#WeNurses - Thursday 31st May 2018 8pm (GMT Standard Time) Protected mealtimes

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During a recent #WeNurses Tweetchat on "The role of carers" the subject of protected mealtimes was raised by some of the participants:



So we thought it would be a great idea to explore this topic in it's own tweetchat:

Protected mealtimes can be described as an initiative to "allow patients to eat their meals without unnecessary interruption, and to enable nursing stuff to provide assistance to those patients unable to eat independently." (NSPA 2004) This makes mealtimes important with the idea that nurses can focus on helping those who need assistance and mealtimes can enjoyable for the people we care for.  This all sounds good in theory ... but what is the reality ? How can we ensure that protected mealtimes work ?  

This #WeNurses discussion aims to explore the following questions:

  • What do we mean by protected mealtimes?
  • What is the evidence behind protected mealtimes?
  • Do protected mealtimes get lost in translation? If so how do we overcome this? 
  • What works well when implementing protected mealtimes?
  • What doesn't work well re protected mealtimes? 
  • What other things can we consider when exploring how we can ensure all patients have adequate nutrition and hydration when in hospital? 





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 #WeNurses transcript

 
@WeStudentNurse
31 May 2018 20:00
Do you think gender matters when it comes to providing personal care? Come and join us next Wednesday at 8pm to discuss this and other questions as part of our #MenIntoNursing chat! Pre-chat info >>> http://www.wecommunities.org/tweet-chats/chat-details/4196 #WeStNs #WeNurses #StudentNurse https://t.co/SM20d5mX0W
@mynameisAndyJ
31 May 2018 20:00
RT @WeNurses: Hello and welcome to tonights #WeNurses on Protected Mealtimes .... who is joining us for the next hour ? https://t.co/ZHyCMJ…
@leemiller77
31 May 2018 20:00
@WeNurses Not joined in a while but looking forward to this topic from rainy Zürich #WeNurses
@Bartontd
31 May 2018 20:00
RT @WeNurses: Hello and welcome to tonights #WeNurses on Protected Mealtimes .... who is joining us for the next hour ? https://t.co/ZHyCMJ…
@HannahSTN
31 May 2018 20:00
@WeNurses Me!! :D #WeNurses
@AgencyNurse
31 May 2018 20:00
Hello Teresa here - interesting topic tonight we don't have protected mealtimes where i work but always very mindful of not disturbing peoples meals #Wenurses
@schoolnurse17
31 May 2018 20:00
Hello there #WeNurses
@mynameisAndyJ
31 May 2018 20:01
Hello Looking forward to this chat, i have some very strong view on this area and what needs to be done ensure its truly embedded #WeNurses I am not a nurse as many of you know but a facilities lead
@WeNurses
31 May 2018 20:01
QUESTION 1 What do we mean by protected mealtimes? #WeNurses https://t.co/wHycHnxhCN
@WeNurses
31 May 2018 20:01
@AgencyNurse @leemiller77 @HannahSTN @schoolnurse17 @mynameisAndyJ welcome to tonights #WeNurses :)
@leemiller77
31 May 2018 20:02
@WeNurses Not joined a chat in a while but looking forward to this topic from rainy Zürich #WeNurses
@AgencyNurse
31 May 2018 20:02
Welcome Andy - your views are very much welcomed this evening #WeNurses https://twitter.com/mynameisAndyJ/status/1002263755236020225
@BevMatthews_
31 May 2018 20:02
@WeNurses Hello Bev here. Looking forward to tonight's chat #WeNurses
@WeCYPnurses
31 May 2018 20:02
RT @WeNurses: Hello and welcome to tonights #WeNurses on Protected Mealtimes .... who is joining us for the next hour ? https://t.co/ZHyCMJ…
@WeNurses
31 May 2018 20:02
Welcome ! #WeNurses https://twitter.com/leemiller77/status/1002263955522416640
@WeMHNurses
31 May 2018 20:02
RT @WeNurses: Hello and welcome to tonights #WeNurses on Protected Mealtimes .... who is joining us for the next hour ? https://t.co/ZHyCMJ…
@mynameisAndyJ
31 May 2018 20:02
RT @WeNurses: QUESTION 1 What do we mean by protected mealtimes? #WeNurses https://t.co/wHycHnxhCN
@WeNurses
31 May 2018 20:02
Hi Bev and welcome #WeNurses https://twitter.com/BevMatthews_/status/1002264051261591552
@Bartontd
31 May 2018 20:02
Dave in Swansea - lurking - as a matter of interest waht does a protected meal time mean. Protected from WHO ???? #wenurses
@AnnMarieRiley10
31 May 2018 20:03
@WeNurses Aim is to ensure patients can eat their meals without unnecessary interruptions from clinical staff #wenurses
@WeNurses
31 May 2018 20:03
And by coincidence this is the first question !! Welcome Dave #WeNurses https://twitter.com/Bartontd/status/1002264182325202946
@WeNurses
31 May 2018 20:03
RT @AnnMarieRiley10: @WeNurses Aim is to ensure patients can eat their meals without unnecessary interruptions from clinical staff #wenurses
@WeNurses
31 May 2018 20:04
Just kicking off with tonights #wenurses on "Protected Mealtimes" here's the prechat http://www.wecommunities.org/tweet-chats/chat-details/4178 Not chatted before? Click #wenurses to see the chat Add #wenurses to your tweets to join in! Everybody welcome!!!
@AgencyNurse
31 May 2018 20:04
Isn't it about people receiving the right meal at the right time and having the right help with that meal? #WeNurses
@johnsonmich18
31 May 2018 20:04
RT @WeNurses: And by coincidence this is the first question !! Welcome Dave #WeNurses https://twitter.com/Bartontd/status/1002264182325202946
@AnnMarieRiley10
31 May 2018 20:04
RT @WeNurses: Just kicking off with tonights #wenurses on "Protected Mealtimes" here's the prechat http://www.wecommunities.org/tweet-chats/chat-details/4178 Not chatted befo…
@mynameisAndyJ
31 May 2018 20:05
Protected Meal Times ie about allowing patients/clients to not only eat meals in peace but ensure they are ready for the meals and limit the noise and activity on the wards #WeNurses
@nicola_stirling
31 May 2018 20:05
@AnnMarieRiley10 @WeNurses Agreed #wenurses
@LeaBasra
31 May 2018 20:05
@WeNurses A time where there is no interuptions to patients and nurses so patients can eat their meal in peace or nurses can help feed a patient without interruptions #WeNurses this should include tests xrays ect are not done during this time
@WeNurses
31 May 2018 20:05
Welcome @Bartontd Thanks for joining... hope you are well rested :) #wenurses VVV good point VVV views? https://twitter.com/Bartontd/status/1002264182325202946
@AgencyNurse
31 May 2018 20:05
@Bartontd yes never quite sure that "protected' is the right word ... think it can lead to misinterpretation #WeNurses
@BevMatthews_
31 May 2018 20:05
@WeNurses A quiet time when the focus is on enjoying the meal without clinical interruption or distraction #WeNurses
@thesismum
31 May 2018 20:05
RT @WeNurses: Just kicking off with tonights #wenurses on "Protected Mealtimes" here's the prechat http://www.wecommunities.org/tweet-chats/chat-details/4178 Not chatted befo…
@WeNurses
31 May 2018 20:05
RT @BevMatthews_: @WeNurses A quiet time when the focus is on enjoying the meal without clinical interruption or distraction #WeNurses
@HannahSTN
31 May 2018 20:05
I've seen different things within the same wards - in some, protected mealtimes means staff can't do procedures, examinations etc. On others, it means visitors can't come in unless they are assisting someone to eat #WeNurses https://twitter.com/WeNurses/status/1002263894935601153
@princessandtoad
31 May 2018 20:05
@AgencyNurse Shame staff don’t get protected meal times #WeNurses
@thesismum
31 May 2018 20:05
RT @WeNurses: And by coincidence this is the first question !! Welcome Dave #WeNurses https://twitter.com/Bartontd/status/1002264182325202946
@WeStudentNurse
31 May 2018 20:06
RT @WeNurses: QUESTION 1 What do we mean by protected mealtimes? #WeNurses https://t.co/wHycHnxhCN
@AgencyNurse
31 May 2018 20:06
@BevMatthews_ @WeNurses Does it always have to be a "quiet time" though Bev ? To some meals are a social time ? #WeNurses
@WeNurses
31 May 2018 20:06
@AnnMarieRiley10 @nicola_stirling @LeaBasra @princessandtoad Welcome to tonights #wenurses... thanks for joining in :) Happy connecting, sharing and learning this eve!
@AgencyNurse
31 May 2018 20:06
Absolutely !!! We should implement this too !! #WeNurses https://twitter.com/princessandtoad/status/1002264888545247232
@WeNurses
31 May 2018 20:06
RT @AgencyNurse: @BevMatthews_ @WeNurses Does it always have to be a "quiet time" though Bev ? To some meals are a social time ? #WeNurses
@AnnMarieRiley10
31 May 2018 20:06
@AgencyNurse The right help might be from family or friends who might be prevented from visiting at mealtimes #wenurses
@HannahSTN
31 May 2018 20:06
RT @BevMatthews_: @WeNurses A quiet time when the focus is on enjoying the meal without clinical interruption or distraction #WeNurses
@leemiller77
31 May 2018 20:06
@WeNurses Letting our patients have an enjoyable meal time without it being interrupted with unnecessary procedures or issues #wenurses
@AgencyNurse
31 May 2018 20:07
Yes i think that this is important #WeNurses https://twitter.com/AnnMarieRiley10/status/1002265146646056960
@WeCYPnurses
31 May 2018 20:07
RT @WeNurses: QUESTION 1 What do we mean by protected mealtimes? #WeNurses https://t.co/wHycHnxhCN
@LeaBasra
31 May 2018 20:07
@WeNurses @AnnMarieRiley10 @nicola_stirling @princessandtoad I wont be here for full chat leaving for night shift at 20:30. But will hopefully catch up what was missed on my break #WeNurses
@princessandtoad
31 May 2018 20:07
@AgencyNurse If only. I find Mac and Cheese awful after I’ve nuked it for the 8th time #WeNurses
@nicola_stirling
31 May 2018 20:07
@WeNurses @AnnMarieRiley10 @LeaBasra @princessandtoad Thanks! I am an OT but v interested in this topic & think we have alot to offer #wenurses
@mynameisAndyJ
31 May 2018 20:07
@HannahSTN https://twitter.com/HannahSTN/status/1002264881436004352 #wenurses Hannah great points in the 2nd in lies a major problem with the interpretation of PMT
@HannahSTN
31 May 2018 20:07
Oops, I meant in the same Trust! #WeNurses
@WeNurses
31 May 2018 20:08
RT @mynameisAndyJ: @HannahSTN https://twitter.com/HannahSTN/status/1002264881436004352 #wenurses Hannah great points in the 2nd in lies a major problem with the interpretat…
@WeDocs
31 May 2018 20:08
Interesting chat on "protected mealtimes" over on @wenurses via #wenurses Do feel free to join in.... https://twitter.com/WeNurses/status/1002263894935601153
@WeNurses
31 May 2018 20:08
#WeNurses https://twitter.com/StrongKaron/status/1002265107626328064
@HannahSTN
31 May 2018 20:08
@mynameisAndyJ Exactly - mealtimes should be social! #WeNurses
@BevMatthews_
31 May 2018 20:08
@AgencyNurse @WeNurses love that challenge Teresa ! one of the things i noticed missing on my #rtp was the dining table - usually at the top of the ward! but yes, we often would hear people in a bay of 4 chatting happily during this time #WeNurses
@HannahSTN
31 May 2018 20:08
RT @AnnMarieRiley10: @AgencyNurse The right help might be from family or friends who might be prevented from visiting at mealtimes #wenurses
@nutritionlizA
31 May 2018 20:09
@DrUmeshPrabhu @WeNurses What does that even mean? @DrUmeshPrabhu #wenurses
@WeNurses
31 May 2018 20:09
QUESTION 2 What is the evidence behind protected mealtimes? #WeNurses https://t.co/TZrjjMWG9h
@HannahSTN
31 May 2018 20:09
@nicola_stirling @WeNurses @AnnMarieRiley10 @LeaBasra @princessandtoad Interested to know how OTs could be involved with protected mealtimes! :) #WeNurses
@mynameisAndyJ
31 May 2018 20:09
@AgencyNurse #wenurses Lets remember it was Florence Nightengale who suggested and embed Protected Meal Times and here we are still talking about it!! Somethings not right with the culture and importance of food and drink in recovery/care
@nicola_stirling
31 May 2018 20:09
@LeaBasra @WeNurses Or enable them to feed themselves #wenurses
@HistNursingEU
31 May 2018 20:10
The #WeNurses students are asking questions and there’s A LOT of #histnursing in this one! Follow them next Wednesday! https://twitter.com/westudentnurse/status/1001855756063465472
@HannahSTN
31 May 2018 20:10
Honestly I've never thought to look into it, but I'm interested to see what people have to offer on this! #WeNurses https://twitter.com/WeNurses/status/1002265833870168065
@WeStudentNurse
31 May 2018 20:10
RT @WeNurses: QUESTION 2 What is the evidence behind protected mealtimes? #WeNurses https://t.co/TZrjjMWG9h
@WeNurses
31 May 2018 20:10
@LeaBasra @AnnMarieRiley10 @nicola_stirling @princessandtoad have a great shift @LeaBasra! All the #wenurses chats are archived here http://www.wecommunities.org/tweet-chats/chat-archive , so check in when you can :) Thanks for saying hi
@AgencyNurse
31 May 2018 20:10
This is sad to hear .... a dining table so important when eating, i think in this day and age we can forget this ... we perhaps need to make space for this again in our clinical areas #WeNurses https://twitter.com/BevMatthews_/status/1002265661517819904
@WeMidwives
31 May 2018 20:10
RT @WeNurses: QUESTION 2 What is the evidence behind protected mealtimes? #WeNurses https://t.co/TZrjjMWG9h
@AgencyNurse
31 May 2018 20:11
RT @mynameisAndyJ: @AgencyNurse #wenurses Lets remember it was Florence Nightengale who suggested and embed Protected Meal Times and here w…
@lizmogs
31 May 2018 20:11
@AnnMarieRiley10 @WeNurses Yes I’d go with similar definition of patients being able to have their food without being disturbed by anyone. Noting that some patients do not like eating whilst being watched by relatives~how do we enable relatives to assist some to eat without disturbing others? #WeNurses
@AgencyNurse
31 May 2018 20:11
#Wenurses https://twitter.com/StrongKaron/status/1002265745345142785
@princessandtoad
31 May 2018 20:11
@HannahSTN @nicola_stirling @WeNurses @AnnMarieRiley10 @LeaBasra Assisting with equipment to promote independence at meal times #WeNurses
@Louise90999815
31 May 2018 20:11
RT @WeNurses: Just kicking off with tonights #wenurses on "Protected Mealtimes" here's the prechat http://www.wecommunities.org/tweet-chats/chat-details/4178 Not chatted befo…
@thesismum
31 May 2018 20:12
RT @AgencyNurse: Absolutely !!! We should implement this too !! #WeNurses https://twitter.com/princessandtoad/status/1002264888545247232
@AnnMarieRiley10
31 May 2018 20:12
@WeNurses Haven't seen any evidence to support preventing family and friends visiting during mealtimes #wenurses
@Bartontd
31 May 2018 20:12
@AgencyNurse "Assured" or "Guanteed" MEALTIME ?? #WENURSES
@WeNurses
31 May 2018 20:12
#wenurses https://twitter.com/nicola_stirling/status/1002266479587397633
@AgencyNurse
31 May 2018 20:12
Evidence ... i found a couple of things ... both saying more evidence needed > https://www.ncbi.nlm.nih.gov/pubmed/27866011 and http://cochranelibrary-wiley.com/o/cochrane/clcentral/articles/007/CN-01379007/frame.html #WeNurses
@mynameisAndyJ
31 May 2018 20:12
@johnsonmich18 @louisechicks1 #WeNurses I agree with you fully hate the word feeding we feed animals we nourish and help with food for humans
@HannahSTN
31 May 2018 20:12
@AgencyNurse My current placement has some dining tables that fold out so we can encourage patients to eat together - but last time I tried they all declined! #WeNurses
@AgencyNurse
31 May 2018 20:12
but suspect that it's all in the delivery of the protected mealtimes #WeNurses
@princessandtoad
31 May 2018 20:13
@AgencyNurse @BevMatthews_ @WeNurses I use it as a social event #endPJparalysis encourage them to attend to the day room. Socialising meal time #WeNurses
@BevMatthews_
31 May 2018 20:13
@AgencyNurse yes! i think its important to create the physical space for protected meal times #WeNurses
@AgencyNurse
31 May 2018 20:13
Is this a cultural thing now though ? I know many families who don't eat at a table #WeNurses https://twitter.com/HannahSTN/status/1002266626333560832
@AgencyNurse
31 May 2018 20:13
Me too #WeNurses https://twitter.com/BevMatthews_/status/1002266830851985408
@WeStudentNurse
31 May 2018 20:14
RT @HistNursingEU: The #WeNurses students are asking questions and there’s A LOT of #histnursing in this one! Follow them next Wednesday! h…
@WeNurses
31 May 2018 20:14
Nice answer though #WeNurses https://twitter.com/StrongKaron/status/1002266854923145218
@thesismum
31 May 2018 20:14
RT @mynameisAndyJ: @AgencyNurse #wenurses Lets remember it was Florence Nightengale who suggested and embed Protected Meal Times and here w…
@Bartontd
31 May 2018 20:14
RT @WeNurses: QUESTION 2 What is the evidence behind protected mealtimes? #WeNurses https://t.co/TZrjjMWG9h
@cea_william
31 May 2018 20:15
RT @AnnMarieRiley10: @WeNurses Haven't seen any evidence to support preventing family and friends visiting during mealtimes #wenurses
@cea_william
31 May 2018 20:15
RT @WeNurses: QUESTION 2 What is the evidence behind protected mealtimes? #WeNurses https://t.co/TZrjjMWG9h
@HistNursingEU
31 May 2018 20:15
RT @mynameisAndyJ: @AgencyNurse #wenurses Lets remember it was Florence Nightengale who suggested and embed Protected Meal Times and here w…
@NRCUK
31 May 2018 20:16
@AgencyNurse Lurking on #wenurses having just had a yummy tea on the go.... https://t.co/tlZg9feJm7
@mynameisAndyJ
31 May 2018 20:16
We do we allow patients to be disturbed during meals? How do we feel when the phone rings or door goes as we are about to eat? ask yourself next time your on a ward at mealtimes #WeNurses
@princessandtoad
31 May 2018 20:16
@AnnMarieRiley10 @cea_william @WeNurses What if they come to assist or support. When I worked in an ED unit, we encouraged families to support at meal times when service user was being prepared for discharge. #WeNurses
@WeNurses
31 May 2018 20:16
#wenurses https://twitter.com/StrongKaron/status/1002266854923145218
@Bartontd
31 May 2018 20:16
RT @WeNurses: Nice answer though #WeNurses https://twitter.com/StrongKaron/status/1002266854923145218
@LeaBasra
31 May 2018 20:16
@WeNurses Havnt seen evidence but i believe its to ensure patients have had adequate diet and fluids or that no patients have missed food while at other dept having tests #WeNurses
@WeNurses
31 May 2018 20:17
RT @AgencyNurse: Is this a cultural thing now though ? I know many families who don't eat at a table #WeNurses https://twitter.com/HannahSTN/status/1002266626333560832
@AgencyNurse
31 May 2018 20:17
Also no unnecessary meds #WeNurses https://twitter.com/mrsmuter/status/1002267277738246145
@AgencyNurse
31 May 2018 20:17
#WeNurses https://twitter.com/StrongKaron/status/1002267664079835136
@emeatyard1
31 May 2018 20:17
@LeaBasra @WeNurses Go to go ,but please please please can we stop saying #feed the patient or help to #feed the patient . We are not at a Zoo. We are assisting aren’t we ? The minute we use that word #feed we have moved our mindset into ‘ We hold the fork, spoon , cup .#WeNurses
@princessandtoad
31 May 2018 20:17
#WeNurses I used to eat my lunch with patients when I worked in nursing homes, as a lot of residents would appreciate this.
@WeNurses
31 May 2018 20:18
An excellent point #WeNurses https://twitter.com/emeatyard1/status/1002267895769026561
@SarahJLT
31 May 2018 20:18
@lizmogs @WeNurses @AnnMarieRiley10 For Patients to eat their meals without being disturbed by anyone .. The ward I am going to for my Supervised and as a NQN they support it and we have to completely go away unless they are poorly #wenurses
@HannahSTN
31 May 2018 20:18
@AgencyNurse I wondered if it was because they're unwell! I don't think I would be very social if I wasn't feeling great. The time before that I got out the table, those patients loved it! #WeNurses
@nicola_stirling
31 May 2018 20:18
@HannahSTN @AgencyNurse Perhaps that was not meaningful to them? Can't assume all want to eat together #wenurses
@AgencyNurse
31 May 2018 20:18
Could we do more of this ? #WeNurses https://twitter.com/princessandtoad/status/1002267920783892480
@BevMatthews_
31 May 2018 20:18
@mrsmuter @StrongKaron @AgencyNurse @WeNurses agree, and no dressings or complex conversations on a hungry stomach #WeNurses
@AnnMarieRiley10
31 May 2018 20:18
@princessandtoad @cea_william @WeNurses Not sure there is robust evidence either way but definitely none to justify preventing families helping at mealtime which is sadly the case in many areas #wenurses
@lizmogs
31 May 2018 20:18
@WeNurses When introduced it did highlight how many times patients were being disturbed during their meal by various members of the MDT for things that could wait until they had finished~ we just hadn’t registered the impact of what we had been doing #WeNurses #StepBackToSee
@AgencyNurse
31 May 2018 20:18
@HannahSTN i guess the answer is we are all individuals ! #WeNurses
@mynameisAndyJ
31 May 2018 20:19
@princessandtoad @AnnMarieRiley10 @cea_william @WeNurses #Wenurses Agree fully https://twitter.com/princessandtoad/status/1002267544965836801 who knows a patient more than a loved one, we should encourage one person to come in and help the patient eat if they need assistance -
@WeNurses
31 May 2018 20:19
Just joining in? We are chatting about "protected mealtimes" via #wenurses Jump in by 1. clicking on > #wenurses < to see the chat 2. Adding #wenurses to your tweets to join in the conversation Prechat info here http://www.wecommunities.org/tweet-chats/chat-details/4178 All welcome....
@princessandtoad
31 May 2018 20:19
@AgencyNurse Half the time the residents ate my lunch instead of their own, ?? #WeNurses
@Bartontd
31 May 2018 20:19
@AgencyNurse Gauranteed !!!! Never was good at spelling !!! #wenurses
@WeNurses
31 May 2018 20:19
#WeNurses https://twitter.com/cea_william/status/1002268183993245696
@HannahSTN
31 May 2018 20:19
@nicola_stirling @WeNurses @AnnMarieRiley10 @LeaBasra @princessandtoad Sounds very interesting, thank you for the insight! #WeNurses
@WeNurses
31 May 2018 20:20
QUESTION 3 Do protected mealtimes get lost in translation? If so how do we overcome this? #WeNurses https://t.co/7WB07dqfJC
@WeNurses
31 May 2018 20:20
@Bartontd @AgencyNurse but amazing at communicating :) #wenurses
@WeNurses
31 May 2018 20:20
(anyone else feeling hungry with all the food gifs tonight??) #WeNurses
@WeCYPnurses
31 May 2018 20:21
RT @WeNurses: QUESTION 3 Do protected mealtimes get lost in translation? If so how do we overcome this? #WeNurses https://t.co/7WB07dqfJC
@AgencyNurse
31 May 2018 20:21
RT @WeNurses: QUESTION 3 Do protected mealtimes get lost in translation? If so how do we overcome this? #WeNurses https://t.co/7WB07dqfJC
@princessandtoad
31 May 2018 20:21
@WeNurses #WeNurses at times it does, as staff become task orientated not service user focused
@HannahSTN
31 May 2018 20:21
I think so! Who are we protecting them from - staff? Visitors? Other patients? I think there needs to be a clear guideline that people can refer to. #WeNurses https://twitter.com/WeNurses/status/1002268545663856640
@WeStudentNurse
31 May 2018 20:21
RT @WeNurses: QUESTION 3 Do protected mealtimes get lost in translation? If so how do we overcome this? #WeNurses https://t.co/7WB07dqfJC
@princessandtoad
31 May 2018 20:22
@cea_william @AnnMarieRiley10 @WeNurses Sponsor me and I’ll do the research #WeNurses
@WeNurses
31 May 2018 20:22
Shared earlier #wenurses https://twitter.com/kelly_c_t/status/1001955431944769536
@JeepersMcCoy
31 May 2018 20:22
@SarahJLT @lizmogs @WeNurses @AnnMarieRiley10 When my husband was very sick in Hospital last year. I would take a sandwich in and we would eat lunch together. Having a meal sitting together was something normal we could do during a very scary and difficult time. I know it really helped both of us. #WeNurses
@leemiller77
31 May 2018 20:22
@mynameisAndyJ @princessandtoad @AnnMarieRiley10 @cea_william @WeNurses Completely agree with this, sometimes having a family member there will make the difference between someone eating well or poorly through their knowledge #WeNurses
@WeNurses
31 May 2018 20:22
Shared earlier #WeNurses https://twitter.com/sothemusicplays/status/1002076450424590336
@BevMatthews_
31 May 2018 20:22
@emeatyard1 @LeaBasra @WeNurses these are great Elizabeth - looking forward to learning more about your work - its important #WeNurses #futurenursing
@nicola_stirling
31 May 2018 20:22
@HannahSTN @WeNurses @AnnMarieRiley10 @LeaBasra @princessandtoad OT is about supporting people to engage in occupations / activities that are important or essential to them, e&d right up there! #wenurses
@WeNurses
31 May 2018 20:22
Shared yesterday #wenurses https://twitter.com/just_tux/status/1001912650475999233
@JeepersMcCoy
31 May 2018 20:23
@SarahJLT @lizmogs @WeNurses @AnnMarieRiley10 I don't think we should underestimate the theraputic value of friends and family sharing a meal time even if they are not actively needing to help someone eat. #WeNurses
@MickyC22
31 May 2018 20:24
RT @WeNurses: QUESTION 3 Do protected mealtimes get lost in translation? If so how do we overcome this? #WeNurses https://t.co/7WB07dqfJC
@mynameisAndyJ
31 May 2018 20:24
Sadly it does get lost - I have seen many different barriers to a bell being rung and everyone asked to leave the wards, too it's just about the actual service time only #WeNurses
@AnnMarieRiley10
31 May 2018 20:24
@WeNurses I believe so - the focus should be how we can optimise food, environment and support to enable patients to eat a meal - blanket ban on visitors , not considering the environment and social aspects of mealtimes etc misses the point I think #Wenurses
@anais_langue
31 May 2018 20:24
I have seen so many patients having their mealtimes disrupted by professionals. I think that the idea of protected mealtimes needs to be taught to the whole mdt #WeNurses
@leemiller77
31 May 2018 20:25
@WeNurses #wenurses if you ask ten people on a ward what protected meal times are you'll probably get the answer that that it's about providing positive mealtimes but 10 different way this is carried out, i.e. no visitors, no procedures, no interuptions, no transfers etc...
@HannahSTN
31 May 2018 20:25
@mynameisAndyJ I've seen bells being rung too! It's a bit far I think #WeNurses
@AgencyNurse
31 May 2018 20:25
From conversations i have had on here recently yes i think so .... i think we need to clearly articulate what we mean #WeNurses https://twitter.com/WeNurses/status/1002268545663856640
@emeatyard1
31 May 2018 20:25
@LeaBasra @WeNurses You haven’t , we have all done it . It’s about recognition of that, and the putting ourselves in that place . Would I like to hear someone say ‘I’m just about to feed Mrs Meatyard’ No I wouldn’t it’s demeaning .#wenurses
@AgencyNurse
31 May 2018 20:25
Very well said #WeNurses https://twitter.com/AnnMarieRiley10/status/1002269567140458497
@WeNurses
31 May 2018 20:26
RT @leemiller77: @WeNurses #wenurses if you ask ten people on a ward what protected meal times are you'll probably get the answer that that…
@mynameisAndyJ
31 May 2018 20:26
Its lost as groups like Drs feel that it does not refer to them! But protected Meal times covers all staff so cultural change is required from the BMA down #WeNurses lets remember its one of the ten key characteristics - which is endorsed by RCN and Hosptial food Plan
@RachMc1984
31 May 2018 20:26
RT @WeNurses: Hello and welcome to tonights #WeNurses on Protected Mealtimes .... who is joining us for the next hour ? https://t.co/ZHyCMJ…
@AgencyNurse
31 May 2018 20:26
@leemiller77 @WeNurses i think you are right ... so we need to be clear on what it is and what we are trying to achieve #WeNurses
@sisterpembo
31 May 2018 20:27
@WeNurses #WeNurses meal times and nutrition are plans of care high importance/understanding of our patients nutritional needs which drives the meal service. As some say nutrition is a prescription of care/medicine
@nicola_stirling
31 May 2018 20:27
@lizsargeant Therapists need to be on the wards over meal times, totally agree @PTOTSLTdept #wenurses, so much to offer
@WeNurses
31 May 2018 20:27
Have a good shift #Wenurses https://twitter.com/RachMc1984/status/1002270102669221888
@EmilyGoss23
31 May 2018 20:27
@WeNurses I personally think family should be educated and encouraged to take part in meal times. I see in some places restricted visiting at meal times but visitors can be a great resource! #wenurses
@LeaBasra
31 May 2018 20:27
@WeNurses Yes and when i did work on a ward that had protected meal times it was ignored by staff family were told to leave as it was protected meal times which im my mind they should be able to stay and assist their relative if needed #WeNurses
@mynameisAndyJ
31 May 2018 20:28
@AnnMarieRiley10 @WeNurses #Wenurses agree fully Ann-Marie https://twitter.com/AnnMarieRiley10/status/1002269567140458497 the words need changing to #MealTimesMatter
@WeNurses
31 May 2018 20:28
Absolutely - so how can we make them feel welcome and valued ? #WeNurses https://twitter.com/EmilyGoss23/status/1002270409037885441
@WeNurses
31 May 2018 20:29
#WeNurses - an excellent point #Wenurses https://twitter.com/StrongKaron/status/1002270603091595264
@mynameisAndyJ
31 May 2018 20:29
RT @WeNurses: Absolutely - so how can we make them feel welcome and valued ? #WeNurses https://twitter.com/EmilyGoss23/status/1002270409037885441
@nicola_stirling
31 May 2018 20:29
@leemiller77 @mynameisAndyJ @princessandtoad @AnnMarieRiley10 @cea_william @WeNurses Agree fully, person centred care #wenurses
@nutritionlizA
31 May 2018 20:29
@HannahSTN @AgencyNurse Good point. Not everyone feels like being sociable at mealtimes. Some prefer to be alone. So the choice is important. #Wenurses
@AgencyNurse
31 May 2018 20:30
#WeNurses - interestingly currently trying to loose some weight and one piece of advice is to sit around a table and give the meal your full focus .... makes sense #WeNurses https://twitter.com/joeyakoyork/status/1002270652735385600
@WeNurses
31 May 2018 20:31
QUESTION 4 What works well when implementing protected mealtimes? #WeNurses https://t.co/fKL6aVJWTS
@LeaBasra
31 May 2018 20:31
@emeatyard1 @WeNurses Personally i dont feel i would be bothered if someone was to say they coming to “feed” me different areas have different backgrounds different slang and terminologys so aslong as words are used that they will understand and accept is important #WeNurses
@AgencyNurse
31 May 2018 20:31
RT @WeNurses: QUESTION 4 What works well when implementing protected mealtimes? #WeNurses https://t.co/fKL6aVJWTS
@BevMatthews_
31 May 2018 20:31
@HannahSTN @AgencyNurse i agree, it needs to be personal to the individual - and that may change from day to day #WeNurses
@mynameisAndyJ
31 May 2018 20:32
It's not just about the actual meal time! #WeNurses It needs cover ensuing the patient is ready for the meals, wash hands etc, dressed and out of bed (if they are able) to after the meal asking if they enjoyed it, if they did not eat it all ask why and record intake -
@AgencyNurse
31 May 2018 20:32
@LeaBasra @emeatyard1 @WeNurses the whole 'feed' thing bothers me too ... hate this terminology .. it's about helping and assisting .... saw feed written on a form recently and crossed it out and wrote assistance #WeNurses
@WeCYPnurses
31 May 2018 20:33
RT @WeNurses: QUESTION 4 What works well when implementing protected mealtimes? #WeNurses https://t.co/fKL6aVJWTS
@WeMidwives
31 May 2018 20:33
RT @WeNurses: QUESTION 4 What works well when implementing protected mealtimes? #WeNurses https://t.co/fKL6aVJWTS
@WeNurses
31 May 2018 20:33
This is surely the tweet of the evening !!! #WeNurses https://twitter.com/glabbo/status/1002271649633357824
@glabbo
31 May 2018 20:33
RT @WeNurses: QUESTION 3 Do protected mealtimes get lost in translation? If so how do we overcome this? #WeNurses https://t.co/7WB07dqfJC
@NRCUK
31 May 2018 20:33
RT @WeNurses: This is surely the tweet of the evening !!! #WeNurses https://twitter.com/glabbo/status/1002271649633357824
@AnnMarieRiley10
31 May 2018 20:33
@mynameisAndyJ We changed our mealtime audit process to capture exactly those elements #WeNurses
@nicola_stirling
31 May 2018 20:33
@mynameisAndyJ Which is why it should have more MDT involvement #wenurses Person focused not task focused
@AgencyNurse
31 May 2018 20:33
Nicely said Andy (are you sure you are not a nurse???) #WeNurses https://twitter.com/mynameisAndyJ/status/1002271543777427456
@EmilyGoss23
31 May 2018 20:34
@WeNurses I can be challenging on wards but if we can make time to warmly welcome them. Have open and honest conversations about the importance of mealtimes and the important role they can play. Visitors usually welcome having a purpose. #WeNurses
@NRCUK
31 May 2018 20:34
@WeNurses Hmmmm where's the evidence for common sense? :) #WeNurses
@mynameisAndyJ
31 May 2018 20:34
@WeNurses #Wenurses https://twitter.com/WeNurses/status/1002271280920514560 Allows staff to plan the day around mealtimes (after all its the same time every day) allows patients who need help to be given help, enables food and drink intake to be recorded - creates normality to patients
@leemiller77
31 May 2018 20:34
@WeNurses #wenurses Involve patient's, involve families, involve carers - don't just rely on professionals points of views. At the end of the day patient centred care is meant to be at the heart of what we do
@AgencyNurse
31 May 2018 20:34
hahahaha !!! #WeNurses https://twitter.com/NRCUK/status/1002272017780019205
@WeNurses
31 May 2018 20:34
RT @leemiller77: @WeNurses #wenurses Involve patient's, involve families, involve carers - don't just rely on professionals points of views…
@mynameisAndyJ
31 May 2018 20:34
RT @AnnMarieRiley10: @mynameisAndyJ We changed our mealtime audit process to capture exactly those elements #WeNurses
@nicola_stirling
31 May 2018 20:35
@PTOTSLTdept @lizsargeant Defo, may be a way off yet but would love to really consider it #wenurses
@HannahSTN
31 May 2018 20:35
@WeNurses I've found its been developing the confidence to ask other staff members to come back later if they've tried to do any interventions or discussions! #WeNurses
@keeling_michael
31 May 2018 20:35
RT @nicola_stirling: @mynameisAndyJ Which is why it should have more MDT involvement #wenurses Person focused not task focused
@AgencyNurse
31 May 2018 20:35
Of course protected mealtimes are not a set place in time ... someone may not be hungry between 12 & 1pm but want their meal at 2pm ... we need to be person centred with this apporach #WeNurses
@WeStudentNurse
31 May 2018 20:35
RT @WeNurses: QUESTION 4 What works well when implementing protected mealtimes? #WeNurses https://t.co/fKL6aVJWTS
@youvegotanthony
31 May 2018 20:35
@WeNurses Person-centred meal times sounds better? Protected makes it sound like we are trying to keep something at bay. #WeNurses
@mynameisAndyJ
31 May 2018 20:35
RT @leemiller77: @WeNurses #wenurses Involve patient's, involve families, involve carers - don't just rely on professionals points of views…
@AgencyNurse
31 May 2018 20:36
Absolutely @mynameisAndyJ #WeNurses https://twitter.com/AnnMarieRiley10/status/1002272416285020160
@sisterpembo
31 May 2018 20:36
RT @mynameisAndyJ: @WeNurses #Wenurses https://twitter.com/WeNurses/status/1002271280920514560 Allows staff to plan the day around mealtimes (after all its the same time e…
@EmilyGoss23
31 May 2018 20:36
@WeNurses Getting the whole MDT on board. #WeNurses
@AgencyNurse
31 May 2018 20:36
This sounds like a much better way of describing this to me #WeNurses https://twitter.com/youvegotanthony/status/1002272464444018688
@WeNurses
31 May 2018 20:36
What do we think folks? #WeNurses https://twitter.com/youvegotanthony/status/1002272464444018688
@WeNurses
31 May 2018 20:37
RT @EmilyGoss23: @WeNurses Getting the whole MDT on board. #WeNurses
@AgencyNurse
31 May 2018 20:37
RT @WeNurses: What do we think folks? #WeNurses https://twitter.com/youvegotanthony/status/1002272464444018688
@mynameisAndyJ
31 May 2018 20:37
@AgencyNurse I just learn and work with great nurses and teams #wenurses We all work for the same thing the patients we serve and care for each day - every patient is my mum that is how i look at things
@BevMatthews_
31 May 2018 20:37
there is no rule i know of to stop this from being the new norm! #wenurses #perceptions @neilgchurchill @wlasinclair @SheelaghMachin https://twitter.com/AnnMarieRiley10/status/1002268095778639872
@AgencyNurse
31 May 2018 20:38
@mynameisAndyJ i think we need more of you Andy :) #WeNurses
@WeNurses
31 May 2018 20:38
RT @BevMatthews_: there is no rule i know of to stop this from being the new norm! #wenurses #perceptions @neilgchurchill @wlasinclair @She…
@keeling_michael
31 May 2018 20:39
@nicola_stirling @mynameisAndyJ Def not just a #wenurses activity, more #MDT involvement @WeAHPs so much involved with eating and enjoying a meal..
@mynameisAndyJ
31 May 2018 20:39
@WeNurses #wenurses I am biased as I go around speaking at events about #MealTimesMatters https://twitter.com/WeNurses/status/1002272734255165441 this says what it says on the can in my view - Also we need to remember staff need their own #MealTimesMatters
@WeNurses
31 May 2018 20:39
QUESTION 5 What doesn't work well re protected mealtimes? #WeNurses https://t.co/WybGQBjWyz
@WeNurses
31 May 2018 20:39
RT @mynameisAndyJ: @WeNurses #wenurses I am biased as I go around speaking at events about #MealTimesMatters https://twitter.com/WeNurses/status/1002272734255165441 this s…
@WeNurses
31 May 2018 20:40
RT @keeling_michael: @nicola_stirling @mynameisAndyJ Def not just a #wenurses activity, more #MDT involvement @WeAHPs so much involved with…
@alimully
31 May 2018 20:40
@AgencyNurse Good point, especially when rules such as not reheating food are in place, not hungry at 12? You have to wait till next mealtime at 6! #wenurses
@AnnMarieRiley10
31 May 2018 20:40
@BevMatthews_ @neilgchurchill @wlasinclair @SheelaghMachin None at all - just needs willingness to change #wenurses
@DrUmeshPrabhu
31 May 2018 20:40
RT @mynameisAndyJ: @AgencyNurse I just learn and work with great nurses and teams #wenurses We all work for the same thing the patients we…
@AgencyNurse
31 May 2018 20:41
Mmmm yes this is not really conducive to encouraging people to eat #WeNurses https://twitter.com/alimully/status/1002273574093279232
@BurtonAlison
31 May 2018 20:41
RT @WeNurses: This is surely the tweet of the evening !!! #WeNurses https://twitter.com/glabbo/status/1002271649633357824
@AgencyNurse
31 May 2018 20:41
#WeNurses https://twitter.com/MargaretRoweUoS/status/1002273571660550144
@AgencyNurse
31 May 2018 20:41
RT @WeNurses: QUESTION 5 What doesn't work well re protected mealtimes? #WeNurses https://t.co/WybGQBjWyz
@DrUmeshPrabhu
31 May 2018 20:41
@mynameisAndyJ @AgencyNurse Well said but Culture of #Bullying creates bad culture poor team work8ng and #patient suffer. Leaders must create culture of staff happiness so that patients get great care #WeNurses
@nicola_stirling
31 May 2018 20:41
@keeling_michael @mynameisAndyJ @WeAHPs Cultural changes on wards being embedded slowly thanks to things like #endPJparalysis #wenurses
@DeeDavies12
31 May 2018 20:41
@WeNurses #WeNurses I agree .. people centred care means giving individualised care - hence everyone's individual dietary needs and requirements will be accommodated.
@mynameisAndyJ
31 May 2018 20:42
@WeNurses #wenurses Now I am going to face the wrath of my peers! But it won't work if we keep delivering the meals at different times each day its about consistency
@WeNurses
31 May 2018 20:42
#WeNurses https://twitter.com/alimully/status/1002273963844792320
@WeNurses
31 May 2018 20:42
RT @mynameisAndyJ: @WeNurses #wenurses Now I am going to face the wrath of my peers! But it won't work if we keep delivering the meals at d…
@PUNCadp
31 May 2018 20:42
@AgencyNurse There is nothing worse than seeing the nurses where I work at the weekend interrupt lunchtimes... Makes me so angry #WeNurses
@HannahSTN
31 May 2018 20:42
The confusion around who it is for! But also, I've had medical staff tell me when I've mentioned protected meal times that they're too busy to abide by it. I've also noticed it doesn't seem to apply to going off the ward for scans etc. #WeNurses https://twitter.com/WeNurses/status/1002273465410445313
@WeStudentNurse
31 May 2018 20:42
RT @WeNurses: QUESTION 5 What doesn't work well re protected mealtimes? #WeNurses https://t.co/WybGQBjWyz
@Andie_E
31 May 2018 20:42
@WeNurses Hi..sorry just noticed subject! Q5..Senior staff often avoid actual feeding. #issue #WeNurses
@WeNurses
31 May 2018 20:43
RT @Andie_E: @WeNurses Hi..sorry just noticed subject! Q5..Senior staff often avoid actual feeding. #issue #WeNurses
@AnnMarieRiley10
31 May 2018 20:43
@WeNurses Can bring transfers from acute areas, urgent tests and reviews etc to a halt - all of which may need to happen and don't necessarily stop patients getting their meal #wenurses
@keeling_michael
31 May 2018 20:43
Totally agree... #WeNurses https://twitter.com/youvegotanthony/status/1002272464444018688?s=21
@mynameisAndyJ
31 May 2018 20:43
To make PMT work the culture as to driven from the Top Down - Bottom Up #WeNurses its about ALL from Nurses to Drs to HCA to Porters to Cleaners to OTs etc
@WeNurses
31 May 2018 20:43
Brilliant tweet #WeNurses https://twitter.com/mynameisAndyJ/status/1002274421820751877
@WeNurses
31 May 2018 20:44
what's the impact of that Andrea? #wenurses https://twitter.com/Andie_E/status/1002274230229233665
@AnnMarieRiley10
31 May 2018 20:44
@WeNurses Can mean the social aspect of mealtimes and family support and encouragement lost #wenurses
@alimully
31 May 2018 20:44
@WeNurses Would love to see the reintroduction of day rooms used as dining rooms for patients who are well enough. #WeNurses
@AgencyNurse
31 May 2018 20:45
I think we perhaps need some actual evidence that protected mealtimes work ... and under what circumstances they work ... eg families involved, tables on wards etc etc #WeNurses (forgive me if there is some but my search earlier didn't show much)
@Bartontd
31 May 2018 20:45
"Protected Mealtime" is a ritualised activity - not a patient centered individualised care pathway #wenurses
@WeNurses
31 May 2018 20:45
RT @alimully: @WeNurses Would love to see the reintroduction of day rooms used as dining rooms for patients who are well enough. #WeNurses
@keeling_michael
31 May 2018 20:45
@AnnMarieRiley10 @BevMatthews_ @neilgchurchill @wlasinclair @SheelaghMachin Yes... And put what's best for the patient first :-) #wenurses
@WeNurses
31 May 2018 20:45
RT @AnnMarieRiley10: @WeNurses Can mean the social aspect of mealtimes and family support and encouragement lost #wenurses
@princessandtoad
31 May 2018 20:45
@WeNurses I think it’s phrased wrong *protected* is the wrong terminology #WeNurses
@keeling_michael
31 May 2018 20:45
RT @BevMatthews_: there is no rule i know of to stop this from being the new norm! #wenurses #perceptions @neilgchurchill @wlasinclair @She…
@BevMatthews_
31 May 2018 20:46
@AnnMarieRiley10 @neilgchurchill @wlasinclair @SheelaghMachin absolutely agree #WeNurses
@hmprew
31 May 2018 20:46
RT @alimully: @WeNurses Would love to see the reintroduction of day rooms used as dining rooms for patients who are well enough. #WeNurses
@lizmogs
31 May 2018 20:46
@youvegotanthony @WeNurses Perhaps rebranding of #ProtectedMealtimes is needed, in light of all the #endPJParalysis work that encourages those who are able to get up get dressed & mobilise to a dayroom/ dinning table / communal area away from the bedside. What do others think? #WeNurses
@mynameisAndyJ
31 May 2018 20:46
Can I say I see some excellent examples - so it does work we need to share the GOOD more #WeNurses we are all busy but patients do look forward to meal times its something different from the clinical interventions which being honest none of us like being done to us
@AgencyNurse
31 May 2018 20:46
So a big take-a-way for this evening is don't protect mealtimes from families ... mealtimes are social #wenurses
@WeNurses
31 May 2018 20:46
RT @mynameisAndyJ: Can I say I see some excellent examples - so it does work we need to share the GOOD more #WeNurses we are all busy but…
@nicola_stirling
31 May 2018 20:46
@AnnMarieRiley10 @keeling_michael @mynameisAndyJ @WeAHPs You should see our lunch clubs, we are gonna need a strict door policy soon!! #wenurses @neets1we
@HannahSTN
31 May 2018 20:47
RT @Bartontd: "Protected Mealtime" is a ritualised activity - not a patient centered individualised care pathway #wenurses
@AgencyNurse
31 May 2018 20:47
Absolutely - perhaps share some case studies about what works well in your area ? #WeNurses https://twitter.com/mynameisAndyJ/status/1002275122315759618
@keeling_michael
31 May 2018 20:47
@DrUmeshPrabhu @mynameisAndyJ @AgencyNurse There is a lot to be said for happiness in the work place... A culture of happiness... #WeNurses
@WeNurses
31 May 2018 20:47
Thoughts ? Do we need a re-brand ? #WeNurses https://twitter.com/lizmogs/status/1002275120558329856
@Andie_E
31 May 2018 20:47
@WeNurses The impact is not enough hands on deck I am afraid. #WeNurses
@AnnMarieRiley10
31 May 2018 20:48
@lizmogs @youvegotanthony @WeNurses Agree Liz ?? ooh maybe a project in the making #wenurses
@MedicineGovSte
31 May 2018 20:48
My story - still blacklisted in some parts of health & care. I've found alternatives, many staff in similar positions struggle & ultimately it's #patients who suffer when people who speak out are 'excommunicated'. http://www.carerightnow.co.uk/1848-2/ #NHS #FTSU #Wemdt #WeStNs #wenurses
@WeNurses
31 May 2018 20:48
RT @Andie_E: @WeNurses The impact is not enough hands on deck I am afraid. #WeNurses
@mynameisAndyJ
31 May 2018 20:48
#Wenurses Can I states openly that #endPJparalysis and #MealTimematters (Protected Meal Times) go hand in hand I have said for a long time, get patients dressed and up they will eat more and make mealtimes more social on the wards thus speeding up recovery
@keeling_michael
31 May 2018 20:49
@nicola_stirling @AnnMarieRiley10 @mynameisAndyJ @WeAHPs @neets1we We have introduced communal dining.. Eating is also,a social activity.. #wenurses
@EmilyGoss23
31 May 2018 20:50
@WeNurses I've never tried it but a lecturer once told me that people naturally mimic. A bit different but what if we sat down at ate with patients?! #WeNurses
@keeling_michael
31 May 2018 20:50
RT @WeNurses: #WeNurses https://twitter.com/alimully/status/1002273963844792320
@AnnMarieRiley10
31 May 2018 20:50
@AgencyNurse Many of our areas don't have dining rooms but staff have pushed patient tables together to create that social aspect of mealtimes , some have space for small tables and some use dining rooms #wenurses
@mynameisAndyJ
31 May 2018 20:50
@keeling_michael @nicola_stirling @AnnMarieRiley10 @WeAHPs @neets1we #Wenurses Simply brilliant it works where i see it happening
@karenspiers2
31 May 2018 20:50
RT @WeNurses: Thoughts ? Do we need a re-brand ? #WeNurses https://twitter.com/lizmogs/status/1002275120558329856
@keeling_michael
31 May 2018 20:51
@mynameisAndyJ Yes.. The #MDT approach.. #wenurses
@Bartontd
31 May 2018 20:51
"Protected Individualised Care" - I am not a patient - I am a person #wenurses
@nicola_stirling
31 May 2018 20:51
@keeling_michael @AnnMarieRiley10 @mynameisAndyJ @WeAHPs @neets1we Fab, well done as it really isn't easy! So many barriers, but strong teamwork is the key #personcentredapproaches #wenurses
@AgencyNurse
31 May 2018 20:51
Thanks for the reminder @WendyJNicholson ... excellent case study template from PHE here > #WeNurses https://t.co/M8623Kx4ky
@AgencyNurse
31 May 2018 20:52
Where theres a will theres a way #WeNurses https://twitter.com/AnnMarieRiley10/status/1002276141162553345
@youvegotanthony
31 May 2018 20:52
I have always struggled with the 'protected meal times'. Protected sounds like we are trying to keep something at bay? What about a rebrand to ' Person-Centred meal times'. This tells me so much more about what it's really all about...#WeNurses #ProtectedMealtimes #wecare
@WeNurses
31 May 2018 20:52
RT @AgencyNurse: Thanks for the reminder @WendyJNicholson ... excellent case study template from PHE here > #WeNurses https://t.co/M8623Kx…
@reboverend_RNc
31 May 2018 20:52
RT @Bartontd: "Protected Individualised Care" - I am not a patient - I am a person #wenurses
@mynameisAndyJ
31 May 2018 20:52
RT @AgencyNurse: Thanks for the reminder @WendyJNicholson ... excellent case study template from PHE here > #WeNurses https://t.co/M8623Kx…
@WeNurses
31 May 2018 20:53
FINAL QUESTION What other things can we consider when exploring how we can ensure all patients have adequate nutrition and hydration when in hospital? #WeNurses https://t.co/un2frCg1yg
@UMAgbas
31 May 2018 20:53
RT @Andie_E: @WeNurses The impact is not enough hands on deck I am afraid. #WeNurses
@AnnMarieRiley10
31 May 2018 20:53
Can I also plug our #nuhmemorymenu - way to ensure you are offering patients food they want to eat when they are poorly #wenurses @mynameisAndyJ
@WeNurses
31 May 2018 20:53
RT @Bartontd: "Protected Individualised Care" - I am not a patient - I am a person #wenurses
@KateYGray74
31 May 2018 20:54
RT @AgencyNurse: Thanks for the reminder @WendyJNicholson ... excellent case study template from PHE here > #WeNurses https://t.co/M8623Kx…
@WeNurses
31 May 2018 20:54
Please plug away :D #WeNurses https://twitter.com/AnnMarieRiley10/status/1002276975615070214
@keeling_michael
31 May 2018 20:54
@lizmogs @youvegotanthony @WeNurses Yes... We are lucky to have a space that can be used, but how many wards have space for this... Or maybe have to look at how we use the space we have.. #wenurses :-)
@WeNurses
31 May 2018 20:54
#WeNurses https://twitter.com/karenspiers2/status/1002276717174710272
@mynameisAndyJ
31 May 2018 20:54
Consider that you have the correct tools and utensils have you tried eating a yogurt with a large spoon when it should be teaspoon #wenurses
@WeNurses
31 May 2018 20:54
#WeNurses https://twitter.com/oli_downing/status/1002276602439487490
@keeling_michael
31 May 2018 20:54
RT @AgencyNurse: So a big take-a-way for this evening is don't protect mealtimes from families ... mealtimes are social #wenurses
@WeNurses
31 May 2018 20:55
Good point #WeNurses https://twitter.com/mynameisAndyJ/status/1002277204464726016
@nicola_stirling
31 May 2018 20:55
@WeNurses Cognition and normal routine are 2 big ones for me #wenurses
@BevMatthews_
31 May 2018 20:55
RT @mynameisAndyJ: @princessandtoad @AnnMarieRiley10 @cea_william @WeNurses #Wenurses Agree fully https://twitter.com/princessandtoad/status/1002267544965836801 who knows a patie…
@WeNurses
31 May 2018 20:55
Excellent points #WeNurses https://twitter.com/nicola_stirling/status/1002277349474361352
@WeNurses
31 May 2018 20:55
#WeNurses https://twitter.com/StrongKaron/status/1002277113016107008
@keeling_michael
31 May 2018 20:56
RT @mynameisAndyJ: @keeling_michael @nicola_stirling @AnnMarieRiley10 @WeAHPs @neets1we #Wenurses Simply brilliant it works where i see it…
@mynameisAndyJ
31 May 2018 20:56
#wenurses Rid the NHS of the White plates esp those with NHS on them people know they are in hospital - look at co… https://twitter.com/i/web/status/1002277617989488643
@nicola_stirling
31 May 2018 20:56
@mynameisAndyJ Also the right tools to meet their sensory, cognitive, physical needs #wenurses
@Curious_Nurse
31 May 2018 20:56
RT @Bartontd: "Protected Individualised Care" - I am not a patient - I am a person #wenurses
@WeNurses
31 May 2018 20:57
RT @nicola_stirling: @mynameisAndyJ Also the right tools to meet their sensory, cognitive, physical needs #wenurses
@sisterpembo
31 May 2018 20:57
RT @mynameisAndyJ: Can I say I see some excellent examples - so it does work we need to share the GOOD more #WeNurses we are all busy but…
@sisterpembo
31 May 2018 20:57
RT @mynameisAndyJ: #Wenurses Can I states openly that #endPJparalysis and #MealTimematters (Protected Meal Times) go hand in hand I have sa…
@WeNurses
31 May 2018 20:57
No there's a question #WeNurses https://twitter.com/lizmogs/status/1002277902770233344
@Andie_E
31 May 2018 20:58
@WeNurses We have a sign that explains Protected Meal Times and invites family to take part. #WeNurses
@WeNurses
31 May 2018 20:58
Simple yet effective #WeNurses https://twitter.com/Andie_E/status/1002278042708926464
@sheffnurse
31 May 2018 20:58
RT @WeNurses: #WeNurses https://twitter.com/StrongKaron/status/1002277113016107008
@WeNurses
31 May 2018 20:58
DON'T FORGET... You can use tonights, and any other nights, #WeNurses tweetchats for CPD and Revalidation.... Here'… https://twitter.com/i/web/status/1002278157683232768
@AgencyNurse
31 May 2018 20:58
RT @WeNurses: DON'T FORGET... You can use tonights, and any other nights, #WeNurses tweetchats for CPD and Revalidation.... Here's how http…
@sisterpembo
31 May 2018 20:59
RT @mynameisAndyJ: #wenurses Rid the NHS of the White plates esp those with NHS on them people know they are in hospital - look at colored…
@WeNurses
31 May 2018 20:59
That's all for tonight everyone - thank you all so much for sharing your experience and expertise #WeNurses https://t.co/lumU9MP5Ui
@keeling_michael
31 May 2018 20:59
#WeNurses https://twitter.com/belgianbenny/status/1002277203395203079?s=21
@CommHospUK
31 May 2018 20:59
RT @WeNurses: DON'T FORGET... You can use tonights, and any other nights, #WeNurses tweetchats for CPD and Revalidation.... Here's how http…
@mynameisAndyJ
31 May 2018 21:00
Superb chat tonight - Sharing the good and debating how we can improve #wenurses we need to start a campaign… https://twitter.com/i/web/status/1002278571820404737
@AnnMarieRiley10
31 May 2018 21:00
@WeNurses Thanks for an interesting chat #wenurses ??
@nicola_stirling
31 May 2018 21:00
@WeNurses Really enjoyed that, many thanks #teamwork #wenurses
@WeNurses
31 May 2018 21:00
NEXT WEEK on THURSDAY Gender variant in healthcare with @PUNCcatjones #WeNurses Read more here >… https://twitter.com/i/web/status/1002278785545396229




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