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How it all began
#endPJparalysis started on 6 November 2016 when I tweeted a reply to Ann-Marie Riley, Deputy Chief Nurse, Nottingham University Hospitals NHS Trust, and Tim Gillatt, Improvement Manager, ECIST, saying ‘Nursing was born in the Church and raised in the Army, so leaving patients in pyjamas is their ‘uniform’. #letsfixthat'
Within a few days #letsfixthat became #endPJparalysis and a movement was born which from 1 Jan to 20 March had gained 23.4 million Twitter impressions and is also taking off in New Zealand, Australia, Ireland and Canada with interest from the US too.
Small change big impact
The premise of #endPJparalysis is remarkably simple, enabling hospitalised patients to get up, dressed and moving in order to prevent deconditioning. This is important because 65% of patients admitted to hospital are 65 or older and a person over 80 who spends 10 days in a hospital bed will lose 10% of muscle mass. This could be the difference between going home and going to a home.
While being gently guided by Ann-Marie, Tim, Pete Gordon (ECIP) and myself are clear that #endPJparalysis should not be a ‘project’ with strict KPIs, although measures including shorter length of stay, reduced continence product usage, less food wastage, greater dignity and a better experience for patients and carers can be found. Most of all, #endPJparalysis is about trusting clinicians to do the right thing and not underestimating the power of permission giving.
One thing is also very clear to me, without the support of ECIST/ECIP, #endPJparalysis would not have become the phenomenon it has. In the early days, Pete guessed correctly when he said it would become really big. It has and what’s even better, it’s bringing joy back into the workplace for those who wondered if things would ever change.