Literature Review

Medscape: Long COVID has caused thousands of US deaths: New CDC dataMedscape Medical News, by Lisa Rapaport; 1/3/24While COVID has now claimed more than 1 million lives in the United States alone, these aren't the only fatalities caused at least in part by the virus. A small but growing number of Americans are surviving acute infections only to succumb months later to the lingering health problems caused by long COVID. ... At least 4600 Americans have died from long COVID since the start of the pandemic, according to new estimates from the CDC.

Ensign (ENSG) buys 2 nursing facilities in Tennessee & NevadaZacks Equity Research; 1/2/24 The Ensign Group, Inc. announced that it bought the operations of a nursing facility in Harrogate, TN. It has also acquired the operations of a nursing facility in Sparks, NV. ... The 116-bed unit in Harrogate, named TriState Health and Rehabilitation Center, is ENSG’s first skilled nursing facility in Tennessee. ... The other acquisition, the 125-bed Hearthstone Health and Rehabilitation facility in Nevada, is likely to boost its footprint in the region. The acquisition deals have increased Ensign's portfolio to encompass 299 healthcare operations spanning 14 states. Of the total, 27 also have senior living operations. 

A not-so-silent battle: Tackling nurse burnout with innovative solutionsElectronic Health Reporter, by Brandy Sparkman-Beierle; 1/2/24... "The intersection of rising patient volumes and staffing challenges has led to a significant drop in nursing satisfaction rates. This overextension puts healthcare professionals at risk of burnout, impacting their physical and mental well-being." Brandy Sparkman-Beierle, chief clinical officer for Homecare Homebase identifies these needs:

The impact of Artificial Intelligence on healthcare and medicineMedium/Technology Buzz, by Mark R.; 1/3/24... Artificial intelligence, or intelligence dominated by machines and algorithms, has a growing significance in multiple industries. From finance to education and healthcare, AI has completely reformed the ways of working. One of the significant contributions of AI is to the healthcare and medical industry. From improving diagnostic accuracy to personalizing the treatments for patients, AI has revolutionized the structure of healthcare facilities. By analyzing complex human data and drawing accurate conclusions without much human intervention, AI technology can help medical researchers make new discoveries. AI applications are primarily centered on 3 main investment areas: diagnostics, engagement, and digitization.Editor's Note: For pro's and con's of AI in hospice and palliative care, examine other articles about AI posted in our newsletter (past and future).

Pennant and John Muir Health enter into a home health joint venture in the Bay Area, CaliforniaGlobe Newswire; 1/2/24The Pennant Group, Inc. (NASDAQ: PNTG), the parent company of the Pennant group of affiliated home health, hospice, home care and senior living companies, today announced that it has closed on a home health joint venture with John Muir Health, a leading nonprofit integrated health system that serves communities throughout San Francisco’s East Bay Region. ... "Muir Home Health will bring together the deep experience of one of the Bay Area’s premier health systems with Pennant’s deep experience in managing and supporting the delivery of life-changing home health services, ..." said Brent Guerisoli, Pennant's Chief Executive Officer.

How do you ethically integrate a GIP hospice service into the hospital?Hospitalist.org, by William Frederick, et.al.; 1/2/24[General inpatient (GIP) hospice] ... provides holistic end-of-life care and family support in acute-care hospitals. Patients who are appropriate for GIP hospice services often have a life expectancy of hours to days, require care that cannot be delivered at home, and have symptoms that are difficult to control in any other settingEditor's Note: Examine this article for (1) a flow chart of the "GIP Hospice Process at UCSD Health System" and (2) Indications for GIP Hospice Care Indications for GIP Hospice Care."

Should patients be allowed to die from anorexia?DNYUZ; 1/3/24The doctors told Naomi that she could not leave the hospital. She was lying in a narrow bed at Denver Health Medical Center. Someone said something about a judge and a court order. Someone used the phrase “gravely disabled.” Naomi did not think she was gravely disabled. Still, she decided not to fight it. She could deny that she was mentally incompetent — but this would probably just be taken as proof of her mental incompetence. Of her lack of insight. She would, instead, “succumb to it.” [Read more of Naomi's story, followed by this examination of palliative care.]The field of palliative care was developed in the 1960s and ’70s, as a way to minister to dying cancer patients. Palliative care offered “comfort measures,” like symptom management and spiritual guidance, as opposed to curative treatment, for people who were in pain and would never get better. Later, the field expanded beyond oncology and end-of-life care — to reach patients with serious medical illnesses like heart disease, H.I.V. and AIDS, kidney failure, A.L.S. and dementia. Some people who receive palliative care are still fighting their diseases; in these cases, the treatment works to mitigate their suffering. [Read more of this discussion of emerging issue.]

New Year: a new chapter, new verse, or just the same old story? Ultimately we write it. The choice is ours.  Alex Morritt 

Mass General Brigham's generative AI plans for '24Becker's Health IT, by Bruce Giles; 1/2/24Mass General Brigham plans to use generative artificial intelligence to compare patients to ones with similar profiles to help with their treatment, The Wall Street Journal reported. The health system also intends to release its first AI-powered diagnostic products as part of its new commercial AI office in the first half of 2024, according to the Dec. 29 story. ... With advancements in large language models, algorithms that scan medical images for insights used to take millions of dollars and several years to create, he told the news outlet. Now they can be built in a matter of months.

Biased AI models in healthcare may lead caregivers and clinicians astray, new study warnsMcKnights' Tech Daily News, by Aaron Dorman; 1/2/24Over the past year, studies have highlighted how artificial intelligence models in healthcare sometimes can increase bias. Now, a new study warns that clinicians could follow AI down the wrong path. When reviewing data for respiratory failure, a common problem for older adults, clinicians were 11% less accurate in their diagnoses when using a biased AI model than if they didn’t use AI at all, the study found. Disturbingly, this fact was true even when given explanations about how the AI came to a diagnostic conclusion. 

Man 'accidentally' fires gun in Iowa hospital: policeBecker's Clinical Leadership, by Mackenzie Bean (Twitter); 1/2/24 Police are investigating an incident in which a gun was discharged at MercyOne Waterloo (Iowa) Medical Center Dec. 29, according to NBC affiliate WHO 13 News. Authorities found damage from a single gunshot in a restroom after responding to a report of a gun being fired at the hospital around 9:40 a.m. CST. No injuries were reported.

Hospice 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.

Seniors are embracing marijuana, which offers relief — and riskThe Washington Post, by Fenit Nirappil; 1/2/24