Literature Review

Solo but not alone: An examination of social and help networks among community-dwelling older adults without close familyJournal of Applied Gerontology (J Appl Gerontol); by Jane Lowers, Duzhi Zhao, Evan Bollens-Lund, Dio Kavalieratos, Katherine A Ornstein; 11/31/2022... Nearly one in four adults is at high risk for aging without a spouse or children ... Previous descriptions of adults aging solo have focused on social isolation (Chamberlain et al., 2018; Roofeh et al., 2020), yet diverse, non-kin social networks can provide robust emotional and instrumental (task-oriented) support and such networks are becoming more common over time (Suanet & Antonucci, 2016; Verdery et al., 2019), although the type and intensity of support may vary by the type of relationship (e.g., kin vs non-kin) and factors including frequency of interaction (Wellman 1990). ... Therefore, as a first step, we sought to define the population of adults aging solo and compare its social networks and sources of help to adults with close family nearby. Editor's note: Though this article is from 2022, we are posting it due to our post on 11/13/24, Older Americans living alone often rely on neighbors or others willing to help, and our readers' frequent "most read" articles about seniors' challenges with isolation, depression, and caregiving challenges. 

Timing of palliative care, end-of-life quality indicators, and health resource utilizationJAMA Network Open; Sarah J. Mah, MD, MSc; Daniel M. Carter Ramirez, MD, PhD; Kara Schnarr, MD, PhD; Lua R. Eiriksson, MD, MPH; Anastasia Gayowsky, MSc; Hsien Seow, PhD; 10/24In this cohort study of 8,297 individuals with ovarian cancer decedents, initiating palliative care earlier than 3 months before death was associated with lower rates of death in the hospital, late chemotherapy, intensive care unit admission, and aggressive care at the end-of-life. Implementation strategies for early palliative care initiation are needed to optimize care quality and health resource utilization at the end of life.

Unity Hospice to open East Side Resale Shoppe on November 18th The Chamber, Manitowoc County, De Pere, WI; Press Release; 11/13/24 Unity, Northeast Wisconsin’s pioneering nonprofit healthcare provider, is excited to announce the expansion into a second Resale Shoppe location at 1302 S. Broadway in De Pere. This east side location, scheduled to open 10:00 am Monday, November 18, 2024, will provide a meaningful place for the community to donate or purchase cherished household goods and clothing. This new location will allow even greater convenience for customers and donors located on the east side of De Pere. 

It's not just pumpkin spice time--it's time for the family conversation! Dunlap Bennet & Ludwig; by George Reilly; 11/13/24 “Quality family time” is a phrase often heard in the period from Thanksgiving to New Year’s, sometimes even with air quotes, to describe what many people believe to be a necessary, but not necessarily enjoyable, time of family togetherness. ... Whatever your perspective on this “quality family time,” chances are that for most of you, it was/will be a missed opportunity to discuss very important matters with your loved ones—namely what happens in the event of disability or death; who takes care of what; a parent’s (or grandparents, or your own) wishes on the end of life medical care and funeral/burial/cremation choices; your wishes on guardians for minor children; and other critical, but admittedly sensitive and gloomy topics. ...  Consider these statistics from surveys conducted by the Conversation Project: ... 92% of Americans say it’s important to discuss their wishes for end-of-life care, but only 32% have had such a conversation! [Click on the title's link to continue reading.]

HomeCare & Hospice receives Renodin Grant Olean Times Herald, Allegany, NY; 11/14/24 HomeCare & Hospice announces it has received a generous grant from the Dr. Lyle F. Renodin Foundation to support its comfort care basket initiative for hospice patients. This funding will enable HomeCare & Hospice to provide comfort care baskets filled with thoughtfully selected items that promote relaxation, comfort and dignity for those facing end-of-life care. Each basket is designed to offer a bit of respite, bringing a sense of warmth and care to patients during a vulnerable time. The Dr. Lyle F. Renodin Foundation, affiliated with the Franciscan Sisters of Allegany, is committed to supporting projects that uplift individuals experiencing poverty, homelessness, food insecurity and other vulnerabilities. “We are deeply grateful to the Dr. Lyle F. Renodin Foundation for their support,” said Melissa Sullivan, CEO of HomeCare & Hospice. “This grant will allow us to provide meaningful and comforting items to our hospice patients, helping to ease their journey and providing support that reflects the compassion and respect at the heart of our mission.”

[United Kingdom] After tragedy, NJ doctor finds renewed purpose working — and living — at a hospice My Central Jersey - NorthJersey.com; by Scott Fallon; 11/14/24 Even though she was on hospice care for terminal cancer at a New York hospital, Sandy Cattani’s last days were marred with pain and suffering. At one point, she began flailing so much in her hospital bed that her husband, Dr. Charles Vialotti, and other family members had to help hold her arms and legs down. This is not how any patient should die, Vialotti thought. He ought to know, having helped pioneer hospice care at three New Jersey hospitals. About a year after Sandy's death, Vialotti took the unusual step of moving into the Villa Marie Claire hospice in Saddle River, where he has spent 14 years attending to the terminally ill.

Carolina Caring celebrates fourth graduating class of CNA Training and Job Placement Program Focus, Newton, NC; 11/13/24 On the evening of Thursday, October 24th, Carolina Caring recognized the seven graduates of its latest Certified Nurse Aide (CNA) Training and Job Placement Program. ... This state-approved CNA Training Program runs for eight weeks at Carolina Caring’s Newton campus on 3975 Robinson Road. Led by licensed nursing instructors, these courses provide expert hands-on education which prepares students to pass the intensive North Carolina Nurse Aide certification exam. Students receive financial aid throughout the program, and all graduates who successfully complete their certifications are offered positions with Carolina Caring. ... “Carolina Caring blessed me by selecting me for this program and providing me with an opportunity that I otherwise would not have been able to financially invest in at this current moment,” said Allison Ackley, class valedictorian. “They poured into me, and so I’m going to be pouring back into them.”Editor's note from Carolina Caring's website: "In 1979, Carolina Caring was established as one of North Carolina’s original three hospice providers. We were a small group of grassroots volunteers with a mission: to help our parents, grandparents and neighbors walk through their final moments with dignity and respect." We congratulate you on this innovative, mission-driven educational and staffing initiative.

Death is a natural part of life, but our society struggles to support those who are grieving. Iowa Public Radio (IPR); host Charity Nebbe; 11/14/24 After a profound loss, the instinct is often to try and ease the pain for those who are grieving, but grief counselor Lynette Jordan says the pain of grief needs to be felt. This hour, host Charity Nebbe speaks with Jordan as well as mother and son Brianna and Grayson Wills about how they developed an open dialogue of grief in the seven years since the death of Grayson's twin brother, Calder. She also speaks with CL Lepley, who through experiencing many difficult losses since age five has become an expert in supporting those who are grieving. Guests:

Mom of 4 is placed in hospice care 2 weeks before son's wedding. On his big day, she's on the dance floor with a smile (exclusive) People; by Jordan Greene; 11/14/24 ... In October, before entering hospice care, Liv recalls how her mom was in the hospital, and all she could talk about was attending the wedding. With Olivia's health deteriorating, Liv says her brother Salvatore and his fiancée Kelsey had even considered holding the wedding ceremony in the hospital room if necessary. But that contingency plan quickly became unnecessary. On Nov. 2, their mom defied expectations and arrived at Basilica Hudson in Hudson, New York, alongside the other 105 guests to watch her son walk down the aisle — turning the hopes of her kids and everyone else in attendance into a reality. In fact, Liv says her mom exceeded even the best-case scenario the family had imagined. ...

In 2023, the majority of home health aides and personal care aides were women U.S. Bureau of Labor Statistics - TED: The Economics Daily; 11/13/24 In honor of National Home Care and Hospice Month, we are highlighting data about two of the most common occupations that provide care to people with illnesses or disabilities in a home or community-based setting—home health aides and personal care aides. In 2023, women accounted for 87 percent of all home health aides and 80 percent of personal care aides. Workers in these two occupations assist people with activities of daily living (such as feeding or bathing), though home health aides generally focus more on their patients’ health and safety, while personal care aides often assist with other tasks (such as errands and housekeeping). Across all occupations, 47 percent of workers were women. Home health aides and personal care aides were more likely to be Black or African American (30 percent and 25 percent, respectively) than were workers overall (13 percent). Forty-two percent of home health aides and 27 percent of personal care aides were foreign born, higher than the average of 19 percent for workers overall. ... [Click on the title's link to continue reading.]

Nebraska inmates provide hospice care for fellow prisoner ABC KETV 7, Omaha, NE; by Mary Regli; 11/12/24 When you're in prison, there comes a point when either your sentence or your life comes to an end. The Nebraska Department of Correctional Services has come up with an idea to help inmates in either situation-- at no additional cost. They're transforming the prison from the inside out with a new program that's providing palliative and end-of-life care for incarcerated individuals. The prisoners we met are all serving time for heinous crimes. The purpose of the program is to have other inmate volunteers provide final care for dying or critically ill prisoners and help with their rehabilitation. "In the end of life, it doesn't really matter what you've done or what reason you're here; you're still a human, and you still deserve to be treated with dignity and respect. And this program embodies that," said Lori Palik, the department's director of nurses. Volunteers go through a ten-week program where they learn what they need to be able to care for their fellow inmates. 

This one skill turns managers into great leaders Makeda Andrews - YouTube; by Makeda Andrews; 11/12/24 Have you ever thought about what the secret sauce is that turns a decent manager into great leader? Well it’s probably not what you think. Which is why in this video, I’m sharing the one game-changing skill that will elevate your leadership capacity and significantly impact the results you get. [Short-cut: the answer is "Emotional Intelligence," with excellent practical examples.]