtbarron
02 March 2017 20:19
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@debscooper131 @Jodi_sparkles and without it recovery will be impacted on! #wenurses |
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@AgencyNurse
02 March 2017 20:19
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RT @TracyWothers5: We should screen all patients that come into our care and we should rescreen them at least every 7 days #WeNurses |
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@WeNurses
02 March 2017 20:19
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RT @TracyWothers5: We should screen all patients that come into our care and we should rescreen them at least every 7 days #WeNurses |
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@RcnNWalesBranch
02 March 2017 20:19
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RT @WeNurses: NEXT QUESTION Who should we screen for malnutrition? #WeNurses https://t.co/Ws6Q0V8hyG |
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@mynameisAndyJ
02 March 2017 20:20
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@katiel0uise @WeNurses #WeNurses Katie well said Agree fully https://twitter.com/katiel0uise/status/837396201406402560 |
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@mynameisAndyJ
02 March 2017 20:20
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RT @debscooper131: I think it's vital to remember obese people can be malnourished too, don't make assumptions!! #WeNurses https://t.co/0JP… |
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@AgencyNurse
02 March 2017 20:20
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@debscooper131 @WeNurses being devils advocate here ... but should be blindly screen all ?? what is the evidence ?? #WeNurses |
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@AgencyNurse
02 March 2017 20:20
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RT @PSMJW: @WeNurses everyone should be screened, provides a baseline and a threshold for treatment #WeNurses |
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@TracyWothers5
02 March 2017 20:20
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That's really good to hear because sometimes it does get forgotten about #WeNurses https://t.co/lEaBihOG3r |
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@dtbarron
02 March 2017 20:21
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@AgencyNurse @WeDistrictNurse In previous life! the CPNs I worked with screened using MUST, perhaps not routinely #wenurses |
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@rebeccawildbure
02 March 2017 20:21
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@WeNurses sorry for being late but just got home; just lurking tonight. One of my competencies on placement at the moment (1/2) #WeNurses |
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@Gemrose84
02 March 2017 20:21
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@AgencyNurse @WeNurses and that's why staff training for MUST is vital - ensuring our results are correct #wenurses |
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@debscooper131
02 March 2017 20:22
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@AgencyNurse #WeNurses The NICE guidance you just shared said to screen all inpatients on admission, I'm not sure what their evidence is tho |
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@mynameisAndyJ
02 March 2017 20:22
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RT @ApplyBradford: We're holding #CPD event on March 16. Why not come along & see how we can enhance your health care skills? #WeNurses htt… |
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@dtbarron
02 March 2017 20:22
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@AgencyNurse @debscooper131 @WeNurses Yes, but there again in my area we are facing different resident group than hospitals #wenurses |
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@AgencyNurse
02 March 2017 20:23
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Nutritional screening tools: Does one size fit all ? > https://t.co/66rtb8GOcB Interesting article @debscooper131 ? #WeNurses #EBP |
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@mynameisAndyJ
02 March 2017 20:23
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RT @debscooper131: @AgencyNurse #WeNurses The NICE guidance you just shared said to screen all inpatients on admission, I'm not sure what t… |
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@rebeccawildbure
02 March 2017 20:23
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@WeNurses (2/2) is to complete a MUST under supervision & im lurking for some advice about it ?? #WeNurses |
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@debscooper131
02 March 2017 20:23
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@AgencyNurse definitely, patients are put on supplements that they refuse because they don't like & don't know why they're on them #WeNurses |
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@WeNurses
02 March 2017 20:23
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RT @debscooper131: @AgencyNurse #WeNurses The NICE guidance you just shared said to screen all inpatients on admission, I'm not sure what t… |
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@AgencyNurse
02 March 2017 20:23
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RT @Gemrose84: @AgencyNurse @WeNurses and that's why staff training for MUST is vital - ensuring our results are correct #wenurses |
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@RebeccaCrossle2
02 March 2017 20:23
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RT @mynameisAndyJ: @katiel0uise @WeNurses #WeNurses Katie well said Agree fully https://t.co/HzxiD8T7Hf |
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@AgencyNurse
02 March 2017 20:23
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#WeNurses https://t.co/opKggIR4o7 |
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@rachel_rahs
02 March 2017 20:24
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As with all admission paperwork, MUST score only useful if communicated/discussed- and not just filed away in notes ?? #wenurses |
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@SuzanneShoker1
02 March 2017 20:24
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RT @mynameisAndyJ: @WeNurses #WeNurses It ensures that the patient gets the right nutritional intake whilst they are being cared for #foodf… |
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@AgencyNurse
02 March 2017 20:24
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With the emphasis of care shifting surely it would be useful to ? #WeNurses Keep people out of hospital ? https://twitter.com/dtbarron/status/837397392265740288 |
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@debscooper131
02 March 2017 20:25
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@AgencyNurse I'll have to read that later! I think a single tool will never cover all bases but MUST gives a foot in the door #WeNurses |
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@WeNurses
02 March 2017 20:25
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#WeNurses https://t.co/PXsBWyCv9b |
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@WeNurses
02 March 2017 20:25
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Great to see you hopping on! hope you had a good shift and placements are going well :) #WeNurses https://t.co/nm7aCoLA4y |
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@debscooper131
02 March 2017 20:25
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@AgencyNurse if a red flag is raise by a MUST score on admission other more detailed & appropriate assessments can then be used #WeNurses |
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@WeNurses
02 March 2017 20:25
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@rebeccawildbure lurk away Becky #WeNurses |
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@dtbarron
02 March 2017 20:25
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@AgencyNurse Yes, but I think it was more targeted rather than everyone - mental and physical health can't be separated #nosilos #wenurses |
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@Gemrose84
02 March 2017 20:26
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@RachelSianRMN and to find out if there has been a recent weight loss? If so how much? This is info is vital from patient /career #WeNurses |
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@rebeccawildbure
02 March 2017 20:27
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@WeNurses thank you ?? #WeNurses |
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@mynameisAndyJ
02 March 2017 20:27
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#wenurses Can I also draw you to the 1st point of the 1o key characteristics of Europe https://t.co/epYybP8MDU #wenurses |
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@rsmithnuh
02 March 2017 20:27
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RT @AnnMarieRiley10: Really looking forward to sharing great work from our CAS division @LesleyReilly20 @scott1purser #wenurses https://t.c… |
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@WeNurses
02 March 2017 20:27
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#WeNurses https://t.co/KKIheCCSxO |
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@WeNurses
02 March 2017 20:27
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#WeNurses >>>> https://t.co/KKIheCCSxO |
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@keeling_michael
02 March 2017 20:28
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Followers of #whywedoresearch #wenurses might be interested in learning about #CSFleak #leakweek https://t.co/3ySiFzGSx3 |
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@BradfordChatter
02 March 2017 20:28
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RT @ApplyBradford: We're holding #CPD event on March 16. Why not come along & see how we can enhance your health care skills? #WeNurses htt… |
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@lynnewalsall
02 March 2017 20:28
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RT @WeNurses: FIRST QUESTION Why is nutritional screening important? #WeNurses https://t.co/TXYgZCBHCn |
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@WeNurses
02 March 2017 20:29
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#wenurses https://t.co/wqojqE6yeR |
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@WeNurses
02 March 2017 20:29
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NEXT QUESTION What are the advantages of using MUST? #WeNurses https://t.co/JGfYgkHetY |
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@mynameisAndyJ
02 March 2017 20:29
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#wenurses Also the Hospital Food Standards embeds MUST for all trusts https://t.co/Erm6iQ32ht |
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@debscooper131
02 March 2017 20:30
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@Amy_5haw we do it on admission & minimum of weekly afterwards, then do dietician referral or food diary etc as a form of action #WeNurses |
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@AgencyNurse
02 March 2017 20:30
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I think intervention is key ... also perhaps not used in isolation ... clinical judgement ? #WeNurses https://twitter.com/puncemma/status/837399393334607872 |
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@debscooper131
02 March 2017 20:30
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@WeNurses standardised tool that's quite simple to use, can give baseline & then compare any changes easily #WeNurses |
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@AgencyNurse
02 March 2017 20:31
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I guess there are difficulties ... accurate transportable scales for one? #WeNurses https://twitter.com/shannon_deakins/status/837399295787663362 |
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@WeNurses
02 March 2017 20:31
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RT @debscooper131: @WeNurses standardised tool that's quite simple to use, can give baseline & then compare any changes easily #WeNurses |
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@WeNurses
02 March 2017 20:31
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Thanks Andy #WeNurses #EBP https://twitter.com/mynameisAndyJ/status/837399545436852225 |
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@FenoUnam
02 March 2017 20:31
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RT @WeNurses: Thanks Andy #WeNurses #EBP https://twitter.com/mynameisAndyJ/status/837399545436852225 |
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@debscooper131
02 March 2017 20:32
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@puncemma @AgencyNurse yes, MUST on it's own isn't going to help much but using it for holistic assessment & care planning is key #WeNurses |
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@AgencyNurse
02 March 2017 20:32
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Its easy to use and very quick too #WeNurses https://twitter.com/WeNurses/status/837399492026642432 |
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@WeDocs
02 March 2017 20:32
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RT @WeNurses: NEXT QUESTION What are the advantages of using MUST? #WeNurses https://t.co/JGfYgkHetY |
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@TracyWothers5
02 March 2017 20:32
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Personally I don't think it has to be MUST there are other validated screening tools, the key is to screen and refer if necessary #WeNurses |
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@debscooper131
02 March 2017 20:33
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@AgencyNurse yes, someone may have a MUST of 2 but with other factors nutrition may be more important & require specialist help #WeNurses |
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@AgencyNurse
02 March 2017 20:33
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This may be paywalled - assessing the benefits of a malnutrition screening tool > https://t.co/cSTm9IrmYg #WeNurses #EBP |
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@Gemrose84
02 March 2017 20:33
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@WeNurses it's easy to use, quick, gives you a action plan and all staff are able to use it #WeNurses |
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@AgencyNurse
02 March 2017 20:33
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Really good point Shannon #WeNurses https://t.co/jUt7i9FwwW |
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@AgencyNurse
02 March 2017 20:34
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Good to hear #WeNurses https://t.co/Pmz5w25qRZ |
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@katiel0uise
02 March 2017 20:34
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@WeNurses it's quite quick to complete & can be useful as a conversation starter around nutrition issues with patients #wenurses |
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@WeNurses
02 March 2017 20:34
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RT @Gemrose84: @WeNurses it's easy to use, quick, gives you a action plan and all staff are able to use it #WeNurses |
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@WeNurses
02 March 2017 20:35
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A good point #WeNurses https://twitter.com/TracyWothers5/status/837400344086839296 |
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@debscooper131
02 March 2017 20:36
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@WeNurses @traceyWolthers5 yes I agree, where I trained & now work MUST is used but another validated tool would be just as useful #WeNurses |
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@Bartontd
02 March 2017 20:36
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Hi Folks - #Davewave - I have been lurking & listening - is there a case to broaden your thinking TOOLS ENABLE DECISION MAKING #wenurses |
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@WeCommNurses
02 March 2017 20:36
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#wenurses https://twitter.com/shannon_deakins/status/837401115159379968 |
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@Bartontd
02 March 2017 20:37
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Let your varied assessment tools guide your practice - not confine your expert professional judgement. #clinical #decision #making #wenurses |
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@debscooper131
02 March 2017 20:37
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@katiel0uise @WeNurses when I've explained MUST scoring to my patients they've opened up a bit more about their nutritional intake #WeNurses |
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@peterbhrsmityh
02 March 2017 20:37
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RT @mynameisAndyJ: #wenurses Also the Hospital Food Standards embeds MUST for all trusts https://prezi.com/dinu1va4fv63/hospital-food-standards-report/?webgl=0 |
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@AgencyNurse
02 March 2017 20:37
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#WeNurses https://twitter.com/shannon_deakins/status/837401115159379968 |
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@AgencyNurse
02 March 2017 20:38
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Nicely said Dave #WeNurses https://twitter.com/Bartontd/status/837401195060809728 |
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@WeNurses
02 March 2017 20:38
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A few of us forgetting to add #weNurses to our tweets...this means those not following you can't see your tweets, t… https://twitter.com/i/web/status/837401729633251329 |
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@mynameisAndyJ
02 March 2017 20:38
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#wenurses Not being clinical based but catering focused (Soft FM) could this help in some environments http://www.malnutritiontaskforce.org.uk/salfords-armband-tackling-malnutrition-with-paper/ |
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@mynameisAndyJ
02 March 2017 20:38
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#wenurses Not being clinical based but catering focused (Soft FM) could this help in some environments http://ln.is/org.uk/7kc2U |
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@Mfletch69
02 March 2017 20:39
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@WeNurses probs with screening tools is havn appropriate access 2 available interventions need 2 ensure not just a paper exercise #wenurses |
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@TraceyPockett
02 March 2017 20:39
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RT @WeNurses: A few of us forgetting to add #weNurses to our tweets...this means those not following you can't see your tweets, thats sad h… |
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@dtbarron
02 March 2017 20:39
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@WeNurses Tool not relevant provided there is a consistency/understanding across the whole team #wenurses unwarranted variation is harmful |
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@karamac7
02 March 2017 20:40
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@Bartontd @WeNurses totally agree #WeNurses |
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@WeNurses
02 March 2017 20:40
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NEXT QUESTION What are the limitations of MUST? #WeNurses https://t.co/eCe8JJWL4u |
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@Amy_5haw
02 March 2017 20:40
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@WeNurses im terrible for this #Wenurses |
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@WeNurses
02 March 2017 20:40
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A really important point thanks Derek #WeNurses https://t.co/u1yo6rKC6g |
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@mynameisAndyJ
02 March 2017 20:40
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RT @WeNurses: NEXT QUESTION What are the limitations of MUST? #WeNurses https://t.co/eCe8JJWL4u |
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@dtbarron
02 March 2017 20:41
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This face is for you @Pollybird1 & @weejenn38 for forgetting #tag In chat earlier this week ?? #wenurses https://t.co/U92OPVMNb5 |
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@Hcawalesbranch
02 March 2017 20:41
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RT @mynameisAndyJ: #wenurses Also the Hospital Food Standards embeds MUST for all trusts https://t.co/Erm6iQ32ht |
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@WeNurses
02 March 2017 20:41
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Another really good point ... so how do we ensure not just paper exercise ? #WeNurses https://twitter.com/Mfletch69/status/837401901037682688 |
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@janey513
02 March 2017 20:41
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@WeNurses think @Bartontd started the thoughts no tool replaces our own assessment skills and thinking #wenurses |
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@dtbarron
02 March 2017 20:41
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RT @WeNurses: A really important point thanks Derek #WeNurses https://twitter.com/dtbarron/status/837401964128395264 |
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@WeNurses
02 March 2017 20:41
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Thank you Andy #WeNurses #EBP https://twitter.com/mynameisAndyJ/status/837401797492887554 |
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@puncemma
02 March 2017 20:41
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@WeNurses it opens up conversations with patients and they generally tell you much more about temselves #wenurses |
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@Gemrose84
02 March 2017 20:41
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@debscooper131 @katiel0uise @WeNurses it defiantly can lead into other topics including mental health and well being, past issues #WeNurses |
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@WeNurses
02 March 2017 20:41
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RT @puncemma: @WeNurses it opens up conversations with patients and they generally tell you much more about temselves #wenurses |
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@karamac7
02 March 2017 20:42
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@WeNurses #WeNurses #RGU sometimes the numbers don't quite give you the full picture, therefore holistic assessment is vitally important |
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@AgencyNurse
02 March 2017 20:42
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RT @janey513: @WeNurses think @Bartontd started the thoughts no tool replaces our own assessment skills and thinking #wenurses |
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@WeNurses
02 March 2017 20:42
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RT @janey513: @WeNurses think @Bartontd started the thoughts no tool replaces our own assessment skills and thinking #wenurses |
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@dtbarron
02 March 2017 20:42
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@WeNurses That's me for the night then - one good point per night #dontalwaysmanageitthough ?? #wenurses |
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@captaintau
02 March 2017 20:42
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@WeNurses It relies on BMI, which is great for an "average" healthy adult, not the infirm, pregnant, young, old or athletic! #wenurses |
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@TracyWothers5
02 March 2017 20:42
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@Amy_5haw Good question and I have to say I don't know. Not sure if there are any specific to those settings. #WeNurses |
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@mynameisAndyJ
02 March 2017 20:42
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RT @puncemma: @WeNurses it opens up conversations with patients and they generally tell you much more about temselves #wenurses |
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@debscooper131
02 March 2017 20:42
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@WeNurses possible that there's not enough info provided to fully understand patient's issues/concerns around nutrition #WeNurses |
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@shannon_deakins
02 March 2017 20:42
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@WeNurses I'm not sure how accurate heights are, in nursing homes, how often do we recheck over time? #WeNurses |
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@AgencyNurse
02 March 2017 20:42
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I have read some stuff that questions BMI .. and MUST uses BMI #WeNurses https://twitter.com/WeNurses/status/837402186598461440 |
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@evelynnewman17
02 March 2017 20:42
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RT @TracyWothers5: We should screen all patients that come into our care and we should rescreen them at least every 7 days #WeNurses |
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@Mfletch69
02 March 2017 20:43
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@WeNurses knowing where support is available and that you can access it as important as doing the assessment #WeNurses |
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@AgencyNurse
02 March 2017 20:43
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Blog here about the disadvantages of BMI > https://t.co/WjExusaqvN #WeNurses #EBP |
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@lynnewalsall
02 March 2017 20:43
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RT @AgencyNurse: Blog here about the disadvantages of BMI > https://t.co/WjExusaqvN #WeNurses #EBP |
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@Bartontd
02 March 2017 20:44
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Collect your clinical date by whatever framework, make your expert judgement, intervention, justify your outcome, evaluate #wenurses |
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@AgencyNurse
02 March 2017 20:44
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More here about BMI too > https://t.co/Y19i7ZhoSs #WeNurses #EBP |
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@debscooper131
02 March 2017 20:44
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@WeNurses also some say that BMI is not the most accurate at representing nutritional health & MUST is BMI based ?problematic #WeNurses |
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@PSMJW
02 March 2017 20:44
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@WeNurses it can lead discussion to personal tastes and therefore food most likely to encourage people to eat #WeNurses |
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@Gemrose84
02 March 2017 20:44
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@shannon_deakins @WeNurses and also if something as simple as did they wear shoes last time they were screened? #WeNurses |
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@TracyWothers5
02 March 2017 20:45
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I tell nurses they are worried about patient but screening tool states no referral they should just refer clinical judgement key! #WeNurses |
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@katiel0uise
02 March 2017 20:45
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@WeNurses BMI can be 'normal' and MUST 0 but pt malnourished, so there's a real danger of their nutrition needs being overlooked #wenurses |
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@mynameisAndyJ
02 March 2017 20:46
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RT @PSMJW: @WeNurses it can lead discussion to personal tastes and therefore food most likely to encourage people to eat #WeNurses |
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@WeNurses
02 March 2017 20:46
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So how to we mitigate this ? #WeNurses https://twitter.com/katiel0uise/status/837403565119389696 |
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@AgencyNurse
02 March 2017 20:46
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Good advice #WeNurses https://t.co/t9xm0MYgJQ |
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@debscooper131
02 March 2017 20:46
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@WeNurses helping staff understand how MUST can be useful & the impact malnutrition has will help MUST & action more relevant #WeNurses |
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@mynameisAndyJ
02 March 2017 20:46
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@PSMJW @WeNurses #WeNurses Here Here Mel spot on a great point https://t.co/BFSURXQCwa |
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@WeNurses
02 March 2017 20:47
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#WeNurses >> https://t.co/l01GE5cJch |
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@katiel0uise
02 March 2017 20:47
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@Gemrose84 @debscooper131 @WeNurses yes! all from a simple tool. can't think of a reason why screening would ever be a bad idea #wenurses |
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@debscooper131
02 March 2017 20:47
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@karamac7 @WeNurses Totally agree, it's part of a wider assessment and not just to be used on it's own!! #WeNurses |
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@puncemma
02 March 2017 20:47
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@AgencyNurse I think it falls down to clinicians to make clinicle judgement about the patients BMI? rugby players have a high BMI #wenurses |
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@Gemrose84
02 March 2017 20:47
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@dtbarron @debscooper131 @WeNurses @Pollybird1 we are becoming physical focused on admission and it's proving to be beneficial #WeNurses |
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@TracyWothers5
02 March 2017 20:47
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Very good point, they are other things to consider - nausea, vomiting, diarrhoea etc #WeNurses https://t.co/gzISrexgsk |
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@WeNurses
02 March 2017 20:48
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#WeNurses - https://twitter.com/shannon_deakins/status/837403877947375618 |
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@dtbarron
02 March 2017 20:48
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Remember #wenurses @Pollybird1 ?? @debscooper131 @Gemrose84 @WeNurses |
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@shannon_deakins
02 March 2017 20:48
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@Gemrose84 @WeNurses plus the ulna length measurements.... how accurate r they, how well do we perform this? #WeNurses |
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@AgencyNurse
02 March 2017 20:48
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RT @TracyWothers5: Very good point, they are other things to consider - nausea, vomiting, diarrhoea etc #WeNurses https://t.co/gzISrexgsk |
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@WeNurses
02 March 2017 20:48
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RT @TracyWothers5: Very good point, they are other things to consider - nausea, vomiting, diarrhoea etc #WeNurses https://t.co/gzISrexgsk |
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@Gemrose84
02 March 2017 20:48
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@Pollybird1 @dtbarron @debscooper131 @WeNurses totally agree ???? #WeNurses |
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@Bartontd
02 March 2017 20:49
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Differential Diagnosis is founded on - History, Examination, EBP, Intervention & Evaluation. - History forms 90% of this process #wenurses |
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@Amy_5haw
02 March 2017 20:49
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Was talking about this today. Food/fluid diary monitoring to evidence risks of malnourishment #WeNurses @WeNurses https://twitter.com/wenurses/status/837403761710624768 |
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@WeNurses
02 March 2017 20:49
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NEXT QUESTION What happens (should happen) after we have assessed with MUST? #WeNurses https://t.co/Nkrpnfi6am |
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@cdodd09
02 March 2017 20:49
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@mynameisAndyJ @WeNurses we use STAMP for screening the CYP on our ward http://www.stampscreeningtool.org/stamp.html #wenurses |
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@janey513
02 March 2017 20:50
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@dtbarron agree & disagree a tool should be informed/shaped by clinical knowledge/evidence-then it is useful as an aid to practice #wenurses |
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@mynameisAndyJ
02 March 2017 20:50
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RT @cdodd09: @mynameisAndyJ @WeNurses we use STAMP for screening the CYP on our ward http://www.stampscreeningtool.org/stamp.html #wenurses |
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@mynameisAndyJ
02 March 2017 20:51
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RT @WeNurses: NEXT QUESTION What happens (should happen) after we have assessed with MUST? #WeNurses https://t.co/Nkrpnfi6am |
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@mynameisAndyJ
02 March 2017 20:51
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RT @Amy_5haw: Was talking about this today. Food/fluid diary monitoring to evidence risks of malnourishment #WeNurses @WeNurses https://t.… |
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@WeNurses
02 March 2017 20:51
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Thanks Caroline #WeNurses #EBP https://twitter.com/cdodd09/status/837404614161022977 |
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@mynameisAndyJ
02 March 2017 20:51
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@Amy_5haw @WeNurses #WeNurses What was the views? |
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@TracyWothers5
02 March 2017 20:52
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Once we've screened we should follow the care plan advice, just completing the paper is pointless - food charts, red tray & such #WeNurses |
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@AgencyNurse
02 March 2017 20:52
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Have always worried about the ulna measurements ..... very subjective ! #WeNurses https://t.co/tS2mLqwTnQ |
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@dtbarron
02 March 2017 20:52
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@janey513 yep, but I assumed ?? tools used were evidenced based to support not replace clinical judgement #wenurses |
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@janey513
02 March 2017 20:52
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@WeNurses what are the views of weight loss advice based on screening? Unsure of this myself without further training #wenurses |
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@Mfletch69
02 March 2017 20:52
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@WeNurses simple appropriate intervention and necessary referral if identified #weNurses |
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@debscooper131
02 March 2017 20:52
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@WeNurses if the score/discussion with patient raises concerns then refer to dietician. Document all concerns & reassess regularly #WeNurses |
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@Gemrose84
02 March 2017 20:53
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@AgencyNurse @WeNurses this is when care planning starts- food/fluid chart, dietician referral, find out what foods like/dislike #WeNurses |
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@traceyhardy789
02 March 2017 20:53
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RT @WeNurses: A really important point thanks Derek #WeNurses https://t.co/u1yo6rKC6g |
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@katiel0uise
02 March 2017 20:53
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clinical judgement/common sense > MUST? also a quick chat with the person never goes a miss! #WeNurses https://t.co/Lsk39oIPKy |
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@AgencyNurse
02 March 2017 20:53
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Yes indeed - working with the people we care for to produce this too #WeNurses https://t.co/3qfZlGSc0X |
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@janey513
02 March 2017 20:54
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@cdodd09 @mynameisAndyJ @WeNurses we have also supporting changing trust audits to reflect stamp - more useful to support imp #wenurses |
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@mynameisAndyJ
02 March 2017 20:54
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#wenurses Use the tools like Red Trays. Food First, use catering & Dietitians to focus on the INdidual patient needs Eating for Good Health |
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@Bartontd
02 March 2017 20:54
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@WeNurses #wenurses Assess, Diagnosis, Plan, Implement, Evaluate - I know - its very old, Rather Like Me - RLT - I will get my coat... |
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@WeCommNurses
02 March 2017 20:54
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RT @AgencyNurse: I'm also interested about community settings ? @WeDistrictNurse #WeNurses https://twitter.com/janey513/status/837395480439054338 |
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@Gemrose84
02 March 2017 20:54
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@katiel0uise @WeNurses common sense.. that's the key! #WeNurses |
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@AgencyNurse
02 March 2017 20:54
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I think that discussion with the person is vital - work together ! #WeNurses https://t.co/gWhvezDtU6 |
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@AgencyNurse
02 March 2017 20:55
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I still like it :D #WeNurses https://t.co/19rteeuVOo |
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@debscooper131
02 March 2017 20:55
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@WeNurses also need to make sure simple things eg food preferences or accessibility issues (adapted cutlery/vision issues) are met #WeNurses |
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@WeNurses
02 March 2017 20:55
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#WeNurses > https://t.co/nZdeJI6vso |
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@janey513
02 March 2017 20:55
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@dtbarron some are very prescriptive and hinder thinking IMO need to encourage assessment skills with appropriate training rather #wenurses |
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@Gemrose84
02 March 2017 20:55
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@AgencyNurse @WeNurses most definitely and in some situations we work closely with carers to assist in individual care planning #WeNurses |
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@Gemrose84
02 March 2017 20:56
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RT @AgencyNurse: Yes indeed - working with the people we care for to produce this too #WeNurses https://t.co/3qfZlGSc0X |
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@shannon_deakins
02 March 2017 20:56
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@WeNurses my biggest bug bare is the weekly reviews.... do they always get done? #WeNurses |
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@Pollybird1
02 March 2017 20:56
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@dtbarron @debscooper131 @Gemrose84 @WeNurses #wenurses #forgetful#mustnotforget! https://t.co/Q1XBGoTak9 |
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@bakingvampire
02 March 2017 20:56
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@AgencyNurse @WeDistrictNurse we MUST screen at 1st contact and every pressure risk screen thereafter #wenurses #communitynursing |
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@mynameisAndyJ
02 March 2017 20:56
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#wenurses Devils advocate! Should those deemed at Risk then be MUST screened prior to discharge? 1/2 |
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@WeNurses
02 March 2017 20:57
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Nearly at the end of tonights #WeNurses What are your final MUST thoughts ? https://t.co/CbZlQkpFmx |
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@Gemrose84
02 March 2017 20:57
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@Bartontd @WeNurses it's the basics ?? #WeNurses |
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@Bartontd
02 March 2017 20:57
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When you're 92, you shouldn't have to beg for the salt shaker when your hungry, even if you do have congestive heart failure." #wenurses |
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@mynameisAndyJ
02 March 2017 20:57
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#wenurses 2/2 to save being readmitted with malnourishment and to advise them on what to do upon going home and pass to District nurses etc |
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@mynameisAndyJ
02 March 2017 20:57
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RT @WeNurses: Nearly at the end of tonights #WeNurses What are your final MUST thoughts ? https://t.co/CbZlQkpFmx |
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@debscooper131
02 March 2017 20:58
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@shannon_deakins @WeNurses where I work all assessments are electronic so there's an easy audit trail is not re-done! #WeNurses |
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@AgencyNurse
02 March 2017 20:58
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#Wenurses - this sounds good https://t.co/dzn7ez4mqw |
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@Gemrose84
02 March 2017 20:58
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@shannon_deakins @WeNurses in my ward yes! I'm a little MUST obsessed! #wenurses |
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@mynameisAndyJ
02 March 2017 20:58
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#wenurses ensure your Commissioners are aware of this document https://t.co/9f6xO5cHCF |
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@Mfletch69
02 March 2017 20:59
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@WeNurses can be valuable if used and results acted upon. #WeNurses |
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@Bartontd
02 March 2017 20:59
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When you're 80 years old - you shouldn't have to ask for a drink or biscuit - a #Nurse should have anticipated that need already #wenurses |
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@TracyWothers5
02 March 2017 20:59
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Nutrition is the cornerstone of all the care we give, if we don't get it right then we won't get the patient well #WeNurses |
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@Bartontd
02 March 2017 20:59
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When you're 80 years old - you shouldn't have to ask for a drink or biscuit - a #Nurse should have … #wenurses http://vitw.it/link/6Oklg |
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@Gemrose84
02 March 2017 20:59
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@mynameisAndyJ interesting point ?? or the last screening info should be documented in discharge letter #WeNurses |
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@bakingvampire
02 March 2017 20:59
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@WeNurses as with all tools - must be used alongside good training and clinical judgement #WeNurses |
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@punc14Saida
02 March 2017 20:59
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@NurChat 00:00 to 00:00 will show you how many IV and oral fluids patients have #nursechat #WeNurses |
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@LeckieGail
02 March 2017 20:59
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@WeNurses definitely a place for tools but shouldn't replace clinical judgement #wenurses |
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@AgencyNurse
02 March 2017 20:59
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Nicely said #WeNurses https://t.co/wpRippODeA |
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@mynameisAndyJ
02 March 2017 20:59
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#wenurses Use weeks like @NHWeek #NHW2017 to refocus on MUST its value and also make teams aware that their judgement is important |
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@Pollybird1
02 March 2017 20:59
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@WeNurses #wenurses @dtbarron follow MUST guidance, alongside continuous assessment, recognise change, reassess and refer. |
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@AgencyNurse
02 March 2017 20:59
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I like MUST ... but clinical judgement is also key #WeNurses |
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@debscooper131
02 March 2017 21:00
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@WeNurses where I work MUST is part of each patient's admission, I can see it's limitations but also think it's a good start #WeNurses |
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@mynameisAndyJ
02 March 2017 21:00
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RT @Bartontd: When you're 80 years old - you shouldn't have to ask for a drink or biscuit - a #Nurse should have … #wenurses https://t.co/U… |
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@Gemrose84
02 March 2017 21:00
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@AgencyNurse @shannon_deakins @WeNurses there should also be systems in place ensuring they don't get missed #WeNurses |
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@AgencyNurse
02 March 2017 21:00
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Also ... MUST is useless if we do not plan and act and work with our patients and wider team #WeNurses |
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@TracyWothers5
02 March 2017 21:00
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RT @Bartontd: When you're 80 years old - you shouldn't have to ask for a drink or biscuit - a #Nurse should have … #wenurses https://t.co/U… |
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@dtbarron
02 March 2017 21:01
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@janey513 Assessment based on what? Tools should only be used as aids, not replacement - but we need to have some framework #wenurses |
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@AgencyNurse
02 March 2017 21:01
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Agree #WeNurses https://twitter.com/Gemrose84/status/837407323702325248 |
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@dtbarron
02 March 2017 21:01
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RT @Pollybird1: @WeNurses #wenurses @dtbarron follow MUST guidance, alongside continuous assessment, recognise change, reassess and refer. |
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@WeNurses
02 March 2017 21:01
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#WeNurses -- https://twitter.com/tangolikecheeky/status/837407389523509249 |
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@Pollybird1
02 March 2017 21:01
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@WeNurses #wenurses must keep the resident and their consented contacts informed of assessment, review and measures in place |
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@mynameisAndyJ
02 March 2017 21:01
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#wenurses Use the #Powerof3 Nurses/Dietitians/Caterers working together to enhance nutritional and hydration care |
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@mynameisAndyJ
02 March 2017 21:02
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RT @AgencyNurse: Also ... MUST is useless if we do not plan and act and work with our patients and wider team #WeNurses |
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@dtbarron
02 March 2017 21:02
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@janey513 I agree about the prescriptive bit, but frequently that is how they are used rather than the tool itself #wenurses |
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@captaintau
02 March 2017 21:02
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@WeNurses for my part in (staff) malnutrition prevention, I'm taking freshly baked cherry flapjack to night shift tonight #WeNurses |
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@janey513
02 March 2017 21:02
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@dtbarron based on evidence, knowledge and skills. Nurses are able to make clinical decisions without aids and do #wenurses |
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@Pollybird1
02 March 2017 21:02
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@WeNurses #wenurses @dtbarron must keep the resident and their consented contacts informed of assessment, review and measures in place |
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@Amy_5haw
02 March 2017 21:03
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@mynameisAndyJ @WeNurses varied but most interesting how ppl may choose foods for sensory stim appose to nutrition benefits #WeNurses |
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@WeNurses
02 March 2017 21:03
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Thank you all for a brilliant discussion tonight We MUST do this more often ;D #WeNurses https://t.co/Ero3d7ejp0 |
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@mynameisAndyJ
02 March 2017 21:03
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@captaintau @WeNurses #WeNurses Sounds yummie send some over to me please |
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@WeNurses
02 March 2017 21:04
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We will be right there :D #Wenurses https://twitter.com/captaintau/status/837407746534305795 |
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@AgencyNurse
02 March 2017 21:04
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RT @mynameisAndyJ: #wenurses Use the #Powerof3 Nurses/Dietitians/Caterers working together to enhance nutritional and hydration care |
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@WeNurses
02 March 2017 21:04
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RT @mynameisAndyJ: #wenurses Use the #Powerof3 Nurses/Dietitians/Caterers working together to enhance nutritional and hydration care |
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@Gemrose84
02 March 2017 21:04
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RT @AgencyNurse: Agree #WeNurses https://twitter.com/Gemrose84/status/837407323702325248 |
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@katiel0uise
02 March 2017 21:04
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@Gemrose84 @WeNurses yeah i think you're right! MUST is a good prompt though to make sure nutrition is in nurses minds! #WeNurses |
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@WeNurses
02 March 2017 21:04
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COMING UP One team: Students & Qualified Nurses working together #WeNurses 16 March > http://buff.ly/2mjy2Cu https://t.co/BVnt9xrKiz |
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@janey513
02 March 2017 21:05
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Oops #WeNurses https://twitter.com/janey513/status/837408264774172674 |
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@mynameisAndyJ
02 March 2017 21:05
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#WeNurses Take Care all a superb chat, Thank You for allowing me to take part. Remember what you do makes a difference to so many |
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@janey513
02 March 2017 21:05
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RT @mynameisAndyJ: #wenurses Use the #Powerof3 Nurses/Dietitians/Caterers working together to enhance nutritional and hydration care |
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@ESlibrarian
02 March 2017 21:06
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RT @WeNurses: So how to we mitigate this ? #WeNurses https://twitter.com/katiel0uise/status/837403565119389696 |
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@Pollybird1
02 March 2017 21:06
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@WeNurses #wenurses MUST involve your resident understand likes, dislikes preferences #personcentredcare |
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@WeNurses
02 March 2017 21:06
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fab on topic wordcloud from tonights #wenurses http://wecommunities.org/tweet-chats/chat-details/2960 do check out the other post chat info too https://t.co/sn2OgB5kSx |
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@WeNurses
02 March 2017 21:06
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Thanks for joining us Andy - enjoy Turkey #Wenurses https://twitter.com/mynameisAndyJ/status/837408614411350017 |
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@WeNurses
02 March 2017 21:06
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RT @Pollybird1: @WeNurses #wenurses MUST involve your resident understand likes, dislikes preferences #personcentredcare |
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@debscooper131
02 March 2017 21:06
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@WeNurses this looks V interesting!! I'm on a long day that week but I'll try get back on time to join in! #WeNurses |
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@debscooper131
02 March 2017 21:07
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@WeNurses thanks for a great discussion but now I MUST get to bed ready for a long day on shift tomorrow! #WeNurses |
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@dtbarron
02 March 2017 21:08
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@janey513 free for all based on 'my' clinical judgement and/or my interpretation of the evidence? #wenurses |
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@PuncRuth
02 March 2017 21:09
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RT @WeNurses: fab on topic wordcloud from tonights #wenurses https://t.co/knMRHLrmax do check out the other post chat info too https://t.co… |
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@punc14Saida
02 March 2017 21:09
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RT @Pollybird1: @WeNurses #wenurses MUST involve your resident understand likes, dislikes preferences #personcentredcare |
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@BatleyMan
02 March 2017 21:10
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RT @ApplyBradford: We're holding #CPD event on March 16. Why not come along & see how we can enhance your health care skills? #WeNurses htt… |
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@WeSchoolNurses
02 March 2017 21:10
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Wow that bbbbrrrrrrrriiiillliiiiaaannttttt !! Well done :D #WeNurses https://twitter.com/karen_skill/status/837397012358234114 |
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@KWebbNurse
02 March 2017 21:11
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RT @Pollybird1: @WeNurses #wenurses MUST involve your resident understand likes, dislikes preferences #personcentredcare |
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@Trisha27029290
02 March 2017 21:14
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RT @WeNurses: NEXT WEEK Celebrating & sharing some good stuff - take 2! > https://t.co/ztxSkdt1YG with @AnnMarieRiley10 via #WeNurses htt… |
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@DiverseAlz
02 March 2017 21:16
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RT @mynameisAndyJ: @WeNurses #WeNurses It ensures that the patient gets the right nutritional intake whilst they are being cared for #foodf… |
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@RDCareersNHS
02 March 2017 21:24
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RT @WeNurses: COMING UP One team: Students & Qualified Nurses working together #WeNurses 16 March > http://buff.ly/2mjy2Cu https://t.c… |
Stats
Total contributers:
53
Total tweets:
303
Total reach:
7,695,417
