#WeDNs - Wednesday 29th March 2017 8pm (GMT Standard Time)
Anticipating a Good Death
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Hosted by WeCommNurses using #WeDNs
This chat will be hosted by Maria Drummond @melliot88, a district nurse student from Glasgow Caledonian University.
As a reaction to ageing populations with increasingly complex healthcare needs, healthcare systems have begun to shift the focus of care away from acute, reactionary care and move towards investing in health improvement strategies and preventative, community based care (Scottish Government, 2013). This developing approach to the management of long term conditions and end of life care isreferred to as advance or anticipatory care planning. Within the literature advance care planning tends to be associated with end of life care discussions and decisions (Boot, 2016),whereas anticipatory care planning tends to be associated with the management of long term conditions (Kennedy, et al., 2011). NHS Scotland does not differentiate between the two terms. This is because both describe a philosophy of care that aims to promote individualised care, enhanced communication and respect for the preferences of those whose lives are limited through disease or illness (Scottish Government, 2010). However, NHS England tends to refer to advance care planning (Department of Health, 2012).
Comprehensive advance/anticipatory care planning involves informal steps such as voluntary discussions with families and friends, and formal steps such as the appointment of Power of Attorney, and completion of a Will, Advance Directives and Do Not Attempt Cardiopulmonary Resuscitation(DNACPR) orders (Mullick, et al., 2013). It is recommended that this information is documented in a patient held advance/anticipatory careplan, however, there is currently no standardised approach to completing these plans.
The Nursing and Midwifery Council (NMC) Code (NMC, 2015) states that nurses should care for individuals without making assumptions and will recognise personal choice and individuality. There is also an expectation by the NMC that nurses will understand the legal frameworks involved with advance/anticipatorycare planning to ensure their practice is lawful. Furthermore, as district nurses provide end of life care to individuals who choose to die at home, their engagement and commitment, to not only understanding, but promoting the importance of these processes is vital. This will ensure that wishes regarding treatment and care for patients receiving anticipatory and end of life care is not delayed, and that their feelings, beliefs and values are respected and understood (Griffith, 2006).
Questions
What is your understanding of Advanced directive and Power ofattorney?
Would you consider these as part of your role?
Share your experiences from practice of how you manage these conversations?
When do you feel, it is appropriate to discuss Advanced directives or power of attorney?
Do you think you would be able to discuss and promote this confidently within your practice?
What services are available in your areas to assist with this?
What education/ information do you require to help support you with this?
References
Boot, M., 2016. Exploring the district nurse role in facilitating individualised advance care planning. British Journal of Community Nursing, 21(3), pp. 144-147.
Department of Health, 2012. End of Life Care Strategy: Fourth Annual Report. [Online]
Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/136486/End-of-Life-Care-Strategy-Fourth-Annual-report-web-version-v2.pdf
[Accessed 7 March 2017].
Griffith, R., 2006. Making decisions for incapable adults: The Scottish law. British Journal of Community Nursing, 11(7), pp. 308-313.
Kennedy, C. et al., 2011. Investigating the contribution of community nurses to anticipatory care: a qualitative exploratory study. Journal of Advanced Nursing, 67(7), pp. 1558-1567.
Mullick, A., Martin, J. & Sallnow, L., 2013. An Introduction to Advance Care Planning in Practice. [Online]
Available at: http://www.goldstandardsframework.org.uk/cd-content/uploads/files/ACP/An%20intro%20to%20advance%20care%20planning%20in%20practice.pdf
[Accessed 7 March 2017].
NMC, 2015. The Code. [Online]
Available at: https://www.nmc.org.uk/globalassets/sitedocuments/nmc-publications/nmc-code.pdf
[Accessed 7 March 2017].
Scottish Government, 2010. Anticipatory Care Planning: Frequently Asked Questions. [Online]
Available at: http://www.gov.scot/Resource/Doc/309277/0097422.pdf
[Accessed 7 March 2017].
Scottish Government, 2013. Route Map to the 2020 Vision for Health and Social Care. [Online]
Available at: http://www.gov.scot/Resource/0042/00423188.pdf
[Accessed 07 March 2017].
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#WeDNs transcript
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@WeCommNurses
29 March 2017 20:00
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Give us a wave from where you are this evening #wedns |
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@WeCommNurses
29 March 2017 20:01
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https://t.co/5bUhaldLmk #wedns |
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@LynneBowers2
29 March 2017 20:01
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#weDNs Hello former clinician; EoL research & publication; previously EoL carer; now working in Social Care and Third Sector. #Last1000days |
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@erinfAPDN
29 March 2017 20:01
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Hello from Glasgow #wedns |
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@judiefield1
29 March 2017 20:01
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Hello from Edinburgh! #wedns |
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@mdrumm88
29 March 2017 20:01
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Hi everyone ??????? really happy to be joining tonight in a slightly different way, always enjoy the @WeDistrictNurse chats #wedns |
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@laineym24
29 March 2017 20:02
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@WeDistrictNurse I'm from lanarkshire currently doing spqdn course at gcu #wedns |
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@cherylwilson2
29 March 2017 20:02
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@WeDistrictNurse hello will be lurking just in after 12 hr shift here need some food #Wedns busy #matron ?? |
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@WeCommNurses
29 March 2017 20:04
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#wedns lets start with the first question: What is your understanding of Advanced directive and Power of attorney? |
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@flood3_lorraine
29 March 2017 20:04
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Hello all!! Advanced practice student district nurse from forth valley #wedns |
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@mdrumm88
29 March 2017 20:05
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@WeDistrictNurse yes & previously led a quality improvement project about how DNs feel and advocate power of attorney within ACP #wedns |
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@LynneBowers2
29 March 2017 20:05
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RT @WeDistrictNurse: #wedns lets start with the first question: What is your understanding of Advanced directive and Power of attorney? |
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@WeCommNurses
29 March 2017 20:05
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#wedns https://twitter.com/Ang123Crawford/status/847162378965962754 |
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@cawdickson
29 March 2017 20:05
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Anticipating a Good Death via #WeDNs 29/03/2017 https://t.co/RshwADaAWY via @WeDistrictNurse |
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@WeCommNurses
29 March 2017 20:05
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#wedns https://t.co/m6DEySRe1A |
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@Ang123Crawford
29 March 2017 20:05
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#wedns good evening all |
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@judiefield1
29 March 2017 20:06
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Opportunity to consider wishes for the future and make choices based on what is important to you #Wedns |
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@JiveEdinburgh
29 March 2017 20:07
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RT @judiefield1: Hello from Edinburgh! #wedns |
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@cawdickson
29 March 2017 20:07
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RT @HeatherBain9: Anticipating a Good Death via #WeDNs 29/03/2017 https://t.co/mcg0pEXqk7 via @WeDistrictNurse @rgumscanp @QNI_Scotland @q… |
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@kazamca80
29 March 2017 20:07
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#wedns is about making advanced decisions about your preferences in case you lack capacity or cannot communicate |
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@cawdickson
29 March 2017 20:07
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RT @WeDistrictNurse: look for some CPD - join us to tonight and discuss anticipating a good death #weDNs https://t.co/OBUJSdHaMq |
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@HeatherBain9
29 March 2017 20:07
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Hi all, sorry latchy #wedns |
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@HeatherBain9
29 March 2017 20:08
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RT @WeDistrictNurse: #wedns lets start with the first question: What is your understanding of Advanced directive and Power of attorney? |
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@WeCommNurses
29 March 2017 20:08
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#wedns absolutely what do others think? https://t.co/eRdoCWBEn4 |
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@laineym24
29 March 2017 20:09
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where a patient can make decisions about there health at present for when they are unable to due to ill health or incapacity #wedns |
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@LynneBowers2
29 March 2017 20:09
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#weDNs A 'living' will, a transfer of responsibility and would like to include anticipatory care plans |
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@LynneBowers2
29 March 2017 20:10
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RT @WeDistrictNurse: #wedns absolutely what do others think? https://t.co/eRdoCWBEn4 |
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@WeCommNurses
29 March 2017 20:10
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#wedns https://t.co/4OVUz16Cyy |
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@flood3_lorraine
29 March 2017 20:10
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Allows people to make decisions regarding future care when health deteriorates #wedns |
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@WeCommNurses
29 March 2017 20:10
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#wedns https://t.co/ZGDVA8IY3A |
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@WeCommNurses
29 March 2017 20:10
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#weDNs https://t.co/ZGDVA8IY3A |
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@laineym24
29 March 2017 20:10
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Power of attorney is authorising someone else to make decisions on your behalf when unable to #wedns |
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@erinfAPDN
29 March 2017 20:11
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@WeDistrictNurse yes definitely, if possible family members should be involved in process, triangle of care #wedns |
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@laineym24
29 March 2017 20:11
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@WeDistrictNurse definitely it gives the patient opportunity to make decisions which is all based around your patient centred care #wedns |
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@HeatherBain9
29 March 2017 20:11
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RT @flood3_lorraine: Allows people to make decisions regarding future care when health deteriorates #wedns |
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@kazamca80
29 March 2017 20:11
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#wedns I think it is extremely important to have a power of attorney as they will act on your behalf and carry out a person's wishes. |
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@WeCommNurses
29 March 2017 20:12
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So would you consider this as part of your role? #wedns |
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@loulaw06
29 March 2017 20:12
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Hi everyone, sorry I'm a bit late. Bed time routine is slower due to the changing of the clocks :-) #WeDNs |
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@HeatherBain9
29 March 2017 20:13
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RT @WeDistrictNurse: So would you consider this as part of your role? #wedns |
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@LynneBowers2
29 March 2017 20:13
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#wedns Agree. Some people find these conversations difficult https://t.co/tAcJU1YUKv |
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@Ang123Crawford
29 March 2017 20:13
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#wedns I believe it's about getting the conversation started, so family and significant others are aware of your wishes and choices |
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@WeCommNurses
29 March 2017 20:13
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#wedns https://t.co/72LSruHaM4 |
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@WeCommNurses
29 March 2017 20:14
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good evening #wedns https://t.co/b2m3OZchRo |
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@RachelDoubleday
29 March 2017 20:14
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#WeDNs Hello from Teesside! Sorry I am a bit late. |
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@BridgetJohnst
29 March 2017 20:14
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Joining a bit late.. Dipping in and out #weDNs |
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@samantha_woody
29 March 2017 20:14
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@WeDistrictNurse decisions for future healthcare and remain even if he/she becomes unable to make decisions in the future #wedns |
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@mdrumm88
29 March 2017 20:14
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@erinforsy family do you mean relative? In modern world family can be same sex partner, friends etc & r easily missed wen pts are ill #wedns |
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@loulaw06
29 March 2017 20:14
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@WeDistrictNurse absolutely feel it's part of our role. We are meant to provide holistic care and I feel this is part of it #wedns |
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@WeCommNurses
29 March 2017 20:14
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@alana_hunter remember the #weDNs |
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@WeCommNurses
29 March 2017 20:15
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Is this easy to manage #wedns? https://t.co/PAYB1COXQL |
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@WeCommNurses
29 March 2017 20:15
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remember #wedns https://t.co/x28Wutf8bl |
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@WeCommNurses
29 March 2017 20:15
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#weDNs https://t.co/epQd66qbia |
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@kazamca80
29 March 2017 20:15
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#wedns I feel talking about this is like the big taboo however to have a good death this needs to be addressed |
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@BridgetJohnst
29 March 2017 20:16
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@melliott88 @erinforsy I often say - family or friends to make it clear #wedns |
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@LynneBowers2
29 March 2017 20:16
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#wedns Yes have heard some very sad LGBTQ stories https://t.co/Y5rGzsJGxN |
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@WeCommNurses
29 March 2017 20:16
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do others agree? #wedns https://t.co/Cg8ruEIbrQ |
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@cherylwilson2
29 March 2017 20:16
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RT @WeDistrictNurse: remember #wedns https://t.co/x28Wutf8bl |
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@WeCommNurses
29 March 2017 20:17
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who else shares Karen's concern? #wedns https://t.co/RjiASOJ1RA |
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@BridgetJohnst
29 March 2017 20:17
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Our research done in Scotland, Ireland and England shows DNs often find it difficult to start conversations a round death and dying #weDNs |
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@WeCommNurses
29 March 2017 20:17
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#wedns https://t.co/epQd66qbia |
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@laineym24
29 March 2017 20:17
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Defo part of our role as we should be using a holistic approach to ensure we educate patients with the knowledge they need #wedns |
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@gilliand11
29 March 2017 20:17
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@WeDistrictNurse Think this is an important part of our role but so many lack the confidence to initiate the conversation #weDNs |
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@erinfAPDN
29 March 2017 20:18
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Im not getting the #wedns part great tonight!! |
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@WeCommNurses
29 March 2017 20:18
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do other areas find resistance to ACP? #wedns https://t.co/x28Wutf8bl |
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@mdrumm88
29 March 2017 20:18
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@kazamca80 totally agree but do you think the taboo comes from patients or their families and maybe ourselves too? #wedns |
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@RachelDoubleday
29 March 2017 20:18
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#weDNs this is definitely part of our role. new @TheQNI standards for DNs talk about advanced communication skills- great exaple |
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@kazamca80
29 March 2017 20:18
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#wedns framework for improving end-of-life carw: five conversation ready principles is fantastic for this |
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@LynneBowers2
29 March 2017 20:18
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#Wedns Yes good End of Life care is truly holistic care https://twitter.com/wedistrictnurse/status/847165543677378564 |
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@BridgetJohnst
29 March 2017 20:19
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See my previous tweet will tweet refs in a min! #wedns https://t.co/cBcJjgLnfJ |
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@WeCommNurses
29 March 2017 20:19
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why do you think that is? #wedns andhttps://twitter.com/BridgetJohnst/status/847165801425780739 |
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@flood3_lorraine
29 March 2017 20:19
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I think it is important for DNS to facilitate these conversations #WeDNs |
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@RachelDoubleday
29 March 2017 20:19
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#weDNs been working with @Dragonflybear who is looking at this through research with DNs- fascinating results |
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@WeCommNurses
29 March 2017 20:20
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any other resources around the UK like this? #wedns https://t.co/PBoG2ISZ4z |
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@LynnMrsgriffin
29 March 2017 20:20
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When supporting patiens re POA important to consider types. Not always understood. Both important for ACP #WeDNs |
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@LynneBowers2
29 March 2017 20:20
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#wedns Yes Care Home staff find resistance @cherylwilson2 can you comment? https://t.co/CDaCH7CqYc |
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@gilliand11
29 March 2017 20:20
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@BridgetJohnst interested to see the research,thank you #weDNs |
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@loulaw06
29 March 2017 20:20
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@BridgetJohnst I find Macmillan nurses a huge support with this part of our role&have drawn on their resources for experience #wedns |
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@WeCommNurses
29 March 2017 20:21
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#weDNs https://t.co/LF6BCZ1K4V |
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@judiefield1
29 March 2017 20:21
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Not easy conversations but vital to ensure the stories in the final chapters of our patients' lives are written by them #wedns |
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@WeCommNurses
29 March 2017 20:21
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Share your experiences from practice of how you manage these conversations? #wedns |
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@WeCommNurses
29 March 2017 20:21
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#weDNs https://t.co/dHlKxai6K4 |
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@flood3_lorraine
29 March 2017 20:21
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Increasing workloads and staff shortages make ACP difficult in some cases #WeDNs |
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@LynneBowers2
29 March 2017 20:22
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#wedns @macmillancancer ?? https://t.co/eVwJ3ueoRm |
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@loulaw06
29 March 2017 20:22
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@laineym24 @WeDistrictNurse totally agree with this. It can be the difference between a good and bad experience/death #weDNs |
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@cherylwilson2
29 March 2017 20:22
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@LynneBowers2 hi if our resident has the all Wales DNACPR we move straight on to the ACP with family #Wedns I lead a fab team #proud |
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@erinfAPDN
29 March 2017 20:22
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@melliott How can we raise awareness and educate? I was a POA and am a nurse - still had minimal knowledge on what exactly it meant #wedns |
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@WeCommNurses
29 March 2017 20:23
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#weDNs https://t.co/qINTP020fb |
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@LynneBowers2
29 March 2017 20:23
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RT @cherylwilson2: @LynneBowers2 hi if our resident has the all Wales DNACPR we move straight on to the ACP with family #Wedns I lead a fab… |
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@RachelDoubleday
29 March 2017 20:23
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RT @flood3_lorraine: Increasing workloads and staff shortages make ACP difficult in some cases #WeDNs |
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@WeCommNurses
29 March 2017 20:23
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#weDNs https://t.co/R2pPhkE2u7 |
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@gilliand11
29 March 2017 20:23
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@WeDistrictNurse I find a lot of nurses leave it to the GP who doesn't always have such a good relationship with the patient #weDNs |
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@WeCommNurses
29 March 2017 20:23
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agree utilise and share the skills of other HCP promote shared decision making and integrated approaches #wedns https://t.co/SrgbFBUa1A |
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@WeCommNurses
29 March 2017 20:23
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remember the #weDNs to follow the conversation |
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@HeatherBain9
29 March 2017 20:24
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RT @BridgetJohnst: Some of the refs re this Scotland https://t.co/hjc3ptBrdu https://t.co/kdXJp5LRaX Ireland https://t.co/JTNIBcuPAX #wedns… |
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@cherylwilson2
29 March 2017 20:24
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RT @WeDistrictNurse: Share your experiences from practice of how you manage these conversations? #wedns |
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@hepworth_becky
29 March 2017 20:25
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Joining in rather late - sorry @WeDistrictNurse #weDNs |
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@cherylwilson2
29 March 2017 20:25
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RT @WeDistrictNurse: remember the #weDNs to follow the conversation |
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@WeCommNurses
29 March 2017 20:25
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share your experiences? #wedns https://t.co/qINTP020fb |
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@LynnMrsgriffin
29 March 2017 20:25
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@erinforsy @melliott We introduce within PEOL undergraduate nursing programme #weDNs |
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@mdrumm88
29 March 2017 20:25
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@LynnMrsgriffin that's interesting, sometimes the association with personal finance and POA can make it hard to start discussions #wedns |
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@LynneBowers2
29 March 2017 20:25
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#weDNs @WeDocs and medics find it a difficult conversation too! https://t.co/4ulzQCRX5R |
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@RachelDoubleday
29 March 2017 20:25
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@flood3_lorraine #WeDNs also think that if you feel uncomfortable in tackling this, then workload/staffing can be welcome excuses to avoid |
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@kazamca80
29 March 2017 20:26
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#wedns let the patient take the lead. look for invitations from the patient or families |
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@WeCommNurses
29 March 2017 20:26
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Do others find this happens in your areas also? #wedns https://t.co/VCQHofkINX |
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@WeCommNurses
29 March 2017 20:26
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#weDNs https://t.co/fiUw0wuBZX |
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@laineym24
29 March 2017 20:27
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@WeDistrictNurse I think as you build a relationship with the person this would help decide when the time is right #wedns |
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@Ang123Crawford
29 March 2017 20:27
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#weDNs A 'what matters to you' campaign to allow patients and their chosen family to have an active voice #wedns #wedns |
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@loulaw06
29 March 2017 20:27
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@WeDistrictNurse #wedns sometimes intuition sometimes following the patients or family's lead. That's a hard question to answer ?? |
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@WeCommNurses
29 March 2017 20:27
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#weDNs https://t.co/3Hm0tXlN8f |
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@WeCommNurses
29 March 2017 20:27
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Good preparation #wedns https://t.co/7I6b94oyoa |
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@BridgetJohnst
29 March 2017 20:27
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Good way - patient centred- as long as concerns are answered #weDNs https://t.co/YRMzrRBY15 |
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@BridgetJohnst
29 March 2017 20:28
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RT @LynnMrsgriffin: @erinforsy @melliott We introduce within PEOL undergraduate nursing programme #weDNs |
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@RachelDoubleday
29 March 2017 20:28
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@judiefield1 this is so important- being able to stay with difficult emotions and not hide from them #WeDNs |
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@WeCommNurses
29 March 2017 20:28
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#weDNs https://t.co/4j8P8PlYMY |
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@BridgetJohnst
29 March 2017 20:29
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RT @RachelDoubleday: @judiefield1 this is so important- being able to stay with difficult emotions and not hide from them #WeDNs |
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@mdrumm88
29 March 2017 20:29
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@LynnMrsgriffin @erinforsy nation wide campaign check out this, a great resource (not just for Glasgow) #wedns https://t.co/kLgWDJdFlm |
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@WeCommNurses
29 March 2017 20:29
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remember #weDNs https://t.co/sjhClybm7i |
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@Ang123Crawford
29 March 2017 20:29
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I feel often when patient wants to talk families can be resistant #weDNs |
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@DnQmu
29 March 2017 20:29
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RT @WeDistrictNurse: remember #weDNs https://t.co/sjhClybm7i |
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@WeCommNurses
29 March 2017 20:29
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#wedns https://t.co/sjhClybm7i |
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@WeCommNurses
29 March 2017 20:29
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#weDNs https://t.co/sjhClybm7i |
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@DnQmu
29 March 2017 20:30
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RT @WeDistrictNurse: #weDNs https://t.co/3Hm0tXlN8f |
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@BridgetJohnst
29 March 2017 20:30
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RT @melliott88: @LynnMrsgriffin @erinforsy nation wide campaign check out this, a great resource (not just for Glasgow) #wedns https://t.c… |
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@gilliand11
29 March 2017 20:30
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@WeDistrictNurse if you know the patient well i think it's a natural process to arrive at the point of discussing their wishes #weDNs |
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@WeCommNurses
29 March 2017 20:30
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When do you feel, it is appropriate to discuss Advanced directives or power of attorney? #wedns |
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@DnQmu
29 March 2017 20:30
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RT @WeDistrictNurse: #weDNs https://t.co/4j8P8PlYMY |
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@BridgetJohnst
29 March 2017 20:30
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RT @WeDistrictNurse: remember #weDNs https://t.co/sjhClybm7i |
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@mdrumm88
29 March 2017 20:31
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@LynnMrsgriffin we don't want people to require guardianship orders who could have had POA with some anticipatory action #wedns |
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@LynneBowers2
29 March 2017 20:31
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RT @Ang123Crawford: I feel often when patient wants to talk families can be resistant #weDNs |
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@WeCommNurses
29 March 2017 20:31
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RT @melliott88: @LynnMrsgriffin @erinforsy nation wide campaign check out this, a great resource (not just for Glasgow) #wedns https://t.c… |
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@cherylwilson2
29 March 2017 20:31
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RT @WeDistrictNurse: When do you feel, it is appropriate to discuss Advanced directives or power of attorney? #wedns |
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@hepworth_becky
29 March 2017 20:31
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@WeDistrictNurse in Paeds, #weccns tend to take lead with ACPs, as we know families best. #weDNs |
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@catrionaallan1
29 March 2017 20:31
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#weDNs - often easier to start conversations about these issues when the person is reasonably well. |
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@HeatherBain9
29 March 2017 20:32
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RT @melliott88: @LynnMrsgriffin @erinforsy nation wide campaign check out this, a great resource (not just for Glasgow) #wedns https://t.c… |
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@RachelDoubleday
29 March 2017 20:32
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#WeDNs not always convinced that local policies and data recording systems necessarily facilitate flexibility to be sensitive to individual |
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@HeatherBain9
29 March 2017 20:32
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RT @WeDistrictNurse: When do you feel, it is appropriate to discuss Advanced directives or power of attorney? #wedns |
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@gilliand11
29 March 2017 20:32
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@loulaw06 @BridgetJohnst agreed. MacMillan are an invaluable support #wedns |
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@loulaw06
29 March 2017 20:32
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@WeDistrictNurse also an understanding of the stages of grief and how this can begin prior to the actual loss is important #wedns |
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@LynneBowers2
29 March 2017 20:32
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RT @catrionaallan1: #weDNs - often easier to start conversations about these issues when the person is reasonably well. |
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@WeCommNurses
29 March 2017 20:32
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#wedns On first contact?https://t.co/AD5NccC1Ss |
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@kazamca80
29 March 2017 20:33
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#wedns guardianship orders will cause undue distress for family members. dying is hard enough. |
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@mdrumm88
29 March 2017 20:33
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@GordonMcglynn Gordon don't forget to add in #wedns to your tweets so we don't miss them! |
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@WeCommNurses
29 March 2017 20:33
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#weDNs https://t.co/M46bV8VmaJ |
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@WeCommNurses
29 March 2017 20:33
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do others agree? #wedns https://t.co/M46bV8VmaJ |
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@erinfAPDN
29 March 2017 20:33
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@WeDistrictNurse I think asking simply if the pt has a POA is reasonable and non-invasive anytime. AD, wishes, more sensitive #wedns |
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@WeCommNurses
29 March 2017 20:33
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@GordonMcglynn remember to add the #wedns gordon |
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@samantha_woody
29 March 2017 20:34
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@WeDistrictNurse it's difficult as everyone will have a different response to their illness and it should be patient led #wedns |
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@LynneBowers2
29 March 2017 20:34
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RT @WeDistrictNurse: #weDNs https://t.co/M46bV8VmaJ |
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@catrionaallan1
29 March 2017 20:34
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@WeDistrictNurse #weDNs probably not 1st contact but as soon as a rapport is there. |
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@RachelDoubleday
29 March 2017 20:34
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@WeDistrictNurse #WeDNs this is a standard for some services- difficult as may not always be the right time? @Dragonflybear |
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@gilliand11
29 March 2017 20:35
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@Ang123Crawford or the family really want to discuss it but the patient is resistant. I find that difficult. #wedns |
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@WeCommNurses
29 March 2017 20:35
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#weDNs https://t.co/VrGSlfEiVZ |
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@hepworth_becky
29 March 2017 20:36
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@samantha_woody @WeDistrictNurse need to judge when time is right. Drip, drip approach is often helpful... #wedns |
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@janemair2
29 March 2017 20:36
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@WeDistrictNurse @HeatherBain9 At any given opportunity. #wedns |
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@GlasgowJives
29 March 2017 20:36
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RT @melliott88: @LynnMrsgriffin @erinforsy nation wide campaign check out this, a great resource (not just for Glasgow) #wedns https://t.c… |
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@gilliand11
29 March 2017 20:36
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@melliott88 great resource,thanks Maria! #wedns |
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@anilkjain61
29 March 2017 20:36
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RT @Ang123Crawford: I feel often when patient wants to talk families can be resistant #weDNs |
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@tommyNtour
29 March 2017 20:36
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@WeDistrictNurse #wedns Ask What Matters Listen to what matters Do what matters #wmty17 https://t.co/5WEyua7nsu |
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@WeCommNurses
29 March 2017 20:36
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Any advice to help manage this #wedns https://twitter.com/gilliand11/status/847170328640020482 |
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@mdrumm88
29 March 2017 20:36
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@erinforsy where do /would you record these conversations to ensure the wishes are shared with wider team? #wedns |
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@flood3_lorraine
29 March 2017 20:36
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Conversations can be easier when a relationship has been built up with patients and their families #weDNs |
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@VickiJNurse
29 March 2017 20:37
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@kazamca80 @WeDistrictNurse i think you can get a feel for dynamics at first assesment #wedns |
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@RachelDoubleday
29 March 2017 20:37
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#WeDNs does the SPQ DN qualification make any difference in skills/confidence to have the conversation or is it about rapport nurse/pt? |
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@laineym24
29 March 2017 20:37
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@WeDistrictNurse think when the patient is well as it allows it to be their decision and feel like they have control of their health #wedns |
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@WeCommNurses
29 March 2017 20:37
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RT @tommyNtour: @WeDistrictNurse #wedns Ask What Matters Listen to what matters Do what matters #wmty17 https://t.co/5WEyua7nsu |
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@LynneBowers2
29 March 2017 20:37
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RT @tommyNtour: @WeDistrictNurse #wedns Ask What Matters Listen to what matters Do what matters #wmty17 https://t.co/5WEyua7nsu |
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@loulaw06
29 March 2017 20:37
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@kazamca80 @WeDistrictNurse yes&also the worden four phase model where sometimes someone wants to face it and other times they don't #weDNs |
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@WeCommNurses
29 March 2017 20:37
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Question to all #wedns https://t.co/rnYnskI470 |
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@HeatherBain9
29 March 2017 20:37
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RT @hepworth_becky: @samantha_woody @WeDistrictNurse need to judge when time is right. Drip, drip approach is often helpful... #wedns |
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@HeatherBain9
29 March 2017 20:38
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RT @melliott88: @erinforsy where do /would you record these conversations to ensure the wishes are shared with wider team? #wedns |
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@BridgetJohnst
29 March 2017 20:38
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|
@marie7732 @IrishHospice @AIIHPC thanks Marie #WeDNs |
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@BridgetJohnst
29 March 2017 20:38
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RT @RachelDoubleday: #WeDNs does the SPQ DN qualification make any difference in skills/confidence to have the conversation or is it about… |
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@rgumscap
29 March 2017 20:38
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RT @hepworth_becky: @samantha_woody @WeDistrictNurse need to judge when time is right. Drip, drip approach is often helpful... #wedns |
|
@LearnPEOLC
29 March 2017 20:38
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RT @BridgetJohnst: Some of the refs re this Scotland https://t.co/hjc3ptBrdu https://t.co/kdXJp5LRaX Ireland https://t.co/JTNIBcuPAX #wedns… |
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@WeCommNurses
29 March 2017 20:39
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|
Lots of APDn students here tonight what do you think? #wedns https://t.co/s3WwSNaMpn |
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@gilliand11
29 March 2017 20:39
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@WeDistrictNurse any advice would be appreciated on this one #wedns |
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@LynneBowers2
29 March 2017 20:39
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#wedns The NHS Mandate states that health and care info should be shared https://t.co/NEAahMkYII |
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@WeCommNurses
29 March 2017 20:39
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#wedns https://t.co/0bU203Imxo |
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@loulaw06
29 March 2017 20:39
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@WeDistrictNurse MiDis system, househeld records, with the GP, and possibly in any Macmillan notes. Wish they were all in 1 system #weDNs |
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@DnQmu
29 March 2017 20:39
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RT @melliott88: @LynnMrsgriffin @erinforsy nation wide campaign check out this, a great resource (not just for Glasgow) #wedns https://t.c… |
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@WeCommNurses
29 March 2017 20:39
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#weDNs https://t.co/c1cagstvwp |
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@DnQmu
29 March 2017 20:40
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RT @tommyNtour: @WeDistrictNurse #wedns Ask What Matters Listen to what matters Do what matters #wmty17 https://t.co/5WEyua7nsu |
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@WeCommNurses
29 March 2017 20:40
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|
#weDNS https://t.co/SaDmNavGpL |
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@erinfAPDN
29 March 2017 20:40
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@melliott88 on paper copy of ACP (if one is completed that is) and in electronic notes. Should we be doing more? #wedns |
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@hepworth_becky
29 March 2017 20:40
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|
@WeDistrictNurse we have now nationally standardised forms https://t.co/kWtFFfFsKR gives continuity wherever child is cared for #wedns |
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@catrionaallan1
29 March 2017 20:40
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|
@WeDistrictNurse . #weDNs. We have a palliative care folder in the house for all to access - possibly encourage family to read and discuss. |
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@DnQmu
29 March 2017 20:40
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RT @gilliand11: @Ang123Crawford or the family really want to discuss it but the patient is resistant. I find that difficult. #wedns |
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@WeCommNurses
29 March 2017 20:40
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Time is running away with us tonight #wedns so: What services are available in your areas to assist you with this? |
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@LynneBowers2
29 March 2017 20:40
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#weDNs @NHSDigital https://t.co/6RkXK7aji0 |
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@LearnPEOLC
29 March 2017 20:41
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@gilliand11 @WeDistrictNurse this is a really good communications skills book #WeDNs full of comm models |
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@catrionaallan1
29 March 2017 20:41
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|
@WeDistrictNurse #weDNs. I feel it has certainly equipped me with skills I didn't have however individual rapport is essential! |
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@HeatherBain9
29 March 2017 20:41
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@RachelDoubleday #wedns advanced practice students may feel their programme does similar and builds confidence |
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@erinfAPDN
29 March 2017 20:41
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@catrionaallan1 @WeDistrictNurse good idea betty, what sort of information does the folder contain? #wedns |
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@LynnMrsgriffin
29 March 2017 20:42
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@melliott88 @erinforsy have seen recorded in ACP doc uploaded to electronic KIS/ ePCS #wedns |
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@WeCommNurses
29 March 2017 20:42
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#wedns https://t.co/29bzwkCoTp |
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@WeCommNurses
29 March 2017 20:42
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#wedns sharing resources https://t.co/2J0YtVZngo |
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@LynneBowers2
29 March 2017 20:42
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|
#weDNs What would make you stay? Such a loss https://t.co/iT3n7cfjHe |
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@HeatherBain9
29 March 2017 20:42
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RT @WeDistrictNurse: Time is running away with us tonight #wedns so: What services are available in your areas to assist you with this? |
|
@gilliand11
29 March 2017 20:42
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logging off guys PLP is calling, had fun on my first tweet chat.Thank you @WeDistrictNurse and @melliott88 #wedns |
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@flood3_lorraine
29 March 2017 20:43
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|
As a student DN and the knowledge I have gained would make me feel more comfortable initiating these conversations #weDNs |
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@HeatherBain9
29 March 2017 20:43
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RT @LynneBowers2: #weDNs What would make you stay? Such a loss https://t.co/iT3n7cfjHe |
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@LearnPEOLC
29 March 2017 20:43
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|
Going to be some new ACP resources in Wales soon #weDNs also look at @TalkCPR |
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@LearnPEOLC
29 March 2017 20:43
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RT @LynneBowers2: #weDNs @NHSDigital https://twitter.com/loulaw06/status/847171383742357505 |
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@Ang123Crawford
29 March 2017 20:43
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I agree nurses need to spend time and build a relationship with patients to allow for 'emotionally challenging' conversations #wedns |
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@LynneBowers2
29 March 2017 20:44
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#weDNs please share Sarah https://t.co/RdyqDRcq0o |
|
@kateharps
29 March 2017 20:44
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RT @tommyNtour: @WeDistrictNurse #wedns Ask What Matters Listen to what matters Do what matters #wmty17 https://t.co/5WEyua7nsu |
|
@LearnPEOLC
29 March 2017 20:44
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|
@gilliand11 @WeDistrictNurse https://t.co/vAPGVRSSeO #WeDNs |
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@HeatherBain9
29 March 2017 20:44
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RT @learnhospice: Going to be some new ACP resources in Wales soon #weDNs also look at @TalkCPR |
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@catrionaallan1
29 March 2017 20:44
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@WeDistrictNurse #weDNs. we get support and great training from Macmillan and have fantastic pall. care nurs specialists to advise. |
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@WeCommNurses
29 March 2017 20:44
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Thanks for sharing #wedns https://t.co/8OW71Zip7k |
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@LearnPEOLC
29 March 2017 20:45
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@LynnMrsgriffin @melliott88 @erinforsy #WeDNs some of the EAPCCS studies r interesting |
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@VickiJNurse
29 March 2017 20:45
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|
@WeNurses I have heard the saying "Cocky or confident?" Cocky seems over ambitious confident seems thought behind actions #WeDNs |
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@WeCommNurses
29 March 2017 20:45
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Thanks Catriona what other resources can you tap into to help? #wedns https://t.co/0R9pNkCCVK |
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@LynneBowers2
29 March 2017 20:46
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RT @catrionaallan1: @WeDistrictNurse #weDNs. we get support and great training from Macmillan and have fantastic pall. care nurs specialist… |
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@catrionaallan1
29 March 2017 20:46
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@WeDistrictNurse #weDNs. regular palliative care meetings with all pall care resource nurses too. |
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@janemair2
29 March 2017 20:46
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@Ang123Crawford yes..planting seeds to then pick up on at following visits #wedns |
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@flood3_lorraine
29 March 2017 20:47
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|
Working collaboratively with GP and hospice nurses #weDNs |
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@mdrumm88
29 March 2017 20:47
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We dnt need to be experts bt signpost to them. Here's a support for Glasgow. what's happening in other areas? https://t.co/3KWI7KoxjR #wedns |
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@WeCommNurses
29 March 2017 20:47
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|
Is this key #wedns https://t.co/KvfNTfthgj |
|
@loulaw06
29 March 2017 20:47
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|
@catrionaallan1 @WeDistrictNurse gold standard palliative care meetings r fab for shared decision making and experience #weDNs |
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@LynnMrsgriffin
29 March 2017 20:47
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@LifeDeathGrief @DyingMatters. Have great resources to use #WeDNs |
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@BridgetJohnst
29 March 2017 20:48
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RT @WeDistrictNurse: Is this key #wedns https://t.co/KvfNTfthgj |
|
@WeCommNurses
29 March 2017 20:48
|
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RT @flood3_lorraine: Working collaboratively with GP and hospice nurses #weDNs |
|
@VickiJNurse
29 March 2017 20:48
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|
@WeDistrictNurse agree, Our regular meetings and contact with our PC services are essential #WeDNs |
|
@LynneBowers2
29 March 2017 20:48
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|
#weDNs Access to Palliative Care Specialists recognised as best practice in @NHSEngland Vanguards. Needs to be all… https://t.co/XYFwcAdaqe |
|
@LearnPEOLC
29 March 2017 20:48
|
|
@LynneBowers2 watch this space from @BywNawr #WeDNs also @GSFCentre updating ACP info https://t.co/UFpIypnrt8 |
|
@WeCommNurses
29 March 2017 20:48
|
|
RT @loulaw06: @catrionaallan1 @WeDistrictNurse gold standard palliative care meetings r fab for shared decision making and experience #weDNs |
|
@georgeinsoutham
29 March 2017 20:48
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|
@WeDistrictNurse or "has anyone talked to you about AD/PoA" #WeDNs . Lots have to find this out for themselves. Not all lucky and have a DN |
|
@LynneBowers2
29 March 2017 20:48
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|
RT @learnhospice: @LynneBowers2 watch this space from @BywNawr #WeDNs also @GSFCentre updating ACP info https://t.co/UFpIypnrt8 |
|
@WeCommNurses
29 March 2017 20:48
|
|
RT @LynnMrsgriffin: @LifeDeathGrief @DyingMatters. Have great resources to use #WeDNs |
|
@DnQmu
29 March 2017 20:48
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RT @LynneBowers2: #weDNs please share Sarah https://twitter.com/learnhospice/status/847172318292004865 |
|
@LearnPEOLC
29 March 2017 20:48
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|
@WeDistrictNurse @catrionaallan1 hospices too!! #WeDNs |
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@LearnPEOLC
29 March 2017 20:49
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RT @flood3_lorraine: Working collaboratively with GP and hospice nurses #weDNs |
|
@HeatherBain9
29 March 2017 20:49
|
|
RT @learnhospice: @LynneBowers2 watch this space from @BywNawr #WeDNs also @GSFCentre updating ACP info https://t.co/UFpIypnrt8 |
|
@HeatherBain9
29 March 2017 20:49
|
|
RT @LynneBowers2: #weDNs Access to Palliative Care Specialists recognised as best practice in @NHSEngland Vanguards. Needs to be all areas… |
|
@LearnPEOLC
29 March 2017 20:49
|
|
RT @loulaw06: @catrionaallan1 @WeDistrictNurse gold standard palliative care meetings r fab for shared decision making and experience #weDNs |
|
@flood3_lorraine
29 March 2017 20:49
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|
Monthly gold standard meetings #weDNs |
|
@hepworth_becky
29 March 2017 20:49
|
|
@flood3_lorraine hospice teams are an amazing resource that are always happy to offer advice #WeDns |
|
@WeCommNurses
29 March 2017 20:49
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RT @learnhospice: @LynneBowers2 watch this space from @BywNawr #WeDNs also @GSFCentre updating ACP info https://t.co/UFpIypnrt8 |
|
@catrionaallan1
29 March 2017 20:49
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|
@loulaw06 @WeDistrictNurse @WeDistrictNurse #weDNs. they really are - we make a point of discussing all deaths to see if could be improved. |
|
@BridgetJohnst
29 March 2017 20:49
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RT @learnhospice: @LynneBowers2 watch this space from @BywNawr #WeDNs also @GSFCentre updating ACP info https://t.co/UFpIypnrt8 |
|
@WeCommNurses
29 March 2017 20:49
|
|
RT @LynneBowers2: #weDNs Access to Palliative Care Specialists recognised as best practice in @NHSEngland Vanguards. Needs to be all areas… |
|
@DnQmu
29 March 2017 20:49
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|
RT @learnhospice: @LynneBowers2 watch this space from @BywNawr #WeDNs also @GSFCentre updating ACP info https://t.co/UFpIypnrt8 |
|
@cherylwilson2
29 March 2017 20:49
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And @BywNawr in Wales #WeDNs also the Sharing and Involving Palliative Care Strategy ???? https://t.co/rXwFmSicjz |
|
@varg_cece
29 March 2017 20:49
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RT @BridgetJohnst: Some of the refs re this Scotland https://t.co/hjc3ptBrdu https://t.co/kdXJp5LRaX Ireland https://t.co/JTNIBcuPAX #wedns… |
|
@WeCommNurses
29 March 2017 20:49
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|
Final thought for this evening: What education/ information do you require to help support you with this? #wedns |
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@WeCommNurses
29 March 2017 20:50
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Absolutely #wedns https://t.co/vNU0Nza6yl |
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@WeCommNurses
29 March 2017 20:50
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RT @georgeinsoutham: @WeDistrictNurse or "has anyone talked to you about AD/PoA" #WeDNs . Lots have to find this out for themselves. Not a… |
|
@WeCommNurses
29 March 2017 20:50
|
|
RT @hepworth_becky: @flood3_lorraine hospice teams are an amazing resource that are always happy to offer advice #WeDns |
|
@VickiJNurse
29 March 2017 20:50
|
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RT @cherylwilson2: And @BywNawr in Wales #WeDNs also the Sharing and Involving Palliative Care Strategy ???? https://t.co/rXwFmSicjz |
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@LynneBowers2
29 March 2017 20:50
|
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RT @catrionaallan1: @loulaw06 @WeDistrictNurse @WeDistrictNurse #weDNs. they really are - we make a point of discussing all deaths to see i… |
|
@HeatherBain9
29 March 2017 20:50
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RT @WeDistrictNurse: Final thought for this evening: What education/ information do you require to help support you with this? #wedns |
|
@cherylwilson2
29 March 2017 20:50
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@learnhospice @LynneBowers2 @BywNawr @GSFCentre snap lol ?? #Wedns |
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@LynneBowers2
29 March 2017 20:50
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RT @WeDistrictNurse: Final thought for this evening: What education/ information do you require to help support you with this? #wedns |
|
@DnQmu
29 March 2017 20:51
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|
RT @BridgetJohnst: Some of the refs re this Scotland https://t.co/hjc3ptBrdu https://t.co/kdXJp5LRaX Ireland https://t.co/JTNIBcuPAX #wedns… |
|
@BridgetJohnst
29 March 2017 20:51
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|
See @AIIHPC education resources #wedns https://t.co/CseD5FkIkM |
|
@catrionaallan1
29 March 2017 20:51
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|
@WeDistrictNurse #weDNs. Absolutely! our nurse specialists are based in the hospice and are fantastic - Dr's all incredibly helpful! |
|
@hepworth_becky
29 March 2017 20:51
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|
@WeDistrictNurse advanced communication skills training is essential and soooo useful and support from palliative care colleagues #WeDNs |
|
@HeatherBain9
29 March 2017 20:52
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RT @BridgetJohnst: See @AIIHPC education resources #wedns https://t.co/CseD5FkIkM |
|
@LynneBowers2
29 March 2017 20:52
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RT @BridgetJohnst: See @AIIHPC education resources #wedns https://t.co/CseD5FkIkM |
|
@LynnMrsgriffin
29 March 2017 20:52
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|
More resources available at https://t.co/5DfVwmPNZ8. #WeDNs |
|
@LearnPEOLC
29 March 2017 20:52
|
|
@cherylwilson2 @dr_liam @algorithmuk @StrangeTanya @TalkCPR also see https://t.co/hBjtGSWWnD #WeDNs |
|
@LynneBowers2
29 March 2017 20:52
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RT @LynnMrsgriffin: More resources available at https://t.co/5DfVwmPNZ8. #WeDNs |
|
@catrionaallan1
29 March 2017 20:52
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@WeDistrictNurse #weDNs. would be great to be involved in pre-discharge meetings for palliative pts in hospital or hospice. |
|
@mdrumm88
29 March 2017 20:53
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#wedns when POA exists & pt lacks capacity we cnt ignore it 2 practice within the law and NMC code. Consider how we share this info esp OOH |
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@LearnPEOLC
29 March 2017 20:53
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|
@WeDistrictNurse @TalkCPR keep an eye out on @BywNawr #WeDNs |
|
@WeCommNurses
29 March 2017 20:53
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RT @LynnMrsgriffin: More resources available at https://t.co/5DfVwmPNZ8. #WeDNs |
|
@flood3_lorraine
29 March 2017 20:53
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|
Advanced communication skills #weDNs |
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@WeCommNurses
29 March 2017 20:53
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RT @catrionaallan1: @WeDistrictNurse #weDNs. Absolutely! our nurse specialists are based in the hospice and are fantastic - Dr's all incred… |
|
@LearnPEOLC
29 March 2017 20:53
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RT @catrionaallan1: @WeDistrictNurse #weDNs. Absolutely! our nurse specialists are based in the hospice and are fantastic - Dr's all incred… |
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@WeCommNurses
29 March 2017 20:53
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RT @learnhospice: @cherylwilson2 @dr_liam @algorithmuk @StrangeTanya @TalkCPR also see http://www.ehospice.com/uk/Default/tabid/10697/ArticleId/21543/ #WeDNs |
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@MedicineGov
29 March 2017 20:54
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RT @LynneBowers2: #weDNs Access to Palliative Care Specialists recognised as best practice in @NHSEngland Vanguards. Needs to be all areas… |
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@LearnPEOLC
29 March 2017 20:54
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@cherylwilson2 @LynneBowers2 @BywNawr @GSFCentre brilliant !! #weDNs |
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@hepworth_becky
29 March 2017 20:54
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#weDNs https://t.co/7w0Ru0Eyt8 |
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@LynneBowers2
29 March 2017 20:54
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#weDNs @NHSProviders @ECISTNetwork https://t.co/oAAGP2exE2 |
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@cherylwilson2
29 March 2017 20:54
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@StDavidsHospice @HOV1982 @WeEOLC @StClaresHospice @hospicemanager YES indeed #WeDNs #teamwork https://t.co/FdZK7XuDJB |
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@loulaw06
29 March 2017 20:54
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@WeDistrictNurse agree with lots of comments on education/resources. I love the NHS palliative care app for guidance on the move. #WeDNs |
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@georgeinsoutham
29 March 2017 20:54
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@WeDistrictNurse frail elderly/ ppl with dementia or not on DN caseload have numerous unmet needs. EoL discussion may not take place #WeDNs |
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@loulaw06
29 March 2017 20:54
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RT @catrionaallan1: @WeDistrictNurse #weDNs. would be great to be involved in pre-discharge meetings for palliative pts in hospital or hosp… |
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@WeCommNurses
29 March 2017 20:54
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So valuable start the conversations to make it happen #wedns https://t.co/lDXmQigsMc |
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@WeCommNurses
29 March 2017 20:54
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#wedns https://t.co/AzFGrasiz4 |
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@WeCommNurses
29 March 2017 20:55
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So important to communicate with all 24 hour services #wedns https://t.co/FreBgwnfqR |
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@WeEOLC
29 March 2017 20:55
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RT @cherylwilson2: @StDavidsHospice @HOV1982 @WeEOLC @StClaresHospice @hospicemanager YES indeed #WeDNs #teamwork https://t.co/FdZK7XuDJB |
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@WeEOLC
29 March 2017 20:55
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RT @WeDistrictNurse: #wedns https://t.co/AzFGrasiz4 |
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@WeEOLC
29 March 2017 20:56
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@WeDistrictNurse @GordonMcglynn we agree!! #WeDNs |
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@WeEOLC
29 March 2017 20:56
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RT @WeDistrictNurse: So valuable start the conversations to make it happen #wedns https://t.co/lDXmQigsMc |
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@cherylwilson2
29 March 2017 20:56
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RT @learnhospice: @WeDistrictNurse @TalkCPR keep an eye out on @BywNawr #WeDNs |
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@WeEOLC
29 March 2017 20:56
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RT @hepworth_becky: #weDNs https://t.co/7w0Ru0Eyt8 |
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@WeEOLC
29 March 2017 20:56
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RT @flood3_lorraine: Advanced communication skills #weDNs |
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@WeEOLC
29 March 2017 20:56
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RT @learnhospice: @WeDistrictNurse @TalkCPR keep an eye out on @BywNawr #WeDNs |
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@WeCommNurses
29 March 2017 20:56
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Fantastic sharing tonight #WeDNs look back on chat summary later to retrieve anything you missed |
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@WeCommNurses
29 March 2017 20:57
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RT @WeEOLC: @WeDistrictNurse @GordonMcglynn we agree!! #WeDNs |
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@LynneBowers2
29 March 2017 20:57
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#weDNs @NHS111 @nhs111westmids could clinical hubs support? https://t.co/iUusnfM75v |
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@LearnPEOLC
29 March 2017 20:57
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RT @WeDistrictNurse: So valuable start the conversations to make it happen #wedns https://t.co/lDXmQigsMc |
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@LearnPEOLC
29 March 2017 20:57
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RT @WeDistrictNurse: #wedns https://t.co/AzFGrasiz4 |
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@catrionaallan1
29 March 2017 20:57
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@WeDistrictNurse #weDNs. Should combine this training with our annual cpr days! |
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@LearnPEOLC
29 March 2017 20:57
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RT @WeDistrictNurse: Fantastic sharing tonight #WeDNs look back on chat summary later to retrieve anything you missed |
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@LearnPEOLC
29 March 2017 20:57
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RT @WeEOLC: @WeDistrictNurse @GordonMcglynn we agree!! #WeDNs |
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@LynnMrsgriffin
29 March 2017 20:58
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@WeDistrictNurse great chat, great hosting! Thank you ?? #weDNs |
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@AIIHPC
29 March 2017 20:58
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RT @BridgetJohnst: See @AIIHPC education resources #wedns https://t.co/CseD5FkIkM |
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@cherylwilson2
29 March 2017 20:58
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Fast and informative chat thanks everyone #WeDNs https://t.co/MJOLbeHdJQ |
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@WeCommNurses
29 March 2017 20:58
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Fantastic idea! #WeDNs is this happening anywhere else? https://t.co/ZGyLhVlz6u |
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@WeCommNurses
29 March 2017 20:58
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Such a valuable chat tonight thank you so much to everyone for joining in & Maria this evening for joining us #wedns |
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@DonW85
29 March 2017 20:58
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RT @flood3_lorraine: Working collaboratively with GP and hospice nurses #weDNs |
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@HeatherBain9
29 March 2017 20:59
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Thanks to @melliott88 for leading tonight's chat with help from @WeDistrictNurse #wedns |
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@flood3_lorraine
29 March 2017 20:59
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Excellent chat tonight #weDNs |
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@HeatherBain9
29 March 2017 20:59
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RT @WeDistrictNurse: Such a valuable chat tonight thank you so much to everyone for joining in & Maria this evening for joining us #wedns |
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@LearnPEOLC
29 March 2017 20:59
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RT @LynnMrsgriffin: @WeDistrictNurse great chat, great hosting! Thank you ?? #weDNs |
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@hepworth_becky
29 March 2017 20:59
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@WeDistrictNurse good chat guys. Thanks #wedns |
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@LearnPEOLC
29 March 2017 20:59
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RT @HeatherBain9: Thanks to @melliott88 for leading tonight's chat with help from @WeDistrictNurse #wedns |
Stats
Total contributers:
36
Total tweets:
310
Total reach:
1,632,670
