#ebnjc Transcript

Healthcare social media transcript of the #ebnjc hashtag.
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EBNursingBMJ @EBNursingBMJ
Your hosts for tonight's chat are @heblau and @robertaheale from @EBNursingBMJ #ebnjc
EBNursingBMJ @EBNursingBMJ
Hello & welcome to this chat - talking about inequalities in palliative care, in advance of this year's World Hospice and Palliative Care Day next Sunday 12th October. Firstly, who do we have here? Say hi and tell us where you are, and remember to use #ebnjc
EBNursingBMJ @EBNursingBMJ
STARTING NOW!! Twitter Chat with Laura Green @heblau and Roberta Heale @robertaheale from EBN to discuss how nurses can ensure Palliative Care for all. #ebnjc https://t.co/jjXqWpTkTS
Roberta Heale @robertaheale
#ebnjc Hello Everyone. Welcome to the Chat @heblau Looking forward to learning from you about palliative care!
Roberta Heale @robertaheale
#ebnjc It's Roberta, Associate Editor at EBN. I live in Canada. I'm a nurse practitioner and professor. Many research interests, including advance care planning.
Roberta Heale @robertaheale
#ebnjc @heblau Laura, what led you to your interest in Palliative care?
EBNursingBMJ @EBNursingBMJ
@robertaheale Hi Roberta - so, we are talking about inequalities in end of life care tonight, what are the kinds of inequalities that face people in Canada? #ebnjc
Roberta Heale @robertaheale
#ebnjc I'd have to say the resources to allow people to receive palliative care and in the place of their choice
EBNursingBMJ @EBNursingBMJ
Don't forget to include the hashtag #ebnjc so we can follow the conversation
EBNursingBMJ @EBNursingBMJ
This document outlines some of the key #inequalities in the UK #whpcd19 #ebnjc https://t.co/RTei1A4dvg @hospiceuk
Roberta Heale @robertaheale
#ebnjc @heblau Interesting...both deal with life in some format....
EBNursingBMJ @EBNursingBMJ
@lisakidd22 @BridgetJohnst @hospiceuk would love to hear more about this research #ebnjc #whpcd19
Roberta Heale @robertaheale
#ebnjc The inequalities in the UK may be different from my area. There is the physical space: rural, northern and remote to overcome. Most people have to travel to cities to receive palliative care and most options are hospitals.
Dr Liz Bailey 💙 @Liz8ailey
RT @EBNursingBMJ: Hello & welcome to this chat - talking about inequalities in palliative care, in advance of this year's World Hospice and Palliative Care Day next Sunday 12th October. Firstly, who do we have here? Say hi and tell us where you are, and remember to use #ebnjc
EBNursingBMJ @EBNursingBMJ
To understand inequalities, we need to understand what the universal needs of people are as they face the end of life. Thoughts? #ebnjc #whpcd19
EBNursingBMJ @EBNursingBMJ
RT @lisakidd22:
EBNursingBMJ @EBNursingBMJ
RT @heblau:
Roberta Heale @robertaheale
#ebnjc Hopefully this is something that is improving
EBNursingBMJ @EBNursingBMJ
@robertaheale unfortunately not rapidly enough - see this report https://t.co/44awr30oky #ebnjc
Roberta Heale @robertaheale
#ebnjc Agree. Seems that inequalities for palliative care may mirror inequalities in other areas. Something to be aware of as healthcare providers
EBNursingBMJ @EBNursingBMJ
@CalvinMoorley Remember to use the #ebnjc hashtag so your comments appear in the twitter chat
EBNursingBMJ @EBNursingBMJ
What are the universal needs of people facing the end of life? #ebnjc #whpcd19
EBNursingBMJ @EBNursingBMJ
Don't forget to use the hashtag #ebnjc so we can see your comments
EBNursingBMJ @EBNursingBMJ
RT @lisakidd22:
Roberta Heale @robertaheale
#ebnjc Great to know about resources for vulnerable, hard to reach populations
EBNursingBMJ @EBNursingBMJ
@CalvinMoorley Can you share any research in this area, Calvin #ebnjc #whpcd19
EBNursingBMJ @EBNursingBMJ
RT @heblau:
Roberta Heale @robertaheale
#ebnjc The report shows that in deprived areas with as many community resources as non-deprived, there are less adequate palliative care services. So, not a resource issue...then, what might be the reasons?
EBNursingBMJ @EBNursingBMJ
@robertaheale attitudes and beliefs? timely identification of needs? #ebnjc
EBNursingBMJ @EBNursingBMJ
RT @robertaheale: #ebnjc The report shows that in deprived areas with as many community resources as non-deprived, there are less adequate palliative care services. So, not a resource issue...then, what might be the reasons?
Roberta Heale @robertaheale
#ebnjc Its disheartening to still hear people worry about their dying family member becoming addicted when the morphine is used to ease their pain while dying
EBNursingBMJ @EBNursingBMJ
RT @robertaheale: #ebnjc I'd have to say the resources to allow people to receive palliative care and in the place of their choice
Roberta Heale @robertaheale
#ebnjc yes, and being in a deprived area, there are likely many more day-to-day issues to address beyond health care. Takes the focus off of the palliative care needs
Dr Liz Bailey 💙 @Liz8ailey
RT @EBNursingBMJ: This document outlines some of the key #inequalities in the UK #whpcd19 #ebnjc https://t.co/RTei1A4dvg @hospiceuk
EBNursingBMJ @EBNursingBMJ
RT @robertaheale: #ebnjc yes, and being in a deprived area, there are likely many more day-to-day issues to address beyond health care. Takes the focus off of the palliative care needs
Roberta Heale @robertaheale
#ebnjc About 7 years ago a palliative care initiative was launched in my province (Ontario). Nurse Practitioners, working on a palliative care team, provide services to hospital, hospice and homes. Able to provide care to vulnerable and hard-to-reach people
MAGICYL @Team_MAGICYL
Late to chat but our work on dignity therapy for CYP with life limiting conditions rekevant ti chat #ebnjc
MAGICYL @Team_MAGICYL
RT @EBNursingBMJ: To understand inequalities, we need to understand what the universal needs of people are as they face the end of life. Thoughts? #ebnjc #whpcd19
MAGICYL @Team_MAGICYL
What were key messages from review? #ebnjc
EBNursingBMJ @EBNursingBMJ
A key priority for this year's #whpcd19 is to raise the profile of palliative care inequalities in your country - what would you say is the number one thing that needs to change? #ebnjc
Roberta Heale @robertaheale
#ebnjc That's horrible! I can't imagine how difficult the deaths are for them.
Roberta Heale @robertaheale
#ebnjc Although it is improving, I think better service to people in their homes.
MAGICYL @Team_MAGICYL
Recognising end if life care is essential across the life soan #ebnjc
MAGICYL @Team_MAGICYL
Many isuses such as uncertain illness trajectories, paternalism, lack of appropriate interventions .....#ebnjc
Roberta Heale @robertaheale
#ebnjc 1/2 Palliative care is broadly defined and people are brought into the program well before they are in the last stages of dying...so that's good. However, they are strict about providing service in some cases
Roberta Heale @robertaheale
#ebnjc 2/2 for example, refused to add one of my patients to the program because her family wanted to keep her hydrated by IV or nasogastric tube.
EBNursingBMJ @EBNursingBMJ
@robertaheale outreach services are essential if palliative care is to be accessed in a range of settings - is there a potential role for telehealth in areas where distances to services prevent access? #ebnjc #whpcd19
Roberta Heale @robertaheale
#ebnjc absolutely! Telehealth is already utilized for things like medication updates etc. Many times, it's the actual physical care that is lacking in the community.
Roberta Heale @robertaheale
#ebnjc Yes, that's what I thought. But hydration was a 'no go' for their program. I've asked them to review policies.
Roberta Heale @robertaheale
#ebnjc @heblau Has there been any change in Cambodia toward better palliative care, since you were there?
Roberta Heale @robertaheale
#ebnjc Great resource!!
MAGICYL @Team_MAGICYL
Here is our review abstract for anyone interested #ebnjc https://t.co/LppSMgWnbr
Roberta Heale @robertaheale
RT @heblau:
Roberta Heale @robertaheale
#ebnjc wonderful! This is a great resource
MAGICYL @Team_MAGICYL
Agree good to network have tweeted our review #ebnjc
EBNursingBMJ @EBNursingBMJ
RT @heblau:
EBNursingBMJ @EBNursingBMJ
RT @heblau:
Roberta Heale @robertaheale
#ebnjc So the issue is very complex. Not enough preventative care, not enough screening, monitoring and treatment all leads to late ca diagnosis and horrible, painful death. Tragic
EBNursingBMJ @EBNursingBMJ
With just under 10 minutes to go and so many interesting threads, what are your thoughts on the biggest priority for widening access to palliative care? #ebnjc #whpcd19
EBNursingBMJ @EBNursingBMJ
@josmith175 Great, glad you could join us - biggest priority in your opinion for improving access to palliative care? #ebnjc
EBNursingBMJ @EBNursingBMJ
@bridgetjohnst Fascinating - any publications or blogs to share in advance of World Hospice & Palliative Care Day? #ebnjc #whpcd19
EBNursingBMJ @EBNursingBMJ
RT @BridgetJohnst:
Roberta Heale @robertaheale
#ebnjc Internationally, access to medication for adequate pain and symptom management is essential
Dr Liz Bailey 💙 @Liz8ailey
RT @EBNursingBMJ: With just under 10 minutes to go and so many interesting threads, what are your thoughts on the biggest priority for widening access to palliative care? #ebnjc #whpcd19
EBNursingBMJ @EBNursingBMJ
RT @robertaheale: #ebnjc Internationally, access to medication for adequate pain and symptom management is essential
Roberta Heale @robertaheale
#ebnjc Great to see you on the chat @josmith175 !!
EBNursingBMJ @EBNursingBMJ
Eek where has that hour gone? Last thoughts before we go and apply a warm compress to our aching eyes? #ebnjc
Roberta Heale @robertaheale
RT @heblau:
Adj Prof Karen Price, 20-22 RACGP Past Prez @brookmanknight
RT @heblau:
Andrew Flannery @andyflan
#ebnjc intresting chat
Roberta Heale @robertaheale
#ebnjc Thanks for all the comments and links to reports and articles. Great resources!
EBNursingBMJ @EBNursingBMJ
Thank you so much for joining and giving us your time and thoughts - watch this space for a post-chat summary #ebnjc and remember to follow #whpcd19 on 12th October to find out more about this global day of action
Sue Newsome @suenewse99
RT @heblau:
Wilfred McSherry @WilfredMcSherr1
RT @josmith175:
#ebnjc content from Twitter.