{"id":5932,"date":"2026-07-24T10:49:20","date_gmt":"2026-07-24T10:49:20","guid":{"rendered":"https:\/\/homecares.net\/?p=5932"},"modified":"2026-07-24T10:49:20","modified_gmt":"2026-07-24T10:49:20","slug":"the-shifting-sands-of-online-discourse-hospice-and-palliative-care-community-finds-a-new-digital-home-on-bluesky","status":"publish","type":"post","link":"https:\/\/homecares.net\/?p=5932","title":{"rendered":"The Shifting Sands of Online Discourse: Hospice and Palliative Care Community Finds a New Digital Home on Bluesky"},"content":{"rendered":"<p>The landscape of online professional communities is in constant flux, a dynamic environment shaped by technological evolution and user experience. For the hospice and palliative care (HAPC) community, a significant migration is underway, with many professionals departing from the once-dominant platform, Twitter, and seeking refuge and connection on the burgeoning text-based microblogging platform, Bluesky. This shift, driven by a confluence of factors including the perceived decline of Twitter\u2019s utility and the emergence of a more collegial online space, signals a critical juncture for how HAPC professionals connect, share knowledge, and foster professional development.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/homecares.net\/?p=5932\/#The_Decline_of_a_Digital_Hub_Twitters_Evolving_Landscape\" >The Decline of a Digital Hub: Twitter&#8217;s Evolving Landscape<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/homecares.net\/?p=5932\/#Bluesky_Emerges_as_a_Promising_Alternative\" >Bluesky Emerges as a Promising Alternative<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/homecares.net\/?p=5932\/#Building_Community_and_Facilitating_Knowledge_Exchange\" >Building Community and Facilitating Knowledge Exchange<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/homecares.net\/?p=5932\/#The_Future_of_Online_Discourse_for_HAPC_Professionals\" >The Future of Online Discourse for HAPC Professionals<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"The_Decline_of_a_Digital_Hub_Twitters_Evolving_Landscape\"><\/span>The Decline of a Digital Hub: Twitter&#8217;s Evolving Landscape<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>For over a decade, Twitter served as a vital, albeit sometimes chaotic, digital town square for professionals across numerous fields, including hospice and palliative care. Its real-time nature, hashtag functionality, and broad reach facilitated rapid dissemination of information, facilitated professional networking, and enabled the formation of specialized communities. As far back as February 2009, Pallimed.org, a prominent online resource for the HAPC community, highlighted the platform\u2019s potential, advocating for its use in the field. Early adopters recognized Twitter\u2019s capacity to break down geographical barriers and foster a sense of shared purpose among clinicians, researchers, and advocates dedicated to improving end-of-life care.<\/p>\n<p>However, the platform\u2019s trajectory has been a subject of considerable discussion and concern among its user base. A series of significant changes, particularly following its acquisition in late 2022, have led many to question its continued viability as a professional networking tool. These changes have reportedly included shifts in content moderation policies, algorithmic adjustments impacting visibility, and a perceived increase in vitriol and misinformation. For many, including Dr. Christian Sinclair, editor-in-chief of Pallimed.org, the platform has become untenable. Sinclair\u2019s personal decision to delete his Twitter account underscores the depth of this sentiment, signaling that if even a long-time advocate and user finds the platform no longer serves its purpose, it raises significant questions for others. This sentiment is not isolated; numerous professional organizations and individual practitioners have voiced similar concerns, leading to a gradual exodus from the platform.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Bluesky_Emerges_as_a_Promising_Alternative\"><\/span>Bluesky Emerges as a Promising Alternative<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>In response to the perceived shortcomings of established platforms, a new contender has captured the attention of the HAPC community: Bluesky. Launched in 2023, Bluesky is a decentralized, text-based social media platform developed by Bluesky Social PBC, a company founded by Jack Dorsey, co-founder of Twitter. Initially an invite-only platform, Bluesky has gradually opened its doors, attracting a diverse range of users, including a significant influx from the medical and HAPC spheres.<\/p>\n<p>Dr. Sinclair describes Bluesky as a \u201cfun, light, collegial\u201d environment, drawing parallels to the early days of Twitter when community bonding and genuine interaction were paramount. He notes that the platform has been experiencing a significant surge in both the quantity and quality of users, particularly within the HAPC community and the broader medical field. This influx includes not only individual practitioners but also established medical journals, professional societies, and even prominent figures from other sectors, such as newsmakers and entertainers, who are also seeking a more focused and less commercially driven online experience.<\/p>\n<p>The appeal of Bluesky, according to proponents, lies in several key features. The absence of advertisements, at least in its current iteration, contributes to a cleaner user experience. The platform\u2019s design prioritizes text-based communication, appealing to users who may not be inclined to create visual or video content, a growing trend on platforms like TikTok and Instagram. Furthermore, Bluesky has implemented tools designed to enhance user safety and protect against harassment, a critical consideration for professionals engaging in sensitive discussions. The platform\u2019s algorithm, while still evolving, is perceived by many as more transparent and less prone to the &quot;broken&quot; mechanics that have frustrated users of other social media sites.<\/p>\n<figure class=\"article-inline-figure\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEijRieS2ebp6ym5cHUEkJnlY2zwgoyDiM0AnexW4x4bRdaJ1C2lSwSeEyTX9D0oC6tpNVuithLUgypqHZ_663YbJDHd8BJ7P9BWKEvNqXEWgaO4MiKPNgODQUy4D-7M_NWvtMnzGiEmg6Rw30BDzyK8GZCuXJGTXxsRBQfnyETMXjj27a8Gmbjo0g\/w1200-h630-p-k-no-nu\/bafkreiffwbceyz723v6nukqtasixpdokahcm35su3fgs6vtlh6niog2pby.jpg\" alt=\"Twitter is Dead. Long live Bluesky!\" class=\"article-inline-img\" loading=\"lazy\" \/><\/figure>\n<h3><span class=\"ez-toc-section\" id=\"Building_Community_and_Facilitating_Knowledge_Exchange\"><\/span>Building Community and Facilitating Knowledge Exchange<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The rapid growth of the HAPC community on Bluesky has led to the development of user-generated resources aimed at onboarding new members and facilitating connections. Dr. Sinclair has created a comprehensive guide titled &quot;How to Bluesky,&quot; which offers practical advice for navigating the platform and finding relevant content. This guide is prominently featured on his Bluesky profile and serves as a valuable starting point for those unfamiliar with the platform.<\/p>\n<p>A particularly innovative feature gaining traction are &quot;starter packs.&quot; These curated lists of user accounts allow individuals to quickly follow a pre-selected group of professionals and organizations within a specific field. Dr. Sinclair has developed a &quot;Hospice and Palliative Care People starter pack&quot; featuring over 120 individuals dedicated to palliative care. Similarly, Catherine Walshe, editor of the journal <em>Palliative Medicine<\/em>, has created her own HAPC-focused starter pack. These initiatives underscore the community&#8217;s proactive approach to fostering a supportive and informative online environment, ensuring that newcomers can readily access valuable insights and connect with key figures in the field. The availability of multiple starter packs allows users to tailor their experience and discover a wider range of perspectives within the HAPC landscape.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"The_Future_of_Online_Discourse_for_HAPC_Professionals\"><\/span>The Future of Online Discourse for HAPC Professionals<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>The migration to Bluesky is not merely a change of platform; it represents a conscious effort by the HAPC community to cultivate an online space that aligns with its values of collaboration, knowledge sharing, and mutual support. The establishment of regular online discussions, such as the planned #hapc chat (also referred to as #hpm chat or formerly #tweetchat) hosted by Dr. Sinclair on Wednesday nights at 6 p.m. PT \/ 9 p.m. ET, further solidifies this commitment. These scheduled events provide a dedicated forum for real-time engagement, question-and-answer sessions, and the exploration of critical issues facing the profession.<\/p>\n<p>The platform will also serve as a key communication channel for important professional events. Dr. Sinclair has indicated that updates and discussions regarding the Annual Assembly #HAPC25 in Denver next year will be prominently featured on his Bluesky profile, making it a central hub for information and networking related to this significant gathering.<\/p>\n<p>The broader implications of this digital migration are significant. As established social media platforms continue to evolve, often prioritizing commercial interests over user experience, the emergence of platforms like Bluesky offers a potential paradigm shift. For specialized professional communities like hospice and palliative care, the ability to curate their online environment and foster genuine connections is paramount to their continued growth and impact. The success of Bluesky in attracting and retaining these communities could serve as a model for other professional groups seeking to navigate the ever-changing digital landscape and reclaim spaces for meaningful discourse and collaboration. The move also suggests a growing user desire for platforms that are not solely driven by advertising revenue and the relentless pursuit of engagement metrics, but rather by the fundamental human need for connection and shared purpose.<\/p>\n<p>The journey from Twitter to Bluesky for the HAPC community is a testament to their adaptability and their unwavering commitment to advancing the field of end-of-life care. As this new digital chapter unfolds, it offers a compelling opportunity for professionals to reconnect, share knowledge, and collectively shape the future of hospice and palliative medicine in a supportive and engaging online environment. The potential for this new digital home to invigorate the profession, foster new collaborations, and ultimately benefit patients and families receiving palliative care is a promising prospect for the years to come.<\/p>\n<!-- RatingBintangAjaib -->","protected":false},"excerpt":{"rendered":"<p>The landscape of online professional communities is in constant flux, a dynamic environment shaped by technological evolution and user experience. For the hospice and palliative care (HAPC) community, a significant migration is underway, with many professionals departing from the once-dominant platform, Twitter, and seeking refuge and connection on the burgeoning text-based microblogging platform, Bluesky. This &hellip;<\/p>\n","protected":false},"author":1,"featured_media":5931,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[90],"tags":[98,20,94,67,160,847,93,38,66,325,92,157,105,91,1358,521],"newstopic":[],"class_list":["post-5932","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-palliative-hospice-care","tag-bluesky","tag-care","tag-comfort-care","tag-community","tag-digital","tag-discourse","tag-end-of-life","tag-finds","tag-home","tag-hospice","tag-hospice-care","tag-online","tag-palliative","tag-palliative-care","tag-sands","tag-shifting"],"_links":{"self":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts\/5932","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5932"}],"version-history":[{"count":0,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/posts\/5932\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=\/wp\/v2\/media\/5931"}],"wp:attachment":[{"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5932"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5932"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5932"},{"taxonomy":"newstopic","embeddable":true,"href":"https:\/\/homecares.net\/index.php?rest_route=%2Fwp%2Fv2%2Fnewstopic&post=5932"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}