#WeMDT - Thursday 8th February 2018 8pm (GMT Standard Time) Caring for older people living with frailty in hospital

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Hosted by WeNurses using #WeMDT

This chat is guest hosted by @maxwele2

By 2040, nearly one in seven people in the UK will be over 75. Whilst many older people live active and independent live, a significant minority experience frailty, a state of increased vulnerability to adverse outcomes. Frailty is not inevitable but the risk increases as people get older; 5% of 60-69 year olds live with frailty compared with 65% of over 90 year olds.

Many people living with frailty need to be in acute hospitals, either for elective or emergency care but a hospital admission can trigger a typical and more severe responses than expected.  For this reason it is imperative to identify people with frailty and ensure that their hospital care does not inadvertently cause a deterioration.

The NIHR has funded research into caring for this vulnerable group and the NIHR Dissemination Centre’s recent review Comprehensive Care summarises the current state of evidence. Some of the key findings include;

  • Comprehensive Geriatric Assessment (a structured process of assessment and planning) has been shown to improve outcomes. When conducted by a multi professional team, early in the admission, it can reduce mortality and increase the chance of patients returning to their own home. But the National Audit Office in 2016 found that only 42% of English hospitals were undertaking early assessments.
  • Hospital staff need to be vigilant for signs of the five syndromes related to frailty; delirium, falls, continence issues, immobility and medicine management challenges. Whilst staff are familiar with falls, continence and medicines management needs, hospital staff often do not recognise delirium, with an estimated 50% to 75% of delirium going undetected. Older people with frailty may need additional help to stay mobile and research suggests volunteers make be the solution.
  • Because older people with frailty are more vulnerable, they are often admitted to hospital in the last year of their life. Research has found, however, that hospital staff are not good at recognising this. In one study, only a third of older people whose hospital records showed they met the Gold Standards Framework criteria for palliative care had moved to a palliative care plan.
  • Evidence shows that older people have three fundamental needs: Maintaining identity ‘see who I am’, Creating Community ‘connect with me’ and sharing decision making ‘involve me’ This requires relationship based care, where staff develop meaningful relationships with patients. Research shows that training can help staff to create these relationships

The full review can be obtained at http://www.dc.nihr.ac.uk/themed-reviews/comprehensive-care.htm







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The discussion opened by asking if we understand frailty:







Question 2 explored caring environments:












The discussion moved on to assessing frailty:










End of life care and frailty were then explored:











Question 5 looked at the day to day problems:









Thank you to all who took part and shared their views and experiences - To read the themed review on frailty please see the link in the tweet below:







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 #WeMDT transcript

 
@WeNurses
08 February 2018 20:00
Hello and welcome to tonights #WeMDT Tonight's topic is "Caring for older people living with frailty in hospital"… https://twitter.com/i/web/status/961691228298514439
@AgencyNurse
08 February 2018 20:01
Hello Teresa here #WeMDT
@maxwele2
08 February 2018 20:01
@WeNurses hello, looking forward to hearing different views #WeMDT
@PUNCadp
08 February 2018 20:01
@WeNurses @maxwele2 Good Evening :) #WeMDT
@WeDocs
08 February 2018 20:01
Hello #WeMDT https://twitter.com/WeNurses/status/961691228298514439
@WeAHPs
08 February 2018 20:01
RT @WeNurses: Hello and welcome to tonights #WeMDT Tonight's topic is "Caring for older people living with frailty in hospital" and we ar…
@maxwele2
08 February 2018 20:01
@Hannanecdotal @WeNurses Hi ??#WeMDT
@Marina_IH
08 February 2018 20:01
@WeNurses @maxwele2 Hello, Marina here!?? #WeMDT
@Hannanecdotal
08 February 2018 20:02
I've never done a Twitter chat before so this should be interesting! #WeMDT
@WeNurses
08 February 2018 20:02
@maxwele2 welcome Elaine - and thank you for all your hard work in pulling tonights #WeMDT discussion together
@WeNurses
08 February 2018 20:02
QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@CherylKent_10
08 February 2018 20:02
@WeNurses @maxwele2 Hello #WeMDT
@WeNurses
08 February 2018 20:02
@PUNCadp @maxwele2 Hi Amy - welcome #WeMDT
@maxwele2
08 February 2018 20:03
@Hannanecdotal you'll enjoy it #WeMDT
@WeNurses
08 February 2018 20:03
@Hannanecdotal Welcome Hannah - you are doing fab so far :) #WeMDT
@WeNurses
08 February 2018 20:03
@Marina_IH @maxwele2 Hi Marina #WeMDT
@WeDocs
08 February 2018 20:03
Question 1 #WeMDT https://twitter.com/WeNurses/status/961691724425912321
@WeAHPs
08 February 2018 20:03
Question 1 #WeMDT https://twitter.com/WeNurses/status/961691724425912321
@JanetThomas47
08 February 2018 20:03
Hi - going stay with you as long as I can as I've got wifi on my train but very limited battery... #WeMDT
@jomwlever
08 February 2018 20:03
#WeMDT Hi All, Jo here, tweeting from Greater Manchester
@maxwele2
08 February 2018 20:04
@JanetThomas47 can you share you'll key thought now, before you loose battery and/or signal ?#WeMDT
@NIHRevidence
08 February 2018 20:04
If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here:… https://twitter.com/i/web/status/961692326782488576
@WeNurses
08 February 2018 20:04
@JanetThomas47 Hi Janet - hope your journey has been comfy #WeMDT
@WeAHPs
08 February 2018 20:05
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@WeGPNs
08 February 2018 20:05
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@WeNurses
08 February 2018 20:05
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@WeDocs
08 February 2018 20:05
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@maxwele2
08 February 2018 20:05
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@jomwlever
08 February 2018 20:05
RT @WeNurses: Hello and welcome to tonights #WeMDT Tonight's topic is "Caring for older people living with frailty in hospital" and we ar…
@Dochayter
08 February 2018 20:06
RT @WeDocs: 10 mins until #WeMDT https://twitter.com/WeNurses/status/961688592094584833
@nicola_stirling
08 February 2018 20:06
@WeNurses @maxwele2 Hello there #WeMDT
@WeNurses
08 February 2018 20:06
@jomwlever Hi Jo - welcome #WeMDT
@J0Physio
08 February 2018 20:07
@WeNurses @maxwele2 Hello #WeMDT
@nicola_stirling
08 February 2018 20:07
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@WeNurses
08 February 2018 20:07
@nicola_stirling @maxwele2 Hello and welcome #WeMDT
@JanetThomas47
08 February 2018 20:07
@maxwele2 I don't know the questions... #weMDT
@AgencyNurse
08 February 2018 20:08
mmmmm yes i think maybe we do - never really thought about it this way but a good point #WeMDT https://twitter.com/CherylKent_10/status/961692848256110617
@LeanneHPatrick
08 February 2018 20:08
RT @WeNurses: Hello and welcome to tonights #WeMDT Tonight's topic is "Caring for older people living with frailty in hospital" and we ar…
@WeNurses
08 February 2018 20:08
@JoFallsPhysio @maxwele2 Hi there Jo #WeMDT
@Jacquelin_Joyce
08 February 2018 20:09
RT @WeGPNs: 10 mins until #WeMDT https://twitter.com/WeNurses/status/961688592094584833
@JanetThomas47
08 February 2018 20:09
Use of simple screening tools like frailsafe a start #wemdt
@WeAHPs
08 February 2018 20:10
RT @JanetThomas47: Use of simple screening tools like frailsafe a start #wemdt
@maxwele2
08 February 2018 20:10
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@jomwlever
08 February 2018 20:10
Do we understand frailty? Interested? Come and join @WeAHPs tweetchat for #WeMDT https://twitter.com/WeNurses/status/961691724425912321
@maxwele2
08 February 2018 20:10
RT @WeAHPs: Question 1 #WeMDT https://twitter.com/WeNurses/status/961691724425912321
@JanetThomas47
08 February 2018 20:10
BTW Have seen now questions on videos but the tweet with q not coming through on tweetdeck for some reason! #wemdt
@itsneverbecky
08 February 2018 20:11
RT @NIHR_DC: If you're taking part in tonight's #WeMDT tweetchat don't forget to download our themed review on the topic here: https://t.co…
@WeNurses
08 February 2018 20:11
This sounds interesting - what did the acute frailty team do ? #WeMDT https://twitter.com/Hannanecdotal/status/961693696545771523
@TaraJLamont
08 February 2018 20:11
RT @WeGPNs: 10 mins until #WeMDT https://twitter.com/WeNurses/status/961688592094584833
@jomwlever
08 February 2018 20:11
@CherylKent_10 @WeAHPs I remember attending a lecture a few years ago about frailty and the case for it to be a diagnosed 'condition' #WeMDT
@WeNurses
08 February 2018 20:12
QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@NIHRevidence
08 February 2018 20:12
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@maxwele2
08 February 2018 20:12
@JanetThomas47 Do you use the Clinical Frailty Scale? #WeMDT
@NIHRevidence
08 February 2018 20:12
RT @WeNurses: QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@AgencyNurse
08 February 2018 20:13
@jomwlever @CherylKent_10 @WeAHPs sounds interesting Jo - what was the consensus ? #WeMDT
@KieranCM1987
08 February 2018 20:13
@WeNurses Lots of information out there with what frailty is and means but don’t think people generally understand it #wemdt
@maxwele2
08 February 2018 20:14
@NursesJobs what about using GP records, like the eFI in hospital systems ? #WeMDT
@aiysha89
08 February 2018 20:14
RT @WeNurses: In 1/2 an hours time ... Caring for older people living with frailty in hospital > https://buff.ly/2FYdbuy A #WeMDT discus…
@JanetThomas47
08 February 2018 20:14
@maxwele2 Not personally - as a physio focussed on physical issues so measure gait speed and grip strength #wemdt
@PUNCadp
08 February 2018 20:14
@WeNurses #WeMDT this is so difficult with how the current NHS system is, I think in an ideal world it would be mor… https://twitter.com/i/web/status/961694796824875008
@maxwele2
08 February 2018 20:14
How do we create caring environments for older people with frailty? #WeMDT https://twitter.com/WeNurses/status/961694184431288320
@WeNurses
08 February 2018 20:15
Question 2 - incase you missed it in the video #WeMDT https://t.co/pshs6u8dKw
@WeAHPs
08 February 2018 20:15
RT @WeNurses: QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@WeDocs
08 February 2018 20:15
RT @WeNurses: QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@maxwele2
08 February 2018 20:15
@itsneverbecky @WeNurses Good point, do you use any specific assessment tool? #WeMDT
@viccispires
08 February 2018 20:15
Q2 positive environments has be proven to be good for all patients. Time might be the ruling factor for most hospitals #WeMDT
@WeNurses
08 February 2018 20:15
A really important point here #WeMDT https://twitter.com/itsneverbecky/status/961694670555435008
@selenam738
08 February 2018 20:15
@WeNurses #WeMDT the culture can be ‘right’ but environment on acute wards not always congruent. One pt declined by… https://twitter.com/i/web/status/961695124882378752
@maxwele2
08 February 2018 20:16
@JanetThomas47 do the other professions use your findings in their assessments? #WeMDT
@WeNurses
08 February 2018 20:16
Thoughts #WeMDT https://twitter.com/maxwele2/status/961694689412943874
@WeNurses
08 February 2018 20:16
RT @PUNCadp: @WeNurses #WeMDT this is so difficult with how the current NHS system is, I think in an ideal world it would be more staff who…
@WeDocs
08 February 2018 20:17
Question 2 #WeMDT https://twitter.com/WeNurses/status/961694920946999296
@WeLDnurses
08 February 2018 20:17
Question 2 #WeMDT https://twitter.com/WeNurses/status/961694920946999296
@WeGPNs
08 February 2018 20:17
Question 2 #WeMDT https://twitter.com/WeNurses/status/961694920946999296
@WeAHPs
08 February 2018 20:17
Question 2 #WeMDT https://twitter.com/WeNurses/status/961694920946999296
@PhysioZoZo
08 February 2018 20:17
RT @WeAHPs: Question 1 #WeMDT https://twitter.com/WeNurses/status/961691724425912321
@AgencyNurse
08 February 2018 20:17
@jomwlever @CherylKent_10 @WeAHPs makes sense .... #WeMDT
@mynameisAndyJ
08 February 2018 20:17
Just lurking Good Evening everyone #wemdt
@nicola_stirling
08 February 2018 20:18
@WeNurses Not just the physical aspect of an environment, but the social & cultural part. Know what is important to your patient #WeMDT
@AlresfordBear
08 February 2018 20:18
Not if they have variations of access, social characteristic and no one gives a rat`s arse. #WeMDT https://twitter.com/WeNurses/status/961695110198112257
@AgencyNurse
08 February 2018 20:18
I like this point .... but if this is the case then how do we create caring environments ? #WeMDT https://twitter.com/Hannanecdotal/status/961694956984455169
@PUNCadp
08 February 2018 20:18
@Hannanecdotal @WeNurses #WeMDT this comes down to every patient is an individual again! I went with my Mum to hosp… https://twitter.com/i/web/status/961695768083038208
@mandolin_8
08 February 2018 20:18
@WeNurses I don’t think enough of us do truly understand what frailty is and therefore how to care for a frail patient. #WeMDT
@BurnResearch
08 February 2018 20:18
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@nicola_stirling
08 February 2018 20:18
@Hannanecdotal @WeNurses Good point #WeMDT
@cskrainbow
08 February 2018 20:18
RT @WeNurses: QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@maxwele2
08 February 2018 20:19
@Marina_IH @WeNurses so what does a full assessment of frailty look like? #WeMDT
@maxwele2
08 February 2018 20:20
@itsneverbecky @WeNurses interesting, is it because frailty can't be pinned down with a test? #WeMDT
@LeanneHPatrick
08 February 2018 20:21
@WeNurses Meeting both psychosocial needs and physical health needs. #WeMDT
@AgencyNurse
08 February 2018 20:21
Nice point #WeMDT https://twitter.com/Hannanecdotal/status/961696351116562432
@JanetThomas47
08 February 2018 20:21
@maxwele2 @Marina_IH @WeNurses Comprehensive geriatric assessment #WeMDT
@Hannanecdotal
08 February 2018 20:21
@PUNCadp @WeNurses Isn't it interesting how we all read people and situations in completely different ways! #WeMDT
@BevMatthewsRN
08 February 2018 20:22
RT @JanetThomas47: Use of simple screening tools like frailsafe a start #wemdt
@WeNurses
08 February 2018 20:22
So how can we resolve this ? #WeMDT https://twitter.com/mandolin_8/status/961695804854558722
@AgencyNurse
08 February 2018 20:23
@jomwlever @WeNurses wow jo ! #WeMDT
@nicola_stirling
08 February 2018 20:24
@rhiannon134 @WeNurses Agreed. We should support each other to hold true to this focus. #WeMDT
@AgencyNurse
08 February 2018 20:24
@jomwlever @WeNurses A comprehensive assessment so important to creating a caring environment #WeMDT
@BevMatthewsRN
08 February 2018 20:25
@maxwele2 @NursesJobs Yes, it needs to be a system-wide response as #frailty doesn't come and go within a hospital care episode #WeMDT
@itsneverbecky
08 February 2018 20:25
@WeNurses Staffing, training, space all so important for this. Things we seem to have less & less of #WeMDT https://t.co/MImg67fE9o
@WeNurses
08 February 2018 20:25
QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@selenam738
08 February 2018 20:26
RT @itsneverbecky: @WeNurses Staffing, training, space all so important for this. Things we seem to have less & less of #WeMDT https://t.co…
@WeNurses
08 February 2018 20:26
Thanks for sharing this #WeMDT https://twitter.com/itsneverbecky/status/961697518408142853
@PUNCadp
08 February 2018 20:26
@Hannanecdotal @viccispires @WeNurses ...and I'm the first to admit, this is so difficult to do for every patient you come across... #WeMDT
@WeNurses
08 February 2018 20:27
Question 3 - incase you missed it in the video #WeMDT https://t.co/SUKph9TOPF
@NIHRevidence
08 February 2018 20:27
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@WeLDnurses
08 February 2018 20:27
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@WeDocs
08 February 2018 20:27
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@WeAHPs
08 February 2018 20:27
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@KatieSissons
08 February 2018 20:27
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@mark_kelly256
08 February 2018 20:27
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@PUNCadp
08 February 2018 20:28
@WeNurses After watching that clip... very important! #WeMDT
@WeNurses
08 February 2018 20:28
So what can we do ? #WeMDT https://twitter.com/ScottBuxton_1/status/961697542550556674
@itsneverbecky
08 February 2018 20:28
@WeNurses I love this section, there’s so much in this example that could improve all wards #WeMDT
@BevMatthewsRN
08 February 2018 20:29
RT @PUNCadp: @WeNurses #WeMDT this is so difficult with how the current NHS system is, I think in an ideal world it would be more staff who…
@jomwlever
08 February 2018 20:29
@AgencyNurse @WeNurses I'm referring to the cafe bit #WeMDT
@maxwele2
08 February 2018 20:29
@BevMatthews_ @NursesJobs funnily enough, i was at a meeting @WessexAHSN today looking at designing an in hospital audit #WeMDT
@WeAHPs
08 February 2018 20:29
RT @WeNurses: Question 3 - incase you missed it in the video #WeMDT https://t.co/SUKph9TOPF
@WeDocs
08 February 2018 20:29
RT @WeNurses: Question 3 - incase you missed it in the video #WeMDT https://t.co/SUKph9TOPF
@AgencyNurse
08 February 2018 20:29
@jomwlever @WeNurses gosh that sounds like they really thought about what that person needed #WeMDT
@se_goldberg
08 February 2018 20:30
RT @WeNurses: Thanks for sharing this #WeMDT https://twitter.com/itsneverbecky/status/961697518408142853
@maxwele2
08 February 2018 20:30
@LeanneHPatrick @Hannanecdotal @WeNurses @Stirling_Nurse What was the most useful thing you learnt? #WeMDT
@maxwele2
08 February 2018 20:30
RT @WeNurses: Thanks for sharing this #WeMDT https://twitter.com/itsneverbecky/status/961697518408142853
@jomwlever
08 February 2018 20:31
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@Jaynebiddiscom1
08 February 2018 20:31
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@J0Physio
08 February 2018 20:31
@WeNurses Who should be doing these assessments? #WeMDT
@maaike30be
08 February 2018 20:31
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@WeNurses
08 February 2018 20:31
#WeMDT > https://twitter.com/nursealimap/status/961698924468764672
@katiewelborn25
08 February 2018 20:31
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@maaike30be
08 February 2018 20:32
RT @WeNurses: QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@WeAHPs
08 February 2018 20:32
A really good question #WeMDT https://twitter.com/JoFallsPhysio/status/961699071558897664
@maaike30be
08 February 2018 20:32
RT @WeNurses: Hello and welcome to tonights #WeMDT Tonight's topic is "Caring for older people living with frailty in hospital" and we ar…
@mynameisAndyJ
08 February 2018 20:32
RT @WeNurses: #WeMDT > https://twitter.com/nursealimap/status/961698924468764672
@AlresfordBear
08 February 2018 20:32
#ThemKlaxon #WeMDT https://twitter.com/WeNurses/status/961699098549157888
@TaraJLamont
08 February 2018 20:32
Research reinforces importance of MDT element of assessment, not just geriatrician #WeMDT https://twitter.com/maxwele2/status/961697163960049664
@BevMatthewsRN
08 February 2018 20:33
@itsneverbecky @WeNurses that's interesting. @runnermandoc #WeMDT
@kateheydonorg
08 February 2018 20:33
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@bevie47
08 February 2018 20:33
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@jomwlever
08 February 2018 20:33
@amirhannan @WeAHPs tweetchat about frailty - you Might be interested in contributing to it ?? #WeMDT https://twitter.com/JoFallsPhysio/status/961698291363835904
@NIHRevidence
08 February 2018 20:34
RT @TaraJLamont: Research reinforces importance of MDT element of assessment, not just geriatrician #WeMDT https://twitter.com/maxwele2/status/961697163960049664
@PUNCadp
08 February 2018 20:34
@PUNC14 Do we have any teaching on frailty throughout our three years? @WeNurses #WeMDT
@vickyADN
08 February 2018 20:35
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@maxwele2
08 February 2018 20:35
caring environments #WeMDT https://twitter.com/jomwlever/status/961696039806922753
@AlresfordBear
08 February 2018 20:35
Probably when the GP might not see people a lot. #WeMDTs Or have specialist skills. https://twitter.com/AgencyNurse/status/961699548715454464
@AgencyNurse
08 February 2018 20:35
RT @maxwele2: caring environments #WeMDT https://twitter.com/jomwlever/status/961696039806922753
@WeAHPs
08 February 2018 20:35
RT @maxwele2: caring environments #WeMDT https://twitter.com/jomwlever/status/961696039806922753
@WeDocs
08 February 2018 20:35
RT @maxwele2: caring environments #WeMDT https://twitter.com/jomwlever/status/961696039806922753
@WeLDnurses
08 February 2018 20:35
RT @maxwele2: caring environments #WeMDT https://twitter.com/jomwlever/status/961696039806922753
@WeNurses
08 February 2018 20:35
RT @maxwele2: caring environments #WeMDT https://twitter.com/jomwlever/status/961696039806922753
@JanetThomas47
08 February 2018 20:35
@AgencyNurse @JoFallsPhysio @WeNurses Are they assessing in same way as a CGA or just scoring with eFI #WeMDT
@WeLDnurses
08 February 2018 20:36
A fab example of a caring environment #WeMDT https://twitter.com/jomwlever/status/961698207758802944
@maxwele2
08 February 2018 20:36
@PUNCadp @PUNC14 @WeNurses good question, should it be in the new @nmcnews standards on nurse education ? #WeMDT
@AgencyNurse
08 February 2018 20:36
Anyone know ?? #WeMDT https://twitter.com/JanetThomas47/status/961700140506599425
@WeDocs
08 February 2018 20:36
RT @AgencyNurse: Anyone know ?? #WeMDT https://twitter.com/JanetThomas47/status/961700140506599425
@WeNurses
08 February 2018 20:36
RT @AgencyNurse: Anyone know ?? #WeMDT https://twitter.com/JanetThomas47/status/961700140506599425
@ChaplainSimonE
08 February 2018 20:36
@PUNCadp #weMDT @WeNurses it is difficult & most nurses do an amazing job of caring, but please don’t forget that m… https://twitter.com/i/web/status/961700317216870405
@maxwele2
08 February 2018 20:36
@AlresfordBear we're using the Rockwood frailty definition #WeMDT
@WeNurses
08 February 2018 20:37
What are everyones thoughts ? #WeMDT https://t.co/hHYUvpbsv0
@nicola_stirling
08 February 2018 20:37
@maxwele2 Absolutely #WeMDT
@maxwele2
08 February 2018 20:37
@itsneverbecky Number needed to treat, yes pretty compelling #WeMDT
@WeNurses
08 February 2018 20:37
#WeMDT https://twitter.com/viccispires/status/961700511627010048
@maxwele2
08 February 2018 20:38
@AgencyNurse @JoFallsPhysio @WeNurses you're asking for an integrated Health and Social Care IT systems... #WeMDT
@WeNurses
08 February 2018 20:38
QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@maxwele2
08 February 2018 20:38
RT @TaraJLamont: Research reinforces importance of MDT element of assessment, not just geriatrician #WeMDT https://twitter.com/maxwele2/status/961697163960049664
@maaike30be
08 February 2018 20:38
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@TaraJLamont
08 February 2018 20:38
@wenurses #WeMDT Do any organisations you work in have frailty practitioners? Does that help?
@AgencyNurse
08 February 2018 20:38
@maxwele2 @JoFallsPhysio @WeNurses yep ! You would think i am asking for the moon !!! #WeMDT
@JanetThomas47
08 February 2018 20:38
@NRCUK @JoFallsPhysio @WeNurses Our referrals are from all over - not just hospital dc but GP, clinics, AHPs etc #WeMDT
@AlresfordBear
08 February 2018 20:38
@maxwele2 Which is? #WeMDT
@WeNurses
08 February 2018 20:39
Great question #WeMDT https://twitter.com/TaraJLamont/status/961700807447113735
@maaike30be
08 February 2018 20:39
RT @WeNurses: Great question #WeMDT https://twitter.com/TaraJLamont/status/961700807447113735
@NIHRevidence
08 February 2018 20:39
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@BevMatthewsRN
08 February 2018 20:39
RT @ChaplainSimonE: @PUNCadp #weMDT @WeNurses it is difficult & most nurses do an amazing job of caring, but please don’t forget that most…
@maxwele2
08 February 2018 20:39
@PUNCadp @PUNC14 @WeNurses @nmcnews Read the review https://discover.dc.nihr.ac.uk/portal/article/4000471/comprehensive-care-older-people-living-with-frailty-in-hospital and all will become clear ?? #WeMDT
@NIHRevidence
08 February 2018 20:39
RT @TaraJLamont: @wenurses #WeMDT Do any organisations you work in have frailty practitioners? Does that help?
@selenam738
08 February 2018 20:39
RT @AgencyNurse: @maxwele2 @JoFallsPhysio @WeNurses yep ! You would think i am asking for the moon !!! #WeMDT
@maxwele2
08 February 2018 20:40
RT @ChaplainSimonE: @PUNCadp #weMDT @WeNurses it is difficult & most nurses do an amazing job of caring, but please don’t forget that most…
@WeNurses
08 February 2018 20:40
An important link to the NIHR review #WeMDT https://twitter.com/maxwele2/status/961701108019318784
@katiewelborn25
08 February 2018 20:40
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@maxwele2
08 February 2018 20:40
@AgencyNurse GPs required to screen ( eg eFI) but not to do CGA (which needs MDT so they couldn't #WeMDT
@maxwele2
08 February 2018 20:41
@NRCUK @JanetThomas47 @JoFallsPhysio @WeNurses nirvana #WeMDT
@maxwele2
08 February 2018 20:41
RT @WeNurses: An important link to the NIHR review #WeMDT https://twitter.com/maxwele2/status/961701108019318784
@jawad_hala
08 February 2018 20:41
RT @WeNurses: Great question #WeMDT https://twitter.com/TaraJLamont/status/961700807447113735
@AgencyNurse
08 February 2018 20:41
Thanks for clarifying #WeMDT https://twitter.com/maxwele2/status/961701388802822144
@WeDocs
08 February 2018 20:41
RT @AgencyNurse: Thanks for clarifying #WeMDT https://twitter.com/maxwele2/status/961701388802822144
@WeAHPs
08 February 2018 20:41
RT @AgencyNurse: Thanks for clarifying #WeMDT https://twitter.com/maxwele2/status/961701388802822144
@WeNurses
08 February 2018 20:41
RT @AgencyNurse: Thanks for clarifying #WeMDT https://twitter.com/maxwele2/status/961701388802822144
@NIHRevidence
08 February 2018 20:42
RT @WeNurses: An important link to the NIHR review #WeMDT https://twitter.com/maxwele2/status/961701108019318784
@maxwele2
08 February 2018 20:42
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@JanetThomas47
08 February 2018 20:44
@ScottBuxton_1 Agree! #WeMDT
@danieljohndodd
08 February 2018 20:44
RT @TaraJLamont: @wenurses #WeMDT Do any organisations you work in have frailty practitioners? Does that help?
@WeAHPs
08 February 2018 20:44
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@WeLDnurses
08 February 2018 20:44
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@WeDocs
08 February 2018 20:44
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@WeNurses
08 February 2018 20:45
Question 4 again in case you missed it #WeMDT https://t.co/3beFVjCA2q
@WeDocs
08 February 2018 20:45
Question 4 again in case you missed it #WeMDT https://t.co/r6AQdzUdPP
@WeAHPs
08 February 2018 20:45
Question 4 again in case you missed it #WeMDT https://t.co/zn2mJOHxue
@PUNCadp
08 February 2018 20:45
@WeNurses Downloaded and will give it a read, thank you #WeMDT
@BevMatthewsRN
08 February 2018 20:46
@AgencyNurse @runnermandoc or @Moody_D_K will know #WeMDT
@learnhospice
08 February 2018 20:46
@Hannanecdotal @WeNurses #weMDT experts in this are @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic
@traceyhardy789
08 February 2018 20:46
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@WeNurses
08 February 2018 20:46
A good idea ? #WeMDT https://twitter.com/itsneverbecky/status/961702565103759361
@JedMontayre
08 February 2018 20:46
RT @WeNurses: Question 4 again in case you missed it #WeMDT https://t.co/3beFVjCA2q
@learnhospice
08 February 2018 20:46
RT @WeAHPs: Question 4 again in case you missed it #WeMDT https://t.co/zn2mJOHxue
@learnhospice
08 February 2018 20:47
@WeAHPs #WeMDT why just fraility?
@selenam738
08 February 2018 20:47
@WeAHPs #WeMDT Ask, ‘What is important to you?’ Simple, holistic.
@mynameisAndyJ
08 February 2018 20:48
Can I also remind and add that Food and Drink also plays a major role, it should not be overlooked #wemdt
@AgencyNurse
08 February 2018 20:48
@learnhospice @WeAHPs because thats the focus of the conversation ... but agree we could take much wider #WeMDT
@mandolin_8
08 February 2018 20:48
@WeNurses Perhaps better education from the start. It feels like it’s just assumed that everyone knows what it means #WeMDT
@BevMatthewsRN
08 February 2018 20:48
@ChaplainSimonE @PUNCadp @WeNurses i agree - an amazing resource for patients but also for the staff. #WeMDT
@learnhospice
08 February 2018 20:48
@WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@WeAHPs
08 February 2018 20:48
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@WeDocs
08 February 2018 20:48
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@WeNurses
08 February 2018 20:48
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@NursesJobs
08 February 2018 20:49
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@preceptormel
08 February 2018 20:49
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@WeNurses
08 February 2018 20:49
RT @ChaplainSimonE: @PUNCadp #weMDT @WeNurses it is difficult & most nurses do an amazing job of caring, but please don’t forget that most…
@WeNurses
08 February 2018 20:50
Sounds interesting #WeMDT https://twitter.com/ScottBuxton_1/status/961703603995062273
@jomwlever
08 February 2018 20:50
@fionaDmurphy @COSMakin @IainDr @Ex_Acute @dcshock please could you add to this discussion for #WeMDT ? Thank you https://twitter.com/WeNurses/status/961700748949106689
@WeNurses
08 February 2018 20:50
QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt
@maaike30be
08 February 2018 20:50
RT @learnhospice: @Hannanecdotal @WeNurses #weMDT experts in this are @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic
@AlresfordBear
08 February 2018 20:50
@Marina_IH @WeNurses And crass depending who you are. #WeMDT
@maaike30be
08 February 2018 20:51
RT @WeNurses: QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt
@learnhospice
08 February 2018 20:51
@AgencyNurse @WeAHPs #WeMDT indeed-just reflecting upon categories..that’s all
@ScottBuxton_1
08 February 2018 20:51
@WeNurses If anyone would like to know more feel free to ask! #WeMDT
@Jaynebiddiscom1
08 February 2018 20:51
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@AnnabelleMFord
08 February 2018 20:51
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@itsneverbecky
08 February 2018 20:52
@ScottBuxton_1 @WeNurses @RUHBath Who makes up the squad? #WeMDT
@Marina_IH
08 February 2018 20:52
@AgencyNurse @JoFallsPhysio @WeNurses Who is not fed up? :) Remains just to hope for a change..#WeMDT
@mandolin_8
08 February 2018 20:53
@WeNurses At times it can seem as though EOL planning for “simply frail” is almost non-existent. Would like to see ACPs used more #WeMDT
@Jaynebiddiscom1
08 February 2018 20:53
@WeNurses @_JoeMiddleton interesting chats here tonight #WeMDT
@selenam738
08 February 2018 20:53
RT @WeNurses: QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt
@WeNurses
08 February 2018 20:53
Here is our final Question incase you missed it in the video #WeMDT https://t.co/AkOYehrORM
@WeGPNs
08 February 2018 20:53
RT @WeNurses: Here is our final Question incase you missed it in the video #WeMDT https://t.co/AkOYehrORM
@WeAHPs
08 February 2018 20:53
RT @WeNurses: Here is our final Question incase you missed it in the video #WeMDT https://t.co/AkOYehrORM
@WeLDnurses
08 February 2018 20:53
RT @WeNurses: Here is our final Question incase you missed it in the video #WeMDT https://t.co/AkOYehrORM
@WeDocs
08 February 2018 20:53
RT @WeNurses: Here is our final Question incase you missed it in the video #WeMDT https://t.co/AkOYehrORM
@G83027942
08 February 2018 20:54
RT @WeNurses: QUESTION 3 addresses assessing frailty #WeMDT https://t.co/MV35SboEjW
@WeNurses
08 February 2018 20:54
What are your thoughts folks ? Any best practice out there ? #WeMDT https://twitter.com/maxwele2/status/961704656538882048
@WeDocs
08 February 2018 20:55
RT @WeNurses: What are your thoughts folks ? Any best practice out there ? #WeMDT https://twitter.com/maxwele2/status/961704656538882048
@WeGPNs
08 February 2018 20:55
RT @WeNurses: What are your thoughts folks ? Any best practice out there ? #WeMDT https://twitter.com/maxwele2/status/961704656538882048
@WeAHPs
08 February 2018 20:55
RT @WeNurses: What are your thoughts folks ? Any best practice out there ? #WeMDT https://twitter.com/maxwele2/status/961704656538882048
@WeLDnurses
08 February 2018 20:55
RT @WeNurses: What are your thoughts folks ? Any best practice out there ? #WeMDT https://twitter.com/maxwele2/status/961704656538882048
@TaraJLamont
08 February 2018 20:55
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@AgencyNurse
08 February 2018 20:55
@Marina_IH @JoFallsPhysio @WeNurses Yes indeed :) #WeMDT
@JanetThomas47
08 February 2018 20:56
@maxwele2 @WeNurses That's concerning given the focus on identifying delirium with tools such as 4AT #WeMDT
@NIHRevidence
08 February 2018 20:57
Great to see so many interesting discussions around #frailty on #WeMDT. Don't forget to check out the key research… https://twitter.com/i/web/status/961705560390369280
@lesleyfaux
08 February 2018 20:57
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@NIHRevidence
08 February 2018 20:57
RT @WeNurses: QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt
@WeNurses
08 February 2018 20:57
Thank you - great link #WeMDT https://twitter.com/NIHR_DC/status/961705560390369280
@learnhospice
08 February 2018 20:57
@Hannanecdotal @maxwele2 @WeNurses @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic #WeMDT agreed but maybe… https://twitter.com/i/web/status/961705678032207873
@GedlingC
08 February 2018 20:58
RT @NIHR_DC: Great to see so many interesting discussions around #frailty on #WeMDT. Don't forget to check out the key research NIHR has do…
@ScottBuxton_1
08 February 2018 20:58
@itsneverbecky @WeNurses @RUHBath Geriatricians, OTs, specialist nurses and a physio. #WeMDT
@mandolin_8
08 February 2018 20:58
RT @WeNurses: Thank you - great link #WeMDT https://t.co/vtSMn5A8Ck
@mynameisAndyJ
08 February 2018 20:58
RT @NIHR_DC: Great to see so many interesting discussions around #frailty on #WeMDT. Don't forget to check out the key research NIHR has do…
@learnhospice
08 February 2018 20:58
@NRCUK @Hannanecdotal @maxwele2 @WeNurses @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic What do you mean Nick? #WeMDT
@itsneverbecky
08 February 2018 20:59
RT @ScottBuxton_1: @itsneverbecky @WeNurses @RUHBath Geriatricians, OTs, specialist nurses and a physio. #WeMDT
@WeNurses
08 February 2018 21:00
Another useful share - thank you #WeMDT https://twitter.com/itsneverbecky/status/961706036011962368
@nicola_stirling
08 February 2018 21:00
RT @NIHR_DC: Great to see so many interesting discussions around #frailty on #WeMDT. Don't forget to check out the key research NIHR has do…
@maxwele2
08 February 2018 21:00
RT @WeNurses: Thank you - great link #WeMDT https://twitter.com/NIHR_DC/status/961705560390369280
@WeNurses
08 February 2018 21:01
That's all for tonight everyone ... thank you all for your tweets this evening #WeMDT
@WeNurses
08 February 2018 21:02
A special THANK YOU to @maxwele2 for being our expert in the room this evening #WeMDT https://t.co/4z6mErCm0M
@RamonaRCD
08 February 2018 21:02
RT @WeNurses: QUESTION 1 - do we understand frailty ? #WeMDT https://t.co/8alzy3D0vn
@PUNCadp
08 February 2018 21:02
@WeNurses Thank you, I was a bit quiet tonight, but it has made me want to read up on the topic :) #WeMDT
@learnhospice
08 February 2018 21:03
@NRCUK @Hannanecdotal @maxwele2 @WeNurses @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic #WeMDT hmmm...as… https://twitter.com/i/web/status/961706971358523394
@WeNurses
08 February 2018 21:03
@PUNCadp thanks for joining us anyway ... lurking is a great way to pick up info #WeMDT
@jomwlever
08 February 2018 21:03
@WeNurses Thanks for another great chat. Device is struggling with notification overload again #WeMDT
@BevMatthewsRN
08 February 2018 21:03
@WeNurses @maxwele2 thank you Elaine - interesting topic and great preparation. #WeMDT
@Hannanecdotal
08 February 2018 21:03
This was really fun, thanks #wemdt!
@Hannanecdotal
08 February 2018 21:04
RT @learnhospice: @NRCUK @Hannanecdotal @maxwele2 @WeNurses @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic #WeMDT hmmm...as a car…
@learnhospice
08 February 2018 21:04
@NRCUK @Hannanecdotal @maxwele2 @WeNurses @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic #WeMDT recently… https://t.co/BjCvz2UGlx
@WeNurses
08 February 2018 21:04
@Hannanecdotal glad you enjoyed it #WeMDT
@jomwlever
08 February 2018 21:04
RT @WeNurses: A special THANK YOU to @maxwele2 for being our expert in the room this evening #WeMDT https://t.co/4z6mErCm0M
@maxwele2
08 February 2018 21:04
@PUNCadp @WeNurses hurrah! Mission successful #wemdt
@TonyaBuntin
08 February 2018 21:05
RT @WeNurses: QUESTION 2 - is all about caring environments: #WeMDT https://t.co/ztznNosdNo
@JanetThomas47
08 February 2018 21:05
@WeNurses Thanks. A bit of a struggle and reminded me why i never tweetchat from a phone usually ! #WeMDT
@Marina_IH
08 February 2018 21:05
@WeNurses Thank you for this chat, useful informations, lots of things to think about :) #WeMDT
@WeNurses
08 February 2018 21:05
@JanetThomas47 ahhh yes - it can be a challenge ! Thanks for joining us though - even more so as it was a challenge for you ! #WeMDT
@WeNurses
08 February 2018 21:06
@Marina_IH Thats great to hear :) Thanks for joining us #WeMDT
@learnhospice
08 February 2018 21:06
@NRCUK @Hannanecdotal @maxwele2 @WeNurses @Jules_Cavalier @DrCarolineN @dr_shibley @mancunianmedic #WeMDT but im no… https://twitter.com/i/web/status/961707871552573440
@Cgrimes3
08 February 2018 21:06
RT @learnhospice: @WeAHPs Do read this- very apt #WeMDT https://endingwell.wordpress.com/2018/02/08/does-talking-about-dying-dying-well/ @Ending_Well
@PsychDrD
08 February 2018 21:06
RT @WeNurses: QUESTION 4 - explores end of life care for older people with frailty #WeMDT https://t.co/oHAOpKJeSj
@Ester_Bellavia
08 February 2018 21:07
RT @NIHR_DC: Great to see so many interesting discussions around #frailty on #WeMDT. Don't forget to check out the key research NIHR has do…
@WeNurses
08 February 2018 21:09
There was no frailty in the engagement on tonights #wemdt ! You u can catchup here http://wecommunities.org/tweet-chats/chat-details/4140 summary… https://twitter.com/i/web/status/961708638422347776
@traceyhardy789
08 February 2018 21:09
RT @WeNurses: QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt
@traceyhardy789
08 February 2018 21:10
RT @NIHR_DC: Great to see so many interesting discussions around #frailty on #WeMDT. Don't forget to check out the key research NIHR has do…
@maxwele2
08 February 2018 21:10
RT @WeNurses: There was no frailty in the engagement on tonights #wemdt ! You u can catchup here http://wecommunities.org/tweet-chats/chat-details/4140 summary soon :) th…
@nchadborn
08 February 2018 21:12
@shizc1 @DiverseAlz OK, trying to chip in to 2 tweetchats: #diversealz & #WeMDT related topics...
@sandra_tuohy
08 February 2018 21:12
RT @WeNurses: QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt
@ScottBuxton_1
08 February 2018 21:12
@ViralKMH @itsneverbecky @WeNurses @RUHBath Unfortunately not. Would be an amazing addition to the team. #WeMDT
@TheOrangeFamily
08 February 2018 21:14
RT @WeNurses: QUESTION 5 - what are the day-to-day problems ? #WeMDT https://t.co/X4xiBfwmCt




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