Literature Review
Today's Encouragement: O beautiful ...
11/05/24 at 03:00 AMO beautiful for spacious skies, For amber waves of grain, For purple mountain majesties Above the fruited plain! America! America! God shed his grace on thee And crown thy good with brotherhood From sea to shining sea!~ Katherine Lee Bates
How to pay for nursing homes with hospice care
11/05/24 at 03:00 AMHow to pay for nursing homes with hospice care U.S. News & World Report - Health; by Claire Wolters; 11/4/24 Can you receive hospice care in a nursing home? Yes – here's what to consider for comfortable, pain-free end-of-life care in a nursing home. Key Takeaways:
CMS finalizes 2.9% cut in physician payments for 2025, including for palliative care
11/05/24 at 03:00 AMCMS finalizes 2.9% cut in physician payments for 2025, including for palliative care Hospice News; by Jim Parker; 11/4/24 The U.S. Centers for Medicare & Medicaid Services (CMS) has finalized a nearly 2.9% cut for 2025 in physician payment rates used to reimburse palliative care care practitioners, among other professionals. The final rule also states that the telehealth flexibilities implemented during the COVID-19 public health emergency will expire at the end of this year unless Congress intervenes. Physicians and other professionals will have to follow pre-COVID restrictions on telehealth, with few exceptions. Industry organizations were quick to denounce the pay cut. “To put it bluntly, Medicare plans to pay us less while costs go up. You don’t have to be an economist to know that is an unsustainable trend, though one that has been going on for decades,” American Medical Association President Dr. Bruce Scott said in a statement.
Governor proclaims Home Care, Hospice, Palliative Care Month 2024
11/05/24 at 02:30 AMGovernor proclaims Home Care, Hospice, Palliative Care Month 2024Governor.nc.gov - an official website of the State of North Carolina; by Governor Roy Cooper; 11/1/24A PROCLAMATIONWHEREAS, the State of North Carolina recognizes the importance and value of home care, home health, hospice, and palliative care in enhancing the well-being and quality of life for individuals and their families; andWHEREAS, home care, home health, hospice, and palliative care providers offer essential services and support to individuals of all ages, ensuring their ability to receive necessary care in the comfort and familiarity of their own homes; andWHEREAS, being able to receive care and support in the comfort of one's own home allows individuals to maintain a sense of dignity, independence, and quality of life; andWHEREAS, the dedicated professionals of the home care, home health, hospice, and palliative care industry work tirelessly to improve the lives of North Carolina residents, providing compassionate care, emotional support, and necessary medical assistance; and ...WHEREAS, North Carolina's home care, home health, hospice, and palliative care providers play a crucial role in promoting patient independence, reducing hospital readmissions, and minimizing the burden on our healthcare system; NOW, THEREFORE, I, ROY COOPER, Governor of the State of North Carolina, do hereby proclaim November, 2024, as “HOME CARE, HOSPICE, PALLIATIVE CARE MONTH” in North Carolina, and commend its observance to all citizens. [Click here to read the full proclamation.]
"Courageous Conversations" during National Hospice and Palliative Care month
11/05/24 at 02:00 AM"Courageous Conversations" during National Hospice and Palliative Care month NBC Tri-Cities, Yakima, WA; by Laynie Erickson; 11/4/24 November is National Hospice and Palliative Care month. Tri-Cities Chaplaincy is spending this month embracing what they call "courageous conversations". Laurie Jackson, CEO of Tri-Cities Chaplaincy said this month they are encouraging the community to have conversations early about hospice and palliative care. Jackson said making these kind of decisions in crisis is challenging. "It always seems like its too soon to have 'that' conversation until it's too late," said Jackson. Although these "courageous conversations" can be difficult, Jackson said it is important to explore your options. "It always seems like its too soon to have 'that' conversation until it's too late," said Jackson. Although these "courageous conversations" can be difficult, Jackson said it is important to explore your options.
‘Stop Requested’: To Lakeview, Oregon’s ‘Mile High City’
11/04/24 at 03:00 AM‘Stop Requested’: To Lakeview, Oregon’s ‘Mile High City’ OPB (Oregon Public Broadcasting); by Lillian Karabaic; 10/27/24 Lakeview isn‘t close to much, but locals figure out how to get ’er done. ... OPB “Weekend Edition” host Lillian Karabaic and producer Prakruti Bhatt experience the joys and difficulties of rural transit and talk to many people along the way. ... To reach Lakeview, we turn to the Lake County Cloud, a transit service run by the Lakeview Senior Center. Lake County Cloud doesn‘t have any fixed route services. Its crew of eight part-time drivers mostly do by-reservation trips to medical appointments and a few shopping trips. This became even more important after Lakeview’s only specialty clinic and hospice closed in 2023. ... Because the nearest city is Klamath Falls, more than 90 miles away, Lake County Transit puts in a lot of miles. It also goes up to Medford, down to California, and even all the way to Portland for chemotherapy. “We do about 30,000 [or] 40,000 miles a month … it’s a lot for a little town and little crew," says Linda Mickle, transportation coordinator for Lake County Transit.
More Minnesotans face ‘pharmacy deserts’ with chain drugstore closures
11/04/24 at 03:00 AMMore Minnesotans face ‘pharmacy deserts’ with chain drugstore closures The Minnesota Star Tribune; by Dee DePass; 11/2/24 KB Brown’s phone hasn’t stopped ringing since Walgreens shut its W. Broadway store last year, leaving one pharmacy to serve 67,000 residents in the north Minneapolis area where he lives and runs his graphics design business. With Walgreens gone — and CVS shutting four other area stores — Brown, at least three times a week, transports employees, relatives and older neighbors to pharmacies in Robbinsdale or other suburbs so they can get their medications. ... North Minneapolis joins a growing number of “pharmacy deserts” rapidly dotting the state and nation as small and large pharmacies close up shop, leaving people with few options to quickly access prescription medicines. ... CVS, which closed 600 U.S. stores between 2021 and 2023, said it would close 300 more this year as leases end. On Oct. 15, Walgreens announced a plan to close 1,200 unprofitable stores, starting with 500 in 2025.
Tidewater Rotary cleans, revitalizes outdoor spaces at Talbot Hospice
11/04/24 at 03:00 AMTidewater Rotary cleans, revitalizes outdoor spaces at Talbot Hospice The Star, Easton, MD; 11/1/24 Members of the Tidewater Rotary Club, along with their families and friends, recently gathered to revitalize the backyard patio and garden areas at Talbot Hospice. Over two Saturdays, volunteers transformed the space, giving it a fresh, renewed look. The project supported Talbot Hospice by enhancing outdoor spaces where residents and families can find peace and comfort. Efforts included removing poison ivy and brush, power washing structures, and repainting the pergola and wood fence. Patios connected to patient rooms, leading to the gardens, received newly built benches, minor repairs and a fresh coat of paint. Window trims were repainted, and outdoor furniture was power washed.
Today's Encouragement: Four score ...
11/04/24 at 03:00 AMFour score and seven years ago our fathers brought forth on this continent, a new nation, conceived in Liberty, and dedicated to the proposition that all men are created equal. ~ Abraham Lincoln, November 19, 1863, "The Gettysburg Address"
PositivelyJAX Award - The purple bench of compassionate St. Augustine
11/04/24 at 03:00 AMPositivelyJAX Award - The purple bench of compassionate St. AugustineNews4JAX; by Melanie Lawson; 11/1/24 This month’s PositivelyJAX Award goes to something unique: a bench. But it’s no ordinary bench—it’s The Purple Bench, powered by people and conversation. The concept was brought to life by a group called Compassionate St. Augustine, sparking empathy and understanding in anyone willing to sit down and listen. This purple bench, located just outside the gates of the Lincolnville Community Garden in St. Augustine, often sits empty, waiting for someone to take a seat and begin a conversation. When I approached, Eileen Reid was happy to join me. In just a short 10-minute conversation, I got to know her—a retired hospice nurse ... “I’ve been around a lot of endings, and endings are beginnings, but now, now I’m beginning a whole different phase of my life, and it’s interesting. ...”Editor's note: Click on the title's link for the community news article. Click here for a photo and description of this Purple Bench Initiative: "The Purple Bench initiative was formed to challenge the community to engage in compassionate practices despite different backgrounds, religions, ethnicities, and views. In a world divided by polarizing opinions, it is increasingly important to find common ground to help those in need."
Amedisys is now oversold (AMED)
11/04/24 at 03:00 AMAmedisys is now oversold (AMED) Nasdaq; by BNK Invest; 10/31/24 Legendary investor Warren Buffett advises to be fearful when others are greedy, and be greedy when others are fearful. One way we can try to measure the level of fear in a given stock is through a technical analysis indicator called the Relative Strength Index, or RSI, which measures momentum on a scale of zero to 100. A stock is considered to be oversold if the RSI reading falls below 30. In trading on Thursday [10/31], shares of Amedisys, Inc. (Symbol: AMED) entered into oversold territory, hitting an RSI reading of 29.4, after changing hands as low as $94.76 per share. By comparison, the current RSI reading of the S&P 500 ETF (SPY) is 44.0. ...
Providence, nurses union step up war of words as new Portland-area hospital strike looms
11/04/24 at 03:00 AMProvidence, nurses union step up war of words as new Portland-area hospital strike looms The Lund Report; by Jake Thomas; 10/31/24 Providence is accusing the state’s largest nurses union of “power flexing” after nurses at Providence St. Vincent signaled they are willing to strike in what could be another widespread work stoppage at the hospital system. The Oregon Nurses Association announced Thursday that 1,800 nurses at the hospital located in unincorporated Washington County, just west of Portland, gave union negotiators the green light to call for a strike. ... Nurses and allied health care workers at Providence’s Portland and Seaside hospitals as well as its Home Health & Hospice service went on strike in June last year. Each of the three workplaces eventually reached contracts with Providence. But the new contracts had shorter timeframes than usual because of the strikes and are set to expire on Dec. 31, 2024. All three began negotiations again with Providence management last month.
Fear of falling: Do you have an emergency plan?
11/04/24 at 03:00 AMFear of falling: Do you have an emergency plan? Harvard Health Letter - Tribune Content Agency; by Heidi Godman; 11/1/24 You’re doing everything you can to avoid a fall, but sometimes tumbles occur despite best efforts: one in four U.S. adults ages 65 and older report falling in any given year. As common as these accidents are, most of us never consider what to do in the event of a fall. How would you get help? Should you contact your doctor or go to a hospital? What would happen after that? If you haven’t already, it’s time to come up with a basic emergency plan, while you’re healthy and can think calmly and clearly.
National Partnership for Healthcare and Hospice Innovation celebrates National Hospice and Palliative Care Month
11/04/24 at 03:00 AMNational Partnership for Healthcare and Hospice Innovation celebrates National Hospice and Palliative Care Month National Partnership for Healthcare and Hospice Innovation (NPHI); 10/31/24 In honor of National Hospice and Palliative Care Month, NPHI also shines a spotlight on the true Care Heroes—the dedicated professionals and volunteers who provide compassionate care to those facing terminal or serious illnesses. Their dedication to ensuring comfort, dignity, and quality of life is the foundation of hospice and palliative care. These Care Heroes make a profound impact on the lives of patients and their families, offering essential support during some of life’s most challenging moments. “We celebrate and recognize the invaluable contributions of these Care Heroes—the extraordinary individuals who are delivering exceptional quality care each and every day,” stated Tom Koutsoumpas, CEO. “We invite everyone to join us in sharing their positive experiences of working, volunteering, or caring for those at the end of life.” “This November is a time to recognize the essential role of hospice and palliative care providers in our communities,” stated Carole Fisher, president. “We invite everyone to join us in spreading the word about the impact of these services and in celebrating the dedicated professionals who provide this critical care. To participate in National Hospice and Palliative Care Month, NPHI encourages everyone to join the conversation online using the hashtags #CareHeroes, #HAPCM, #HospiceCare, and #PalliativeCare. You can also explore our Public Outreach Toolkit for more guidance.
Hawaii Care Choices kicks off talk show about health care
11/04/24 at 03:00 AMHawaii Care Choices kicks off talk show about health care Hawaii Tribune Herald; 11/1/24 Hawaii Care Choices has launched “Let’s Talk Healthcare Hawaii!” — a new TV talk show and podcast dedicated to palliative care education. [Access to the full story requires subscription.]
Blue Ridge Care expands bereavement care with new Center for Hope & Healing
11/04/24 at 03:00 AMBlue Ridge Care expands bereavement care with new Center for Hope & Healing Hospice News; by Jim Parker; 11/1/24 Blue Ridge Care has unveiled its new Center for Hope & Healing, a facility dedicated to offering comprehensive grief care. The Virginia-based nonprofit hospice, palliative care and PACE provider financed the center through philanthropic donations. The facility is located in the same building as Blue Ridge’s PACE program, according to CEO Jason Parsons. At the center, Blue Ridge bereavement care staff will offer specialized programs, workshops, support groups and individual counseling. “The center is a central organizing unit of our mission fulfillment in the areas of grief, family support and loss in a place people can come to that’s welcoming, inviting and centered around hope and healing,” Parsons told Hospice News. ... The center was built to create a relaxing atmosphere to help put visitors at ease, according to Parsons, with a sky blue color palette and several murals depicting natural scenes. In one display, a collection of rocks symbolizes the weight of grief. Visitors can write a message on the rocks to “leave that weight behind,” Parsons said. They can also paint their loved ones’ names on a mural of a branching tree in the lobby area.
CNY Inspirations: Caregiving is redemptive
11/04/24 at 02:45 AMCNY Inspirations: Caregiving is redemptive Syracuse.com, Syracuse, NY; by InterFaith Works of Central New York; 11/3/24 I will carry him with me for my life as one of the greatest examples of caring that I ever met. I will be obscure on the details, but he cared for his wife, who was completely immobilized, with a degree of fidelity, creativity, and painstaking love that I have rarely seen and could only hope to imitate. He lived what Arthur Kleinman calls in his book of the same title, The Soul of Care. ... He says, “Caregiving, for me, at its deepest was redemptive. It redeemed me…. in caregiving, there is a common tug of war between the sometimes-bitter feelings that care is a burden and the more heartening certainty that no matter how burdensome, it is ultimately rewarding.” ... My friend never expressed that verbally, but I saw it lived as I watched him over the years through periods of anxiety, weariness, anger, hurt, despair, and through it all, intense, personal demanding caregiving. “And so, in the end, the soul of care pivots to care of the soul.” Inauspiciously, my friend took good care of his soul…and certainly helped mine.
How end-of-life dreams and visions are bringing comfort to dying patients: A conversation with Christopher W. Kerr, MD, PhD
11/04/24 at 02:15 AMHow end-of-life dreams and visions are bringing comfort to dying patients: A conversation with Christopher W. Kerr, MD, PhD The ASCO Post (American Society of Clinical Oncology); by Jo Cavallo; 11/1/24 Just weeks or even days or hours away from death, the majority of conscious terminally ill patients often experience growth and meaning in their lives and the absence of fear through end-of-life dreams and visions, according to research by Christopher W. Kerr, MD, PhD. Dr. Kerr is Chief Executive Officer and Chief Medical Officer of Hospice and Palliative Care Buffalo, New York, and coauthor of Death Is But a Dream: Finding Hope and Meaning at Life’s End (Avery, 2020). ... In this interview with The ASCO Post, Dr. Kerr discussed how end-of-life dreams and visions bring comfort to dying patients, the difference between these experiences and hallucinations, and the importance of ensuring that patients understand the reality of their prognosis when cure is no longer attainable.
NPHI CMO, CIO Dr. Cameron Muir: Translate hospice quality into value
11/04/24 at 02:00 AMNPHI CMO, CIO Dr. Cameron Muir: Translate hospice quality into value Hospice News; by Jim Parker; 11/1/24 As both Chief Medical Officer and Chief Innovation Officer for the National Partnership for Healthcare and Hospice Innovation, Dr. Cameron Muir has committed to help guide operators towards a value-based future. NPHI is a national advocacy organization with more than 100 nonprofit advanced illness care providers, including those offering hospice and palliative care services. Muir joined the organization in 2019 as its chief of clinical innovations. During his tenure, he has helped to develop and oversee the launch of the NPHI Innovation Lab, which focuses on designing systematic approaches to improve advanced illness care by examining trends in population health, claims analytics and practice optimization. Muir recently sat down with Hospice News to talk about the ways medicine and health care innovation intersect, as well as the need to focus on quality to prepare for the industry’s value-based future. [Click on the title's link to continue reading.]
We invite you to listen to our latest podcast: Imagine Heaven, with John Burke
11/04/24 at 02:00 AMWe invite you to listen to our latest podcast: Imagine Heaven, with John Burke TCN Talks (Teleios Collaborative Network); podcast by Chris Comeaux; 10/30/24 In this inspiring episode of TCNtalks, Chris Comeaux sits down with John Burke, New York Times bestselling author of Imagine Heaven and Imagine the God of Heaven, for a soul-stirring conversation on near-death experiences (NDEs) and their profound implications. John shares the overwhelming evidence of the commonalities of near-death experiences (NDEs) and the evidence that supports their validity from across the world and from across many different cultures. Chris begins by recounting his own transformative experience reading Imagine Heaven over his summer sabbatical, describing it as a refreshing oasis for the parched soul. John delves into the fascinating and consistent patterns found in NDEs worldwide, revealing how people from vastly different backgrounds describe similar encounters of leaving their bodies, seeing with a spiritual clarity—even those blind from birth—and entering realms filled with light, love, and peace.
Anvoi Hospice welcomes Senate proclamation honoring National Hospice Month
11/04/24 at 02:00 AMAnvoi Hospice welcomes Senate proclamation honoring National Hospice Month AN17 Local News, Loranger, LA; Press Release; 11/2/24 On Friday, November 1, Louisiana State Senator Bill Wheat officially recognized November as National Hospice Care Month with a Senate proclamation presented to Anvoi Hospice. 2024 marks the 42nd anniversary of the first Proclamation recognizing November as National Hospice Month. In 1982, President Ronald Reagan signed into law the Medicare Hospice benefit which ensured that millions of seriously ill Americans could die with dignity while receiving care in their own homes. That same year, the president also declared a National Hospice Care Week, which we now celebrate as National Hospice Care Month. “For more than 40 years, hospice has helped provide comfort and dignity to millions of people, ... We were so pleased to collaborate closely with Senator Wheat’s office on this proclamation, and we thank the Louisiana Senate for recognizing the importance of hospice and palliative care,” said Anvoi CEO, Angelique Richardson.Editor's note: Thank you, Anvoi Hospice for your public advocay. Additionally, we recognize the important leadership and state-wide presence of the Louisiana-Mississippi Hospice & Palliative Care Organization (LMHPCO).
Mortality and function after widowhood among older adults with dementia, cancer, or organ failure
11/03/24 at 03:55 AMMortality and function after widowhood among older adults with dementia, cancer, or organ failureJAMA Network Open; Rebecca Rodin, MD, MSc; Alexander K. Smith, MD, MS, MPH; Edie Espejo, MPH; Siqi Gan, MPH; W. John Boscardin, PhD; Lauren J. Hunt, PhD, RN; Katherine A. Ornstein, PhD, MPH; R. Sean Morrison, MD; 9/24In this cohort study including 13,824 participants in the Health and Retirement Study, widowhood was associated with functional decline and increased 1-year mortality in functionally impaired older adults with dementia and cancer. The study findings suggest that older adults with functional impairment and cancer or dementia are at risk of adverse outcomes following widowhood, including functional decline and a marked elevation in the risk of death, in the year after widowhood.
Perspectives on artificial intelligence–generated responses to patient messages
11/03/24 at 03:50 AMPerspectives on artificial intelligence–generated responses to patient messagesJAMA Network Open; Jiyeong Kim, PhD, MPH; Michael L. Chen, BA; Shawheen J. Rezaei, MPhil; April S. Liang, MD; Susan M. Seav, MD; Sonia Onyeka, MD; Julie J. Lee, MD, MPH; Shivam C. Vedak, MD, MBA; David Mui, MD, MBA; Rayhan A. Lal, MD; Michael A. Pfeffer, MD; Christopher Sharp, MD; Natalie M. Pageler, MD, MEd; Steven M. Asch, MD, MPH; Eleni Linos, MD, DrPH; 10/24Generative artificial intelligence (AI) has the potential to assist clinicians in responding to patients’ messages. Satisfaction was consistently higher with AI-generated responses than with clinicians overall and by specialty. However, satisfaction was not necessarily concordant with the clinician-determined information quality and empathy. For example, satisfaction was highest with AI responses to cardiology questions while information quality and empathy were highest in endocrinology questions. Interestingly, clinicians’ response length was associated with satisfaction while AI’s response length was not. The findings suggest that the extreme brevity of responses could be a factor that lowers satisfaction in patient-clinician communication in EHR.
Patient, staff satisfaction biggest ROIs of trauma-informed hospice care
11/03/24 at 03:45 AMPatient, staff satisfaction biggest ROIs of trauma-informed hospice care Hospice News; by Holly Vossel; 10/23/24 Improved patient and staff satisfaction are among the most significant returns on investment for hospices that are pouring greater resources into trauma-informed training. The ability to build a trusting relationship with patients and their families is a key skill set for any hospice professional to possess, but one that takes on a profoundly different meaning when caring for survivors of abuse, violence and trauma. This is according to Amber Ash, pediatric hospice and palliative care social worker at Ohio-based Hospice of the Western Reserve. Trauma-informed education should be a normalized part of hospice’s interdisciplinary training to help staff recognize and respond to a range of experiences, Ash indicated. This type of training can help provide opportunities for improved goal-concordant care while also aligning with staff’s professional goals and personal values, she stated.
Patterns of migration following dementia diagnosis
11/03/24 at 03:40 AMPatterns of migration following dementia diagnosisJAMA Network Open; Momotazur Rahman, PhD; Bishnu Bahadur Thapa, PhD; Christopher Santostefano, MPH, RN; Pedro Gozalo, PhD; Ulrike Muench, RN, PhD; Cyrus M. Kosar, PhD; Hyesung Oh, PhD; Elizabeth White, APRN, PhD; Vincent Mor, PhD; 10/24In this cohort study of more than 1 million Medicare fee-for-service beneficiaries, individuals with a diagnosis of dementia were almost twice as likely to migrate to another county or state compared with those with diagnoses of myocardial infarction, chronic obstructive pulmonary disease, or colon cancer. Of the excess migrations resulting from dementia diagnosis, 55% occurred in community settings, and 45% occurred in institutional settings. The marked increase in migration among patients following a dementia diagnosis highlights a distinctive need for policy and support interventions tailored to their unique migration patterns and care requirements.