Literature Review

Alpharetta City Council considering fee for lifting assistance calls Appen Media, Alpharetta & Roswell, GA; by Jon Wilcox; 7/16/24 The Alpharetta City Council is considering a fee for residents and assisted living homes who make multiple calls a month for emergency responders to help people who have fallen. Director of Public Safety John Robison told the council July 15 that calls for lifting assistance come at significant cost and tie up responders who may be needed for other emergencies. Last year, Robison said, 328 calls for lift assistance cost the city $78,844, almost double the cost from the previous year, which saw 190 calls at a cost of $32,275.30. ... A proposed ordinance suggests a schedule of fees for calls asking responders to assess people who have fallen and may be injured. ... Hospice patients would be exempt from the fees. 

Cedar Rapids nursing home worker needlessly exposed to infectious disease, judge rules The Gazette; by Clark Kauffman, Iowa Capital Dispatch; 7/16/24 A social worker for an Iowa nursing home was justified in quitting after the facility failed to inform her and others of residents who had serious, contagious diseases, according to a judge’s ruling. State records indicate Mary Lovejoy Castaneda was employed by the nursing home chain Care Initiatives as a full-time social worker at Cedar Rapids’ Heritage Specialty Care from March through May of this year. She resigned after citing “stress and anxiety” related to the job, which entailed working with hospice patients. ... [Additionally,] when Care Initiatives hired Castaneda the company assured her it would refrain from assigning her hospice patients, only to later begin doing so. Editor's Note: Yes, lack of information about patients with "serious, contagious diseases" with the need to wear PPE is a significant offense. However, the social worker employee requesting [refusing?] to serve hospice patitents within a nursing home facility raises significant ethical concerns about care for patients and their families. The staff/patient ratio for social workers in a nursing facilities requires extensive, broad coverage. Click on the title's link to continue reading.

Pennant acquires Signature Healthcare at Home assets for $80M McKnights Home Care; by Adam Healy; 7/11/24The Pennant Group, a provider of home health, personal care, hospice and senior living services, disclosed ... that it agreed to purchase assets of certain Signature Healthcare at Home affiliates for $80 million. Signature provides home health and hospice services in Oregon, Washington and Idaho, and its 650 staff members serve more than 12,000 patients annually, according to an 8-K filing with the Securities and Exchange Commission. Pennant’s acquisition of Signature’s Washington and Idaho assets is expected to close on Aug. 1, while its acquisition of Signature’s Oregon assets is expected to close January 1, 2025.

Woman radiates joy as she wears a wedding gown for the first time after 77 years of marriage Scoop; by Rima Biswas; 7/16/24When this 97-year-old got married, she didn't have a proper wedding gown. She got to live this dream after 77 years of marriage thanks to a hospice facility. ... On King and her husband's 77th wedding anniversary, her dream of wearing a wedding dress finally came true. The staff of St. Croix Hospice in Iowa helped the then-97-year-old King to get dressed in all white and a veil to walk down the grassy lawn to celebrate her wedding anniversary. The hospice facility made a small but special arrangement to help the veteran couple reenact their wedding memories, getting everyone emotional in the process.

When you know you might forget everything: Living with the Alzheimer’s gene Intelligencer; by Amelia Schonbek; 7/16/24 In 2017, 23andMe began offering tests for the genetic risk of developing certain health conditions like celiac disease, Parkinson’s, and late-onset Alzheimer’s. The Alzheimer’s test will tell you if you have the gene variant APOE4, which means you have an increased likelihood of developing the disease. One in four people carry a single copy of the gene, but 2 to 3 percent of the population have two copies — one from each parent — and have a much higher probability. As with all of 23andMe’s upcharged “Health Predisposition Reports,” the sell on it was self-empowerment: Once you know, you can plan, allowing you to take charge of your well-being. 

Palliative provider Thyme Care secures $95M in funding round Hospice News; by Jim Parker; 7/17/24 The oncology-focused value-based enabler Thyme Care has completed a $95 million funding round that includes $55 million in equity funding. The company offers palliative care in addition to other services. In May, Thyme Care launched a new palliative care telehealth offering, branded as Enhanced Supportive Care. Thyme Care will use the new infusion of investment dollars to expand to new geographies, build new partnerships with oncologists, primary care practices and health plans, according to a press release.

County Commissioners question providing nonprofits with funding Times Union Online, Kosciusko County, IN; by David L. Slone; 7/16/24 The future of Kosciusko County government providing funding to local nonprofit organizations is uncertain. Tuesday, after some discussion on the appropriateness of the county giving taxpayer dollars to nonprofits, the Kosciusko County Commissioners approved recommending to the County Council that seven nonprofits receive the same amount of funds in 2025 as they did in 2024. [Among the organizations listed is] Stillwater Hospice, $50,000. ... [Commissioner Cary] Groninger said the county council would have the final say on the nonprofit funding. ... [Commissioner Brad] Jackson said the decision was a tough one and they didn’t just want to stop providing funding without giving the nonprofits notice. 

NAHC-NHPCO Alliance comments on Hospice CARE Act HomeCare; 7/16/24 The NAHC-NHPCO Alliance submitted a comment letter to the office of Rep. Earl Blumenauer (OR-3) on the discussion draft of the Hospice Care Accountability, Reform, and Enforcement Act (Hospice CARE Act), along with an overview and section-by-section summary. The Hospice CARE Act focuses on hospice payment reform and program integrity. The two trade organizations said they have worked closely with Blumenauer for years on these issues and are committed to continuing the dialogue to secure optimal outcomes for hospice providers and the continued delivery of quality care for patients and their families.

In response to ‘Garnet lays off 26 people citing cost saving Warwick Advertiser, Letters to the Editor; by Ethel Hemsi; 7/15/24 For the past seven years I have been a volunteer with the Palliative Care team at Garnet Health Hospital. The whole team has been laid off to save costs. The article says it can be replaced by the hospitalist team of internal medicine providers. In my opinion this team can in no way be replaced by other doctors. Palliative care is a very complex and respectable practice in itself with specially trained doctors and nurses. It does much more than manage a patient’s pain. The palliative care providers are focused on helping patients and their families understand the patient’s condition and come together to make important decisions that patients with serious illnesses face. This includes weighing the pros and cons of various medical treatments as they pertain a patient’s quality of life. ... 

Pain management in the wake of the opioid crisis Forbes; by Web Golinkin; 7/15/24 Pain is the single most frequent reason for patient visits in the United States. An estimated 20 percent of adults experience chronic pain, and nearly seven percent experience a level of chronic pain that limits their daily activities. However, most doctors and other healthcare professionals have very little education in pain management, according to Scott Fishman, MD, an internationally recognized expert in pain management, ... This lack of education was one of the main causes of the Opioid Crisis, Fishman says ... of the part of the crisis that was caused by the over-prescribing of opioids, many clinicians have become so wary of the medical-legal issues surrounding pain management that they have gone from an overly liberal approach to a restrictive one in which some prescribers are effectively abandoning patients who need to have their symptoms treated. Both extremes are frequently fueled by lack of knowledge and training, according to Fishman. ... The solution is to close the education gap ...

Mayo Clinic Minute: How extreme heat, humidity affect your health News Tribune; by Tribune News Service; 7/16/24 Many parts of the U.S. continue to grapple with oppressive heat and humidity. This can prevent the body from cooling down, increasing the risk of heat cramps, exhaustion and heatstroke. Dr. Jesse Bracamonte, a Mayo Clinic family medicine physician, said the extreme heat and high humidity can be a dangerous mix. "High heat and high humidity can place one at risk for serious illness if people aren't careful. The heat can affect people's bodies by increasing the core body temperature and ability to sweat, and cause dehydration that can cause further medical problems and ensuing issues, and eventually can lead to heat exhaustion, in some cases, severe heat illness, known as heatstroke," Bracamonte said. Editor's Note: What information and support are you providing for your clinicians who travel between visits and for your patients who might be affected by extreme heat and humidity? What simple, practical adaptations might you create, like disposable water bottles for staff as they leave your building (with a sign of support and basic info)?

Fifth of UK hospices cutting services amid funding crisis, finds report The Guardian, UK; by Andrew Gregory; 7/16/24 One in five hospices in the UK are cutting services amid the worst funding crisis in two decades, a report has warned, with soaring numbers of patients being pushed back into the NHS. Research by Hospice UK found “small and wildly varying” state funding had failed to keep pace with growing demand and rising running costs. That means inpatient beds are being cut, staff made redundant and community services restricted, with fewer visits to dying patients in their own homes, according to the charity, which represents more than 200 hospices across the country.