#NPchat Transcript
Healthcare social media transcript of the #NPchat hashtag.
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See #NPchat Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | AANP @AANP_NEWS RT @StephenNP: Looking forward to #NPChat. Would love to have more #NursePractitioners, #NP Students & other clinicians join the conversation. |
 | NPChat @np_chat Hello everyone and welcome to another #NPChat! Thanks for joining us tonight. Here are some guidelines we ask you to keep in mind. Remember to use #NPChat on all of your responses. https://t.co/nP5AFTJWhV |
| NPChat @np_chat As always, we start #NPChat with introductions. Name/Specialty/Location https://t.co/9hMPEcLdWG |
 | Phyllis @tohaveserenity @np_chat #NPChat Phyllis Smith APRN Cincinnati Ohio, adult gerontology. Still looking for first position |
| NPChat @np_chat @MelissaAGNP Welcome back Melissa! Great to see you again #NPChat |
| NPChat @np_chat @tohaveserenity Hi Phyllis! Thanks for joining #NPChat |
| NPChat @np_chat Our topic tonight is care for the older adult #NPChat |
| NPChat @np_chat @USNursing Hi Allison! Great to see you #NPChat |
| NPChat @np_chat @JaanpEditor Greetings again Kim! Welcome back to #NPChat |
| NPChat @np_chat T1: According to the @TheIHI & @johnahartford, the 4Ms are the essential elements of high-quality care for older adults and, when implemented together, indicate a broad shift by health systems to focus on the needs of older adults. #NPChat |
| NPChat @np_chat Most health systems are practicing the 4Ms with some older adults, some of the time. The 4Ms are: 1. What Matters: 2. Medication: 3. Mentation 4. Mobility #NPChat #NPTwitter #NPsWhoTweet |
| NPChat @np_chat T1: The 4Ms of an #AgeFriendly Health System #NPChat https://t.co/133E52mLps |
| NPChat @np_chat T1: Which of the 4Ms do you already incorporate? How reliably are they practiced? #NPChat https://t.co/olrKPt3zjO |
 | Journal of the American Assoc of NPs @JaanpEditor @np_chat #npchat We see many patients whose meds are a mess due to lack of communication between providers. Spend a lot of time on that. |
 | 𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP @np_chat T1: My facility uses a well being model which encompasses the 4Ms. Every situation is unique but I’d say the 4Ms are regularly addressed most of the time. #NPChat |
| NPChat @np_chat RT @JaanpEditor: @np_chat #npchat We see many patients whose meds are a mess due to lack of communication between providers. Spend a lot of time on that. |
| NPChat @np_chat RT @MelissaAGNP: @np_chat T1: @np_chat T1: My facility uses a well being model which encompasses the 4Ms. Every situation is unique but I’d say the 4Ms are regularly addressed most of the time. #NPChat |
| 𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP @JaanpEditor @np_chat So true! Despite best efforts communication between providers can be very challenging. Most of our local hospitals use Epic, but not all the notes or results are available to view so you have to get medical records to request which takes time. #NPchat |
| NPChat @np_chat Moving on to T2: What do some clinicians misunderstand about providing care to older adults? Remember to use #NPChat in your responses :-) https://t.co/s28VeWOlA3 |
 | Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @JaanpEditor @np_chat I completely agree. There is a gap in communication resources especially across provider settings. Most EHRs are not interoperable. #NPchat |
| Journal of the American Assoc of NPs @JaanpEditor @np_chat #NPChat There are vast differences in abilities, not all 80 year olds are the same. |
| 𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP @np_chat T2: More meds/interventions does not equal better outcomes. It’s important to clarify goals before any intervention. Tailor your plan to match the patient’s goals! #NPchat |
| Journal of the American Assoc of NPs @JaanpEditor @USNursing @np_chat #NPChat Following up on EHRs, we just switched to Athena from Practice Fusion. It has been very frustrating. Records are not transferred over. |
| NPChat @np_chat RT @MelissaAGNP: @np_chat T2: @np_chat T2: More meds/interventions does not equal better outcomes. It’s important to clarify goals before any intervention. Tailor your plan to match the patient’s goals! #NPchat |
| NPChat @np_chat @USNursing @tohaveserenity @JaanpEditor What are some ways we can improve this? #NPChat |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat Acute Delirium especially! Recently had a delightful 97yo patient A&Ox3 living on own until moved to a nursing home and developed delirium. Staff treated her like she had end stage dementia and I had to call the attending to advocate for her. Within 3 days back to normal #NPchat |
| Journal of the American Assoc of NPs @JaanpEditor @np_chat @USNursing @tohaveserenity #NPChat I think we as clinicians need to speak up more about EHRs, which are designed for billing and not pt care. |
| NPChat @np_chat RT @USNursing: @np_chat Acute Delirium especially! Recently had a delightful 97yo patient A&Ox3 living on own until moved to a nursing home and developed delirium. Staff treated her like she had end stage dementia and I had to call the attending to advocate for her. Within 3 days back to normal #NPchat |
| 𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP @tohaveserenity @np_chat @USNursing And then meds are added which tends to make things worse #NPChat |
| NPChat @np_chat @JaanpEditor @USNursing @tohaveserenity Even the "best" EMRs leave a lot to be desired! #NPChat |
| NPChat @np_chat RT @USNursing: @JaanpEditor @np_chat I completely agree. There is a gap in communication resources especially across provider settings. Most EHRs are not interoperable. #NPchat |
| NPChat @np_chat T3: Why is providing age-friendly care personally important to you? #NPChat https://t.co/XQb4hl6cJB |
 | Marie-Louise @Predmaeden RT @USNursing: @JaanpEditor @np_chat I completely agree. There is a gap in communication resources especially across provider settings. Most EHRs are not interoperable. #NPchat |
| Journal of the American Assoc of NPs @JaanpEditor @np_chat #NPChat I feel as protective of elderly patients as of pediatric patients. |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat T2: not all older adults have the support or the resources at home to comply with a plan of care. It’s not that they don’t want to. They can’t. They also won’t offer this information. Need to individualize care #shareddecisionmaking #NPchat |
| NPChat @np_chat @DegenhardtErica Hello Erica! So glad that you made it to tonights #NPChat! Jump right in! |
| NPChat @np_chat RT @USNursing: @np_chat T2: @np_chat T2: not all older adults have the support or the resources at home to comply with a plan of care. It’s not that they don’t want to. They can’t. They also won’t offer this information. Need to individualize care #shareddecisionmaking #NPchat |
| 𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP @np_chat T3: People of different ages typically have different goals of care. Looking at someone as a whole, finding out what is important to them, and working towards their goals is what we should strive for all patients. #NPChat |
| Marie-Louise @Predmaeden @np_chat Because they deserve to be treated with dignity and respect #NPChat |
| NPChat @np_chat RT @MelissaAGNP: @np_chat T3: @np_chat T3: People of different ages typically have different goals of care. Looking at someone as a whole, finding out what is important to them, and working towards their goals is what we should strive for all patients. #NPChat |
| Marie-Louise @Predmaeden RT @USNursing: @np_chat T2: @np_chat T2: not all older adults have the support or the resources at home to comply with a plan of care. It’s not that they don’t want to. They can’t. They also won’t offer this information. Need to individualize care #shareddecisionmaking #NPchat |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat Older adults need advocates to navigate an already confusing health care system. All age groups have different needs but it’s not what should define how you approach care delivery. Patient care needs to be individualized. #NPChat |
| NPChat @np_chat RT @USNursing: @np_chat Older adults need advocates to navigate an already confusing health care system. All age groups have different needs but it’s not what should define how you approach care delivery. Patient care needs to be individualized. #NPChat |
| NPChat @np_chat We have made it to T4: What tips or pearls do you have for your approach to the older adult with complex health issues? #NPChat https://t.co/8KIGdUS2YJ |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat T3: I feel so overprotective of my elderly patients. Aging can be difficult and overwhelming for some. Emotionally, Physically, Financially. It’s important to provide much needed support. #NPchat |
| Marie-Louise @Predmaeden @np_chat I try to reduce meds. I do struggle to find age appropriate aka Beer's list meds that treat anxiety and insomnia. #NPChat |
| NPChat @np_chat RT @Predmaeden: @np_chat I try to reduce meds. I do struggle to find age appropriate aka Beer's list meds that treat anxiety and insomnia. #NPChat |
| Journal of the American Assoc of NPs @JaanpEditor @np_chat #NPChat I also try to reduce meds. These pts need an advocate and someone who will coordinate with other providers. |
| NPChat @np_chat RT @JaanpEditor: @np_chat #NPChat I also try to reduce meds. These pts need an advocate and someone who will coordinate with other providers. |
| NPChat @np_chat @JaanpEditor Do you have the opportunity to work with a pharmacist when de-prescribing? #NPChat |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat T4: Be weary of polypharmacy. Just because they’ve taken a med for a decade doesn’t mean it’s doing any good. #NPchat |
| NPChat @np_chat RT @USNursing: @np_chat T4: @np_chat T4: Be weary of polypharmacy. Just because they’ve taken a med for a decade doesn’t mean it’s doing any good. #NPchat |
| Journal of the American Assoc of NPs @JaanpEditor @np_chat #NPChat Yes, there are pharmacists available in the clinic for anything complex. |
| NPChat @np_chat @DegenhardtErica And there should be #TransitionalCare resources available to patients as well #NPChat |
| 𝕤𝕥𝕚𝕝𝕝 𝕓𝕖𝕛𝕖𝕨𝕖𝕝𝕖𝕕 @MelissaAGNP @np_chat T4: Deprescribing as much as possible, clearly defining goals of care, having discussions about advance care planning early (MOST forms are amazing!). #NPChat |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat T4: Chronic disease care has become increasingly complex for both patients and providers. It is crucial for providers to also care for each other just as much. #providerburnout #NPchat |
| Marie-Louise @Predmaeden RT @np_chat: T1: T1: The 4Ms of an #AgeFriendly Health System #NPChat https://t.co/133E52mLps |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @np_chat @JaanpEditor It’s already so hard to find time to make a call to a pharmacist for routine prescribing needs. I wish I had pharmacist support for de-prescribing #NPchat |
| NPChat @np_chat That wraps up our hour of #NPChat. We had to compete with the #DemocraticDebate tonight & we heard from some #NursePractitioners who were unable to join. But, you can always jump in and join the chat on your time by following our thread. |
| NPChat @np_chat #NPChat will be back next Tuesday at 8 PM EST. We'd love to hear any feedback, thoughts or suggestions you have for future topics. Our DMs are open. #NPTwitter #NPsWhoTweet |
| Journal of the American Assoc of NPs @JaanpEditor @np_chat #NPChat Thank you! |
| Allison Norful PhD, RN, ANP-BC, FAAN @USNursing @DegenhardtErica @np_chat Curious...what mode of Communication do you use with PCPs when care transitions? We struggle with this. We’re lucky if We get discharge paperwork or sometimes even knowing a pt is admitted. #NPchat |
| NPChat @np_chat @LeeMossNP No worries Lee. We are always happy to have you join #NPChat. |
| NPChat @np_chat RT @USNursing: @np_chat @JaanpEditor It’s already so hard to find time to make a call to a pharmacist for routine prescribing needs. I wish I had pharmacist support for de-prescribing #NPchat |
 | Stephen Ferrara, NP, FAAN (he/him/his) @StephenNP RT @np_chat: T1: T1: The 4Ms of an #AgeFriendly Health System #NPChat https://t.co/133E52mLps |
 | Gretchen Schumacher @gschumacher Looking forward to more on this this week through AAhCM conference keynote presentation! |
#NPchat content from Twitter.