i didnt claim it was easy or straightforward.Merely that we shouldnt use the term "pleasantly confused" - when someone asked about this. Same for "acopia" "social admission" "failed OT assessment" "no rehab potential" "off legs ? cause" "mechanical fall" and other unhelpful lingo
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Replying to @mancunianmedic @Jdbartlett0703 and
the original question was do doctors use this phrase- yes, and frequently. And no harm is done. The reality is during rapid handoffs and note writing a variety of suboptimal terms are used without intent to offend. We’re clinicians not scribes.
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Replying to @grepmeded @mancunianmedic and
I would also argue “hypoactive delirium” is much more likely to confuse a junior nursing student or medical student whereas “pleasantly confused” with some choice additional verbiage a monkey can understand.
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Replying to @grepmeded @mancunianmedic and
Ping
@StNurseProject would make interesting poll or chat1 reply 0 retweets 2 likes -
Replying to @sarah_janemad @mancunianmedic and
this would be a terrific poll.
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Replying to @grepmeded
i may be wrong but I suspect students would prefer the correct clinical terminology because of the impact language has of how they will be previved and judged in their roles
@Nurse_Lecturer@ProfJuneG@alisonleary1 will have more experience in this1 reply 0 retweets 1 like -
Replying to @sarah_janemad @Nurse_Lecturer and
You’re probably not wrong but my premise was 1) during a busy shift what might be more likely to confuse a junior trainee and 2) when you have 20 notes to write and you’re late again what verbiage no one reads will likely come to your fingers. this is charting not a conference
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Replying to @grepmeded @sarah_janemad and
“pleasantly confused” far outnumbers “hypoactive delirium” where I practice. These aren’t bad nurses and doctors were just trying to bang out stupid notes for the bean counters and lawyers.
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Replying to @grepmeded
With respect I’m not ciritising I havent said anyone is bad - I thought we were discussing ? I think its sensible to examine language we use as it does have an impact of
#patientsafety and#safeworking - Rob Galloway talks about this a a lot about this exact point.1 reply 0 retweets 2 likes -
Replying to @sarah_janemad @grepmeded
However some key Lead nurse figures would argue that by not using the correct terminology, learners, trainees & st nurses leave themselves open to not being viewed as credible. I was picking up on your point particularly on student nurses hence tagging is the key group.
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there is only so much bandwidth humans have and we have to be realistic. Ideally all notes are precise and all patients get optimal care. I care much more about actual patient care and caregiver burnout than I do about note precision. Many will disagree.
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