#WeEOLC - Tuesday 4th September 2018 8pm (GMT Standard Time) Advance care planning: Whose Job?

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Hosted by WeEOLC using #WeEOLC

This chat is guest hosted by @josieedixon @ACPResource

Join author Josie Dixon to explore her open access publication:

Dixon, J. and Knapp, M., 2018. Whose job? The staffing of advance care planning support in twelve international healthcare organizations: a qualitative interview study. BMC Palliative Care, 17(1), p.78.

https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0333-1 


Background:

Advance  care planning (ACP)  involving a facilitated conversation with a health or care professional is more effective than document completion alone. In policy, there is an expectation that health and care professionals will provide ACP support, commonly within their existing roles. However, the potential contributions of different professionals are outlined only broadly in policy and guidance. Research on opportunities and barriers for involving different professionals in providing ACP support, and feasible models for doing so, is currently lacking.

Methods:

We identified twelve healthcare organizations aiming to offer system-wide ACP support in the United States, Canada, Australia and New Zealand. In each, we conducted an average 13 in-depth interviews with senior managers, ACP leads, dedicated ACP facilitators, physicians, nurses, social workers and other clinical and non-clinical staff. Interviews were analyzed thematically using NVivo software.

Results:

Organizations emphasized leadership for ACP support, including strategic support from senior managers and intensive day-to-day support from ACP leads, to support staff to deliver ACP support within their existing roles. Over-reliance on dedicated facilitators was not considered sustainable or scalable. We found many professionals, from all backgrounds, providing ACP support. However, there remained barriers, particularly for facilitating ACP conversations. A significant barrier for all professionals was lack of time. Physicians sometimes had poor communication skills, misunderstood medico-legal aspects and tended to have conversations of limited scope late in the disease trajectory. However, they could also have concerns about the appropriateness of ACP conversations conducted by others. Social workers had good facilitation skills and understood legal aspects but needed more clinical support than nurses. While ACP support provided alongside and as part of other care was common, ACP conversations in this context could easily get squeezed out or become fragmented. Referrals to other professionals could be insecure. Team-based models involving a physician and a nurse or social worker were considered cost-effective and supportive of good quality care but could require some additional resource.

Conclusion:

Effective staffing of ACP support is likely to require intensive local leadership, attention to physician concerns while avoiding an entirely physician-led approach, some additional resource and team-based frameworks, including in evolving models of care for chronic illness and end of life.

Join us on the 4th September to explore the research and the findings - what does this mean for you, your team or your organisation?






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 #WeEOLC transcript

 
@learnhospice
04 September 2018 20:01
@WeEOLC @josieedixon @hpmJC Hello! Sarah here ! #WeEOLC #hpmJC @josieedixon
@WeEOLC
04 September 2018 20:01
RT @WeEOLC: Welcome to Advance Care Planning: Whose job with @josieedixon joint chat with @hpmJC #hpmJC #WeEOLC here is the link to toni…
@Vanessa_ATaylor
04 September 2018 20:01
RT @WeEOLC: Our tweet chat starts at 8pm - here is the link to blog and open access article from @josieedixon #WeEOLC #hpmJC https://t.co/…
@learnhospice
04 September 2018 20:01
RT @WeEOLC: Welcome to Advance Care Planning: Whose job with @josieedixon joint chat with @hpmJC #hpmJC #WeEOLC here is the link to toni…
@livingwelldying
04 September 2018 20:02
#WeEOLC hello Aly here End if Life Doula tweeting for Living Well Dying Well ??
@sarah_mitche11
04 September 2018 20:02
Looking forward to tonight’s tweet chat with @WeEOLC #WeEOLC
@WeEOLC
04 September 2018 20:02
RT @learnhospice: @WeEOLC @josieedixon @hpmJC Hello! Sarah here ! #WeEOLC #hpmJC @josieedixon
@WeEOLC
04 September 2018 20:02
RT @sarah_mitche11: Looking forward to tonight’s tweet chat with @WeEOLC #WeEOLC https://twitter.com/weeolc/status/1037052654344724480
@MonksSuzanne
04 September 2018 20:02
Hi Suzanne here, adult nursing/end of life care lecturer at Sheffield Hallam university #WeEOLC
@WeEOLC
04 September 2018 20:03
RT @livingwelldying: #WeEOLC hello Aly here End if Life Doula tweeting for Living Well Dying Well ?? https://twitter.com/weeolc/status/1037052654344724480
@WeEOLC
04 September 2018 20:03
RT @MonksSuzanne: Hi Suzanne here, adult nursing/end of life care lecturer at Sheffield Hallam university #WeEOLC https://twitter.com/weeolc/status/1037052654344724480
@JonnoSheridan
04 September 2018 20:03
@WeEOLC @josieedixon @hpmJC Hi guys. #WeEOLC #hmpJC
@lgoodbu
04 September 2018 20:04
@WeEOLC @josieedixon @hpmJC #WeEOLC Lesley here from Staffordshire
@josieedixon
04 September 2018 20:04
#hpmjc #weeolc josie here!
@WeEOLC
04 September 2018 20:04
we are using two hastags tonight #WeEOLC and #hpmJC ! here is a reminder of tweet chat guide Guide to tweet chats!… https://twitter.com/i/web/status/1037053857849913345
@WeEOLC
04 September 2018 20:04
RT @lgoodbu: @WeEOLC @josieedixon @hpmJC #WeEOLC Lesley here from Staffordshire
@WeEOLC
04 September 2018 20:05
@lgoodbu @josieedixon @hpmJC hello! #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:05
@JonnoSheridan @josieedixon @hpmJC Hello ! #hpmJC #WeEOLC
@josieedixon
04 September 2018 20:05
#WeEOLC #HpmJC Josie here!
@WeEOLC
04 September 2018 20:05
RT @WeEOLC: we are using two hastags tonight #WeEOLC and #hpmJC ! here is a reminder of tweet chat guide Guide to tweet chats! https://t.c…
@WeEOLC
04 September 2018 20:05
@NurseJoe87 @josieedixon @hpmJC @DougieMacStoke Hello! #WeEOLC #hpmJC
@josieedixon
04 September 2018 20:06
@WeEOLC @JonnoSheridan @hpmJC Hello! #hpmJC #WeEOLC
@NWAmb_Kieran
04 September 2018 20:06
RT @WeEOLC: we are using two hastags tonight #WeEOLC and #hpmJC ! here is a reminder of tweet chat guide Guide to tweet chats! https://t.c…
@JonnoSheridan
04 September 2018 20:06
RT @WeEOLC: Welcome to Advance Care Planning: Whose job with @josieedixon joint chat with @hpmJC #hpmJC #WeEOLC here is the link to toni…
@WeEOLC
04 September 2018 20:06
we are going to kick off with some questions for everyone first - just remember to asnwer using #WeEOLC and #hpmJC...@josieedixon @hpmJC
@sarah_mitche11
04 September 2018 20:06
@WeEOLC @josieedixon Hello #WeEOLC and #hpmJC
@WeEOLC
04 September 2018 20:07
Q1: To get us going What does advance care planning mean to you in your day to day roles/lives? #WeEOLC #hpmJC… https://twitter.com/i/web/status/1037054601298620417
@learnhospice
04 September 2018 20:07
RT @sarah_mitche11: @WeEOLC @josieedixon Hello #WeEOLC and #hpmJC
@learnhospice
04 September 2018 20:07
RT @WeEOLC: we are going to kick off with some questions for everyone first - just remember to asnwer using #WeEOLC and #hpmJC...@josieedix…
@learnhospice
04 September 2018 20:07
RT @josieedixon: @WeEOLC @JonnoSheridan @hpmJC Hello! #hpmJC #WeEOLC
@learnhospice
04 September 2018 20:08
RT @WeEOLC: @NurseJoe87 @josieedixon @hpmJC @DougieMacStoke Hello! #WeEOLC #hpmJC
@BridgetJohnst
04 September 2018 20:08
hi @josieedixon and all dipping in and out tonight it’s Bridget in Glasgow #hpmjc #WeEOLC
@learnhospice
04 September 2018 20:08
RT @josieedixon: #WeEOLC #HpmJC Josie here!
@learnhospice
04 September 2018 20:08
RT @WeEOLC: @JonnoSheridan @josieedixon @hpmJC Hello ! #hpmJC #WeEOLC
@josieedixon
04 September 2018 20:08
Now I have the hashtags right #hpmJC #WeEOLC : )
@learnhospice
04 September 2018 20:08
RT @WeEOLC: @lgoodbu @josieedixon @hpmJC hello! #WeEOLC #hpmJC
@learnhospice
04 September 2018 20:08
RT @WeEOLC: we are using two hastags tonight #WeEOLC and #hpmJC ! here is a reminder of tweet chat guide Guide to tweet chats! https://t.c…
@learnhospice
04 September 2018 20:08
RT @lgoodbu: @WeEOLC @josieedixon @hpmJC #WeEOLC Lesley here from Staffordshire
@learnhospice
04 September 2018 20:08
RT @JonnoSheridan: @WeEOLC @josieedixon @hpmJC Hi guys. #WeEOLC #hmpJC
@learnhospice
04 September 2018 20:08
RT @MonksSuzanne: Hi Suzanne here, adult nursing/end of life care lecturer at Sheffield Hallam university #WeEOLC https://twitter.com/weeolc/status/1037052654344724480
@learnhospice
04 September 2018 20:08
RT @sarah_mitche11: Looking forward to tonight’s tweet chat with @WeEOLC #WeEOLC https://twitter.com/weeolc/status/1037052654344724480
@learnhospice
04 September 2018 20:08
RT @livingwelldying: #WeEOLC hello Aly here End if Life Doula tweeting for Living Well Dying Well ?? https://twitter.com/weeolc/status/1037052654344724480
@learnhospice
04 September 2018 20:08
RT @learnhospice: @WeEOLC @josieedixon @hpmJC Hello! Sarah here ! #WeEOLC #hpmJC @josieedixon
@WeEOLC
04 September 2018 20:09
RT @josieedixon: Now I have the hashtags right #hpmJC #WeEOLC : )
@WeEOLC
04 September 2018 20:09
RT @BridgetJohnst: hi @josieedixon and all dipping in and out tonight it’s Bridget in Glasgow #hpmjc #WeEOLC
@WeEOLC
04 September 2018 20:09
RT @WeEOLC: Q1: To get us going What does advance care planning mean to you in your day to day roles/lives? #WeEOLC #hpmJC @josieedixon @hp…
@WeEOLC
04 September 2018 20:09
RT @sarah_mitche11: @WeEOLC @josieedixon Hello #WeEOLC and #hpmJC
@WeEOLC
04 September 2018 20:09
RT @WeEOLC: we are going to kick off with some questions for everyone first - just remember to asnwer using #WeEOLC and #hpmJC...@josieedix…
@WeEOLC
04 September 2018 20:09
RT @josieedixon: @WeEOLC @JonnoSheridan @hpmJC Hello! #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:09
RT @WeEOLC: @NurseJoe87 @josieedixon @hpmJC @DougieMacStoke Hello! #WeEOLC #hpmJC
@MonksSuzanne
04 September 2018 20:10
RT @WeEOLC: Q1: To get us going What does advance care planning mean to you in your day to day roles/lives? #WeEOLC #hpmJC @josieedixon @hp…
@livingwelldying
04 September 2018 20:10
Anything & everything as to how the person would want THEIR dying to be #weeolc
@WeEOLC
04 September 2018 20:10
Q1: To get us going What does advance care planning mean to you in your day to day roles/lives? #WeEOLC #hpmJC https://t.co/RPAq54f2AM
@WeEOLC
04 September 2018 20:11
RT @WeEOLC: Q1: To get us going What does advance care planning mean to you in your day to day roles/lives? #WeEOLC #hpmJC https://t.co/RPA…
@lgoodbu
04 September 2018 20:12
@WeEOLC @josieedixon @hpmJC #WeEOLC #hpmjc having a open honest courageous conversation with family friends about w… https://twitter.com/i/web/status/1037055792145477632
@WeEOLC
04 September 2018 20:12
@sarah_mitche11 @josieedixon @hpmJC what would help make those conversations earlier? #hpmJC #WeEOLC
@NurseJoe87
04 September 2018 20:13
RT @lgoodbu: @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmjc having a open honest courageous conversation with family friends about what I would…
@WeEOLC
04 September 2018 20:13
love this emphasis on Dying rather than just the Death #hpmJC #WeEOLC @josieedixon @livingwelldying
@WeEOLC
04 September 2018 20:13
RT @lgoodbu: @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmjc having a open honest courageous conversation with family friends about what I would…
@lgoodbu
04 September 2018 20:14
RT @livingwelldying: Anything & everything as to how the person would want THEIR dying to be #weeolc https://twitter.com/weeolc/status/1037054601298620417
@NurseJoe87
04 September 2018 20:14
RT @WeEOLC: @sarah_mitche11 @josieedixon @hpmJC what would help make those conversations earlier? #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:14
#hpmJC #WeEOLC great point @MonksSuzanne what education do students get about advance care planning? @josieedixon
@WeEOLC
04 September 2018 20:14
RT @WeEOLC: #hpmJC #WeEOLC great point @MonksSuzanne what education do students get about advance care planning? @josieedixon https://t.co/…
@MonksSuzanne
04 September 2018 20:15
RT @WeEOLC: #hpmJC #WeEOLC great point @MonksSuzanne what education do students get about advance care planning? @josieedixon https://t.co/…
@WeEOLC
04 September 2018 20:15
@JonnoSheridan @josieedixon @hpmJC do you think we need to change the term? #hpmJC #WeEOLC
@sarah_mitche11
04 September 2018 20:16
@WeEOLC @josieedixon @hpmJC Sorry forgot to hashtag ?? #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:16
Q2 coming up! #hpmJC #WeEOLC
@josieedixon
04 September 2018 20:17
@sarah_mitche11 @WeEOLC @hpmJC That quote stayed with me too #hpmJC #WeEOLC
@livingwelldying
04 September 2018 20:17
So right unless we’ve done it for ourselves can’t talk honestly about it #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:17
THIS....#hpmJC #WeEOLC @josieedixon
@WeEOLC
04 September 2018 20:17
RT @sarah_mitche11: @WeEOLC @josieedixon @hpmJC Sorry forgot to hashtag ?? #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:17
#hpmJC #WeEOLC say more @sarah_mitche11 ?
@WeEOLC
04 September 2018 20:18
Q2: what is the evidence of the benefits of advance care planning? #WeEOLC #hpmJC https://t.co/lQdsdAzFYv
@sue_wilkinson
04 September 2018 20:19
#weeolc #hpmjc Sue Wilkinson of (small charity) Advance Decisions Assistance here. We help ppl write ADRTs: many of… https://twitter.com/i/web/status/1037057537261142016
@WeEOLC
04 September 2018 20:19
RT @josieedixon: @sarah_mitche11 @WeEOLC @hpmJC That quote stayed with me too #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:19
@josieedixon @sarah_mitche11 @hpmJC Q2: what is the evidence of the benefits of advance care planning? #WeEOLC #hpmJC
@BridgetJohnst
04 September 2018 20:19
RT @sue_wilkinson: #weeolc #hpmjc Sue Wilkinson of (small charity) Advance Decisions Assistance here. We help ppl write ADRTs: many of our…
@WeEOLC
04 September 2018 20:20
@MonksSuzanne fabulous! just adding #hpmJC #WeEOLC so everyone can see your tweets and this reply :)
@WeEOLC
04 September 2018 20:21
@JonnoSheridan @josieedixon @hpmJC ehhhh? enlightened? #hpmJC #WeEOLC (confused person here)
@JonnoSheridan
04 September 2018 20:21
@WeEOLC @josieedixon @hpmJC Canada has a National Advace Care Planning Day #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:22
@NurseJoe87 @josieedixon @JonnoSheridan @hpmJC absolutely......#hpmJC #WeEOLC maybe its not just about the document… https://twitter.com/i/web/status/1037058285923393537
@WeEOLC
04 September 2018 20:22
RT @WeEOLC: @josieedixon @sarah_mitche11 @hpmJC Q2: what is the evidence of the benefits of advance care planning? #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:22
RT @sue_wilkinson: #weeolc #hpmjc Sue Wilkinson of (small charity) Advance Decisions Assistance here. We help ppl write ADRTs: many of our…
@sarah_mitche11
04 September 2018 20:22
@WeEOLC #WeEOLC #hpmJC every professional I come across seems to want these conversations to happen. The ReSPECT fo… https://twitter.com/i/web/status/1037058427724484608
@josieedixon
04 September 2018 20:22
@NurseJoe87 @JonnoSheridan @WeEOLC @hpmJC Yes, agree. A reason why doing ACP only occasionally doesn't work well #hpmJC #WeEOLC
@NurseJoe87
04 September 2018 20:23
@WeEOLC @josieedixon @JonnoSheridan @hpmJC and being able to reflect on situations where planning may have helped #WeEoLC #hpmJC
@WeEOLC
04 September 2018 20:23
@sue_wilkinson Hello Sue - great to see you!! #hpmJC #WeEOLC going to ask you...Q2: what is the evidence of the be… https://twitter.com/i/web/status/1037058534389768192
@livingwelldying
04 September 2018 20:23
Starting with the very practical and after death issues often the best way in to start? #hpmJC #WeEOLC
@learnhospice
04 September 2018 20:23
RT @josieedixon: Now I have the hashtags right #hpmJC #WeEOLC : )
@josieedixon
04 September 2018 20:23
@JonnoSheridan @WeEOLC @hpmJC Yep, US, NZ and Australia the same if I remember correctly. #hpmJC #WeEOLC
@learnhospice
04 September 2018 20:23
RT @livingwelldying: Starting with the very practical and after death issues often the best way in to start? #hpmJC #WeEOLC https://t.co/w…
@learnhospice
04 September 2018 20:23
RT @WeEOLC: @sue_wilkinson Hello Sue - great to see you!! #hpmJC #WeEOLC going to ask you...Q2: what is the evidence of the benefits of ad…
@learnhospice
04 September 2018 20:24
RT @NurseJoe87: @WeEOLC @josieedixon @JonnoSheridan @hpmJC and being able to reflect on situations where planning may have helped #WeEoLC #…
@livingwelldying
04 September 2018 20:24
RT @sue_wilkinson: #weeolc #hpmjc Sue Wilkinson of (small charity) Advance Decisions Assistance here. We help ppl write ADRTs: many of our…
@sue_wilkinson
04 September 2018 20:24
@livingwelldying @learnhospice @hpmJC #weeolc Our clients (at ADA) often talk of 'peace of mind' and 'a gift to loved ones'
@livingwelldying
04 September 2018 20:24
RT @sue_wilkinson: @livingwelldying @learnhospice @hpmJC #weeolc Our clients (at ADA) often talk of 'peace of mind' and 'a gift to loved o…
@WeEOLC
04 September 2018 20:25
RT @sue_wilkinson: @livingwelldying @learnhospice @hpmJC #weeolc Our clients (at ADA) often talk of 'peace of mind' and 'a gift to loved o…
@WeEOLC
04 September 2018 20:25
RT @josieedixon: @JonnoSheridan @WeEOLC @hpmJC Yep, US, NZ and Australia the same if I remember correctly. #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:25
RT @livingwelldying: Starting with the very practical and after death issues often the best way in to start? #hpmJC #WeEOLC https://t.co/w…
@WeEOLC
04 September 2018 20:25
RT @WeEOLC: @sue_wilkinson Hello Sue - great to see you!! #hpmJC #WeEOLC going to ask you...Q2: what is the evidence of the benefits of ad…
@WeEOLC
04 September 2018 20:25
RT @NurseJoe87: @WeEOLC @josieedixon @JonnoSheridan @hpmJC and being able to reflect on situations where planning may have helped #WeEoLC #…
@WeEOLC
04 September 2018 20:26
RT @sarah_mitche11: @WeEOLC #WeEOLC #hpmJC every professional I come across seems to want these conversations to happen. The ReSPECT form i…
@WeEOLC
04 September 2018 20:26
RT @JonnoSheridan: @WeEOLC @josieedixon @hpmJC Canada has a National Advace Care Planning Day #WeEOLC #hpmJC
@lgoodbu
04 September 2018 20:26
RT @livingwelldying: Starting with the very practical and after death issues often the best way in to start? #hpmJC #WeEOLC https://t.co/w…
@WeEOLC
04 September 2018 20:26
If anyone is 'lurking and listeing' just ping me a 'hello' with #WeEOLC #hpmJC so we know you are there!
@livingwelldying
04 September 2018 20:28
Brilliant to get the message out to EVERYONE & not just the usual suspects? #WeEOLC https://t.co/wDp440SHX5
@sarah_mitche11
04 September 2018 20:29
Forgot to hashtag AGAIN! #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:29
RT @livingwelldying: Brilliant to get the message out to EVERYONE & not just the usual suspects? #WeEOLC https://twitter.com/jonnosheridan/status/1037058063537242112
@WeEOLC
04 September 2018 20:29
Q3: to @josieedixon why was it important to do this research? #WeEOLC #hpmJC here is the link to Josies paper eve… https://twitter.com/i/web/status/1037060074684985344
@lgoodbu
04 September 2018 20:29
RT @sue_wilkinson: @livingwelldying @learnhospice @hpmJC #weeolc Our clients (at ADA) often talk of 'peace of mind' and 'a gift to loved o…
@sarah_mitche11
04 September 2018 20:30
@JonnoSheridan @WeEOLC @josieedixon @hpmJC I agree, people don’t know what they don’t know #WeEOLC #hpmJC
@chazhallNI
04 September 2018 20:30
@WeEOLC Hi just lurking /putting child to bed! #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:31
hello !!! #hpmJC #WeEOLC :)
@livingwelldying
04 September 2018 20:31
We could all collaborate, join forces to have a National Awareness Week? #WeEOLC #hpmjc
@WeEOLC
04 September 2018 20:31
@sue_wilkinson @NWAmb_Kieran @josieedixon @sarah_mitche11 @hpmJC @AGoodDeath https://compassionindying.org.uk/library/the-role-of-ambulance-trusts-in-respecting-peoples-end-of-life-wishes/ #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:31
RT @sarah_mitche11: @JonnoSheridan @WeEOLC @josieedixon @hpmJC I agree, people don’t know what they don’t know #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:32
this from @moirahill67 #WeEOLC #hpmJC
@livingwelldying
04 September 2018 20:32
RT @sarah_mitche11: @JonnoSheridan @WeEOLC @josieedixon @hpmJC I agree, people don’t know what they don’t know #WeEOLC #hpmJC
@lgoodbu
04 September 2018 20:32
RT @livingwelldying: We could all collaborate, join forces to have a National Awareness Week? #WeEOLC #hpmjc
@NurseJoe87
04 September 2018 20:32
RT @WeEOLC: Q3: to @josieedixon why was it important to do this research? #WeEOLC #hpmJC here is the link to Josies paper everyone https:…
@NWAmb_Kieran
04 September 2018 20:32
RT @WeEOLC: @sue_wilkinson @NWAmb_Kieran @josieedixon @sarah_mitche11 @hpmJC @AGoodDeath https://compassionindying.org.uk/library/the-role-of-ambulance-trusts-in-respecting-peoples-end-of-life-wishes/ #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:32
This from @sarah_mitche11 #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:34
Q3: to @josieedixon why was it important to do this research? #WeEOLC #hpmJC https://t.co/MKtSshUu9o
@lgoodbu
04 September 2018 20:34
@livingwelldying We could but don’t call it advance care planning normal people would call it what’s important to me day #hpmjc #WeEoLC
@learnhospice
04 September 2018 20:34
RT @WeEOLC: Q3: to @josieedixon why was it important to do this research? #WeEOLC #hpmJC https://t.co/MKtSshUu9o
@learnhospice
04 September 2018 20:34
RT @WeEOLC: This from @sarah_mitche11 #WeEOLC #hpmJC https://twitter.com/sarah_mitche11/status/1037059675001421824
@learnhospice
04 September 2018 20:34
RT @WeEOLC: this from @moirahill67 #WeEOLC #hpmJC https://twitter.com/moirahill67/status/1037059843906043904
@learnhospice
04 September 2018 20:35
RT @WeEOLC: @sue_wilkinson @NWAmb_Kieran @josieedixon @sarah_mitche11 @hpmJC @AGoodDeath https://compassionindying.org.uk/library/the-role-of-ambulance-trusts-in-respecting-peoples-end-of-life-wishes/ #hpmJC #WeEOLC
@learnhospice
04 September 2018 20:35
RT @livingwelldying: We could all collaborate, join forces to have a National Awareness Week? #WeEOLC #hpmjc
@JonnoSheridan
04 September 2018 20:35
@josieedixon @WeEOLC @hpmJC So ..... why don't we??? #WeEOLC #hpmJC
@learnhospice
04 September 2018 20:35
@livingwelldying How does it fit in with @DyingMatters week do you think? #hpmJC #WeEOLC
@learnhospice
04 September 2018 20:35
RT @WeEOLC: hello !!! #hpmJC #WeEOLC :) https://twitter.com/chazhallNI/status/1037060450020675586
@JonnoSheridan
04 September 2018 20:35
RT @livingwelldying: We could all collaborate, join forces to have a National Awareness Week? #WeEOLC #hpmjc
@JonnoSheridan
04 September 2018 20:36
RT @sue_wilkinson: #weeolc #hpmjc Sue Wilkinson of (small charity) Advance Decisions Assistance here. We help ppl write ADRTs: many of our…
@JonnoSheridan
04 September 2018 20:36
RT @WeEOLC: Q3: to @josieedixon why was it important to do this research? #WeEOLC #hpmJC here is the link to Josies paper everyone https:…
@NWAmb_Kieran
04 September 2018 20:37
RT @livingwelldying: We could all collaborate, join forces to have a National Awareness Week? #WeEOLC #hpmjc
@BridgetJohnst
04 September 2018 20:37
@lgoodbu @livingwelldying We have what matters to you day http://www.whatmatterstoyou.scot #weeolc #hpmjc
@NWAmb_Kieran
04 September 2018 20:37
RT @WeEOLC: Q3: to @josieedixon why was it important to do this research? #WeEOLC #hpmJC https://t.co/MKtSshUu9o
@learnhospice
04 September 2018 20:37
@MariaCEOCHAS hi Maria!!! #hpmjc #WeEoLC
@lgoodbu
04 September 2018 20:38
RT @BridgetJohnst: @lgoodbu @livingwelldying We have what matters to you day http://www.whatmatterstoyou.scot #weeolc #hpmjc
@livingwelldying
04 September 2018 20:38
Deffo that the words around it all are so off putting, make it sound complicated and for the too hard pile #WeEoLC… https://twitter.com/i/web/status/1037062260475224065
@lgoodbu
04 September 2018 20:38
RT @BridgetJohnst: @lgoodbu @livingwelldying We have what matters to you day http://www.whatmatterstoyou.scot #weeolc #hpmjc
@lgoodbu
04 September 2018 20:38
RT @livingwelldying: Deffo that the words around it all are so off putting, make it sound complicated and for the too hard pile #WeEoLC ADA…
@WeEOLC
04 September 2018 20:40
THIS from @chazhallNI #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:40
good heavens time is flying by...here is the link to @josieedixon paper again https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0333-1 #WeEOLC #hpmJC
@sarah_mitche11
04 September 2018 20:41
@WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC recently went to gp to support my mum with ReSPECT form (she has dementi… https://twitter.com/i/web/status/1037063022622195712
@WeEOLC
04 September 2018 20:41
@josieedixon what were the key findings of your research and relevance to the UK? #WeEOLC #hpmJC
@josieedixon
04 September 2018 20:42
@WeEOLC it's long but an easy read #WeEOLC #hpmJC but don't try reading it now : )
@WeEOLC
04 September 2018 20:43
RT @josieedixon: @WeEOLC it's long but an easy read #WeEOLC #hpmJC but don't try reading it now : )
@WeEOLC
04 September 2018 20:43
@josieedixon #hpmJC #WeEOLC https://t.co/PUEDOABkBw
@JonnoSheridan
04 September 2018 20:43
RT @sarah_mitche11: @JonnoSheridan @WeEOLC @josieedixon @hpmJC I agree, people don’t know what they don’t know #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:43
RT @WeEOLC: @josieedixon what were the key findings of your research and relevance to the UK? #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:43
RT @sarah_mitche11: @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC recently went to gp to support my mum with ReSPECT form (she has dementia, s…
@WeEOLC
04 September 2018 20:44
@sarah_mitche11 @josieedixon @hpmJC thats good #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:44
RT @WeEOLC: good heavens time is flying by...here is the link to @josieedixon paper again https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0333-1 #WeEOLC #hpmJC
@WeEOLC
04 September 2018 20:44
RT @WeEOLC: THIS from @chazhallNI #hpmJC #WeEOLC https://twitter.com/chazhallNI/status/1037062549211176960
@JonnoSheridan
04 September 2018 20:44
@sarah_mitche11 @WeEOLC @josieedixon @hpmJC If not from us .... then who??? #WeEOLC #hpmJC https://t.co/pT6JXDtrYs
@learnhospice
04 September 2018 20:44
RT @WeEOLC: @sarah_mitche11 @josieedixon @hpmJC thats good #hpmJC #WeEOLC
@learnhospice
04 September 2018 20:44
RT @WeEOLC: @josieedixon #hpmJC #WeEOLC https://t.co/PUEDOABkBw
@sarah_mitche11
04 September 2018 20:44
@WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC I like solutions not problems, but I am not sure gp’s are motivated enou… https://twitter.com/i/web/status/1037063996829036546
@NWAmb_Kieran
04 September 2018 20:45
RT @WeEOLC: THIS from @chazhallNI #hpmJC #WeEOLC https://twitter.com/chazhallNI/status/1037062549211176960
@ACPResource
04 September 2018 20:45
RT @JonnoSheridan: @sarah_mitche11 @WeEOLC @josieedixon @hpmJC If not from us .... then who??? #WeEOLC #hpmJC https://t.co/pT6JXDtrYs
@josieedixon
04 September 2018 20:45
@WeEOLC I can say some more about one or two of these? #WeEOLC #hpmJC
@ACPResource
04 September 2018 20:45
RT @josieedixon: @WeEOLC it's long but an easy read #WeEOLC #hpmJC but don't try reading it now : )
@ACPResource
04 September 2018 20:45
RT @WeEOLC: @josieedixon what were the key findings of your research and relevance to the UK? #WeEOLC #hpmJC
@ACPResource
04 September 2018 20:45
RT @sarah_mitche11: @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC recently went to gp to support my mum with ReSPECT form (she has dementia, s…
@ACPResource
04 September 2018 20:45
RT @WeEOLC: good heavens time is flying by...here is the link to @josieedixon paper again https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0333-1 #WeEOLC #hpmJC
@ACPResource
04 September 2018 20:46
RT @WeEOLC: THIS from @chazhallNI #hpmJC #WeEOLC https://twitter.com/chazhallNI/status/1037062549211176960
@ACPResource
04 September 2018 20:46
RT @livingwelldying: Deffo that the words around it all are so off putting, make it sound complicated and for the too hard pile #WeEoLC ADA…
@livingwelldying
04 September 2018 20:46
RT @BridgetJohnst: @lgoodbu @livingwelldying We have what matters to you day http://www.whatmatterstoyou.scot #weeolc #hpmjc
@ACPResource
04 September 2018 20:46
RT @BridgetJohnst: @lgoodbu @livingwelldying We have what matters to you day http://www.whatmatterstoyou.scot #weeolc #hpmjc
@moirahill67
04 September 2018 20:46
RT @WeEOLC: good heavens time is flying by...here is the link to @josieedixon paper again https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0333-1 #WeEOLC #hpmJC
@lgoodbu
04 September 2018 20:46
@livingwelldying @sue_wilkinson #WeEOLC reciprocity using the gifts in the community is the way to go people workin… https://twitter.com/i/web/status/1037064492201463808
@WeEOLC
04 September 2018 20:47
go for it...#hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:48
RT @sarah_mitche11: @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC I like solutions not problems, but I am not sure gp’s are motivated enough t…
@WeEOLC
04 September 2018 20:48
RT @JonnoSheridan: @sarah_mitche11 @WeEOLC @josieedixon @hpmJC If not from us .... then who??? #WeEOLC #hpmJC https://t.co/pT6JXDtrYs
@sarah_mitche11
04 September 2018 20:48
@josieedixon @WeEOLC #WeEOLC #hpmJC you’ve put much more articulately what I was thinking, about physician involvement but input from others
@livingwelldying
04 September 2018 20:48
RT @lgoodbu: @livingwelldying @sue_wilkinson #WeEOLC reciprocity using the gifts in the community is the way to go people working with peop…
@WeEOLC
04 September 2018 20:49
THIS.... #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:49
@NWAmb_Kieran @chazhallNI @JonnoSheridan @josieedixon @hpmJC @facebook @DigitalLegacyCo will have a view! #hpmJC #WeEOLC
@WeEOLC
04 September 2018 20:50
RT @sarah_mitche11: @josieedixon @WeEOLC #WeEOLC #hpmJC you’ve put much more articulately what I was thinking, about physician involvement…
@josieedixon
04 September 2018 20:50
But barriers. Time constraints most important barrier. Leading to “the gap between introducing and doing it.” #WeEOLC #hpmJC
@MariaCEOCHAS
04 September 2018 20:50
@learnhospice #WeEOLC I think we have much to do to help some colleagues and systems outwith palliative Care to tru… https://twitter.com/i/web/status/1037065399366557698
@WeEOLC
04 September 2018 20:50
RT @josieedixon: But barriers. Time constraints most important barrier. Leading to “the gap between introducing and doing it.” #WeEOLC #hpm…
@JulesLewis6
04 September 2018 20:51
RT @WeEOLC: good heavens time is flying by...here is the link to @josieedixon paper again https://bmcpalliatcare.biomedcentral.com/articles/10.1186/s12904-018-0333-1 #WeEOLC #hpmJC
@sarah_mitche11
04 September 2018 20:53
@JonnoSheridan @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC I like to think it may one day become normal conversation… https://twitter.com/i/web/status/1037066174561968128
@lgoodbu
04 September 2018 20:53
RT @MariaCEOCHAS: @learnhospice #WeEOLC I think we have much to do to help some colleagues and systems outwith palliative Care to truly und…
@WeEOLC
04 September 2018 20:54
RT @sarah_mitche11: @JonnoSheridan @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC I like to think it may one day become normal conversation (id…
@learnhospice
04 September 2018 20:54
RT @MariaCEOCHAS: @learnhospice #WeEOLC I think we have much to do to help some colleagues and systems outwith palliative Care to truly und…
@MariaCEOCHAS
04 September 2018 20:55
This is about relationships with people and being intentional with our conversations. #WeEOLC https://t.co/M8diFXSmGV
@learnhospice
04 September 2018 20:55
RT @sarah_mitche11: @JonnoSheridan @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC I like to think it may one day become normal conversation (id…
@livingwelldying
04 September 2018 20:55
Us Doulas too! #WeEOLC
@sarah_mitche11
04 September 2018 20:56
@josieedixon @WeEOLC I agree #WeEOLC #hpmJC
@josieedixon
04 September 2018 20:56
@WeEOLC i think there needs to be more organisational embeddedness and clear structures for people to work within #hpmJC #WeEOLC
@lgoodbu
04 September 2018 20:57
@WeEOLC @josieedixon #WeEOLC #hpmJC courageous conversations open honest then communication with healthcare profess… https://twitter.com/i/web/status/1037067128388640768
@WeEOLC
04 September 2018 20:57
another useful link The economic evidence for advance care planning: Systematic review of evidence. https://www.ncbi.nlm.nih.gov/pubmed/26060176 #hpmJC #WeEOLC
@lgoodbu
04 September 2018 20:58
RT @sarah_mitche11: @JonnoSheridan @WeEOLC @josieedixon @hpmJC #WeEOLC #hpmJC I like to think it may one day become normal conversation (id…
@learnhospice
04 September 2018 20:58
RT @lgoodbu: @WeEOLC @josieedixon #WeEOLC #hpmJC courageous conversations open honest then communication with healthcare professionals make…
@lgoodbu
04 September 2018 20:59
@sarah_mitche11 @JonnoSheridan @WeEOLC @josieedixon @hpmJC What’s more normal than dying but we have a way to go #WeEOLC #hpmJC
@learnhospice
04 September 2018 20:59
RT @livingwelldying: Us Doulas too! #WeEOLC https://twitter.com/sarah_mitche11/status/1037066174561968128
@learnhospice
04 September 2018 20:59
RT @MariaCEOCHAS: This is about relationships with people and being intentional with our conversations. #WeEOLC https://twitter.com/weeolc/status/1037066160708231169
@sue_wilkinson
04 September 2018 20:59
@josieedixon And who is that 'someone' - potential for a chorus of 'not me's! #hpmJC #WeEOLC




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