Literature Review
Most palliative care nurses feel unable to meet patient needs
01/08/24 at 04:00 AMMost palliative care nurses feel unable to meet patient needsNursing Times, by Ella Devereaux; 1/4/24Junior health staff are having to make complex decisions about end-of-life care, due to a lack of out-of-hours palliative care nursing services, a new report has warned. The report, published by the Queen’s Nursing Institute and the Marie Curie Charity, has assessed how end-of-life care has changed over time and some of the issues that continue to impact the efficiency of services.
Pets can improve health outcomes for older adults living at home, overseas study finds
01/08/24 at 04:00 AMPets can improve health outcomes for older adults living at home, overseas study findsMcKnights Home Care, by Adam Healy; 1/3/24Pet ownership may be linked to slower cognitive decline among adults aging in place, according to a recent study conducted in England. “Older adults living alone are at high risk for developing dementia,” the researchers wrote in the study published by JAMA Network Open. “Pet ownership might completely offset the association of living alone with faster rates of decline in verbal memory and verbal fluency among older adults.”Editor's Note: What happens when the senior adult becomes to ill to take care of their pet? Explore one program, Banfield's "Peace of Mind: Keeping Pets and People Together During Hospice Care."
5 Healthcare trends that will shape 2024
01/08/24 at 04:00 AM5 Healthcare trends that will shape 2024MedCity News, by Holly Miller; 1/5/24
Terminally ill Connecticut woman ends her life on her own terms, in Vermont
01/08/24 at 04:00 AMTerminally ill Connecticut woman ends her life on her own terms, in VermontAP US News, by Lisa Rathke; 1/4/24A Connecticut woman who pushed for expanded access to Vermont’s law that allows people who are terminally ill to receive lethal medication to end their lives died in Vermont on Thursday.
Older Americans say they feel trapped in Medicare Advantage plans
01/08/24 at 04:00 AMOlder Americans say they feel trapped in Medicare Advantage plansKFF Health News, by Sarah Jane Tribble; 1/5/24Enrollment in Medicare Advantage plans has grown substantially in the past few decades, enticing more than half of all eligible people, primarily those 65 or older, with low premium costs and perks like dental and vision insurance. And as the private plans’ share of the Medicare patient pie has ballooned to 30.8 million people, so too have concerns about the insurers’ aggressive sales tactics and misleading coverage claims.
7 health tech predictions for 2024
01/08/24 at 04:00 AM7 health tech predictions for 2024McKnights Home Care, by Patrtick Tarnowski; 1/4/24
How health systems are using AI to augment patient safety
01/08/24 at 04:00 AMHow health systems are using AI to augment patient safetyModern Healthcare, by Mari Devereaux; 1/5/24Clinicians at some health systems are turning to artificial intelligence-driven tools to predict and avert negative patient outcomes, though stakeholders say caution remains warranted.
Home health agencies grapple with 'acuity creep' as patient needs become more complex
01/08/24 at 04:00 AMHome health agencies grapple with 'acuity creep' as patient needs become more complexHome Health Care News, by Patrick Filbin; 1/5/24As the demand for home-based care continues to rise, so does the need for more intensive care plans as patients continue to be sicker and more complex. Home health agencies are feeling this “acuity creep,” and they’re adjusting. But at times, it’s hard to keep up. “When I’m talking about acuity creep, I’m thinking about how much need do the patients in our care models require?” Michael Johnson, president of home health and hospice at Bayada Home Health Care, said. “It’s not just medical needs, either — there’s a social need as well."
How hospice, behavioral health can team up for caregiver support
01/08/24 at 04:00 AMHow hospice, behavioral health can team up for caregiver supportHospice News, by Holly Vossel; 1/6/24“We are officially living in that sandwich generation where so many of us actually are caregivers, taking care of our children, sometimes even the parent is now taking care of two generations, ..."
The income gap jeopardizing retirement for millions
01/08/24 at 04:00 AMThe income gap jeopardizing retirement for millionsThe New York Times, by Paula Span; 1/6/24Paula Span explores the unprecedented challenges posed by a rapidly aging population.
To affiliate or acquire: Trends in nonprofit hospice consolidation
01/08/24 at 03:00 AMTo affiliate or acquire: Trends in nonprofit hospice consolidationHospice News, by Jim Parker; 1/5/24Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofit s are pursuing acquisitions and affiliations, as well as forming regional collaboratives. To achieve these kinds of growth, hospices must consider whether they should affiliate or buy another company outright. Each approach comes with benefits and risks.
Today's Encouragement
01/07/24 at 04:00 AMI have no special talents. I am only passionately curious. ~Albert Einstein, 1952
After the chaotic closure of a St. Louis nursing home, will others also shut down?
01/07/24 at 03:40 AMAfter the chaotic closure of a St. Louis nursing home, will others also shut down?St. Louis Post-Dispatch; 12/24/23St. Louis, MO—The north St. Louis nursing home that closed abruptly last weekend, setting off a chaotic relocation of residents and layoffs of workers without warning, had been in decline for several years. ... Other area nursing homes face similar financial pressures and lingering damage from the COVID-19 pandemic. ... “I think we’re going to see a lot of nursing homes close, that’s my prediction—I mean a lot of nursing homes,” [Harvey] Tettlebaum [a lawyer who for decades has represented the Missouri Healthcare Association, a group for long-term health care organizations] said. “I think it’s going to escalate next year.” Among the most vulnerable are providers that primarily serve residents who rely on Medicaid.
Bank employees go above and beyond—Donations exceed $100,000 in 2023
01/07/24 at 03:35 AMBank employees go above and beyond—Donations exceed $100,000 in 2023PRNewswire; 12/28/23Lake City, FL—First Federal Bank is pleased to announce the success of its 2023 First Federal Way campaign, which received contributions of $50,430 from employees. With the bank’s match, a total of $100,900 is being donated to local non-profit agencies who make a significant difference in their communities.
Aaron A. & Maria H. Putnam Family Charitable Trust gives grant to Aroostook Hospice Foundation
01/07/24 at 03:30 AMAaron A. & Maria H. Putnam Family Charitable Trust gives grant to Aroostook Hospice FoundationThe County (Presque Isle, ME); 12/26/23Presque Isle, ME—The Aroostook Hospice Foundation, owner of the Aroostook House of Comfort, is delighted to announce the receipt of a generous $5,000 grant from the Aaron A. and Maria H. Putnam Family Charitable Trust of Houlton.
New residential end-of-life facility opens in central PA
01/07/24 at 03:25 AMNew residential end-of-life facility opens in central PAPatriot-News (Harrisburg, PA); 12/26/23Chambersburg, PA—Mercy House of Chambersburg has opened at 730 Norland Ave. in Chambersburg. Mercy House was formed last year and partners with local hospice agencies in providing care for those who need 24-hour assistance and who are unable to remain at home.
What do people dream about before they die? Doctors mention this one common detail
01/07/24 at 03:20 AMWhat do people dream about before they die? Doctors mention this one common detail24/7 News Agency, 12/25/23A study from 2020 confirms that patients who experienced such symptoms became stronger and mentally stronger. There was peace coming from them. The family and relatives of the dying person claimed that being aware of this information helped them go through the mourning process more smoothly. Christopher Kerr, a cardiologist and director of the Hospice and Palliative Care Center in Buffalo, as well as the author of the book “Death is Just a Dream”, is one of the first people who decided to explore the topic of dreams occurring just before death.
Hospice patient enjoys fishing adventure
01/07/24 at 03:15 AMHospice patient enjoys fishing adventureHickory Daily Record; 12/30/23Carolina Caring’s compassionate hospice and palliative care empowers patients to make the most of each day as they navigate serious illness. One patient, Barbara, has been under hospice care with Carolina Caring and has shared ... with her nurse, Kelly Avery, and social worker, Megan Elmore ... that her fondest memories were of fishing with her family on Lake Hickory. After being diagnosed with chronic obstructive pulmonary disease and chronic heart failure, Barbara’s symptoms were getting increasingly harder to manage. She went from fishing once a week to once a month, to not having fished in over two years. ... Thanks to multiple visits a week from her Carolina Caring care team, Barbara was able to build the confidence to once again cast her line and enjoy the great outdoors. ... Kelly and Megan coordinated with the Carolina Caring Volunteer and Foundation Departments to secure fishing licenses and gather together a spread of Barbara’s favorite foods at Dallas Park & Recreation ponds. For just the second time in the past year, Barbara left the house.
Top 5 ‘Hidden Gem’ Palliative Care News Stories from 2023
01/07/24 at 03:10 AMTop 5 ‘Hidden Gem’ Palliative Care News Stories from 2023Hospice News, by Holly Vossel; 12/18/23
Rosalynn Carter’s impact on caregivers
01/07/24 at 03:05 AMRosalynn Carter’s impact on caregiversKevin MD Blog, by R. Lynn Barnett; 12/25/23... As caregivers, we are the voice for others, but we also need to be a voice for ourselves. ... I wasn’t prepared, as many people aren’t, for the fiscal and physical aspects of caregiving. ... The toll that caregiving can take is often underrated, understated, and under-appreciated. ... Rosalynn Carter was known as a “Steel Magnolia,” showing the same inner fortitude and mettle, combined with grace, of the main characters in the film of the same name. I think all of us caregivers become steel magnolias. It’s not that we deserve a medal for our actions; we just deserve a little peace.[Editor's Note, Joy Berger for Hospice and Palliative Care Today: Rosalynn Carter founded the Institute for Caregiving 35 years ago, preparing for the surge of Baby Boomers' aging and caregiving needs. Her memorable quote lives on: "There are only four kinds of people in the world--those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers." Visit www.rosalynncarter.org for more information.]
Sunday Newsletters
01/07/24 at 03:00 AMSunday NewslettersTop read stories of the last month will be the focus of Sunday newsletters - enjoy!
Impact and sustainability of a palliative care education module in patients with heart failure
01/06/24 at 04:00 AMImpact and sustainability of a palliative care education module in patients with heart failureAmerican Journal of Hospice and Palliative Medicine, by Shelley L. Thompson, DNP; Allison Lindgren, MSPAC; Jaime McDermott, DNP; Stephanie G. Barnes, MSN; Carolina D. Tennyson, DNP; Bradi Granger, PhD; 12/23Approximately 6.7 million American adults are living with heart failure (HF). Current therapies are geared toward preventing progression and managing symptoms, as there is no cure. Multiple studies have shown the benefit of including palliative care (PC) in patients with HF to improve symptoms and quality of life. Heart failure guidelines recommend the inclusion of PC in therapy, but referrals are often delayed. A previous pilot project demonstrated increased involvement of PC when targeted education was given to patients with HF. This sustainable project again demonstrated education on PC increases utilization of PC but does not statistically impact mortality, re-admissions, or transfers to higher levels of care.
Measuring the impact of AI in the diagnosis of hospitalized patients
01/06/24 at 04:00 AMMeasuring the impact of AI in the diagnosis of hospitalized patientsJAMA Network, by Sarah Jabbour, MSE; David Fouhey, PhD; and Stephanie Shepard, PhD; Thomas S. Valley, MD; Ella A Kazerooni, MD, MS; Nikola Banovic, PhD; Jenna Wiens, PhD; Michael W. Sjoding, MD; 12/23In this multicenter randomized clinical vignette survey study, diagnostic accuracy significantly increased by 4.4% when clinicians reviewed a patient clinical vignette with standard AI model predictions and model explanations compared with baseline accuracy. However, accuracy significantly decreased by 11.3% when clinicians were shown systematically biased AI model predictions and model explanations did not mitigate the negative effects of such predictions.
Racial and ethnic differences in hospice use among Medicaid-only and dual-eligible decedents
01/06/24 at 04:00 AMRacial and ethnic differences in hospice use among Medicaid-only and dual-eligible decedentsJAMA Health Forum, by Julie Robison, Noreen Shugrue, Ellis Dillon, Deborah Migneault, Doreek Charles, Dorothy Wakefield, Bradley Richards; 12/23Hospice care enhances quality of life for people with terminal illness and is most beneficial with longer length of stay (LOS). Most hospice research focuses on the Medicare-insured population. Little is known about hospice use for the racially and ethnically diverse, low-income Medicaid population.
Today's Encouragement
01/06/24 at 04:00 AM"Study hard, for the well is deep and our brains are shallow" ~Richard Baxter