#WeNurses - Thursday 27th September 2018 8pm (GMT Standard Time) A healthy approach to tech or a tech approach to healthy?

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NHS Digital tweeted an interesting question recently:



There were some interesting responses:







The World Health Organisation clearly outlined the state of the global populations health with recent data reporting "more than one in four adults globally (28% or 1.4 billion people) are physically inactive." and "Women were less active than men, with an over 8% difference at the global level (32% men vs 23%, women). High income countries are more inactive (37%) compared with middle income (26%) and low income countries (16%)." WHO now have an aim to reduce physical inactivity: 

"The new Global Action Plan on Physical Activity sets the target to reduce physical inactivity by 10% by 2025 and 15% by 2030." 

So what role can / is tech playing in keeping us and the people we care for healthy? It's clear we are not just talking wearables here - Fitbits, iWatches, Moov, Garmin etc - but also things like weight loss apps , activity apps, social media support groups like #NHS1000miles, #NursesActive or #ThisGirlCan, all those things that help to keep us fit and healthy!  And what does this mean for nursing and the way we practice? 


This #WeNurses discussion aims to ask the following questions:

  • What tech can help to promote health?
  • What are the challenges of using tech, such as fitness trackers, apps or social media groups, to promote healthy lifestyles? 
  • What are the advantages of using tech, such as fitness trackers, apps or social media groups, to promote healthy lifestyles? 
  • What implications does tech such as fitness trackers, apps or social media groups have for nursing and the way we practice? 
  • How can tech help nurses to play their part in the WHO target to reduce physical inactivity by 10% by 2025 and 15% by 2030?





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Here are some of the tweets that resonated most with us:











































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 #WeNurses transcript

 
@WeNurses
27 September 2018 20:00
 Hello everyone - welcome to #WeNurses Please tweet us a "hello" if you are joining us this evening https://t.co/z9qvdUAV0g
@WeNurses
27 September 2018 20:00
 Tonights discussion is around personal tech and health #WeNurses
@WeCYPnurses
27 September 2018 20:01
 RT @WeNurses: Hello everyone - welcome to #WeNurses Please tweet us a "hello" if you are joining us this evening https://t.co/z9qvdUAV0g
@AgencyNurse
27 September 2018 20:01
 Hello - Teresa here Looking forward to tonights discussion ... have to say that social media support and my fitbit have transformed my health #WeNurses
@PUNCJack
27 September 2018 20:01
 RT @WeNurses: Tonights discussion is around personal tech and health #WeNurses
@mynameisAndyJ
27 September 2018 20:02
 Hello Everyone - Hope you have had a great day and now for some great chat #wenurses
@bill_russell3
27 September 2018 20:02
 @WeNurses Surely more important to discuss tech in NHS? #wenurses #HealthTech
@DrMLJCarter
27 September 2018 20:03
 @WeNurses Hello from Southampton! Looking forward to tonights chat :) #WeNurses
@PUNC16AliFord
27 September 2018 20:03
 Hiya #WeNurses
@WeNurses
27 September 2018 20:03
 Lets get started with QUESTION 1 What sort of tech has the potential to help people improve their health and manage conditions? #WeNurses https://t.co/hVBPifrzxH
@Bex_Runs
27 September 2018 20:03
 @WeNurses Hello! #WeNurses
@WeNurses
27 September 2018 20:04
 @HannahNQN @WeCYPnurses @PUNCJack @AgencyNurse @DrMLJCarter @bill_russell3 @PUNC16AliFord Hi everyone :) Thanks for joining #wenurses :) Just don't forget to add and click on #wenurses to follow / join in :)
@AgencyNurse
27 September 2018 20:04
 @bill_russell3 @WeNurses perhaps thats an entirely different discussion ?? #WeNurses
@WeNurses
27 September 2018 20:05
 @bill_russell3 Who's to say this isn't part of the same conversation Bill? Is it always them/us NHS/Patients #wenurses
@WeCYPnurses
27 September 2018 20:05
 @WeNurses @HannahNQN @PUNCJack @AgencyNurse @DrMLJCarter @bill_russell3 @PUNC16AliFord #lplates #wenurses ??
@HannahHilton9
27 September 2018 20:05
 Have heard that the new Apple Watch claimes it can diagnose AF #wenurses @AppleSupport https://www.google.co.uk/amp/s/techcrunch.com/2018/09/12/apple-watch-series-4-can-detect-afib-and-perform-an-ecg/amp/
@AgencyNurse
27 September 2018 20:05
 TBH there's loads of stuff our there - free and not so free to use .... it's not a one size fits all thing though and also i have learned that people use the same tech in different ways and thats ok too #WeNurses https://twitter.com/WeNurses/status/1045388528983658496
@mynameisAndyJ
27 September 2018 20:05
 I feel the future tech around watches linked to apps and even in the future your medical notes to help detect illness or likes of hypo attacks etc #wenurses
@lilian_wittman
27 September 2018 20:06
 #WeNurses Hi everyone, Lilian tweeting from the Isle of Wight ??
@AgencyNurse
27 September 2018 20:06
 Mmmmm @NRCUK has an intersting story to share about that !! #WeNurses https://twitter.com/HannahHilton9/status/1045388999995641856
@jomwlever
27 September 2018 20:06
 @WeNurses Hello, Jo here from Greater Manchester ?? #WeNurses
@HannahS_RN
27 September 2018 20:06
 @WeNurses I think tracking apps are very useful - whether that be tracking exercise, symptoms, diet, mood etc. #WeNurses
@bill_russell3
27 September 2018 20:06
 @AgencyNurse @WeNurses In that case i will stick with 'All The presidents men' on TV :-) I might lurk in the commercial breaks! #WeNurses #HealthTech
@DrMLJCarter
27 September 2018 20:06
 As a cardiac patient as well as being a student nurse, I like to use heart a monitoring device during exercise in order to minimise risks of cardiac events, though it does have the potential to stop me enjoying exercise if I get too focused on it #WeNurses https://twitter.com/WeNurses/status/1045388528983658496
@NRCUK
27 September 2018 20:07
 @AgencyNurse @bill_russell3 @WeNurses I think it is exactly the same conversation, or could be - why is the divide of self awareness/prevention always separate from clinical vision, decision making? #wenurses
@AgencyNurse
27 September 2018 20:07
 I think that personal tech can help us to focus on wellness and not illness #WeNurses https://twitter.com/mynameisAndyJ/status/1045389095466340354
@AgencyNurse
27 September 2018 20:08
 I found the NHS choices weight loss tracker very valuable #WeNurses https://twitter.com/HannahNQN/status/1045389241071677440
@PUNCJack
27 September 2018 20:08
 @WeNurses I think there are a lot of apps there that people can use to try and make small positive changes in their lives. Apps like @MapMyFitness can allow anyone to scan the barcode of the food they're eating and check their calorie consumption #WeNurses
@lilian_wittman
27 September 2018 20:08
 #WeNurses there are lots of fitness tracking devices that can be useful for monitoring health goals.
@jomwlever
27 September 2018 20:08
 @AgencyNurse @NRCUK It's a good one ???????? #WeNurses
@bill_russell3
27 September 2018 20:08
 @WeNurses I obviously misinterpreted the tweet then ....about personl health tech. #wenurses
@WeCYPnurses
27 September 2018 20:08
 @DrMLJCarter There are so many apps these days #wenurses
@WeNurses
27 September 2018 20:08
 Great points Jack #WeNurses https://twitter.com/PUNCJack/status/1045389686917779456
@NRCUK
27 September 2018 20:08
 @HannahHilton9 @AppleSupport It called 2 of my emergency contacts today on a run, nice to know, but may need to change parameters :) One day (I hope) my data collected, by all my devices, will be used by clinicians to speed up diagnosis/support, but we seem to be ignoring this value now :( #wenurses
@HannahS_RN
27 September 2018 20:08
 @AgencyNurse I’ve not seen that one! I’ve been using one to track symptoms related to endometriosis which has been very handy for using in appointments! #WeNurses
@jomwlever
27 September 2018 20:09
 RT @AgencyNurse: I found the NHS choices weight loss tracker very valuable #WeNurses https://twitter.com/HannahNQN/status/1045389241071677440
@mynameisAndyJ
27 September 2018 20:09
 Tech could even help those who are not into tech or tech phobia, We already see lots ie @Droplet_UK to ensure people Hydrate enough #wenurses so its not always about the person wearing or using it
@DrMLJCarter
27 September 2018 20:09
 RT @AgencyNurse: I think that personal tech can help us to focus on wellness and not illness #WeNurses https://twitter.com/mynameisAndyJ/status/1045389095466340354
@PUNC16AliFord
27 September 2018 20:09
 @WeNurses There are mobile phones now that can detect pulse oximetry, although I’m not sure how useful that could be from a home monitoring perspective. #wenurses
@HeatherBain9
27 September 2018 20:09
 I like how many apps focus on wellness and promote activity rather than focus on illness #WeNurses
@bill_russell3
27 September 2018 20:10
 @NRCUK @AgencyNurse @WeNurses Whole system approach is always good. Social determinants of health are mainly outside of NHS remit but we should all work together #WeNurses Maybe i will lurk in more detail
@WeCYPnurses
27 September 2018 20:10
 @AgencyNurse There is talk about a wrist band to ensure patients get correct meds? #wenurses
@PUNCJack
27 September 2018 20:11
 @WeNurses I've heard that fitbits and apple watches like to send reminders to people to get up and walk around a bit which, while probably irritating, is still quite a good idea. #WeNurses
@Clairemain23
27 September 2018 20:12
 @WeNurses I think it needs to be a two way communication as well so that both users get value. If I input data I want to get some feedback/advice or information back. #WeNurses
@PUNCJack
27 September 2018 20:12
 RT @WeCYPnurses: @AgencyNurse There is talk about a wrist band to ensure patients get correct meds? #wenurses
@Rae74k
27 September 2018 20:12
 RT @WeNurses: Hello everyone - welcome to #WeNurses Please tweet us a "hello" if you are joining us this evening https://t.co/z9qvdUAV0g
@ClaireOCPhysio
27 September 2018 20:12
 @WeNurses I think any exercise apps that can help with keep track of step count/goal, helps people realise how much they should be moving in a day. Exercise apps are great for providing home based exercises for those who dont like the gym! #WeNurses
@NRCUK
27 September 2018 20:12
 @bill_russell3 @AgencyNurse @WeNurses Having these types of conversations with clinicians and us patients will help each other see the value, barriers and solution.. sooooo much data, so little knowledge, soooo mach waste :( #wenurses
@mynameisAndyJ
27 September 2018 20:12
 @WeCYPnurses @AgencyNurse Is that not linked to Patient Scan For Safety project #Wenurses https://twitter.com/WeCYPnurses/status/1045390277433839616
@lilian_wittman
27 September 2018 20:12
 #WeNurses online support groups may have a place as long as it's remembered that they're more a source of information.
@WeCYPnurses
27 September 2018 20:13
 RT @mynameisAndyJ: @WeCYPnurses @AgencyNurse Is that not linked to Patient Scan For Safety project #Wenurses https://twitter.com/WeCYPnurses/status/1045390277433839616
@DrMLJCarter
27 September 2018 20:13
 @PUNCJack @WeNurses @MapMyFitness The potential for positive changes with apps like these are great, but they can also be unhelpful for some people and can become a #MentalHealth issue #WeNurses
@NRCUK
27 September 2018 20:13
 @PUNCJack @WeNurses Helps me lots, can be sat for hours focused .... we all need a little nudge from time to time :) #wenurses
@HannahHilton9
27 September 2018 20:14
 @NRCUK @AppleSupport Yeah, I think there will be a lot tweaking needed and this will only come in time. I think the more people use these devices and as you say return the data back to the source can they be made more efficient and accurate #WeNurses
@PimmEmily
27 September 2018 20:14
 @WeNurses #WeNurses There are lots of bits of tech coming to the forefront to help diagnose and treat quicker. I al… https://twitter.com/i/web/status/1045391224444735489
@RachMurph
27 September 2018 20:14
 RT @AgencyNurse: I found the NHS choices weight loss tracker very valuable #WeNurses https://twitter.com/HannahNQN/status/1045389241071677440
@PUNC16AliFord
27 September 2018 20:15
 @PUNCJack @WeNurses I used that function on my fitness tracker watch as I would study for hours without moving, and I ignored it every time. Perhaps other people are better behaved than me :D #WeNurses
@WeNurses
27 September 2018 20:15
 QUESTION 2 What are the challenges of using tech such as fitness trackers, apps, social media groups etc to promote health ? #WeNurses https://t.co/02WN3odVJh
@PUNCJack
27 September 2018 20:15
 @lilian_wittman Online communities are great for support, the only thing I would say is that today in a lecture we were talking about reliable/unreliable sources. On forums not everybody is a health professional but suddenly everyone develops degrees in nutrition and fitness! #WeNurses
@WeCYPnurses
27 September 2018 20:15
 RT @HannahNQN: @WeNurses I think tracking apps are very useful - whether that be tracking exercise, symptoms, diet, mood etc. #WeNurses
@AgencyNurse
27 September 2018 20:16
 I love the active 10 app #WeNurses .. free and effective https://twitter.com/WeCYPnurses/status/1045391443228065793
@HLB27
27 September 2018 20:16
 Hi. Hannah, Paediatrician from London. Very interested in this chat as a doctor. #WeNurses
@WeCYPnurses
27 September 2018 20:16
 RT @AgencyNurse: I love the active 10 app #WeNurses .. free and effective https://twitter.com/WeCYPnurses/status/1045391443228065793
@WeNurses
27 September 2018 20:17
 @HLB27 welcome :) #wenurses
@Jo3_NHS
27 September 2018 20:17
 The new #Applewatch can take an ECG (FDA approved), detect low/high heart rate and symptoms of AF, and detect when a fall has occurred. It can automatically call emergency services following a hard fall. #WeNurses https://twitter.com/WeNurses/status/1045388528983658496
@PUNCJack
27 September 2018 20:17
 @DrMLJCarter @WeNurses @MapMyFitness Oh absolutely and you would hope as technology is embraced that patients will be given guidance and assistance with how to use the apps, monitor their progress and actually be set goals and explained how/why it's best to stick to them #WeNurses
@lilian_wittman
27 September 2018 20:17
 #WeNurses people can become too focused on the goals and information they give, and maybe lead to them setting unrealistic goals.
@AgencyNurse
27 September 2018 20:18
 Playing devils advocate here (as everyone knows i am a big fan of tech to stay healthy) but wasn't there some news back along about how step counts etc don't help ?? #WeNurses https://twitter.com/ClaireOCPhysio/status/1045390750261882881
@DrMLJCarter
27 September 2018 20:18
 @NRCUK @HannahHilton9 @AppleSupport While useful for monitoring conditions, one might want to question whether its a good idea for someone to receive a diagnosis from their watch or from a clinican who can explain things and answer questions a patient may have #WeNurses
@PUNC16AliFord
27 September 2018 20:19
 @WeNurses There may be a cost barrier to them. Most of them require a smart phone, and whilst they are popular not everyone will have one. #Wenurses
@PUNCJack
27 September 2018 20:19
 @PUNC16AliFord @WeNurses Maybe they should make one with an electric shock ??#WeNurses
@HannahHilton9
27 September 2018 20:19
 My sisterinlaw in a nutritionist and PT and uses MyFitnessPal to teach clients portion control and recognising the size of portions in relation to their calorie worth. Maybe good for not only our obese community but also for diabetics for working out their dietary needs #WeNurses
@NRCUK
27 September 2018 20:19
 I recently approved a dozen or so trusts to see if they would like patients to self monitor and self outcome, using their existing tech, but they said their clinical system provider cant talk to to other systems, despite billions being spent on this :( #wenurses
@AgencyNurse
27 September 2018 20:19
 Cant find a proper source on the fly .. but there was lots of news recently around the accuracy of fitness trackers > https://med.stanford.edu/news/all-news/2017/05/fitness-trackers-accurately-measure-heart-rate-but-not-calories-burned.html #WeNurses #EBP
@Kah7891
27 September 2018 20:20
 @WeNurses Some of the targets they put in due to your height and weight may be unachievable for some people especially with health conditions which may put them off using them #WeNurses
@AgencyNurse
27 September 2018 20:20
 I think this is an interesting point - wonder what the evidence says ?? Or if there is even any evidence ? anyone know ?? #WeNurses https://twitter.com/DrMLJCarter/status/1045391021184614400
@Jo3_NHS
27 September 2018 20:20
 Somewhere inbetween, human professional medical interpretation is required for reliable and accurate diagnosis. #WeNurses https://twitter.com/WeNurses/status/1045391458725974016
@WeNurses
27 September 2018 20:20
 @HLB27 hello and welcome #WeNurses
@NRCUK
27 September 2018 20:21
 @DrMLJCarter @HannahHilton9 @AppleSupport indeed, but this tech allows us to be self aware of changes too, so we can seek that advice well before we call 999 or have an acute need, it is empowering, preventing need... but seems to not be recognised as valuable, but NHS isn't geared for valuing prevention #wenurses
@AgencyNurse
27 September 2018 20:21
 I agree re cost ... there are many free apps though (however this does require a smart phone!) #WeNurses https://twitter.com/PUNC16AliFord/status/1045392425148186626
@PUNCJack
27 September 2018 20:21
 @PUNC16AliFord @WeNurses Absolutely, in recent years there's been various news clippings and research done I'm sure which point to a correlation between obesity and poverty. Don't quote me on that though! #WeNurses
@AgencyNurse
27 September 2018 20:21
 Wow #WeNurses https://twitter.com/HannahHilton9/status/1045392458203504641
@mynameisAndyJ
27 September 2018 20:22
 @NRCUK #wenurses Nick that is so sad and sounds like money wasted or people not knowing what can be interfaced https://twitter.com/NRCUK/status/1045392479766421514
@AgencyNurse
27 September 2018 20:22
 I hadnt thought about this - good point #WeNurses https://twitter.com/Kah7891/status/1045392717298225153
@PUNC16AliFord
27 September 2018 20:22
 @PUNCJack @WeNurses That is exactly what I need! Where do I pay? Haha #Wenurses
@NRCUK
27 September 2018 20:23
 @PUNCJack @PUNC16AliFord @WeNurses lots of evidence of social determinants and opportunities impacting health... @DanielBayley80 can help I think :) #wenurses
@WeNurses
27 September 2018 20:23
 QUESTION 3 What are the advantages of using tech, such as fitness trackers, apps or social media groups, to promote healthy lifestyles? #WeNurses https://t.co/5SU90wr0IS
@DrMLJCarter
27 September 2018 20:23
 @NRCUK @HannahHilton9 @AppleSupport That is a shame indeed as it has a huge cost-efficiency potential in the long term as well as better patient outcomes #WeNurses
@AgencyNurse
27 September 2018 20:23
 Sounds like its worth a listen #WeNurses https://twitter.com/walsh_cl/status/1045393144546816001
@PUNCJack
27 September 2018 20:23
 @WeNurses The elephant in the room is patient data and how it is protected. What regulations are in place to stop the information being sold? We are all vulnerable. People fall in love with the idea of technology without thinking through what safeguards are in place. #WeNurses
@HLB27
27 September 2018 20:24
 @PUNC16AliFord @WeNurses Definitely. I work with a lot of young adults and cost is a barrier. Really important also to remember that not everyone wants to use technology to access healthcare - it's really easy to assume and only deliver information on SoMe when not all will access #WeNurses
@jomwlever
27 September 2018 20:24
 @WeNurses Q2. Challenges to using tech - I think knowing how effective it is, any costs involved. If HCPs recommending use for patients, who approves them? There are so many apps. Also, do they do what you want/need? #WeNurses
@NRCUK
27 September 2018 20:25
 @HannahHilton9 @DrMLJCarter @AppleSupport Not sure this chat is about diagnosis, its more about how people use tech to improve their health, lifestyles etc and where this fits in NHS approach to reduce demand... so should it be recommended or do we just go with "you need to loose weight" by GP? #wenurses
@lilian_wittman
27 September 2018 20:25
 #WeNurses such things can motivate you to move and surpass your previous milestones, and you can also challenge others or work with them.
@mynameisAndyJ
27 September 2018 20:26
 benefits is you can share with peer groups and inspire others to keep going or to ask questions #wenurses look at the success of the WeNurses Challenge in August and #NHS1000
@WeCYPnurses
27 September 2018 20:26
 @WeNurses It is user friendly for CYP for example headspace and mindfulness apps appeal to younger users #wenurses ??
@NRCUK
27 September 2018 20:27
 @DrMLJCarter @HannahHilton9 @AppleSupport the more I learn, the more I think that patient activity is better that an outcome, NHS doesn't get paid to make people better :( it gets paid to engage with them, bit "arse backwards" really. Outcome based commissioning seems to have gone off the boil :( #wenurses
@AgencyNurse
27 September 2018 20:27
 Absolutely agree ... i really like to community element of my fitness tracker and i love things like #NHS1000miles and #NursesActive #WeNurses https://twitter.com/mynameisAndyJ/status/1045394145299374080
@WeCYPnurses
27 September 2018 20:27
 RT @mynameisAndyJ: benefits is you can share with peer groups and inspire others to keep going or to ask questions #wenurses look at the s…
@Kah7891
27 September 2018 20:27
 @WeNurses You can get support from your peers and have a little competition as you can link into each other's apps etc. #WeNurses
@PUNCJack
27 September 2018 20:27
 @WeNurses For the next few decades I imagine we are just planting the seeds of promoting healthy lifestyles and enabling people to help themselves. In 20/30 years time we'll have an elderly population who are more tech savy and able to prevent and notice deterioration. #WeNurses
@HLB27
27 September 2018 20:28
 Q3. Definitely works with HCPs (just look at #NHS1000miles) and important to remember we need to keep ourselves healthy also! I had a great conversation with a 15 year old about exercise the other day - started with her spotting my Fitbit....role models on occasion also #WeNurses
@HannahHilton9
27 September 2018 20:28
 Question 3:- we can easily talk about the benefits of using apps and tablets, however what about the older generation that are too remote in the countryside for decent internet and who finds new technology daunting. Will they then miss out? #wenurses
@jomwlever
27 September 2018 20:28
 @WeNurses I think it depends if you can wear it or not. The health app on my 'phone thinks I'm quite sedentary. Phone is normally in one place all day as it won't fit in my pocket at work. I am definitely active in work! I have a basic pedometer that doesn't talk to 'phone app #WeNurses
@NursesSikh
27 September 2018 20:28
 @WeNurses #WeNurses Though wearable technology is a positive thing, it's important to highlight that there are so many health-improving gizmos on the market, and it’s not easy separating those that are truly beneficial from those that are nothing more than a gimmick.
@NRCUK
27 September 2018 20:29
 @WeNurses HUGE!!!!! Essential they reduce demand for NHS. The social media networks are great, I'm part of three and the support, drive and encouragement has helped me and i've helped others get fitter. BUT is reducing demand of interest to "NHS", really? #wenurses
@AgencyNurse
27 September 2018 20:29
 @PUNCJack @WeNurses a good point and one that does worry people ... certainly something to know about and consider if we were to advocate this sort of tech to the people we care for #WeNurses
@PUNC16AliFord
27 September 2018 20:30
 @WeNurses They make you think about the activity you do and the food you eat in terms of the effects on your body- calories, fat. Perhaps not disease, but the incentives, as you are doing them. They raise awareness, even if you leave them and pick them up later #Wenurses
@Jo3_NHS
27 September 2018 20:30
 There is mass influence which increases awareness, participation & leading to more active lifestyles. If you get a Fitbit as a Christmas present you are likely to use it & talk about it with others. There is an element of healthy competition & overall good. #WeNurses https://twitter.com/WeNurses/status/1045393497430401025
@DrMLJCarter
27 September 2018 20:31
 How would people feel the NHS issuing fitness trackers to patients to help them improve health? Could it be cost-effective in the long term? #wenurses
@AgencyNurse
27 September 2018 20:31
 I think this is an important point .... and why things like PHE's Active 10 app and NHS cHoices apps are really useful #WeNurses https://twitter.com/NursesSikh/status/1045394864274374657
@PUNC16AliFord
27 September 2018 20:31
 This is true, have you ever read the user agreements on these fitness apps? #Wenurses https://twitter.com/puncjack/status/1045393633879478273
@WeNurses
27 September 2018 20:32
 Excellent question - what do we think folks ?? #WeNurses https://twitter.com/DrMLJCarter/status/1045395402164490241
@jomwlever
27 September 2018 20:32
 @WeNurses I think advantages are around prompting to consider lifestyle, to do some exercise, get more sleep, have a drink of water. Conversation starter on #twitterverse too ?? #WeNurses
@WeCYPnurses
27 September 2018 20:32
 @WeNurses You can learn so much from social media about new developments / apps on a minute by minute basis!?? #wenurses #academyoffabulousstuff
@WeCYPnurses
27 September 2018 20:32
 RT @lilian_wittman: #WeNurses such things can motivate you to move and surpass your previous milestones, and you can also challenge others…
@NRCUK
27 September 2018 20:32
 @NursesSikh @WeNurses I don't think we should ignore the intelligence of the general public to spend often £100's of heard earned cash. Too often the intelligence of the public (what do they know they aren't trained clinicians) is ignored, difference between health tech & snake oil :) #wenurses
@PUNCJack
27 September 2018 20:33
 @PUNC16AliFord I don't think I've ever read a user agreement, full stop. I could have signed over my first born child to a whole range of companies by now! #WeNurses
@AgencyNurse
27 September 2018 20:33
 @DrMLJCarter my short answer is yes .. do it ! My longer answer is .. that it has to be the right tech for the right person ... one size does not fit all, also there is no magic wand here .... a fitbit will not make you fit .. that takes hard work #WeNurses
@AgencyNurse
27 September 2018 20:33
 RT @PUNC16AliFord: This is true, have you ever read the user agreements on these fitness apps? #Wenurses https://twitter.com/puncjack/status/1045393633879478273
@mynameisAndyJ
27 September 2018 20:34
 Many know my view on PHE and things like 5 day are not working, but tech like Couch to 5k or 10k are brilliant but again not everyone as smartphones or PCs #wenurses
@AgencyNurse
27 September 2018 20:34
 @PUNCJack @PUNC16AliFord hehehehehe ;D #WeNurses
@WeCYPnurses
27 September 2018 20:34
 @NRCUK #globaldigitalexemplar #wenurses
@DrMLJCarter
27 September 2018 20:34
 @WeNurses The @parkrunUK PROVE project has a number of social media groups for people with various health conditions. I'm part of the group for people with heart conditions and have found it very encouraging sharing stories and tips with other cardica runners #WeNurses
@NRCUK
27 September 2018 20:35
 FYI loving all the #10kForNurses @CavellTrust twibbons on tonight's What an active bunch we are :) #wenurses :) https://t.co/weNxbJbPUX
@PUNCJack
27 September 2018 20:35
 @AgencyNurse @DrMLJCarter Exactly. These need to be seen as tools to enable people, not surgery, not a tablet that's going to make everything better. The focus should be enabling the patient, giving them the tools to help themselves. #WeNurses
@bill_russell3
27 September 2018 20:35
 @NRCUK @AgencyNurse @WeNurses So little collation, so little analysis So little used to make recommendations #WeNurses #HealthTech
@viccispires
27 September 2018 20:35
 @WeNurses It’s not the giving out of trackers, it’s who is giving the support and monitoring. Most of us have trackers on our phone but do we actually use them to their and our potential #wenurses
@AgencyNurse
27 September 2018 20:35
 I agree ... some fab stuff that actually enables people to take control .. not just tell them what is needed but empowers them #WeNurses https://twitter.com/mynameisAndyJ/status/1045396162449149952
@HLB27
27 September 2018 20:35
 @NRCUK @WeNurses Do they reduce the demand for NHS though? I've had loads of people ask me about stuff that they have seen online and are worried. #wenurses
@WeNurses
27 September 2018 20:36
 RT @NRCUK: FYI loving all the #10kForNurses @CavellTrust twibbons on tonight's What an active bunch we are :) #wenurses :) https://t.co/we…
@Louise90999815
27 September 2018 20:36
 @mynameisAndyJ Tbh most of my clients have smart phones or iPads and they are not mega rich?? #wenurses
@NRCUK
27 September 2018 20:37
 @Jo3_NHS !!!ABSOLUTELY!!! The tech is the enabler, and the very start of an attitude, support network and so much more :) #wenurses
@AgencyNurse
27 September 2018 20:37
 @HLB27 @NRCUK @WeNurses perhaps short term there are worries and concerns ... but it remains to be seen re the long term impact ?? #WeNurses
@jomwlever
27 September 2018 20:37
 @NRCUK @CavellTrust Thanks Nick. I've managed to get 2 twibbons on my profile pic #WeNurses
@NursesSikh
27 September 2018 20:38
 @WeNurses #WeNurses The advantages of wearable technology for health, fitness and nutrition it encourages personal responsibility and self-monitoring. It also helps to create an awareness of how active you are or are not. Self regulation also provides you a chance to change your lifestyle
@bill_russell3
27 September 2018 20:38
 How will #HealthTech improve 'right treatment, right time, right place'? #WeNurses Use tech to improve knowledge amongst HCPs and patients
@mynameisAndyJ
27 September 2018 20:38
 Should the NHS do a deal with a fitness tracker company and ensure all staff has them - Improve Staff wellbeing - Education and Prevention #wenurses Would you all wear one? or feel like Big Brother watching
@Louise90999815
27 September 2018 20:39
 @NRCUK @DrMLJCarter @HannahHilton9 @AppleSupport I think as potential patients of NHS we have to take responsibility ourselves I have a health trainer through NHS??#wenurses
@WeNurses
27 September 2018 20:39
 QUESTION 4 What implications does tech such as fitness trackers, apps or social media groups have for nursing and the way we practice as nurses? #WeNurses https://t.co/dbd22b6nno
@HLB27
27 September 2018 20:39
 @AgencyNurse @DrMLJCarter What @AgencyNurse said #wenurses
@DME_Health
27 September 2018 20:39
 RT @bill_russell3: How will #HealthTech improve 'right treatment, right time, right place'? #WeNurses Use tech to improve knowledge amongs…
@DrMLJCarter
27 September 2018 20:40
 @HLB27 @NRCUK @WeNurses They may reduce demand on the physical health side of things, but the other question to consider is whether social media increases (or at least significantly contributes to) NHS demand in other areas such as mental health? #WeNurses
@NRCUK
27 September 2018 20:40
 @HLB27 @WeNurses For example please? and yes.... I'm living proof :) But it wasn't just the tech, it was the realisation through role modeling I had to fix me, the tech helped http://wecommunities.org/blogs/3319 THIS tweeting community "did" this to me #wenurses https://t.co/C6LLozYTLh
@mynameisAndyJ
27 September 2018 20:40
 need to be careful when I went from Morbidly obese to anorexic #wenurses I had 6 trackers! 2 on my wrist (yes 2!) 2 on belt and i one phone
@PUNCJack
27 September 2018 20:41
 @mynameisAndyJ I know lots of NHS staff and other HCAs and APs that use various fitness trackers. I think the media and public would change their perception pretty quick (In a good way) of healthcare providers if they knew how many steps etc they really did in a day. #WeNurses
@AgencyNurse
27 September 2018 20:41
 @mynameisAndyJ My answer is no .. but not because of the big brother issue but because no one tracker, app, system suits everyone ... it's a personal thing, it's what works for you #WeNurses
@WeNurses
27 September 2018 20:42
 RT @bill_russell3: How will #HealthTech improve 'right treatment, right time, right place'? #WeNurses Use tech to improve knowledge amongs…
@DrMLJCarter
27 September 2018 20:42
 @NRCUK @HLB27 @WeNurses Fantastic work! I managed to lose 25kg with the help of tech for both exercise and diet #WeNurses
@WeCYPnurses
27 September 2018 20:43
 @ClaireOCPhysio @WeNurses #active10 has been approved by PHE as an app for getting active???#wenurses
@jomwlever
27 September 2018 20:43
 @mynameisAndyJ Hi Andy, good question. I think some ppl have pedometers provided for #healthandwellbeing. I don't think everyone would wear a tracker. We have to be bare below the elbow too #WeNurses
@NRCUK
27 September 2018 20:43
 @Louise90999815 @DrMLJCarter @HannahHilton9 @AppleSupport exactly, and the wearable tech revolution has enabled this, will be a while before we can see the impact of the want and increase in health it has created to be evidenced, but i'm confident it is getting a nation healther, marred by many getting less healthy too though? #wenurses
@AgencyNurse
27 September 2018 20:43
 @jomwlever @mynameisAndyJ there are wearable fobs :D #WeNurses
@HannahHilton9
27 September 2018 20:44
 RT @bill_russell3: How will #HealthTech improve 'right treatment, right time, right place'? #WeNurses Use tech to improve knowledge amongs…
@NRCUK
27 September 2018 20:44
 @DrMLJCarter @HLB27 @WeNurses For crying out loud, social media can't be blamed for everything ... let's use the NHS risk model and turn it off as thats its stance on everything it didn't invent or doesnt get paid for :) #wenurses
@AgencyNurse
27 September 2018 20:45
 I'm not sure about "implications" as such .. but do believe we need to have an awareness and understanding about what is our there .. the pro's and con's etc #WeNurses https://twitter.com/WeNurses/status/1045397556015108097
@PUNCJack
27 September 2018 20:45
 @WeNurses I had a lecturer today explain how surprised she was when she turned up for a bank shift recently and was given a handheld device to record everything on. No pen/paper due to concerns of confidentiality. Implication is that we as professionals need to prepare to adapt #WeNurses
@NRCUK
27 September 2018 20:46
 @DrMLJCarter @HLB27 @WeNurses nice work :) well done!!! my mental health was hugely positively improved too #wenurses
@HLB27
27 September 2018 20:46
 @Louise90999815 @mynameisAndyJ As do most of my young adults. Have you ever asked them when they use them (free WIFI)? Our amazing @KAOS_Kings youth worker spends days waiting for replies. Often 4 days later, a response....because they have no credit. Life isn't always as it seems #wenurses
@WeCYPnurses
27 September 2018 20:47
 @AgencyNurse Many nurses use social media and apps to communicate such as WhatsApp groups and twitter chats using tweetdeck and buffer etc??#wenurses
@NRCUK
27 September 2018 20:47
 RT @Louise90999815: @mynameisAndyJ Tbh most of my clients have smart phones or iPads and they are not mega rich?? #wenurses
@jomwlever
27 September 2018 20:48
 Wow, this is such an amazing tweet. How social media can have a positive influence on lifestyle if you are part of a supportive community #wenurses https://twitter.com/NRCUK/status/1045397803219005440
@HannahHilton9
27 September 2018 20:48
 @DrMLJCarter @HLB27 @NRCUK @WeNurses Being more self aware of your own body, could this have a negative affect on those who have eating disorders, OCD, anxiety? #WeNurses
@princessandtoad
27 September 2018 20:48
 @WeNurses Learning experiences #WeNurses We also have a Fitbit comp every week of how far we walk. On a shift.
@WeCYPnurses
27 September 2018 20:48
 RT @NursesSikh: @WeNurses #WeNurses The advantages of wearable technology for health, fitness and nutrition it encourages personal responsi…
@AgencyNurse
27 September 2018 20:49
 I think personal tech can be amazing for health and wellbeing ... but (as i keep saying) right tech for right person at the right time ... and it's not a magic wand .. it will only enable ... people need to understand this and as nurses we also need to understand this #WeNurses
@Kah7891
27 September 2018 20:49
 @WeNurses We use iPods to record all patients observations. It makes me feel extremely uncomfortable as alot of people think you are being really rude and stood looking at your phone. #WeNurses
@NRCUK
27 September 2018 20:49
 @jomwlever thanks for being part of that amazing community :) #wenurses
@WeCYPnurses
27 September 2018 20:50
 RT @bill_russell3: How will #HealthTech improve 'right treatment, right time, right place'? #WeNurses Use tech to improve knowledge amongs…
@NRCUK
27 September 2018 20:50
 @HannahHilton9 @DrMLJCarter @HLB27 @WeNurses so we ignore the value to the many and I mean many, because the few might be negatively impacted and slip through the net? #wenurses
@jomwlever
27 September 2018 20:50
 @NRCUK @HLB27 @WeNurses Wow Nick, what a transformation, brilliant to know our tweeting community made a difference for your efforts to improve fitness #WeNurses ??????
@Louise90999815
27 September 2018 20:50
 @bill_russell3 Hand held electronic records for patients ??? #wenurses
@DrMLJCarter
27 September 2018 20:50
 @mynameisAndyJ To be honest, most nurses I've seen generally have their smartphone in their pocket which is recording steps etc. anyway #WeNurses
@AgencyNurse
27 September 2018 20:51
 @Kah7891 @WeNurses do they ??? do you have evidence for this ?? I only ask as most waiters now have mobile tech to take orders ... and my thought is always "wow" ... mobile tech is the norm in other areas of life .. why not in nursing ?? #WeNurses
@anita_atwal
27 September 2018 20:52
 RT @NursesSikh: @WeNurses #WeNurses The advantages of wearable technology for health, fitness and nutrition it encourages personal responsi…
@Kah7891
27 September 2018 20:52
 @WeNurses Yes lots of relatives have said "you shouldn't be allowed on your phone whilst at work" and lots of the older generation complain that all we do is go on our phones #WeNurses
@WeCYPnurses
27 September 2018 20:52
 @WeNurses Use of online health advice like NHS health and #111 #wenurses
@Jo3_NHS
27 September 2018 20:52
 Where patients already own fitness trackers and apps, surely their healthy lifestyle related care plans should encourage their regular use. GPs could communicate usual general public health prevention messages like regular exercise and promote use of trackers. #WeNurses https://twitter.com/WeNurses/status/1045397556015108097
@NRCUK
27 September 2018 20:53
 @jomwlever @HLB27 @WeNurses I had all the excuses.... I'm to busy to be fit I'll do it when I'm older It's just a little extra weight. BUT i sort help via GP, he said "come back when 50", I was 40, and thought I might not make it. So new it was down to me, but help was amazing from social media :) #wenurses
@NursesSikh
27 September 2018 20:53
 @WeNurses #WeNurses In some ways wearable technology is seen as 'persuasive brain technology' that is a substitute… https://twitter.com/i/web/status/1045401071831658497
@PUNCJack
27 September 2018 20:53
 @AgencyNurse @Kah7891 @WeNurses This is something I have experienced in one care home, but usually just explaining that rather than using pen and paper we're using the iPad/Tablet etc brings about a look of wonder and comments along the lines of "It's amazing what they can do nowadays, innit?" ?? #WeNurses
@WeNurses
27 September 2018 20:54
 QUESTION 6 How can personal tech like this help nurses to play their part in the WHO target to reduce physical inactivity by 10% by 2025 and by 15% by 2030? #WeNurses https://t.co/WEjP3n5OlZ
@Louise90999815
27 September 2018 20:54
 @B_Myers88 @DrMLJCarter Same I try to do #10000steps daily and the dog gets an extra walk if not! Lol #wenurses
@NursesSikh
27 September 2018 20:54
 @WeNurses #WeNurses In some ways wearable technology is seen as 'persuasive brain technology' that is a substitute for you actively engaging in physical activities e.g. Going for a run or participating in sport. Thus turning a physical activity e.g. walking, into a technical object.
@bill_russell3
27 September 2018 20:54
 @Louise90999815 Needs link between diagnosis & gold standard treatment / NICE guidance & patients preferred place for treatment. #WeNurses
@HLB27
27 September 2018 20:55
 @DrMLJCarter @NRCUK @WeNurses All part of one package. Physical and Mental Health need to be considered as one. Holistic approach is way forward. And if it increases awareness/demand for mental health input then that is brilliant #WeNurses
@AgencyNurse
27 September 2018 20:55
 @PUNCJack @Kah7891 @WeNurses absolutely - we have a voice in our head to explain ! And the brilliant thing is with mobile tech we can also share and show ... however i think that is a whole different discussion #WeNurses
@jomwlever
27 September 2018 20:55
 @NRCUK Happy to be part of it. I need to work on improving my own diet and exercise and am not good at doing it alone - good habits slipped a few months ago (diet wise) - too much snacking going on more for sense of well-being (enjoying the taste) than physical health #WeNurses
@HannahHilton9
27 September 2018 20:55
 @PUNCJack @WeNurses I’ve used them before and they are actually great in connecting different professionals around the hospital, e.g if a patient had a high MEWS after putting in their obs, the oncall Dr will automatically have a red flag posted to them for potential review #WeNurses
@Kah7891
27 September 2018 20:55
 @WeNurses And people take the chargers home so you turn up to shift with all the iPod/ipads with no battery so out comes the pen and paper again ?? #WeNurses
@WeNurses
27 September 2018 20:55
 RT @NursesSikh: @WeNurses #WeNurses In some ways wearable technology is seen as 'persuasive brain technology' that is a substitute for you…
@NRCUK
27 September 2018 20:55
 @Jo3_NHS Why would GPs not use social prescribing, set up walking groups, a local social network based on tech that is NHS funded, drive the local improvement in health... why is all this down t the individuals? Why so much info about fitness, but no evidence on NHS impact? #wenurses
@mynameisAndyJ
27 September 2018 20:55
 What a great chat - Clearly shows we love tech But yes but we seem to still make excuses or reluctant to use and embrace it #wenurses I am not a nurse but 10yrs ago I was laughed at when i said asked a tech company to develop an app to take patient orders - now its becoming norm
@STPHCareers
27 September 2018 20:55
 We're #hiring! Click to apply: RN PRN Nights Med Surg Neuro Unit - http://bit.ly/2QSc9XE #HealthyNurse #WeNurses #Nursing #Covington, LA #Job #Jobs
@AgencyNurse
27 September 2018 20:57
 Interestingly i did a quick google whilst chatting and found more stuff on the positive impact of fitness trackers on mental health (due to physical health mental health link) than the negative implications #WeNurses https://twitter.com/HLB27/status/1045401437688287233
@NRCUK
27 September 2018 20:57
 @Kah7891 @WeNurses So often "the tech" gets the blame for user error :( #wenurses
@HannahHilton9
27 September 2018 20:58
 @NRCUK @DrMLJCarter @HLB27 @WeNurses I’m not saying it should never be used because of these negative effects that could be caused for those with #mentalhealth needs, but nor should they be overlooked, we need to make sure there are support networks inplace if this come about #WeNurses
@DrMLJCarter
27 September 2018 20:58
 @Kah7891 @WeNurses I'm forever whipping my phone out in front of patients when they want to know what the football score is or how the crickets going, all part of the holistic care model, right? ?? #WeNurses
@bill_russell3
27 September 2018 20:58
 @Kah7891 @WeNurses Why cant IP observations be downloaded directly to MR and then made available to tablet on bed or in HCPs hand? #wenurses Ditto for pathology results
@mynameisAndyJ
27 September 2018 20:58
 Tech is the way head and will be a key part of our health and wellbeing from trackers for steps to trackers for calorie in take #wenurses
@TrishaL8
27 September 2018 20:58
 @WeNurses @RoyLilley #wenurses seizure diary apps to are useful #epilepsy as are mood ones - would be helpful if information could be linked up to my specialist nurse tho I'm guessing this has lots of potential issues ??
@lilian_wittman
27 September 2018 20:59
 #WeNurses @NursesSikh Even if that's the case, could it not be said that it could end up being motivational for the individual ?
@PUNCJack
27 September 2018 20:59
 @WeNurses We all have a responsibility to lead by example. We are health professionals, we should promote good health. It's not at all about targeting people, but showing people that we are all human, we all struggle, but we can all succeed! #WeNurses
@AgencyNurse
27 September 2018 20:59
 For me it's firstly about taking responsibility for my own health .. and personal tech helps me to do this .... and then having and awareness about how personal tech can help the people i care for #WeNurses It's about knowing whats out there https://twitter.com/WeNurses/status/1045401185979715585
@NRCUK
27 September 2018 21:00
 @AgencyNurse Why is there so much fitness promotion and adoption (billion £ industry) and so little evidence on its impact on NHS demand, it is because NHS has no visibility of its demand to measure impact maybe? #wenurses
@jomwlever
27 September 2018 21:00
 @HannahHilton9 @PUNCJack @WeNurses That is a fantastic idea. So much potential here. I am based in Operating Theatres (recovery room) & strive to #MakeEveryContactCount & take opportunities for brief interventions. It would be great to have a system that links to relevant health professionals to follow #WeNurses
@AgencyNurse
27 September 2018 21:00
 AND it's in the NMC code that we need to be healthy enough to do our job ! #WeNurses https://twitter.com/PUNCJack/status/1045402535832555520
@WeNurses
27 September 2018 21:01
 Well what a fast hour that was!! Thank you all for sharing such fab tweets this evening #WeNurses https://t.co/oVxyMiYY8V
@PUNCJack
27 September 2018 21:01
 RT @AgencyNurse: AND it's in the NMC code that we need to be healthy enough to do our job ! #WeNurses https://twitter.com/PUNCJack/status/1045402535832555520
@Jo3_NHS
27 September 2018 21:01
 I missed Question 5 ??. Increasing physical activity requires the NHS to be responsive and clever about the use of tech. Innovation always takes a while to penetrate the wider NHS community. #WeNurses https://twitter.com/WeNurses/status/1045401185979715585
@Kah7891
27 September 2018 21:01
 @PUNCJack @WeNurses Absolutely. It's nice to compare step counts on rehab wards it gives the patients lots of motivation sometimes. #WeNurses
@NRCUK
27 September 2018 21:01
 @WeNurses this comes back to "every contact counts" be aware of the social benefits of this tech... why not even give couch to 5k a go yourself... whats your excuse??? #wenurses
@HLB27
27 September 2018 21:01
 @AgencyNurse Excellent! I'm still up for not dividing the mental and physical. Culture shift is needed in NHS and beyond. Seeds are being sown. #WeNurses ps. are you Tree on our Fitbit Challenge?
@Louise90999815
27 September 2018 21:02
 @AgencyNurse I promote #active10 because it is more achievable than #10000steps for some people??there was a trial on the two recently #wenurses
@Louise90999815
27 September 2018 21:02
 RT @WeNurses: Well what a fast hour that was!! Thank you all for sharing such fab tweets this evening #WeNurses https://t.co/oVxyMiYY8V
@WeNurses
27 September 2018 21:02
 If you want to reflect on tonights #WeNurses as part of your CPD then here is the MyWe link > http://www.wecommunities.org/blogs/2177 https://t.co/SNEtth9EEo
@AgencyNurse
27 September 2018 21:03
 This is exactly why i tell people about it too ... it's a brilliant app to help people to start to think about their activity levels #WeNurses https://twitter.com/Louise90999815/status/1045403257890373632
@jomwlever
27 September 2018 21:04
 @kennygibson @amirhannan @COSMakin @KateHarey @DrSanjayDalmia @COSMakin @ruth_despard @CBreen8214 @HelenCollinge @amandalkitson @tyroneroberts2 @DeborahBActive #WeNurses tech chat #allourhealth https://twitter.com/jomwlever/status/1045402735577894917
@PUNCJack
27 September 2018 21:04
 @AgencyNurse Definitely. Another good reason is because it means I can eat pizza and feel less guilty. #WeNurses
@viccispires
27 September 2018 21:05
 @AgencyNurse Ok ok ok I’m downloading it now #wenurses
@WeNurses
27 September 2018 21:05
 Just wanted to share a little shout out to @PUNCJack :) We met him this week as part of an @WeLearnOutLoud course on digital professionalism :) He's new to nursing and twitter and done a great job sharing and learning this eve, well done Jack! PLEASE give him a follow #wenurses
@jomwlever
27 September 2018 21:05
 RT @WeNurses: If you want to reflect on tonights #WeNurses as part of your CPD then here is the MyWe link > http://www.wecommunities.org/blogs/2177 https:/…
@AgencyNurse
27 September 2018 21:05
 @HLB27 yep i can see how that shift would be productive YES I am !!! And you are Hannah B. ??? #WeNurses
@AgencyNurse
27 September 2018 21:06
 @PUNCJack i am with you there :D #WeNurses
@PUNCJack
27 September 2018 21:06
 @WeNurses Thank you for hosting such a great chat! Always nice to meet other twits... or er twitterers, or... #WeNurses
@DrMLJCarter
27 September 2018 21:06
 @PUNCJack @AgencyNurse Preach ?? #WeNurses
@WeNurses
27 September 2018 21:08
 NEXT THURSDAY What's the alternative? Exploring diverse nursing careers with @Claire_Advanced > https://buff.ly/2NQoutt #WeNurses https://t.co/5c0cpH7CQN
@jomwlever
27 September 2018 21:08
 @NRCUK @WeNurses Definitely #allourhealth . @OrchaUK might be interested in this #WeNurses tech chat too for #AllOurHealth
@jomwlever
27 September 2018 21:10
 @AgencyNurse @mynameisAndyJ Thanks for telling me, I haven't knowingly seen them #WeNurses
@WeNurses
27 September 2018 21:13
 RT @jomwlever: @NRCUK @WeNurses Definitely #allourhealth . @OrchaUK might be interested in this #WeNurses tech chat too for #AllOurHealth
@NRCUK
27 September 2018 21:13
 RT @jomwlever: @NRCUK @WeNurses Definitely #allourhealth . @OrchaUK might be interested in this #WeNurses tech chat too for #AllOurHealth




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