#WeDNs - Wednesday 29th April 2020 8pm (GMT Standard Time)
Intimate partner abuse
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Chat Details
Hosted by WeCommNurses using #WeDNs
This Twitter Chat will discuss the issue of intimate partner abuse (IPA) occurring within the house bound population cared for by the District Nursing Service. Some people call IPA; domestic abuse or domestic violence, buttonight’s chat will use the acronym IPA. This chat invites contributions from professionals who have knowledge or experiences of intimate partner abuse and are employed or experienced within community and district nursing services at any professional level.
More than 250 000 people aged 66+ annually report maltreatment from a family member (NICE, 2014). More than half of these individuals’ state that a spouse or partner is the perpetrator. Whilst both men and women report violence by their partner, women are disproportionately impacted when frequency and severity of violence are brought into account, andthe evidence tells us that IPA occurs in heterosexual and same sexrelationships. For many women who live with IPA there are some common factors in their lives which include: poverty, disability, long terms conditions and alcohol and drug use, which prompts the question: is this an issue for the women cared for by District Nurses, many of whom also live with these common factors.
There is a lack of research evidence of the extent of IPA against older housebound females or females who care for housebound partners to underpin interventions to prevent, recognise and respond to IPA in this population and Georgina Ritchie has decided to undertake a PhD exploring this subject and will be guest host on this chat. The PhD research will generate knowledge to address this deficit and make a unique contribution for DN practice and our patients. The transcripts from this Twitter Chat and data from the Polls used within the chat? will be used as part of a PhD research study so please do keep this in mind if you decide to takepart. It is understood this can be a difficult subject for some people to talk about so there is no pressure to take part if you would rather not. A full information sheet about how the data will be used for in study is available at the link below:
Link to participant information and privacy sheet
Questions for Twitter Chat:
- First, let’s chat about the many definitions of abuse; elder abuse, domestic abuse, domestic violence, intimate partner abuse. What are your thoughts?
- Have you ever witnessed or suspected intimate partner abuse or had anyone disclose this to you whilst working within community or District Nursing services?
- Do you view this as a significant part of your role?
- Do you feel that you have been adequately prepared and / or educated to meet the needs of this very specific issue or is it addressed within wider safeguarding education?
- Do you know how to access support and advice if you have a patient in this situation?
- Do you believe mental capacity influences practitioner actions on this issue?
- Any final thoughts or comments on tonight’s chat?
- Would you like to be contacted to participate in the next stage of this research project,which will be a focus group?
Chat Contributers
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#WeDNs transcript
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@WeCommNurses
29 April 2020 20:00
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#wedns welcome to tonight’s chat please let us know where you are from and welcome our guest @RitchieGeorgina https://t.co/EvfvalCGx0 |
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@HeatherBain9
29 April 2020 20:01
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#wedns hello from ABERDEEN and thanks to @RitchieGeorgina https://twitter.com/wedistrictnurse/status/1255572573322186753 |
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@RitchieGeorgina
29 April 2020 20:01
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RT @WeDistrictNurse: #wedns welcome to tonight’s chat please let us know where you are from and welcome our guest @RitchieGeorgina https://… |
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@Helenakelly73
29 April 2020 20:01
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Hi George and everyone on the chat tonight #wedns |
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@WeNurses
29 April 2020 20:01
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Starting now #WeDNs on Intimate Partner Abuse >> https://twitter.com/WeDistrictNurse/status/1255572573322186753 |
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@AgencyNurse
29 April 2020 20:02
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Hi Teresa here - mostly lurking #WeDNs |
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@CharWSmith
29 April 2020 20:02
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Hello from Cumbria #WeDNs |
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@JFitzAcademical
29 April 2020 20:02
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RT @WeDistrictNurse: #wedns welcome to tonight’s chat please let us know where you are from and welcome our guest @RitchieGeorgina https://… |
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@EssexPaulB
29 April 2020 20:02
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RT @HeatherBain9: Come and discuss this often unspoken topic, is this a significant part of your role as a community nurse ? #wedns @RGUNM… |
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@WeCommNurses
29 April 2020 20:04
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So let’s start with the first question #wedns it’s all about definitions of abuse....what are your thoughts https://t.co/Ylhw5ho3DF |
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@HeatherBain9
29 April 2020 20:06
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#wedns this is an interesting one and I think some are more commonly used , but intimate partner abuse is less commonly discussed https://twitter.com/wedistrictnurse/status/1255573701199892481 |
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@BurtRenault
29 April 2020 20:06
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RT @WeDistrictNurse: Intimate partner abuse via #WeDNs 29/04/2020 http://www.wecommunities.org/tweet-chats/chat-details/5464 via @WeDistrictNurse Looking forward to this cha… |
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@RitchieGeorgina
29 April 2020 20:07
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RT @WeDistrictNurse: So let’s start with the first question #wedns it’s all about definitions of abuse....what are your thoughts https://t… |
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@FmhsNursing
29 April 2020 20:07
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Tweet chat about a very important issue #WeDNs @WeDistrictNurse https://twitter.com/wedistrictnurse/status/1255510039504326656 |
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@SamSherrington
29 April 2020 20:08
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@WeDistrictNurse Definitions are broad but all come under safeguarding #weDNs |
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@rgumscap
29 April 2020 20:08
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RT @WeDistrictNurse: So let’s start with the first question #wedns it’s all about definitions of abuse....what are your thoughts https://t… |
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@WeCommNurses
29 April 2020 20:08
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Please feel free to contribute #wedns https://twitter.com/theresahorne748/status/1255574416697839616 |
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@WeCommNurses
29 April 2020 20:09
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#wedns do you think they mean different things to different people? https://twitter.com/samsherrington/status/1255574613922283520 |
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@WeCommNurses
29 April 2020 20:09
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Remember to use the #wedns to keep the chat flowing https://twitter.com/MarkBir41552571/status/1255574690493599747 |
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@AgencyNurse
29 April 2020 20:09
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Abuse to me means treating someone cruelly, violently or ... often in this context over a period of time ... but just once is one time too many #WeDNs https://twitter.com/WeDistrictNurse/status/1255573701199892481 |
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@WeNurses
29 April 2020 20:09
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RT @WeDistrictNurse: So let’s start with the first question #wedns it’s all about definitions of abuse....what are your thoughts https://t… |
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@CharWSmith
29 April 2020 20:09
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@WeDistrictNurse Q1. Legal definitions of abuse, neglect, financial and sexual are reasonably clear, but some interpretations unclear financial good example. For many years, women controlled finances : abuse or household management? #WeDNs |
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@WeCommNurses
29 April 2020 20:09
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#wedns thanks for joining us, what terms do you use in your part of the world https://twitter.com/fmhsnursing/status/1255574384342822912 |
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@SamSherrington
29 April 2020 20:10
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@WeDistrictNurse Yes I’m sure they do #weDNs |
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@WeCommNurses
29 April 2020 20:10
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#wedns https://twitter.com/RitchieGeorgina/status/1255575083545919488 |
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@CharWSmith
29 April 2020 20:10
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@WeDistrictNurse I think abuse occurs wherever there is an imbalance of power which is exploited. #WeDNs |
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@WeNurses
29 April 2020 20:11
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RT @CharWSmith: @WeDistrictNurse I think abuse occurs wherever there is an imbalance of power which is exploited. #WeDNs |
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@WeCommNurses
29 April 2020 20:12
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#wedns https://twitter.com/parveenazamali/status/1255575307161153538 |
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@SamSherrington
29 April 2020 20:12
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@CharWSmith @WeDistrictNurse Yes power is a factor to consider #weDNs |
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@DianaCameron70
29 April 2020 20:13
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RT @WeDistrictNurse: So let’s start with the first question #wedns it’s all about definitions of abuse....what are your thoughts https://t… |
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@WeCommNurses
29 April 2020 20:14
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#wedns have you witnessed or suspected intimate partner abuse or have anyone disclose whilst working in the community https://t.co/CLkrk8w07Y |
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@HeatherBain9
29 April 2020 20:14
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@RitchieGeorgina @MarkBir41552571 @WeDistrictNurse Remember the #wedns in all responses |
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@RitchieGeorgina
29 April 2020 20:15
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RT @CharWSmith: @WeDistrictNurse I think abuse occurs wherever there is an imbalance of power which is exploited. #WeDNs |
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@WeCommNurses
29 April 2020 20:15
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#wedns https://twitter.com/RitchieGeorgina/status/1255576230759403522 |
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@SamSherrington
29 April 2020 20:15
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@RitchieGeorgina @MarkBir41552571 @WeDistrictNurse This is interesting #weDNs is it more prevalent in certain circumstances? |
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@PaulaSpooner2
29 April 2020 20:15
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@WeDistrictNurse #wedns I definitely think that abuse means different things to different people due to many factors such as religion, culture, society, and learned experience to name a few. |
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@evelyn_prodger
29 April 2020 20:15
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RT @WeDistrictNurse: So let’s start with the first question #wedns it’s all about definitions of abuse....what are your thoughts https://t… |
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@jasonrawles
29 April 2020 20:15
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RT @WeNurses: Starting in 20mins .... tune into #WeDNs to take part |
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@BrianWebster18
29 April 2020 20:16
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RT @HeatherBain9: #wedns hello from ABERDEEN and thanks to @RitchieGeorgina https://twitter.com/wedistrictnurse/status/1255572573322186753 |
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@SamSherrington
29 April 2020 20:16
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@WeDistrictNurse Yes a number of times #weDNs |
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@AgencyNurse
29 April 2020 20:16
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@SamSherrington @CharWSmith @WeDistrictNurse power is interesting ..... one person exerting power over another certainly leads to an imbalance, and that is abuse #WeDNs |
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@WeNurses
29 April 2020 20:16
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RT @WeDistrictNurse: #wedns have you witnessed or suspected intimate partner abuse or have anyone disclose whilst working in the community… |
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@WeCommNurses
29 April 2020 20:16
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#wedns some interesting points being raised. Remember the #wedns everyone https://twitter.com/samsherrington/status/1255576436376731649 |
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@RitchieGeorgina
29 April 2020 20:17
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@SamSherrington @MarkBir41552571 @WeDistrictNurse #wedns if we look at how abuse has increased in lock down i would draw comparisons to DN patients who cannot leave the house and are in constant lock down which may cause volatile situations? |
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@theresahorne748
29 April 2020 20:17
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@CharWSmith @WeDistrictNurse Did they control finances or was it what they were 'given'? #weDNs |
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@CharWSmith
29 April 2020 20:18
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@WeDistrictNurse Q2. More times than I can count in terms of suspected and disclosure, 3 times immediately spring to mind for witnessing.... #WeDNs |
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@Helenakelly73
29 April 2020 20:18
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Yes unfortunately many years ago #wedns |
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@AgencyNurse
29 April 2020 20:18
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I don't work in the community but in a care home and yes have suspected intimate partner abuse before #WeDNs https://twitter.com/WeDistrictNurse/status/1255576217299886082 |
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@WeCommNurses
29 April 2020 20:18
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#wedns interesting point , is it always abuse? https://twitter.com/agencynurse/status/1255576738370895872 |
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@RitchieGeorgina
29 April 2020 20:19
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RT @WeDistrictNurse: #wedns have you witnessed or suspected intimate partner abuse or have anyone disclose whilst working in the community… |
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@WeCommNurses
29 April 2020 20:19
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#wedns have others experienced this too https://twitter.com/ritchiegeorgina/status/1255576844260253698 |
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@saritajayne
29 April 2020 20:19
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@WeDistrictNurse I think anything that is done on purpose to cause harm in anyway to another person is abuse #wedns |
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@SamSherrington
29 April 2020 20:19
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@RitchieGeorgina @MarkBir41552571 @WeDistrictNurse Our head of safeguarding @kennygibsonnhs talks about pressure cooker homes during Covid19 looking at increasing risk during lockdown #WeDNs |
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@AgencyNurse
29 April 2020 20:19
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@WeDistrictNurse maybe not always ... but we also have to consider that even though the people going through it may not name it as abuse it still can be #WeDNs |
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@PaulaSpooner2
29 April 2020 20:19
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@WeDistrictNurse #wedns This happens often, however it is not the rule and those who are seeking support from DNs can often abuse in other ways. An extreme example is Munchausen Syndrome. |
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@WeNurses
29 April 2020 20:20
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RT @saritajayne: @WeDistrictNurse I think anything that is done on purpose to cause harm in anyway to another person is abuse #wedns |
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@WeCommNurses
29 April 2020 20:20
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remember to use #wedns when tweeting https://twitter.com/parveenazamali/status/1255577287795322882 |
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@RitchieGeorgina
29 April 2020 20:20
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@SamSherrington @MarkBir41552571 @WeDistrictNurse @kennygibsonnhs #wedns there is a comparison then to draw from the constant pressure cooker that may go on for years |
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@RitchieGeorgina
29 April 2020 20:20
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#wedns a quick poll... do you believe that intimate partner abuse is an issue for the population cared for by District Nurses |
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@WeNurses
29 April 2020 20:20
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RT @WeDistrictNurse: remember to use #wedns when tweeting https://twitter.com/parveenazamali/status/1255577287795322882 |
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@WeNurses
29 April 2020 20:20
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RT @RitchieGeorgina: #wedns a quick poll... do you believe that intimate partner abuse is an issue for the population cared for by District… |
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@AgencyNurse
29 April 2020 20:20
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RT @RitchieGeorgina: #wedns a quick poll... do you believe that intimate partner abuse is an issue for the population cared for by District… |
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@theresahorne748
29 April 2020 20:21
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@WeDistrictNurse To those that have said yes, was it suspected or a disclosure? If suspected, what did you do? I've no experience in this area, apologies if i am out of line #weDNs |
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@SamSherrington
29 April 2020 20:21
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@CharWSmith @WeDistrictNurse How does that feel Charlotte? #WeDNs |
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@theresahorne748
29 April 2020 20:22
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RT @WeDistrictNurse: #wedns have you witnessed or suspected intimate partner abuse or have anyone disclose whilst working in the community… |
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@parveenazamali
29 April 2020 20:22
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@RitchieGeorgina @MarkBir41552571 @WeDistrictNurse Yes what’s considered old by some in one place of culture may not be relevant in another #wedns |
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@RitchieGeorgina
29 April 2020 20:22
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@SamSherrington @MarkBir41552571 @WeDistrictNurse @kennygibsonnhs #wedns but we may be assuming it is the pressure of the situation when IPA may always have been present in the relationship? |
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@SamSherrington
29 April 2020 20:22
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@AgencyNurse Care homes are a part of our community #WeDNs @MrsBosanquet |
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@HeatherBain9
29 April 2020 20:22
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#wedns many times and as a DN in the 90s probably did not deal with it well and it was not a focus, unlike today where safeguarding is an essential component of all nursing practice https://twitter.com/wedistrictnurse/status/1255576217299886082 |
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@lkashworth1
29 April 2020 20:22
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RT @WeDistrictNurse: #wedns have others experienced this too |
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@CharWSmith
29 April 2020 20:23
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@theresahorne748 @WeDistrictNurse I take your point! I suppose I am saying that unless a couple readily agreed to a financial arrangement of any description, and it was not based on structural inequality, then it could be considered abuse. If it is an agreed arrangement, that's different and functional. #WeDNs |
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@WeCommNurses
29 April 2020 20:23
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#weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@NRCUK
29 April 2020 20:23
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@SamSherrington @RitchieGeorgina @MarkBir41552571 @WeDistrictNurse Not only is it circumstancial, they are well documented & through joining up data can/have been predicted. BUT of course using date is an invasion of our privacy and we should just let adult (& child) abuse continue, because privacy is more important than death/prevention #Wedns |
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@AgencyNurse
29 April 2020 20:23
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@theresahorne748 @WeDistrictNurse no disclosure .... but a few of us suspected, we never had proof but raised concerns and safeguarding, in the end it was more about how we supported the person to ensure they were safe (care home) #WeDNs |
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@SamSherrington
29 April 2020 20:23
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@theresahorne748 @CharWSmith @WeDistrictNurse Maybe it’s both? What are your thoughts Theresa? #weDNs |
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@WeNurses
29 April 2020 20:24
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RT @HeatherBain9: #wedns many times and as a DN in the 90s probably did not deal with it well and it was not a focus, unlike today where sa… |
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@RitchieGeorgina
29 April 2020 20:24
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RT @WeDistrictNurse: #weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@WeCommNurses
29 April 2020 20:24
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RT @RitchieGeorgina: @SamSherrington @MarkBir41552571 @WeDistrictNurse @kennygibsonnhs #wedns but we may be assuming it is the pressure of… |
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@WeNurses
29 April 2020 20:24
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RT @WeDistrictNurse: #weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@AgencyNurse
29 April 2020 20:24
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RT @WeDistrictNurse: #weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@InuwaMNaj
29 April 2020 20:24
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RT @WeDistrictNurse: #weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@RitchieGeorgina
29 April 2020 20:24
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Do you believe that intimate partner abuse is an issue for older women #wedns |
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@CharWSmith
29 April 2020 20:25
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@SamSherrington @WeDistrictNurse Genuinely frightening. Often a feeling of helplessness prevails - and of course this must only be a tiny fraction of the helplessness people experiencing abuse must feel. Stretched services, lack of understanding of DV and lack of appropriate resources compound the issue #WeDNs |
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@AgencyNurse
29 April 2020 20:26
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This is a really good point #WeDNS https://twitter.com/lkashworth1/status/1255578962337595392 |
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@SamSherrington
29 April 2020 20:26
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@RitchieGeorgina @MarkBir41552571 @WeDistrictNurse @kennygibsonnhs That’s a good point Georgina #weDNs |
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@Helenakelly73
29 April 2020 20:26
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@RitchieGeorgina I think it can be an issue for any gender or age #Wedns |
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@WeCommNurses
29 April 2020 20:26
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#wedns thank you for joining and asking questions @theresahorne748 https://twitter.com/theresahorne748/status/1255577900276989952 |
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@saritajayne
29 April 2020 20:26
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@WeDistrictNurse #wedns i think it is a vital role of a community nurse we get to know many of the people we assist really well, I think you get a good feeling of the dynamic in the household after a while |
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@AgencyNurse
29 April 2020 20:27
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No have only suspected it once .... but we should still be aware and mindfull of it #WeDNs https://twitter.com/RitchieGeorgina/status/1255579117761761280 |
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@WeCommNurses
29 April 2020 20:27
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RT @saritajayne: @WeDistrictNurse #wedns i think it is a vital role of a community nurse we get to know many of the people we assist really… |
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@CharWSmith
29 April 2020 20:27
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@lkashworth1 @AgencyNurse @SamSherrington @WeDistrictNurse Absolutely! But abuse occurs not necessarily in the presence of a power imbalance (although many would argue otherwise) when that power imbalance is exploited. #WeDNs |
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@parveenazamali
29 April 2020 20:27
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@AgencyNurse @SamSherrington @CharWSmith @WeDistrictNurse #wedns it’s more about controlling the other person |
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@WeNurses
29 April 2020 20:27
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RT @saritajayne: @WeDistrictNurse #wedns i think it is a vital role of a community nurse we get to know many of the people we assist really… |
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@theresahorne748
29 April 2020 20:27
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@SamSherrington @CharWSmith @WeDistrictNurse In some cases it most likely is. The woman/man being allowed money to pay bills/do shopping etc. May appear as if they run the house but in actual fact its the other way around. #wedns |
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@emlucja
29 April 2020 20:29
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@saritajayne @WeDistrictNurse Agree. The DN are excellent at this but also feeding this to the wider MDT. So that as a whole health and social care system we can protect our population together. #wedns . |
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@RitchieGeorgina
29 April 2020 20:29
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@Helenakelly73 i agree Helena but when severity and frequency of IPA are taken into account women are disproportionately affected and age and fraility may add another layer of vulnerability ?#wedns |
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@SamSherrington
29 April 2020 20:29
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@RitchieGeorgina @MarkBir41552571 @WeDistrictNurse @kennygibsonnhs Depends if choice is a factor between the two comparisons #weDNs |
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@WeCommNurses
29 April 2020 20:29
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#wedns @nrcuk loves to stimulate debate , anyone want to respond https://twitter.com/nrcuk/status/1255578456127164416 |
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@RitchieGeorgina
29 April 2020 20:30
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Do you believe that intimate partner abuse is an issue for older women #wedns |
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@theresahorne748
29 April 2020 20:30
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@RitchieGeorgina @AgencyNurse @WeDistrictNurse How awful! However, shows the importance of your in being advocate for residents and patients. #wedns |
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@HeatherBain9
29 April 2020 20:30
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#wedns would not say it is age defined https://twitter.com/ritchiegeorgina/status/1255578834486820867 |
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@MarkBir41552571
29 April 2020 20:31
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@SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns I do believe abuse is seen as norm for some communities it right passage or ancestors to be acceptable |
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@WeNurses
29 April 2020 20:31
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RT @RitchieGeorgina: Do you believe that intimate partner abuse is an issue for older women #wedns |
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@AgencyNurse
29 April 2020 20:31
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RT @RitchieGeorgina: Do you believe that intimate partner abuse is an issue for older women #wedns |
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@emlucja
29 April 2020 20:31
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@RitchieGeorgina @saritajayne @WeDistrictNurse Yes I do. #wedns |
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@WeCommNurses
29 April 2020 20:31
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Thanks Brian #wedns https://twitter.com/brianwebster18/status/1255579961097891842 |
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@theresahorne748
29 April 2020 20:31
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@RitchieGeorgina @AgencyNurse @WeDistrictNurse I've worked in care homes since I qualified ied 9 years ago and have never come across safeguarding for IPA #wedns |
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@WeCommNurses
29 April 2020 20:32
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#weDNs an interesting question, have you been prepared to meet the needs of this issue ? https://t.co/kmsFzOlaJI |
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@saritajayne
29 April 2020 20:32
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@emlucja @WeDistrictNurse #wedns since covid we can now see the GPs notes which gives us an all around picture of what is going on with a person. |
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@WeNurses
29 April 2020 20:32
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RT @WeDistrictNurse: #weDNs an interesting question, have you been prepared to meet the needs of this issue ? https://t.co/kmsFzOlaJI |
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@AgencyNurse
29 April 2020 20:32
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RT @WeDistrictNurse: #weDNs an interesting question, have you been prepared to meet the needs of this issue ? https://t.co/kmsFzOlaJI |
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@SamSherrington
29 April 2020 20:32
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@CharWSmith @WeDistrictNurse I suspect the feeling of fear is overwhelming for witnesses and the people experiencing abuse. I’m thinking of children who witness this too #weDNs |
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@MarkBir41552571
29 April 2020 20:32
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@SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns silent acceptance and if you are vocal it makes you different |
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@RitchieGeorgina
29 April 2020 20:32
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@theresahorne748 @AgencyNurse @WeDistrictNurse have you any thoughts on the reason for this?#wedns |
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@HeatherBain9
29 April 2020 20:33
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RT @WeDistrictNurse: #weDNs an interesting question, have you been prepared to meet the needs of this issue ? https://t.co/kmsFzOlaJI |
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@RitchieGeorgina
29 April 2020 20:33
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RT @WeDistrictNurse: #weDNs an interesting question, have you been prepared to meet the needs of this issue ? https://t.co/kmsFzOlaJI |
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@emlucja
29 April 2020 20:33
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@WeDistrictNurse We have an excellent safeguarding team not not only provides training and support. They also join our senior safety huddle to again give support/education but also maybe pick up in issues that others are unsure about. #wedns |
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@MarkBir41552571
29 April 2020 20:34
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@parveenazamali @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns asían culture ( not stereotyping) but arranged marriages |
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@SamSherrington
29 April 2020 20:34
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@saritajayne @WeDistrictNurse Yes I agree, do you mean in terms of trust and relationship. We are ideally placed for this as community nurses #weDNs |
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@RitchieGeorgina
29 April 2020 20:34
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#wedns Do you feel that you have been adequately prepared and or educated to meet the needs of housebound patients where IPA is occurring? |
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@Helenakelly73
29 April 2020 20:34
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I agree especially when children are in lockdown, no safe spaces. #wedns https://twitter.com/samsherrington/status/1255580804966735887 |
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@Louise_Akeroyd
29 April 2020 20:34
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RT @RitchieGeorgina: Do you believe that intimate partner abuse is an issue for older women #wedns |
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@NRCUK
29 April 2020 20:34
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@WeDistrictNurse :) was a spinoff project from #troublesfamilies where several data sets across health, social care, police were aggregated to form risk of whole home. We know what causes outcomes (health, MH, abuse etc) we just seem to wait for them to present, no focus on prevention :( #wedns |
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@CharWSmith
29 April 2020 20:34
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@WeDistrictNurse Q4. I can categorically state that my pre- and post-reg training did not provide me with even a reasonable understanding of the definition, nature and extent of abuse never mind the resulting needs! I do believe education on this issue has improved these days thankfully #WeDNs |
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@lkashworth1
29 April 2020 20:34
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@WeDistrictNurse Definitely a vital role of the DN. You get a sense when things do not feel right in a home. Especially when someone speaks on someone else's behalf #weDNs |
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@AgencyNurse
29 April 2020 20:35
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#WeDNs https://twitter.com/ClaireLSutton/status/1255581163554590728 |
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@parveenazamali
29 April 2020 20:35
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@MarkBir41552571 @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns I think it’s not necessary about culture but remember abuse and violence is only recognised for only 3 decade max. We only started talking about it recently especially in healthcare. So those experiencing it in old age would consider it normal part of life |
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@MarkBir41552571
29 April 2020 20:35
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@parveenazamali @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns if the person not wanting immediately abuse but no way out for life or shamed |
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@RitchieGeorgina
29 April 2020 20:35
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@CharWSmith @WeDistrictNurse this is sad but i hear it frequently #wedns |
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@Helenakelly73
29 April 2020 20:35
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Yes I agree, the women I supported had debilitating illness and frightened of long term security if they spoke out #wedns https://twitter.com/ritchiegeorgina/status/1255579897428312064 |
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@theresahorne748
29 April 2020 20:36
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@RitchieGeorgina @AgencyNurse @WeDistrictNurse If I'm honest, I have never actually thought about it... #wedns |
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@CalvinMoorley
29 April 2020 20:36
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@HeatherBain9 #weDNs Do you think this holds much for eg 90% of DNS are female & we know ??women encounter IPA. Therefore DN may experience IPA Do these DNs access support and if not can they miss key indicators cause they ‘normalise’ to their situation thus missed opportunities to identify |
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@mdrumm88
29 April 2020 20:36
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@NRCUK @SamSherrington @RitchieGeorgina @MarkBir41552571 @WeDistrictNurse What kind of data are you talking about here nick? #wedns |
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@parveenazamali
29 April 2020 20:36
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@CharWSmith @WeDistrictNurse #wedns and because of nurse researcher like me taking interest in the topic |
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@ovationglas115
29 April 2020 20:36
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RT @WeDistrictNurse: #weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@RitchieGeorgina
29 April 2020 20:36
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@parveenazamali @MarkBir41552571 @SamSherrington @WeDistrictNurse @kennygibsonnhs #wedns i agree that there is lots of cultural norms for older women surrounding the sanctity of marriage would you? certainly a feminist issue? |
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@MarkBir41552571
29 April 2020 20:37
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@parveenazamali @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns totally agree acceptance. Norther culture ftom 40s was accepting of husband spending money down pub house bills kids were neglected. This moved into later life |
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@lkashworth1
29 April 2020 20:37
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@RitchieGeorgina @emlucja @saritajayne @WeDistrictNurse Confident to report concerns but whether these are acted on is often a different matter. Goes back to the issue of non disclosure, especially if there are no capacity concerns #weDNs |
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@WeCommNurses
29 April 2020 20:37
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What do other nurse educators think? #wedns https://twitter.com/charwsmith/status/1255581304550232067 |
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@lkashworth1
29 April 2020 20:37
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RT @WeDistrictNurse: #weDNs so is this a significant part of your role https://t.co/Kr4N3jBnyT |
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@WeCommNurses
29 April 2020 20:37
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#weDNs do you know how to access support and advice to support people you are caring for https://t.co/ockRRNnBWw |
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@RitchieGeorgina
29 April 2020 20:37
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RT @WeDistrictNurse: What do other nurse educators think? #wedns https://twitter.com/charwsmith/status/1255581304550232067 |
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@WeCommNurses
29 April 2020 20:38
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Do you have a formal proces?#wedns https://twitter.com/lkashworth1/status/1255581904675504135 |
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@RitchieGeorgina
29 April 2020 20:38
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RT @WeDistrictNurse: #weDNs do you know how to access support and advice to support people you are caring for https://t.co/ockRRNnBWw |
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@CharWSmith
29 April 2020 20:38
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@CalvinMoorley @HeatherBain9 I think you are absolutely spot on here - and I think this is true for the whole nursing population, not just DNs. Thank you for this insight. #WeDNs |
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@SamSherrington
29 April 2020 20:38
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@emlucja @RitchieGeorgina @saritajayne @WeDistrictNurse Yes we are #weDNs |
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@NRCUK
29 April 2020 20:38
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@mdrumm88 @SamSherrington @RitchieGeorgina @MarkBir41552571 @WeDistrictNurse #Wedns :) https://twitter.com/nrcuk/status/1255581297243799552?s=21 https://twitter.com/nrcuk/status/1255581297243799552 |
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@WeNurses
29 April 2020 20:38
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RT @CalvinMoorley: @HeatherBain9 #weDNs Do you think this holds much for eg 90% of DNS are female & we know ??women encounter IPA. Therefor… |
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@MarielyonsBrown
29 April 2020 20:38
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@SamSherrington @saritajayne @WeDistrictNurse Through the uniqueness of the Dn role as visitors in the home , we are ideally placed to pick up cues . Often it’s what’s unsaid that’s more telling #wedns |
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@RitchieGeorgina
29 April 2020 20:38
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RT @CalvinMoorley: @HeatherBain9 #weDNs Do you think this holds much for eg 90% of DNS are female & we know ??women encounter IPA. Therefor… |
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@MarkBir41552571
29 April 2020 20:38
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@parveenazamali @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns this was often seen as a class factor but actually it was abuse at its best |
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@AgencyNurse
29 April 2020 20:38
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RT @CalvinMoorley: @HeatherBain9 #weDNs Do you think this holds much for eg 90% of DNS are female & we know ??women encounter IPA. Therefor… |
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@WeCommNurses
29 April 2020 20:39
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#wedns an interesting perspective, what do others think https://twitter.com/calvinmoorley/status/1255581652430073862 |
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@CalvinMoorley
29 April 2020 20:39
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Have any DNs ever encounters situations where the male partner is the victim in IPA #wedns |
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@CharWSmith
29 April 2020 20:39
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@parveenazamali @WeDistrictNurse YES! Exactly this! #WeDNs |
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@PaulaSpooner2
29 April 2020 20:39
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@WeDistrictNurse #wedns All nurses receive Safeguarding training however, I think you could feel 100% prepared but due to the complex, unique nature of Safeguarding, a combined approach is necessary, hence why we have SG leads to discuss cases with. |
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@SamSherrington
29 April 2020 20:40
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@WeDistrictNurse Yes. Plus understanding where and how to seek expert input #nhssafeguarding #weDNs |
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@WeNurses
29 April 2020 20:40
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RT @CalvinMoorley: Have any DNs ever encounters situations where the male partner is the victim in IPA #wedns |
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@WeCommNurses
29 April 2020 20:40
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RT @CalvinMoorley: Have any DNs ever encounters situations where the male partner is the victim in IPA #wedns |
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@WeCommNurses
29 April 2020 20:40
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RT @PaulaSpooner2: @WeDistrictNurse #wedns All nurses receive Safeguarding training however, I think you could feel 100% prepared but due… |
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@ovationglas115
29 April 2020 20:40
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RT @saritajayne: @WeDistrictNurse #wedns i think it is a vital role of a community nurse we get to know many of the people we assist really… |
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@theresahorne748
29 April 2020 20:40
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@WeDistrictNurse @WeNurses I have had very little education in this area. University was intensive in this however since there has been little available (private care) #wedns |
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@RitchieGeorgina
29 April 2020 20:41
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@PaulaSpooner2 @WeDistrictNurse and does safe guarding training really get into the complexities of IPA? #wedns |
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@CharWSmith
29 April 2020 20:42
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@MarkBir41552571 @parveenazamali @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs Exactly. Power imbalances/structural inequality happens across the spectrum. #WeDNs |
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@ovationglas115
29 April 2020 20:42
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RT @WeDistrictNurse: #weDNs an interesting question, have you been prepared to meet the needs of this issue ? https://t.co/kmsFzOlaJI |
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@CalvinMoorley
29 April 2020 20:42
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@HeatherBain9 Welcome #WeDNs I was also thinking of how many of us are aware of any support offered to us as victims. If you went to your manager and said I’m experiencing IPA can they readily say we have a policy for staff who are IPA affected |
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@SamSherrington
29 April 2020 20:43
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@CalvinMoorley @HeatherBain9 This is a good point #weDNs |
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@irnbrufan
29 April 2020 20:43
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@WeDistrictNurse @nofeartcic and @FreedomProgramm are very useful resources for recognising the signs, they can also give advice on safety planning for victims which is essential #wedns |
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@WeCommNurses
29 April 2020 20:43
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Thanks Marlyn, what do others think? #wedns https://twitter.com/marylynrichards/status/1255583109489340419 |
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@lkashworth1
29 April 2020 20:43
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@WeDistrictNurse Through safeguarding hubs and Trust safeguarding leads. We would rely on other services reporting concerns. If multiple concerns are raised then more likely to be investigated than a singular concern from one agency #weDNs |
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@mdrumm88
29 April 2020 20:43
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@NRCUK @WeDistrictNurse Interesting. I imagine there's issues around appearing to stereotype & subsequent discussions would be difficult to navigate? Plus anything predictive/anticipatory is often overlooked. #wedns |
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@HeatherBain9
29 April 2020 20:44
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#wedns I would hope to think it has improved and any programme not addressing this issue needs this brought to their attention https://twitter.com/charwsmith/status/1255581304550232067 |
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@CharWSmith
29 April 2020 20:44
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@CalvinMoorley @HeatherBain9 Unison did some really interesting (and horrifying) research into the experience of people living with IPA in the workplace... just trying to locate it! #WeDNs |
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@lkashworth1
29 April 2020 20:44
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RT @FmhsNursing: Tweet chat about a very important issue #WeDNs @WeDistrictNurse |
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@RitchieGeorgina
29 April 2020 20:45
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#wedns Do you think that caring for housebound patients were intimate partner abuse his present is an important part of the district nursing role? |
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@WeCommNurses
29 April 2020 20:45
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This is an interesting question, do you believe mental capacity influences practitioner actions on this issue #weDNs https://t.co/1iWY1asN67 |
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@WeNurses
29 April 2020 20:45
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RT @HeatherBain9: #wedns I would hope to think it has improved and any programme not addressing this issue needs this brought to their atte… |
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@WeCommNurses
29 April 2020 20:45
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RT @RitchieGeorgina: @PaulaSpooner2 @WeDistrictNurse and does safe guarding training really get into the complexities of IPA? #wedns |
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@InuwaMNaj
29 April 2020 20:45
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RT @WeDistrictNurse: This is an interesting question, do you believe mental capacity influences practitioner actions on this issue #weDNs… |
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@CalvinMoorley
29 April 2020 20:45
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I’m thinking of Climbe and wondering how the recommendations for joined up thinking and working has been implemented #wedns |
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@MarkBir41552571
29 April 2020 20:45
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@CharWSmith @parveenazamali @SamSherrington @RitchieGeorgina @WeDistrictNurse @kennygibsonnhs #wedns I think wife’s or gay couples accepted it from 40s southern were more profession well off. Northern more industrial hsrder life , now growing up with those values in a changing world thst they may not wish to let go |
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@SamSherrington
29 April 2020 20:46
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@PaulaSpooner2 @RitchieGeorgina @WeDistrictNurse Exactly this #weDNs my level 3 training this year was brilliant, scenario based learning and wow I felt empowered. MDT learning together too @TraffordCCG |
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@RitchieGeorgina
29 April 2020 20:46
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RT @WeDistrictNurse: This is an interesting question, do you believe mental capacity influences practitioner actions on this issue #weDNs… |
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@MarkBir41552571
29 April 2020 20:46
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@RitchieGeorgina @CalvinMoorley @parveenazamali @SamSherrington @WeDistrictNurse @kennygibsonnhs #wedns or expected to stay in without a disability |
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@RitchieGeorgina
29 April 2020 20:47
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@HeatherBain9 perhaps there is a more generic focus on abuse and linked to 'mental capacity' ? #wedns |
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@CalvinMoorley
29 April 2020 20:47
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@WeDistrictNurse I don’t cover it as an entire topic but I use scenarios for safeguarding. I think it should be delivered from the nursing & sociopolitical lens #wedns |
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@lkashworth1
29 April 2020 20:48
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RT @RitchieGeorgina: #wedns Do you feel that you have been adequately prepared and or educated to meet the needs of housebound patients whe… |
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@MarkBir41552571
29 April 2020 20:49
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@RitchieGeorgina @CalvinMoorley @parveenazamali @SamSherrington @WeDistrictNurse @kennygibsonnhs #wedns exactly but not always intended just acceptance frown up seeing it from generations to generations so acquired behaviours default |
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@NRCUK
29 April 2020 20:49
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@mdrumm88 @SamSherrington @RitchieGeorgina @MarkBir41552571 @WeDistrictNurse Current (no tech): Suspicion noted MASH meeting Intervention ^6 months IF suspicion noted^ With tech: Live alert when data detects risk threshold Digital review ^happening live, irrespective of noted suspicion^ #wedns Tech is there, desire to evaluate digital & prevent is not :( |
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@SamSherrington
29 April 2020 20:49
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@MarielyonsBrown @saritajayne @WeDistrictNurse Tell me more about that instinct, does it drive you to ask more/change your approach etc? #weDNs |
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@CalvinMoorley
29 April 2020 20:49
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RT @WeDistrictNurse: Thanks Marlyn, what do others think? #wedns |
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@HeatherBain9
29 April 2020 20:50
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#wedns I think in undergraduate it is more generic but post registration is addressed usually with case based discussions in my experience. https://twitter.com/ritchiegeorgina/status/1255584549096038401 |
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@mdrumm88
29 April 2020 20:50
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@WeDistrictNurse Society isn't willing to accept the scale of the problem of IPA so there's no way nurse education can. #wedns |
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@theresahorne748
29 April 2020 20:50
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@marylynrichards @WeDistrictNurse Why only community nursing? #wedns |
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@emlucja
29 April 2020 20:50
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@SamSherrington @MarielyonsBrown @saritajayne @WeDistrictNurse I think it’s does. We talk about the first 15 steps on a ward. I feel that same when you walk I to a house/care home setting. #wedns |
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@AgencyNurse
29 April 2020 20:51
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@SamSherrington @MarielyonsBrown @saritajayne @WeDistrictNurse I think that instinct can lead us to ask questions, take note and consult with colleagues ..... and then this can lead to a change of approach and even raising concerns #WeDNs |
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@HeatherBain9
29 April 2020 20:51
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@RitchieGeorgina #wedns perhaps it’s a new chapter for the textbook of community nursing ???? |
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@lkashworth1
29 April 2020 20:51
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RT @RitchieGeorgina: Do you believe that intimate partner abuse is an issue for older women #wedns |
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@WeCommNurses
29 April 2020 20:52
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good point, what do others think? Why community? #wedns https://twitter.com/theresahorne748/status/1255585363160162304 |
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@SamSherrington
29 April 2020 20:52
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@WeDistrictNurse Safeguarding is everyone’s business, especially for community nurses #weDNs |
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@HeatherBain9
29 April 2020 20:52
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#wedns sometime education can lead practice https://twitter.com/mdrumm88/status/1255585281685798913 |
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@theresahorne748
29 April 2020 20:52
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@WeDistrictNurse Could someone explain this question a little more please? #wedns |
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@mdrumm88
29 April 2020 20:52
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@NRCUK @SamSherrington @RitchieGeorgina @MarkBir41552571 @WeDistrictNurse Could be post Covid, we have the stats to backup the need. #wedns |
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@WeCommNurses
29 April 2020 20:52
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RT @SamSherrington: @WeDistrictNurse Safeguarding is everyone’s business, especially for community nurses #weDNs |
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@MarkBir41552571
29 April 2020 20:52
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@RitchieGeorgina @CalvinMoorley @parveenazamali @SamSherrington @WeDistrictNurse @kennygibsonnhs #wedns I think we see a change in abuse with the new generations coming through life with different triggers |
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@CharWSmith
29 April 2020 20:53
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I agree... It is a public health issue, so it is covered in that module. It is structural inequality, so it comes into Leadership. It is a safeguarding issue, so it comes into that module. Embed the issue into the entire curriculum. #WeDNs https://twitter.com/CalvinMoorley/status/1255584634013974528 |
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@WeCommNurses
29 April 2020 20:53
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@RitchieGeorgina #wedns some clarity is required https://twitter.com/theresahorne748/status/1255585836177002496 |
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@PaulaSpooner2
29 April 2020 20:53
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@WeDistrictNurse #wedns Mental capacity can be a tricky one, but we have SG Leads who are well versed in this and can provide guidance to our nurses. We should always raise concerns, even if we’re not 100% sure on the complexities of this. |
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@RitchieGeorgina
29 April 2020 20:53
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@MarkBir41552571 @CalvinMoorley @parveenazamali @SamSherrington @WeDistrictNurse @kennygibsonnhs yes, perhaps as the perp grows frail with age the nature of abuse evolves...? #wedns |
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@WeCommNurses
29 April 2020 20:54
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#Wedns @RitchieGeorgina https://twitter.com/theresahorne748/status/1255585836177002496 |
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@MarkBir41552571
29 April 2020 20:54
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@mdrumm88 @NRCUK @SamSherrington @RitchieGeorgina @WeDistrictNurse #wedns I think I we will see trauma abuse or social depression deprivation as triggering points |
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@RitchieGeorgina
29 April 2020 20:55
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@theresahorne748 @WeDistrictNurse #wedns certainly, i suppose what i mean is as nurses are we more compelled to protect and advocate for a person with less capacity such as dementia then perhaps a woman with full capacity who chooses to live with the perpetrator? |
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@NRCUK
29 April 2020 20:55
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@mdrumm88 @SamSherrington @RitchieGeorgina @MarkBir41552571 @WeDistrictNurse We have 75 years of stats, but that isn’t enough to look at using digital to prevent harm, or ill health, still seem to plough more into helping those that have experienced abuse or failing health as that’s how the money flows :( prevention is less profitable than cure #Wedns |
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@WeCommNurses
29 April 2020 20:55
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RT @RitchieGeorgina: @theresahorne748 @WeDistrictNurse #wedns certainly, i suppose what i mean is as nurses are we more compelled to protec… |
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@InuwaMNaj
29 April 2020 20:56
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RT @RitchieGeorgina: @theresahorne748 @WeDistrictNurse #wedns certainly, i suppose what i mean is as nurses are we more compelled to protec… |
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@RitchieGeorgina
29 April 2020 20:56
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@theresahorne748 @WeDistrictNurse and perhaps we make assumptions about her because she chooses to stay? #wedns |
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@WeCommNurses
29 April 2020 20:56
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Time is running out any final thought #weDNs https://t.co/uiwNVsp5wr |
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@theresahorne748
29 April 2020 20:57
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@RitchieGeorgina @WeDistrictNurse Ah, yes I suppose we are. We essentially become their voice in the end and (rightly in wrongly) make their decisions for them at times. #wedns |
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@MarkBir41552571
29 April 2020 20:57
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@RitchieGeorgina @CalvinMoorley @parveenazamali @SamSherrington @WeDistrictNurse @kennygibsonnhs #wedns it will change with health conditions, new diseases and management, fall out from covid adding to it social isolation some not wanting to go back to friends so wife’s husbands told to stay in not mix |
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@RitchieGeorgina
29 April 2020 20:57
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#wedns Do you think current workforce challenges within district nursing may affect the delivery of care to housebound patients where IPA is occurring? |
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@SamSherrington
29 April 2020 20:57
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@RitchieGeorgina @theresahorne748 @WeDistrictNurse I think we should try to advocate for anyone who needs it #weDNs |
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@MarkBir41552571
29 April 2020 20:58
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@NRCUK @mdrumm88 @SamSherrington @RitchieGeorgina @WeDistrictNurse #wedns i think i today’s society it be hidden more people feel more shame coming forward |
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@RitchieGeorgina
29 April 2020 20:58
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@theresahorne748 @WeDistrictNurse and their is a risk of 'neglecting' those who have more voice? #wedns |
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@theresahorne748
29 April 2020 20:58
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@RitchieGeorgina @WeDistrictNurse A time where we do lack empathy then? #wedns |
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@AgencyNurse
29 April 2020 20:58
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Thanks #WeDNs for a really interesting discussion ... important topic to keep talking about #WeDNs |
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@WeNurses
29 April 2020 20:58
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RT @WeDistrictNurse: Time is running out any final thought #weDNs https://t.co/uiwNVsp5wr |
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@CharWSmith
29 April 2020 20:58
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@RitchieGeorgina @theresahorne748 @WeDistrictNurse YES - and also let's examine what "chooses" actually means here. If the choice is a grim BandB placement miles away from your kids' school, and your family and support networks, and you are more likely to be killed after leaving, then the sensible choice is to stay... #WeDNs |
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@NRCUK
29 April 2020 20:58
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@MarkBir41552571 @mdrumm88 @SamSherrington @RitchieGeorgina @WeDistrictNurse It is and has been well documented and evidenced for years, we are just seeing it on a population level now, yet we’ve had the benchmarking and ability to do it at an individual level for at least 5-6 years. Prevention simply isn’t sexy or where the NHS etc money flows :( #wedns |
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@WeCommNurses
29 April 2020 20:59
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Thanks all for some interesting discussion, a special thanks to @RitchieGeorgina for bringing this topic to @WeDistrictNurse for discussion #weDNs https://t.co/ZX8oxviJCT |
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@Helenakelly73
29 April 2020 20:59
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Be brave and be the voice #wedns @RitchieGeorgina |
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@SamSherrington
29 April 2020 20:59
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@WeDistrictNurse Thank you for an interesting chat, learned a lot by listening and learning from others #weDNs |
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@RitchieGeorgina
29 April 2020 20:59
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@theresahorne748 @WeDistrictNurse perhaps she fears telling may lead to her needing to go into a care home or nursing home? perhaps you have seen this #wedns |
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@HeatherBain9
29 April 2020 20:59
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#wedns Thanks all and great to see some new faces joining , looking forward to next weeks chat on eol. |
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