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
-
-
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.
1 reply 0 retweets 1 like -
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.
4 replies 0 retweets 1 like -
Replying to @grepmeded @mancunianmedic and
Maybe we should train them better...?
1 reply 0 retweets 12 likes -
Replying to @DrLindaDykes @mancunianmedic and
I can see I am outnumbered in this fight but while precise language is a nice ideal I much prefer caregivers spend their bandwidth with actual patient care or self care at home rather than spend hours perfecting notes which lead to burnout.
0 replies 0 retweets 1 like -
Replying to @MsPottingShed @grepmeded and
I agree. Friendly debate is a good way to learn. We do need to improve understanding of dementia and delirium across the board. It’s so much more than just being “a bit confused”.
1 reply 1 retweet 10 likes -
Replying to @Trisha_the_doc @MsPottingShed and
there is a broader issue of ageist, unhelpful language and lack of rigour/precision that no-one would think acceptable in other patient groups. Just shift the frame to say an acutely ill 30 year old with ICU delirium or encephalopathy 7imagine the ssame attitude-shaping lingo?
4 replies 6 retweets 26 likes -
Replying to @mancunianmedic @Trisha_the_doc and
The difference between “your language is wrong and perjorative” and “I have a better more functional word” is the difference betwerns walks going up and minds being opened. Learning new language is tough.
1 reply 1 retweet 3 likes -
Replying to @Jdbartlett0703 @Trisha_the_doc and
It may be but when I was a kid society used terminology about physically and learning disabled people which has been challenged out of existence. It can be done
2 replies 2 retweets 11 likes
We all use terms that are imprecise and microoffensive to those not in our specialty (cardiologists, pediatricians, surgeons etc). The reality is docs have too many patients to see and the notes I read are generally terrible but mostly get the job done. Charting != pt care.
Loading seems to be taking a while.
Twitter may be over capacity or experiencing a momentary hiccup. Try again or visit Twitter Status for more information.