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C7RKY's profile
John Clarke
John Clarke
John Clarke
@C7RKY

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John Clarke

@C7RKY

Of course views all mine. All without prejudice. Just a regular chap after all. Oh...and RT's may equally imply ridicule as endorsement.

UK
Joined December 2011

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    John Clarke‏ @C7RKY Jan 23

    John Clarke Retweeted Heather Wetherell

    Toenails are not in our remit? Now, I have officially heard it all. If medical regulation were a patient, it would've been sectioned by now.https://twitter.com/drhethweth/status/955715225029931008 …

    John Clarke added,

    Heather Wetherell @DrHethWeth
    On Friday my GP partner did a home visit to cut a dying old lady's finger nails because she was traumatising her skin with them. Why GP? Because Carers "weren't allowed" and "not in remit of the district nurses". What system have we created?
    3:51 AM - 23 Jan 2018
    • 5 Retweets
    • 5 Likes
    • stephen bourne #GTTO Kate Harvie DoctorOpinion Anahita Heather Wetherell Kara Peawack Dr Heather Wood
    4 replies 5 retweets 5 likes
      1. New conversation
      2. Joanne Fraser‏ @JFr4ser Jan 23
        Replying to @C7RKY

        Toenails related to diabetes and risk of injury. But it’s a generic “rule”. Taught as a student. Staff can/should/do refer to chiropody although long wait for non-diabetes, individuals probably best paying for non-nhs care. Fingers 🤷🏻‍♀️

        1 reply 0 retweets 1 like
      3. John Clarke‏ @C7RKY Jan 23
        Replying to @JFr4ser

        Sorry, but I got it wrong - it was finger nails. Does that change things?

        1 reply 0 retweets 0 likes
      4. Joanne Fraser‏ @JFr4ser Jan 23
        Replying to @C7RKY

        Im not aware of any specific “rules” on finger nails. I don’t think it’s something a DN would go out to do, maybe if they were there for other reasons. It’s one of those areas what’s individual responsibility v state responsibility

        1 reply 0 retweets 0 likes
      5. John Clarke‏ @C7RKY Jan 23
        Replying to @JFr4ser

        I think this is where common sense can be lost among a plethora of rules - written or unwritten. Clipping nails is something we all get a basic grasp of in life. An old lady needs her finger nails clipping. How hard can it be?

        2 replies 0 retweets 0 likes
      6. Joanne Fraser‏ @JFr4ser Jan 23
        Replying to @C7RKY

        In isolation not at all. But one has to “prove” they have sufficient wider knowledge of patient & skill of task to balance risk-benefit and crucially benefit must always “win” or else... the state as we all know makes a lousy parent/family member

        1 reply 1 retweet 0 likes
      7. John Clarke‏ @C7RKY Jan 23
        Replying to @JFr4ser

        Yeah.. the more I read those tweets tho, the more I can't help but feel they demonstrate what I'm saying. I know it's not the same, but I managed to do it for my own mother. It's hardly the riskiest thing the NHS does with patients.

        1 reply 0 retweets 1 like
      8. Joanne Fraser‏ @JFr4ser Jan 23
        Replying to @C7RKY

        Indeed

        0 replies 0 retweets 1 like
      9. End of conversation
      1. New conversation
      2. Daniel @MCMBirmingham‏ @DanielBaker_eu Jan 23
        Replying to @C7RKY

        It's been that way for a long time, I have to use the NHS podiatrist, they usually have a long waiting list and won't tell you what time they are coming so you have to leave the whole day free

        1 reply 1 retweet 0 likes
      3. John Clarke‏ @C7RKY Jan 23
        Replying to @DanielBaker_eu

        Blimey. I've just realised it said finger nails actually, not toenails. But your point stands.

        1 reply 0 retweets 1 like
      4. Daniel @MCMBirmingham‏ @DanielBaker_eu Jan 23
        Replying to @C7RKY

        yeah finger nails are almost as bad, but carers are allowed to file them, pretty sure not cut, DN have never offered to help so assume they aren't allowed

        1 reply 1 retweet 1 like
      5. John Clarke‏ @C7RKY Jan 23
        Replying to @DanielBaker_eu

        Would seems a very petty thing to declare yourself 'not allowed' to do for me, if that were the case. If that's the care somebody needs, I'd expect whoever's involved to help... just because. I know I would.

        0 replies 0 retweets 1 like
      6. End of conversation
      1. New conversation
      2. Heather Wetherell‏ @DrHethWeth Jan 23
        Replying to @C7RKY

        This was finger nails. But many comments are coming back as 'finger nails - Why on earth not?' 'Toenails - understandable'. Why? I don't get the difference.

        2 replies 1 retweet 1 like
      3. John Clarke‏ @C7RKY Jan 23
        Replying to @DrHethWeth

        Yes, sorry / I realised my mistake too late. Fingernails don't seem to present quite the same challenges, on the surface? I can't see why any competent HCP couldn't do that in most cases.

        0 replies 0 retweets 1 like
      4. End of conversation
      1. New conversation
      2. karen armstrong‏ @ashkarmstrong Jan 23
        Replying to @C7RKY

        My mam had missed appointment letters I received for mam when she was in carehome and hospital her final 3months of her life didn't wash her hair clean her teeth oral thrush bath and tissue viability nurse wrote in notes nails very long but they didn't bother chiropatist diabetic

        2 replies 2 retweets 2 likes
      3. John Clarke‏ @C7RKY Jan 23
        Replying to @ashkarmstrong

        You'd think trade descriptions would be taking a look at them after reading that. CARE home??

        1 reply 0 retweets 1 like
      4. karen armstrong‏ @ashkarmstrong Jan 23
        Replying to @C7RKY

        http://www.cqc.org.uk/sites/default/files/old_reports/1-136790276_Mendip_House_INS1-578700939_Scheduled_07-11-2013.pdf … Mendip house care home now closed down on the complaint it said had now been resolved ha don't think so CQC say same thing everytime inspector saw pictures grade 4 pressure sores and ignored at safeguarding meeting safeguard lead closed case unknown to us

        0 replies 0 retweets 0 likes
      5. End of conversation

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