For the week Monday 27th January to Sunday 2nd February 2014 I was able to use the @WePublicHealth Twitter handle, thanks to the generosity of Melissa Sweet (aka @croakeyblog).
Here’s what happened:
1.
This week the @WePublicHealth reins have been handed to Paul McNamara (@meta4RN Nurse. Educator. Digital Citizen.). Good morning from Cairns
— #IDMHRT18 (@WePublicHealth) January 26, 2014
2.
I’m taking the reins at @WePublicHealth this week. More info here: http://t.co/Nf7pqgLZui
— Paul McNamara (@meta4RN) January 26, 2014
3.
I have a few pet topics that I’d like to chat about.
Perinatal mental health.
Clinical supervision.
Consultation liaison psychiatry.— #IDMHRT18 (@WePublicHealth) January 26, 2014
4.
@WePublicHealth Sounds great. I’m all ears.
— Marie Bismark (@mbismark) January 26, 2014
5.
BTW Consultation liaison psychiatry = mental health in the general hospital
— #IDMHRT18 (@WePublicHealth) January 26, 2014
6.
@WePublicHealth thanks for the layman’s parse . Looking forward to the week.
— HealthyCommunicators (@_HealthyComms) January 26, 2014
7.
Also, as it looks like a cyclone will spin-up in a couple of days (see BOM http://t.co/q8cPzbxxr4 ), I may divert onto that as a topic
— #IDMHRT18 (@WePublicHealth) January 26, 2014
8.
In the run-up to #TCYasi crossing the coast the media hype caused heaps of anxiety which social media amplified. I’d like to counter that.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
9.
Off to a slow start tweeting. Two reasons:
1 Waiting for my partner to wake before putting on the coffee
2 This feed is REALLY interesting!— #IDMHRT18 (@WePublicHealth) January 26, 2014
10.
Public Health 2.0 uses social media to talk AND listen. At the moment I’m listening.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
11.
WePublicHealth = WePublicHoliday 🙂 RT @timsenior: I view today’s public holiday as a collective mental health day. We all need them.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
12.
Right. Coffee on board now, so I feel ready to go. Let’s start with perinatal mental health.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
13.
Quick translation: perinatal = antenatal + postnatal. The length of the perinatal period differs, depending on who you ask.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
14.
Generally, in perinatal mental health, we would say planning pregnancy + pregnant + new parent = perinatal period.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
15.
To add to the confusion, the terms “postnatal” and “postpartum” are used in different ways in different place. Jargon-lovers paradise.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
16.
To untangle the jargon I’ve written a blog post. It seems incredibly self-promoting to use @WePublicHealth to flog a personal blog post…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
17.
… but, I haven’t seen a similar jargon-buster, so (feeling a bit self conscious about it) here comes a link…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
18.
. @WePublicHealth don’t feel self conscious, we want to know about your blogs, I always enjoy them & learn from them…
— Melissa Sweet (@croakeyblog) January 26, 2014
19.
Perinatal Jargon Busting http://t.co/OgEb4AbI1K #bePNDaware #PND #PPD
— #IDMHRT18 (@WePublicHealth) January 26, 2014
20.
I didn’t mean to work in perinatal mental health. Was pretty-much bullied into by Midwives (in a good way).
— #IDMHRT18 (@WePublicHealth) January 26, 2014
21.
4 Midwives cornered me and said, “You (mental health nurse) should do early intervention and prevention stuff with our women.”
— #IDMHRT18 (@WePublicHealth) January 26, 2014
22.
Midwives are nearly always assertive women who are passionate about their work. I dared not to say “No”
— #IDMHRT18 (@WePublicHealth) January 26, 2014
23.
So, we built this really good partnership between maternity services and mental health. Midwives were generating about 90% of my referrals
— #IDMHRT18 (@WePublicHealth) January 26, 2014
24.
This is going back a bit – starting July 2000, was really cranking-up by 2002. At the time, 13% of the women giving birth a the hospital…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
25.
… were being referred to mental health. Low threshold for referral and being embedded in antenatal clinic/maternity ward was the key.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
26.
So, 13% of women giving birth referred to mental health: pretty close to the incidence of postnatal depression. No coincidence.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
27.
The coolest bit was how the Midwives were generating the referrals: simply by using their authentic, nurturing interpersonal skills…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
28.
… after fussing-around with all the checklists and gadgets, the Midwives would put everything down and take a few minutes to just chat.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
29.
Midwife: “Right. Now we’ve got all that over with, how are you feeling within yourself?” [sometimes accompanied by light touch]
— #IDMHRT18 (@WePublicHealth) January 26, 2014
30.
It was during that authentic, gentle enquiry that women disclosed their biggest concerns; referrals were generated if required.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
31.
So, years later when the National Perinatal Depression Initiative was being rolled-out we were concerned that the human touch would be lost.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
32.
It seemed that the Edinburgh Postnatal Depression Scale was being valued over the authentic, gentle enquiry of a Midwife.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
33.
Phatic chat vs empirical data = data wins. But, human emotions are not pieces of data lying around waiting to be collected and collated.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
34.
Also, it would have been incredibly rude to the Midwives who drove the service into existence, to dismiss the achievements they had made…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
35.
… through using their communication skills, their SELF, to engage with people and understand their concerns.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
36.
So, what to do? We were obliged to use a checklist, but there’s more than one way to go about it. We wanted to keep the human touch, hence:
— #IDMHRT18 (@WePublicHealth) January 26, 2014
37.
Using the Edinburgh Postnatal Depression Scale http://t.co/xQ5JkpqEOl #bePNDaware #PND #PPD
— #IDMHRT18 (@WePublicHealth) January 26, 2014
38.
A mental health nurse @JoysBell123 spoke of the nursing care her mother received: “There’s more than one way to fill a drip.”…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
39.
She went on to describe the difference between just getting the IV up and running, and being WiTH the patient while doing other tasks.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
40.
That BEING WITH thing = therapeutic use of self. It’s not exclusive to nurses and midwives of course, but gets overlooked sometimes.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
41.
I’m not sure that we do enough protecting and valuing these practices:
Being-with.
Phatic chat.
Therapeutic use of self.— #IDMHRT18 (@WePublicHealth) January 26, 2014
42.
Which fits in with the transcultural thing. White males can form therapeutic relationships with Indigenous women, it’s down to 1:1 rapport.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
43.
. @eadykat eg: 32% of women who give birth at my local hospital are Aboriginal and/or Torres Strait Islander. I’m a white male, so…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
44.
. @eadykat … incredibly important to work alongside the Indigenous Health Workers. For some women, my culture/gender = too big a hurdle.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
45.
Cultural safety is “an outcome of nursing and midwifery education that enables safe service to be defined by those that receive the service”
— #IDMHRT18 (@WePublicHealth) January 26, 2014
46.
Cultural safety is “an outcome of nursing and midwifery education that enables safe service to be defined by those that receive the service”
— #IDMHRT18 (@WePublicHealth) January 26, 2014
47.
Reference: Ramsden, I. (2002) Cultural Safety: Kawa Whakaruruhau, Massey.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
48.
There’s a really interesting micro blog of the role of midwives in perinatal maternal mental health going on at @WePublicHealth
— Jenny Ejlak (@JennyEjlak) January 26, 2014
49.
On @WePublicHealth @meta4RN has been talking about scales vs empathetic chat for mental health referrals in ante&post natal settings.
— Bridge8 (@_bridge8) January 26, 2014
50.
It’s worth thinking about parallel processes when we thinking about perinatal mental health. Let’s start with the baby:
— #IDMHRT18 (@WePublicHealth) January 26, 2014
51.
Now, I don’t want to be rude about babies, but really it does seem sometimes that it’s all “Care Goes In. Crap Comes Out.”
— #IDMHRT18 (@WePublicHealth) January 26, 2014
52.
“Care Goes In. Crap Comes Out.” is a useful model to hold in mind. Hopefully, I can explain (no offence intended, BTW).
— #IDMHRT18 (@WePublicHealth) January 26, 2014
53.
Parents are bigger, stinger and wiser than their infant. They’re also kind: the give care to the baby without expecting it be reciprocated.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
54.
@WePublicHealth stinger = stronger, I presume?
— Melissa Sweet (@croakeyblog) January 27, 2014
55.
@croakeyblog oops. Yep.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
56.
Of course, babies/infants can’t reciprocate: parent wakes in middle of night to feed baby, never the other way around.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
57.
In fact, at first, the most tangible thing you get back from bubs is dirty nappies. Care goes in. Crap comes out.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
58.
And then, if mum/dad is getting into the swing of things, more than just crap gets noticed: eye contact, for starters.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
59.
Don’t ever get into a staring competition with a baby: s/he will probably beat you.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
60.
But babies do like sneak in quick breaks from eye contact. It seems like cheating, but it actually serves a purpose to refresh/revitalise.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
61.
Then, back to the staring again. Sometimes that real intense staring… is this baby trying to hypnotise mum or dad?
— #IDMHRT18 (@WePublicHealth) January 26, 2014
62.
Nope. Baby is just trying to make sense of stuff. S/he is born with a brain primed for learning. S/he needs experience.
And love.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
63.
So, it turns out that all those ridiculous things that see you parents do: be preoccupied with baby, mimic their emotions/expressions…
— #IDMHRT18 (@WePublicHealth) January 26, 2014
64.
… cuddle, use words to soothe etc etc, all become part of the baby’s experience/learning.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
65.
Baby’s brand new brain is not especially active, but with all that care going in by 6 months it’s really fired up, by 12 months it’s BUSY+++
— #IDMHRT18 (@WePublicHealth) January 26, 2014
66.
When care goes in brains get active and firing on all cylinders. Parents are pretty-much neuroscientists, creating baby neural pathways.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
67.
Yay parents!
— #IDMHRT18 (@WePublicHealth) January 26, 2014
68.
Care goes in. Parents meet the baby’s needs, not the other way around.
Which brings me back to parallel processes thing.
— #IDMHRT18 (@WePublicHealth) January 26, 2014
69.
Care Goes In. Crap Comes Out.
See attached by @impactednurse @TheNursePath http://t.co/er1abRuiO9 pic.twitter.com/8gAUidikoF— #IDMHRT18 (@WePublicHealth) January 26, 2014
70.
Using ring theory the care all goes towards the middle. In perinatal mental health, that means the infant-caregiver dyad…
— #IDMHRT18 (@WePublicHealth) January 27, 2014
71.
… Why a dyad? Because “there’s no such thing as a baby” (Donald Winnicott). There’s always a baby AND primary caregiver(s).
— #IDMHRT18 (@WePublicHealth) January 27, 2014
72.
@WePublicHealth isn’t there some evidence that responsiveness of the baby stimulates more so (babies with DD don’t always give that loop)
— Bronwyn Hemsley (@BronwynHemsley) January 26, 2014
73.
. @BronwynHemsley Yep. There is a kind of turn-taking and reciprocity that develops over time… eg: those endless games of “Peek-A-Boo”
— #IDMHRT18 (@WePublicHealth) January 27, 2014
74.
Imagine for a moment that you’re in a busy shopping centre. If you see a 16yo kid alone, are you worried about their safety? How about 13?
— #IDMHRT18 (@WePublicHealth) January 27, 2014
75.
How about 10? 7? 4? 1?
— #IDMHRT18 (@WePublicHealth) January 27, 2014
76.
The younger the child the more likely s/he will have their primary caregiver close at hand. Not many independent toddlers down the shops.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
77.
The reason for that: they need the care to go in and, quite possibly, will need somebody to help them organise the crap coming out.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
78.
And crap can include the uncomfortable emotions: stuff like fear, anger, confusion, sadness… You know: that stuff that makes us human.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
79.
Those emotions need to be recognised, understood, organsed. Not avoided. There’s no way to avoid being human if you’re a human baby.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
80.
So, back to the parallel processes: parent gives care to baby, health professionals give care to parent. Care goes in.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
81.
Sometimes crap comes out. No biggie.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
82.
@WePublicHealth good to see the nursing invasion of @WePublicHealth !!
— The Cannulator™ (@Cannulator) January 27, 2014
83.
@WePublicHealth – isn’t always clear where to send ‘the crap’ from the middle is it!
— Claire Warren (@ClaireWarren0) January 27, 2014
84.
Sensible reminders “@WePublicHealth: Using the Edinburgh Postnatal Depression Scale http://t.co/MijJo97nif #bePNDaware #PND #PPD”
— Carolyn R Hastie (@CarolynHastie) January 27, 2014
85.
This evening I’ll trickle out some of the links to perinatal-infant mental health resources that I share with clinicians and parents.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
86.
Australia’s Perinatal Mental Health Clinical Practice Guidelines https://t.co/vpNvIInnY0
— #IDMHRT18 (@WePublicHealth) January 27, 2014
87.
Cool DVD featuring Indigenous parents “Stay connected, stay strong: before and after baby” in @LibrariesCairns http://t.co/ZJ3dNLVxnj
— #IDMHRT18 (@WePublicHealth) January 27, 2014
88.
That cool DVD featuring Indigenous parents is free in Queensland and cheap elsewhere. Order form: http://t.co/0GfCGnwZz3
— #IDMHRT18 (@WePublicHealth) January 27, 2014
89.
Queensland Centre for Perinatal and Infant Mental Health http://t.co/Zh6aiDIg7y
— #IDMHRT18 (@WePublicHealth) January 27, 2014
90.
Post and Antenatal Depression Association @PANDA_NATIONAL http://t.co/QHNHlSwzjz (for info and phone support)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
91.
Trying to work-out what newborns are trying to communicate can be tricky. These video guides might help: http://t.co/imC0N1XQ6n
— #IDMHRT18 (@WePublicHealth) January 27, 2014
92.
Raising Children Network @RCN_AUS = Australian resource for parenting newborns to teens http://t.co/OTRGCetawS
— #IDMHRT18 (@WePublicHealth) January 27, 2014
93.
Promoting Perinatal Mental Health Wellness in Aboriginal and Torres Strait Islander Communities http://t.co/bemjcRQRFO (PDF of book chapter)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
94.
Behind the Mask: The Hidden Struggle of Parenthood (DVD preview) http://t.co/0QgHeDLox6
— #IDMHRT18 (@WePublicHealth) January 27, 2014
95.
Edinburgh Postnatal Depression Scale (EPDS) http://t.co/7dNiMoqwrj (free, anonymous, self-scoring version)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
96.
Edinburgh Postnatal Depression Scale (EPDS) http://t.co/BaKCq0chBH (online, anonymous, free, self-scoring)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
97.
A Monster Ate My Mum @MonsterAteMyMum http://t.co/KFxN4i0kPx (looking at postnatal depression through a child’s eyes)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
98.
How is Dad Going? http://t.co/lDE67kioWB (for fathers affected by perinatal anxiety/depression)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
99.
Not sure how to start a conversation about mental health with your midwife, nurse or doctor? Get @DocReady http://t.co/mgOea4kg3U
— #IDMHRT18 (@WePublicHealth) January 27, 2014
100.
Pregnancy, Birth & Baby @pregbirthbaby http://t.co/4MmHk0M7lq (24 hour info and support)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
101.
Perintal and Infant Mental Health Libguide http://t.co/ezHEDOKqo3 (handy for researchers and clinicians)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
102.
The @beyondblue resources for pregnancy and early childhood http://t.co/Ud0tY7HIFC (caters for parents and clinicians, multilingual)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
103.
Still Face Experiment http://t.co/2VnJD50Eo9 (nearly always referred to in infant mental health education)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
104.
Information on Puerperal Psychosis (2010) by Dr Anne Sven Williams and Sue Ellershaw http://t.co/dlTXMxycry (PDF)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
105.
Puerperal Psychosis: a Carer’s Survival Guide (2011) by Craig Allatt http://t.co/DVzs4S2TuC (PDF)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
106.
Circle of Security http://t.co/5UNWsvijS1 (re attachment theory and affective neuroscience) pic.twitter.com/NL0JJuPL3L
— #IDMHRT18 (@WePublicHealth) January 27, 2014
107.
Using the Edinburgh Postnatal Depression Scale http://t.co/xQ5JkpqEOl (my tips for midwives, nurses and other clinicians)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
108.
Perinatal Jargon Buster http://t.co/OgEb4AbI1K pic.twitter.com/QVhyaGFrzY
— #IDMHRT18 (@WePublicHealth) January 27, 2014
109.
24 resources for those interested in perinatal and infant mental health in the preceding tweets.
— #IDMHRT18 (@WePublicHealth) January 27, 2014
110.
And with that, I’ll sign off for the night. Thanks for all the RTs and follows today. Good fun 🙂
— #IDMHRT18 (@WePublicHealth) January 27, 2014
111.
Good morning. Normally I’d go to the gym, but it’s a bit damp this morning. Looks like a wet week ahead. pic.twitter.com/tD6xVjK3kb
— #IDMHRT18 (@WePublicHealth) January 27, 2014
112.
There is a low deepening out in the Coral Sea; it is expected to be named #TCDylan tomorrow. Can use social media to counter-act the hype?
— #IDMHRT18 (@WePublicHealth) January 27, 2014
113.
@WePublicHealth hope you stay dry and safe and don’t end up as a cyclone reporter!
— Melissa Sweet (@croakeyblog) January 27, 2014
114.
For #TCYasi my perception was that social media amplified the mainstream anxiety-provoking media hype. Can we stop this for #TCDylan ?
— #IDMHRT18 (@WePublicHealth) January 27, 2014
115.
Prescription of antidepressant and anxiolytic drugs increased after #TCYasi see @KimUsher3 et al http://t.co/KC9vKhNicr
— #IDMHRT18 (@WePublicHealth) January 27, 2014
116.
RT @meta4RN: Cyclone: Alert, Not Alarmed http://t.co/dWU7sSp3oD #TCDylan (a pre-emptive strike against anxiety-provoking hyperbole)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
117.
Queensland Centre for Perinatal and Infant Mental Health has resources for families affected by fire, flood, cyclone: http://t.co/hvLTh3xWnU
— #IDMHRT18 (@WePublicHealth) January 27, 2014
118.
Understanding and managing anxiety | via @APS_Media http://t.co/tQ5tB36igb #bushfires #TCDylan
— #IDMHRT18 (@WePublicHealth) January 27, 2014
119.
Oops. Last night I overlooked a couple of really handy perinatal and infant mental health link. Stay tuned:
— #IDMHRT18 (@WePublicHealth) January 27, 2014
120.
The @ACMHN email network for nurses & midwives interested in perinatal/infant mental health http://t.co/qDflgN8PJz
— #IDMHRT18 (@WePublicHealth) January 27, 2014
121.
The @ACMHN Perinatal Mental Health online CPD program http://t.co/48xw1HOmrB
— #IDMHRT18 (@WePublicHealth) January 27, 2014
122.
After work today I’ll chat about my current role as a clinical nurse consultant in consultation liaison (general hospital mental health)
— #IDMHRT18 (@WePublicHealth) January 27, 2014
123.
If the weather gets breezy, be sure to bring your fibreglass livestock inside #TCDylan #Cairns pic.twitter.com/Xy4U3mwi6m
— #IDMHRT18 (@WePublicHealth) January 28, 2014
124.
RT @trentyarwood: Productivity in Cairns today inversely proportional to hits on the BoM website. #TCDylan 🌀 http://t.co/5QaOprLdzC
— #IDMHRT18 (@WePublicHealth) January 28, 2014
125.
Rightyoh: our outdoor furniture is inside (saves worrying about a rogue #TCDylan squall),
On with the consultation liaison chat now.— #IDMHRT18 (@WePublicHealth) January 28, 2014
126.
Consultation liaison = general hospital mental health.
In the UK it’s called liaison psychiatry.
(Same bloke. Different hat.)— #IDMHRT18 (@WePublicHealth) January 28, 2014
127.
General hospital patients are more at risk of experiencing mental health difficulties. Being sick is stressy.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
128.
Works the other way around too. People who experience long term mental health difficulties are more at risk of getting physically unwell.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
129.
If you are interested in the relationship between physical health & #mentalhealth now is a good time to be following @WePublicHealth …
— Melissa Sweet (@croakeyblog) January 28, 2014
130.
Consultation liaison clinicians (nurses, psychiatrists & psychologists = the usual suspects) act as a referral point for general clinicians
— #IDMHRT18 (@WePublicHealth) January 28, 2014
131.
Consultation Liaison = CL from now on. OK?
— #IDMHRT18 (@WePublicHealth) January 28, 2014
132.
CL clinicians have two sets of customers:
1 The person in pyjamas with the wrist band on
2 The people in clothes wearing hospital ID badges— #IDMHRT18 (@WePublicHealth) January 28, 2014
133.
We don’t always see the person in pyjamas. Sometimes it’s the clinicians just checking on info/asking for advice.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
134.
In a survey a few years ago, a CL nurse identified “the four Ds of CL referrals”: depression, delirium, dementia + deliberate self harm
— #IDMHRT18 (@WePublicHealth) January 28, 2014
135.
Source: You are not alone: results of the 2005 Australian consultation liaison survey http://t.co/FcozJ8VwPQ PDF via @ACMHN
— #IDMHRT18 (@WePublicHealth) January 28, 2014
136.
There’s more to that “the four Ds”, of course, but they do recur the most.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
137.
(excuse the grammar: was just distracted by a chook)
— #IDMHRT18 (@WePublicHealth) January 28, 2014
138.
(chook issue resolved; normal transmission resumes)
— #IDMHRT18 (@WePublicHealth) January 28, 2014
139.
Delirium is not traditionally part of psychiatry’s sphere, but in CL we assess and educate re delirium a fair bit.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
140.
Delirium in Latin = “lost the way” (or something like that), refers to the confusional state sometimes caused by medical conditions.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
141.
Delirium is remarkably common in general hospitals, but not always recognised. Risk factors include age & other cognitive deficits, but…
— #IDMHRT18 (@WePublicHealth) January 28, 2014
142.
… predicting who will and will not experience delirium is an inexact science.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
143.
What conditions cause delirium? Too many to list. Any medical condition or medication and occasionally (so it seems) nothing at all.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
144.
We think about a third of general hospital patients will experience delirium. ICU and post-op patients most at risk, esp if older person.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
145.
Sudden onset is a key defining feature of delirium. Sometimes (not always) it resolves as promptly as it started, BUT…
— #IDMHRT18 (@WePublicHealth) January 28, 2014
146.
@WePublicHealth very under-recognised IMHO. I say “Mrs B has a delirium” and staff say “No, she’s just a bit confused sometimes.” Er…yes
— Sonia Fullerton (@sonialf) January 28, 2014
147.
Related : @meta4RN is omnipresent in the hospital wards. Provides excellent clinical cl service – as well as @WePublicHealth ing this week.
— Trent 💊🆔 (@trentyarwood) January 28, 2014
148.
. @trentyarwood thanks Trent!
— #IDMHRT18 (@WePublicHealth) January 28, 2014
149.
@WePublicHealth well deserved praise. You’re there much more than I am. 😉
— Trent 💊🆔 (@trentyarwood) January 28, 2014
150.
… BUT, even after the delirium has resolved, the impact of such a frightening experience can linger. PTSD? Maybe http://t.co/X3c3nAnzoe
— #IDMHRT18 (@WePublicHealth) January 28, 2014
151.
Delirium develops over hours.
Depression develops over weeks.
Dementia develops over years.(most of the time)
— #IDMHRT18 (@WePublicHealth) January 28, 2014
152.
Delirium fluctuates. Patient as confused as all hell overnight. Clam and orientated on the ward round.
Tension on the team. #totestricky— #IDMHRT18 (@WePublicHealth) January 28, 2014
153.
Clam wrong. The patient is never a clam.
Calm!
— #IDMHRT18 (@WePublicHealth) January 28, 2014
154.
Hypoactive delirium is probably trickiest.
Mrs Smith quietly sits, gives plausible responses to vague question. Her confusion gets missed.— #IDMHRT18 (@WePublicHealth) January 28, 2014
155.
Don’t wish hyperactive delirium onto anyone, but at least you don’t get ignored when you’re yelling at 3:00am.
Hypoactive Mrs Smith does.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
156.
Australia Delirium Care Pathways (2010) http://t.co/jJVuKSxLvN pic.twitter.com/hVm5WgNQV4
— #IDMHRT18 (@WePublicHealth) January 28, 2014
157.
User-friendly booklet for clinicians re delirium here: http://t.co/wkUSKcOWWK
Anyone have a good handout for the family?
— #IDMHRT18 (@WePublicHealth) January 28, 2014
158.
Delirium pamphlet for the family http://t.co/d0hilZpGfN (Australian; PDF)
— #IDMHRT18 (@WePublicHealth) January 28, 2014
159.
That will do for discussion re delirium. I’ll log off for the night now and chat about some more CL stuff tomorrow. Thanks 🙂
— #IDMHRT18 (@WePublicHealth) January 28, 2014
160.
This week the @WePublicHealth reins have been handed to Paul McNamara @meta4RN – good morning from blustery Cairns.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
161.
Last night chatted about delirium, and found a pamphlet for the family: https://t.co/ctpgBr1ObU
Are pamphlets past their use-by date?— #IDMHRT18 (@WePublicHealth) January 28, 2014
162.
When pamphlets were introduced alternatives consumer communication tools such as the internet, SMS and QR codes weren’t available.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
163.
In a perinatal mental health role I used QR Codes http://t.co/wjN3xihqSS and SMS http://t.co/fnWI8GNadm with pretty good effect
— #IDMHRT18 (@WePublicHealth) January 28, 2014
164.
Just wondering if that success was peculiar to the demographic: pregnant woman and new mums are nearly always mobile-savvy.
— #IDMHRT18 (@WePublicHealth) January 28, 2014
165.
. @WePublicHealth Am hoping all is ok with you & yours (inc your patients!) in the wild weather in the north?
— Melissa Sweet (@croakeyblog) January 30, 2014
166.
. @croakeyblog no weather dramas here in Cairns. Clinically busy+++
— #IDMHRT18 (@WePublicHealth) January 30, 2014
167.
Big day (too big for chatting this evening; will do so tomorrow).
Nursing is a peculiar privilege http://t.co/mXnh5itOam— #IDMHRT18 (@WePublicHealth) January 29, 2014
168.
Apologies for neglecting @WePublicHealth for last 24 hours. Was getting slammed clinically: not much time or energy extracurricular tweeting
— #IDMHRT18 (@WePublicHealth) January 30, 2014
169.
@WePublicHealth No need to apologise. We appreciate you doing this as an add-on, on top of so much else…
— Melissa Sweet (@croakeyblog) January 30, 2014
170.
I’m Paul McNamara, aka @meta4RN, working in consultation liaison (think “general hospital mental health”) in Cairns. Good weather here now.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
171.
I’ll try pick-up from where I left-off chatting re consultation liaison and “The 4 Ds”: delirium, depression, dementia, deliberate self harm
— #IDMHRT18 (@WePublicHealth) January 30, 2014
172.
User-friendly info re delirium:
For Clinicians: http://t.co/wkUSKcOWWK
For Family: http://t.co/d0hilZpGfN #delirium— #IDMHRT18 (@WePublicHealth) January 30, 2014
173.
Tweets re suicide coming up.
If required, please hide the feed or see http://t.co/LMmqsPskV8 to find information, resources and support
— #IDMHRT18 (@WePublicHealth) January 30, 2014
174.
One of the trickier aspects of working in hospitals is sensitively, safely looking after the person who has survived suicide.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
175.
It is not unusual for the suicide survivor to be admitted for medical/surgical/nursing care in the general hospital.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
176.
Although I provide mental health services in a general hospital, most of the bedside care is provided by medical/surgical nurses and doctors
— #IDMHRT18 (@WePublicHealth) January 30, 2014
177.
I have the luxury of spending an hour or so with the person every now and then, but it’s the bedside clinicians who matter most. Continuity.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
178.
It is the input of medical/surgical nurses and doctors into physical care that influences physical recovery..Also matters for psych recovery
— #IDMHRT18 (@WePublicHealth) January 30, 2014
179.
That’s where it gets tricky. Comfort zones, knowledge & skills of people (including clinicians) varies.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
180.
Well-meaning clinicians sometimes get the interpersonal stuff wrong (don’t we all?). It’s just that the stakes are high at this time.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
181.
Recently I wrote about nursing the person who has survived suicide, using my @meta4RN #hcsm handle http://t.co/mXnh5itOam
— #IDMHRT18 (@WePublicHealth) January 30, 2014
182.
Most responses were supportive of the blog post, but one was attacking, said “nursing is a profession- it’s not about you”. Got me thinking.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
183.
Of course it is about the patient. I get that. But I also think it is about the clinician – how does s/he manage their inevitable reactions?
— #IDMHRT18 (@WePublicHealth) January 30, 2014
184.
Reactions could include rescue fantasy, nihilism, avoidance, all manner of stuff. Before we became clinicians we were humans. Traces remain.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
185.
The clinician’s inevitable emotional response/feelings towards the patient is coined “counter-transference”.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
186.
Unrecognised counter-transference is the worst.
You don’t know what you don’t know.
Not knowing your emotional responses = blindspot.— #IDMHRT18 (@WePublicHealth) January 30, 2014
187.
Blindspots are not great in health care: need microsurgery? Get a surgeon with good eyesight. Need support? Get a clinician with EI…
— #IDMHRT18 (@WePublicHealth) January 30, 2014
188.
… EI or EQ = emotional intelligence.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
189.
Emotional Intelligence (EI or EQ) is about having the attitude, aptitude and motivation to connect with others.
Burnout = EI/EQ kryptonite— #IDMHRT18 (@WePublicHealth) January 30, 2014
190.
So, when we are nursing the patient who has survived suicide we need to scan our capacity to meet their needs. Physical + emotional.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
191.
And let’s not pretend we don’t/won’t have an emotional response… of course we will.
We also all have blindspots. How to spot a blindspot?— #IDMHRT18 (@WePublicHealth) January 30, 2014
192.
How to spot a blindspot?
What if you could discuss/reflect-on your work with a trusted, respected colleague for an hour every few weeks?
— #IDMHRT18 (@WePublicHealth) January 30, 2014
193.
That reflecting on your work thing has names and a history and everything…
— #IDMHRT18 (@WePublicHealth) January 30, 2014
194.
Google “guided reflective practice” “clinical supervision” “practice supervision” Same-same, but (slightly) different. Let’s not be pedantic
— #IDMHRT18 (@WePublicHealth) January 30, 2014
195.
Is that self-indulgent for clinicians? A bit wanky? Is that a case of “it’s not about you”?
Well, let’s look at the mining industry…
— #IDMHRT18 (@WePublicHealth) January 30, 2014
196.
Yes, really: The Big Blokey Money-Riddled Mining Industry doing a better job nurturing their staff than The Namby Pamby Health Industry!
— #IDMHRT18 (@WePublicHealth) January 30, 2014
197.
Remember Todd and Brandt the Beaconsfield miners?
Remember them emerging from a fortnight underground showered and clean clothes?— #IDMHRT18 (@WePublicHealth) January 30, 2014
198.
Built into the infrastructure of mines is “the pit head” – showers and change rooms for the miners BEFORE they leave the mine site.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
199.
Miners get “pit head time” – paid time to get cleaned up. They shower using the boss’s water, on the boss’s time. It’s part if the deal.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
200.
Miners get covered in dirt and stuff – they do physical labour.
Clinicians get covered in feelings and stuff – they do emotional labour.— #IDMHRT18 (@WePublicHealth) January 30, 2014
201.
How many clinicians get “cleaned up” on the boss’s time, like miners do?
— #IDMHRT18 (@WePublicHealth) January 30, 2014
202.
Nurses having crook backs was considered unavoidable not all that long ago. Then “no lift” policies & procedures came in. Pretty successful.
— #IDMHRT18 (@WePublicHealth) January 30, 2014
203.
Wonder if it’s time to introduce similar attitude/value to emotional care of clinicians.
Risk = downturn in the wine and brewing industries— #IDMHRT18 (@WePublicHealth) January 30, 2014
204.
Nurturing the Nurturers http://t.co/bhZcc1y3JG
— #IDMHRT18 (@WePublicHealth) January 30, 2014
205.
Before closing for the night, one last important tweet:
— #IDMHRT18 (@WePublicHealth) January 30, 2014
205.
Talking and thinking about suicide can be distressing. Australians can access support via http://t.co/LMmqsPskV8
— #IDMHRT18 (@WePublicHealth) January 30, 2014
206.
Good morning from calm, bright and sunny Cairns. Special good morning for those south who have had their hair ruffled by #TCDylan
— #IDMHRT18 (@WePublicHealth) January 30, 2014
207.
Planning to combine two ideas today to promote tweeting nurses
1. = #FF http://t.co/GoGgAXu0ww
2. = #thrillerelite http://t.co/yU7EgDjLnE— #IDMHRT18 (@WePublicHealth) January 30, 2014
208.
#FF @PDarbyshire and while you’re at it, see his #thrillerelite editorial in @jadvnursing http://t.co/yU7EgDjLnE
— #IDMHRT18 (@WePublicHealth) January 30, 2014
209.
#FF @DavidThomsonNHS and while you’re at it, see his #thrillerelite editorial in @jadvnursing http://t.co/yU7EgDjLnE
— #IDMHRT18 (@WePublicHealth) January 30, 2014
210.
#FF @TheNursePath (aka @impactednurse) – Ian is a rock star of health care social media #hcsm http://t.co/oRIa6dKNDk #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 30, 2014
211.
#FF @spannakopita emerging nurse leader via @JCU_Nursing + @acn_tweet #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 30, 2014
212.
#FF @Evancasella emerging nurse leader via @JCU_Nursing + @acn_tweet #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 30, 2014
213.
#FF @WeNurses – a lightening-rod for UK nurses and health care social media #hcsm #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 30, 2014
214.
#FF @AgencyNurse – the founder & driver of @WeNurses #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 30, 2014
215.
#FF @kane_guthrie Emergency Nurse, specialising in tox, critical care & elearning. #thrillerelite of #FOAMed
— #IDMHRT18 (@WePublicHealth) January 30, 2014
216.
#FF @ACMHN – the peak body for mental health nurses in Australia #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
217.
#FF @CEOKimRyan – Kim is the CEO of @ACMHN (peak body for mental health nurses in Australia) #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
218.
#FF @benhay1977 – another nurse lecturer who encourages students to use social media, be digital citizens #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
219.
#FF @peadarg – another nurse lecturer who encourages students to use social media, be digital citizens #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
220.
Large thanks to @meta4RN for @WePublicHealth tweeting this week in midst of wild weather & busy clinic. A great #digitalcitizen
— Melissa Sweet (@croakeyblog) January 31, 2014
221.
I’m on the way home from Cairns Hospital now. Traffic isn’t too bad for a Friday 😊 pic.twitter.com/yxP7NRPTLH
— #IDMHRT18 (@WePublicHealth) January 31, 2014
222.
#FF @RhondaWilsonMHN Registered Nurse, Mental Health Nurse, Academic, Clinician, Researcher + Blogger http://t.co/C7Yt4q4v0d #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
223.
#FF @LynoreGeia – Registered Nurse, Midwife, PhD, Bwgcolman Woman, Researcher, Mother (not necessarily in that order) #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
224.
#FF @debraejackson Editor-in-Chief @jclinnursing and @casereports. Nurse. Researcher. Author. Mother. Knitter. Opera fan. #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
225.
#FF @Daniblackwell brand-new registered nurse into mental health. #NPD100 #ACMHN2013 co-author http://t.co/xHK1TNAA6q #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
226.
#FF @emilymignacca brand-new registered nurse into mental health. #NPD100 #ACMHN2013 co-author http://t.co/xHK1TNAA6q #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
227.
Combining two ideas today to promote tweeting nurses
1. = #FF http://t.co/GoGgAXu0ww
2. = #thrillerelite http://t.co/yU7EgDjLnE— #IDMHRT18 (@WePublicHealth) January 31, 2014
228.
#FF @Laurie_ENL Registered Nurse, @acn_tweet Emerging Nurse Leader participant, health care social media aficionado #hcsm #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
229.
#FF @karenyatesjcu of @JCU_Nursing is a Midwife, PhD, owner of many shoes and quite fond of orang utans #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
230.
#FF @MerynEdwards Nurse researcher, interests in essential nursing care, compassion fatigue & mental health issues. #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
231.
#FF @janemillsjcu of @JCU_Nursing Nurse, grounded theorist, into rural health. #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
232.
#FF @dtbarron – Associate Nurse Director, Mental Health Services @nhsaaa: Chair MH Nursing Forum Scotland #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
233.
#FF @calebferg – Ambassador @strokefdn | PhD Candidate @UTS_CCCC | Nurse Lecturer @UTS_Health | AFib, Heart & Brain Health | #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
234.
#FF @GrimalkinRN writer of “The Effects of Nursing on Nurses” http://t.co/mfGx2qY7yL #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
235.
#FF @niadla Mental Health Nurse and academic, interested in everything that’s none of her business and some things that are #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
236.
#FF @AustynSnowden academic, researcher, husband, athlete, exaggerator http://t.co/JAkb2HPjz1 #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
237.
#FF @CareyMather interested in the nexus of learning and teaching, emerging technology & health #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
238.
#FF @eadykat RN, PM, University of Southern Queensland, #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
239.
#FF @GeorginaRosos – ICU Nurse, research nerd, #FOAMED enthusiast, martial arts fumbler and wannabe marathoner. #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
240.
#FF @AngieGittusRN – emergency nurse / parent / bleeding heart / optimist / tree hugger #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
241.
My week tweeting from @WePublicHealth is drawing to an end, but it ain’t over yet. 🙂
— Paul McNamara (@meta4RN) January 31, 2014
242.
Hi, I’m Paul – a nurse from Cairns RT @meta4RN: My week tweeting from @WePublicHealth is drawing to an end, but it ain’t over yet. 🙂
— #IDMHRT18 (@WePublicHealth) January 31, 2014
243.
Q: Why would a service that provides mental health support to the general hospital call itself “Consultation Liaison”?
A: Stay tuned…
— #IDMHRT18 (@WePublicHealth) January 31, 2014
244.
Consultation Liaison (let’s call it CL) has a few different components:
— #IDMHRT18 (@WePublicHealth) January 31, 2014
245.
Consultation = discussion with medical/surgical ward clinicians, which sometimes leads to referral. Then triage. Then assessment.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
246.
Liaison = collaborative decisions (patient/carer/clinicians) regarding clinical care: Education/Information? Brief Therapy? Medication? All?
— #IDMHRT18 (@WePublicHealth) January 31, 2014
247.
Clinical Handover = making recommendations for future care and/or referral to other services.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
248.
So, it’s those first two components of the service that give CL it’s clumsy name.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
249.
If I̶ ̶w̶a̶s̶ ̶g̶o̶d̶ we could start again we would call it “general hospital mental health” – a clearer description, IMHO.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
250.
CL is a dynamic part of the @ACMHN – see the Consultation Liaison Special Interest Group page: http://t.co/1Ei4wvClJf
— #IDMHRT18 (@WePublicHealth) January 31, 2014
251.
I’ve been inspired and amazed by some of my CL Nurse colleagues around Australia. Let me highlight “the big 3” when it comes to publishing:
— #IDMHRT18 (@WePublicHealth) January 31, 2014
252.
Tim Wand is a CL Nurse @ Royal Prince Alfred Hospital in Sydney https://t.co/Fiy9hG3t2J
— #IDMHRT18 (@WePublicHealth) January 31, 2014
253.
Scott Brunero has worked as a CL Nurse at Prince of Wales Hospital in Sydney https://t.co/KpcgTGtT27
— #IDMHRT18 (@WePublicHealth) January 31, 2014
254.
Julie Sharrock is a CL Nurse @ Saint Vincent’s Hospital in Melbourne https://t.co/lLwLr5FJKe
— #IDMHRT18 (@WePublicHealth) January 31, 2014
255.
Other Aussie CL Nurses have published a lot too, I hope they aren’t offended that I left them out of the preceding list…
— #IDMHRT18 (@WePublicHealth) January 31, 2014
256.
To my way of thinking, Julie Sharrock, Scott Brunero and Tim Wand have been not just the most prolific CL Nurse clinicians/researchers…
— #IDMHRT18 (@WePublicHealth) January 31, 2014
257.
… but also some of the most inspiring. I’m lucky to have met them. Australian CL Nursing has been enriched by them. Back to #thrillerelite
— #IDMHRT18 (@WePublicHealth) January 31, 2014
258.
When you’re in a peculiar little sub-speciality like CL Nursing or Perinatal-Infant Mental Health Nursing it can feel a bit isolating…
— #IDMHRT18 (@WePublicHealth) January 31, 2014
259.
… it’s not unusual to be the only person with that role in your hospital or city or health district. So, what to do about it?
— #IDMHRT18 (@WePublicHealth) January 31, 2014
260.
Way back in the olden days, before Twitter was just something that birds do, there was this magical thing called the “email list”.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
261.
Email lists seem quaintly old fashioned now. Compared to Twitter other #hcsm they’re a walled garden.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
262.
But email lists still have their uses. Two examples coming up:
— #IDMHRT18 (@WePublicHealth) January 31, 2014
263.
The @ACMHN Consultation Liaison Nurse Network http://t.co/dxUya2MZrR
— #IDMHRT18 (@WePublicHealth) January 31, 2014
264.
The @ACMHN Perinatal & Infant Mental Health Nurse eNetwork http://t.co/qDflgN8PJz
— #IDMHRT18 (@WePublicHealth) January 31, 2014
265.
The @ACMHN Consultation Liaison Special Interest Group provides “Top Tips for CL Nurses” http://t.co/8ftf1OV8XV
— #IDMHRT18 (@WePublicHealth) January 31, 2014
266.
Tip No. 42: Anxiety is the most contagious condition found in general hospitals; impersonate a calm person. http://t.co/8ftf1OV8XV
— #IDMHRT18 (@WePublicHealth) January 31, 2014
267.
It’s a steamy morning in Cairns. I’m tweeting + drinking coffee + sort-of watching Rage + sweating. #multitasking #watchingrage
— #IDMHRT18 (@WePublicHealth) January 31, 2014
268.
With Rage going in the background, I’m reminded if our powerful music and/or individual songs can be. Even in our professional lives.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
269.
I’ve used “Neighborhood #2 (Laika)” by Arcade Fire in education sessions about schizophrenia even though this is not what the song is about.
— #IDMHRT18 (@WePublicHealth) January 31, 2014
270.
The first verse of the song gives a sense of the loss families feel:
“Alexander, our older brother
Set out for a great adventure” (1 of 2)— #IDMHRT18 (@WePublicHealth) January 31, 2014
271.
“He tore our images out of his pictures
He scratched our names out of all his letters” (2 of 2)— #IDMHRT18 (@WePublicHealth) January 31, 2014
272.
The other verses allude to a mixture of love, loss, not being able to understand and frustration. Again, common themes from families.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
273.
“Come on Alex, you can do it
Come on Alex, there’s nothing to it.”— #IDMHRT18 (@WePublicHealth) February 1, 2014
274.
“Our older brother bit by a vampire
For a year we caught his tears in a cup”— #IDMHRT18 (@WePublicHealth) February 1, 2014
275.
“Laika” is the name of a dog that was the first animal to orbit the earth, but did not return alive…
— #IDMHRT18 (@WePublicHealth) February 1, 2014
276.
… this makes the first part of the song’s refrain “Our mother should have just named you Laika…” especially poignant.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
277.
The other part of the song’s refrain “It’s for your own good. It’s for the neighbourhood.” has a resonance with involuntary treatment orders
— #IDMHRT18 (@WePublicHealth) February 1, 2014
278.
Involuntary treatment orders (usually re medication and/or abstinence from alcohol, cannabis etc) are issued with the same sentiment.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
279.
The other song I’ve used in education sessions is “Veronica” by @ElvisCostello – it’s a poignant take in dementia. As per next tweet:
— #IDMHRT18 (@WePublicHealth) February 1, 2014
280.
And they call her a name that they never get right, and if they don’t then nobody else will. @ElvisCostello http://t.co/6bKJbXtpek #dementia
— #IDMHRT18 (@WePublicHealth) February 1, 2014
281.
Elvis Costello’s Veronica on #dementia http://t.co/6dwwUZeUe2: via @wepublichealth who’s talking music, in front of Rage, in the heat #wise
— Marie McInerney (@mariemcinerney) February 1, 2014
282.
. @mariemcinerney dodging the sun AND using art, literature and music to inform empathy/build emotional intelligence #multitasking 🙂
— #IDMHRT18 (@WePublicHealth) February 1, 2014
283.
Anyway, that’s enough #watchingrage ramblings. I really should get going in a minute. Hope your timeline isn’t too cluttered 🙂
— #IDMHRT18 (@WePublicHealth) February 1, 2014
284.
Thinking Health Communication? Think Mobile. http://t.co/fnWI8GNadm pic.twitter.com/JGnbjULEbW
— #IDMHRT18 (@WePublicHealth) February 1, 2014
285.
Emotional Aftershocks http://t.co/ouH9254GnM (re a violent event on a medical ward) pic.twitter.com/7Xvixp6hmW
— #IDMHRT18 (@WePublicHealth) February 1, 2014
286.
A recent study in @IJMHN identified factors that protect nurses and midwives from being assaulted at work http://t.co/tkiUndDuXk
— #IDMHRT18 (@WePublicHealth) February 1, 2014
287.
Protective factors against assault include high standard of patient facilities and sufficient staffing. No surprises there.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
288.
Interestingly, training in aggression management was not identified as a protective (or risk) factor against assault on nurses or midwives.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
289.
Staff working in accident & emergency departments, aged care, and mental health settings reported higher levels of assault than other areas.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
290.
The paper states that it would be foolish to ignore the mounting evidence linking staff shortages and stress, and in turn, assault on staff.
— #IDMHRT18 (@WePublicHealth) February 1, 2014
291.
Curious: the paper cites a study where employer-provided protective equipment (mobile phone, alarm) was less useful than employee’s own gear
— #IDMHRT18 (@WePublicHealth) February 1, 2014
292.
Can redesigning A&E Departments reduce aggression? @pearsonlloyd thinks so: http://t.co/CsQCZeysQ5 pic.twitter.com/5n0KrzeniY
— #IDMHRT18 (@WePublicHealth) February 1, 2014
293.
Can psychiatric wards be safer, more peaceful places? @Safewards thinks so http://t.co/Qh6r7Oec61
— #IDMHRT18 (@WePublicHealth) February 1, 2014
294.
Can aged care be made calmer? Dementia Behaviour Management Advisory Services (DBMAS) thinks so: http://t.co/ArmdLBCW0U
— #IDMHRT18 (@WePublicHealth) February 1, 2014
295.
Just about time to handover the keys of @WePublicHealth back to @croakeyblog. It has been enjoyable and quite different to using @meta4RN
— #IDMHRT18 (@WePublicHealth) February 2, 2014
296.
Hope the r̶a̶n̶t̶s̶ chats about perinatal mental health, clinical supervision, delirium, CL nursing & workplace violence were of interest.
— #IDMHRT18 (@WePublicHealth) February 2, 2014
297.
That’ll do for my stint on @WePublicHealth – pulling-up stumps now. Thanks for all the interactions and to @croakeyblog for the invite. 🙂
— Paul McNamara (@meta4RN) February 2, 2014
298.
@meta4RN @WePublicHealth what a wonderful week of tweets! Thanks Paul!
— AusHSI (@AusHSI) February 2, 2014
299.
@croakeyblog @WePublicHealth it’s really hitting its straps now Melissa, congrats on such a successful venture! Paul was great!
— AusHSI (@AusHSI) February 2, 2014
300.
@croakeyblog @WePublicHealth Amazing stuff – Best tweet flow I have come to!!!
— Prof Marc Tennant (@MarcTennant) February 2, 2014
301.
@meta4RN @WePublicHealth @croakeyblog Paul! Thank you for your generous and thought provoking discussion this week – really enjoyed it!
— Claire Warren (@ClaireWarren0) February 2, 2014
302.
@meta4RN @WePublicHealth @croakeyblog Well done Paul, it was great.
— Meryn Edwards (@MerynEdwards) February 2, 2014
303.
If you missed @meta4RN at @WePublicHealth last week, he has kindly provided this summary: http://t.co/FLndxa66bA #mentalhealth #nursing
— Melissa Sweet (@croakeyblog) February 2, 2014
Explanation
These Tweets were initially compiled using a social media aggregation tool called Storify
storify.com/meta4RN/wepublichealth
Unfortunately, Storify is shutting-down on 16 May 2018 and all content will be deleted.
I’m using my blog as a place to mimic/save the Storify pages I created and value.
End
A big shout-out to Melissa Sweet. I am very grateful to Melissa for inviting a mental health nurse to have a stint on @WePublicHealth.
Melissa is a rockstar of public health and health social media in Australia. If you’re not familiar with her work read-up about Melissa here, and “croakey“, the social journalism project of which she is the lead editor, here. More info re @WePublicHealth, the rotated curation Twitter account that Melissa coordinates, here.
As always, please use the comments section below for any feedback/questions.
Paul McNamara, 2nd April 2018
Short URL: meta4RN.com/WePublicHealth
meta4RN 