Literature Review
Depression and suicide among American surgeons - A grave threat to the surgeon workforce
05/18/24 at 03:30 AMDepression and suicide among American surgeons - A grave threat to the surgeon workforceJAMA Surgery; by Tasha M. Hughes, Reagan A. Collins, Carrie E. Cunningham; 1/24The houseofsurgery is faced with an epidemic amid our ranks. Despite priding ourselves on mental and physical toughness that ignores basic physical and psychological needs, mental illness among surgeons is rampant. On the current trajectory, our workforce will continue to suffer in silence, valuable members will leave the field, and our colleagues will continue to die by suicide.
Association between physician age and patterns of end-of-life care among older Americans
05/18/24 at 03:25 AMAssociation between physician age and patterns of end-of-life care among older AmericansJournal of the American Geriatrics Society; by Hiroshi Gotanda, Ryo Ikesu, Anne M. Walling, Jessica J. Zhang, Haiyong Xu, David B. Reuben, Neil S. Wenger, Cheryl L. Damberg, David S. Zingmond, Anupam B. Jena, Nate Gross, Yusuke Tsugawa; 4/15We found that differences in patterns of EOL care between ben-eficiaries cared for by younger and older physicians were small, and thus, notclinically meaningful. Future research is warranted to understand the factorsthat can influence patterns of EOL care provided by physicians, including ini-tial and continuing medical education.
Service provider perspectives on advance care planning use in rural dementia patients and caregivers: A qualitative study
05/18/24 at 03:20 AMService provider perspectives on advance care planning use in rural dementia patients and caregivers: A qualitative studyJournal of Gerontological Social Work; by Peiyuan Zhang, Ebow Nketsiah, Hyunjin Noh; 5/24Advanced care planning (ACP) utilization remains very limited in rural communities compared to urban areas. ACP earlier in the disease trajectory is particularly important for people with dementia (PWD) due to its progressive nature affecting their decision-making ability. Considering the well-documented benefits of ACP in improving the quality of end-of-life (EOL) care, the rural vs. urban disparity may indicate poorer EOL quality for rural PWD. This study aimed to explore barriers and current resources for ACP of PWD from the perspectives of health or social service providers serving rural communities.
Developing, implementing, and evaluating the visiting Neighbors’ program in rural Appalachia: A quality improvement protocol
05/18/24 at 03:15 AMDeveloping, implementing, and evaluating the visiting Neighbors’ program in rural Appalachia: A quality improvement protocolPLoS One; by Ubolrat Piamjariyakul, Susan R. McKenrick, Angel Smothers, Angelo Giolzetti, Helen Melnick, Molly Beaver, Saima Shafique, Kesheng Wang, Kerri J. Carte, Brad Grimes, Marc W. Haut, R. Osvaldo Navia, Julie Hicks Patrick, Kirk Wilhelmsen; 1/24Older adults living alone in rural areas frequently experience health declines, social isolation, and limited access to services. To address these challenges, our medical academic university supported a quality improvement project for developing and evaluating the Visiting Neighbors program in two rural Appalachian counties. Our Visiting Neighbors program trained local volunteers to visit and guide rural older adults in healthy activities. These age-appropriate activities (Mingle, Manage, and Move- 3M's) were designed to improve the functional health of older adults. The program includes four in-home visits and four follow-up telephone calls across three months.
Bereaved respondent perceptions of quality of care by inpatient palliative care utilization in the last month of life
05/18/24 at 03:10 AMBereaved respondent perceptions of quality of care by inpatient palliative care utilization in the last month of lifeJournal of General Internal Medicine; by Enya Zhu, Ellen McCreedy, Joan M. Teno; 5/24Examining the episode of care as the last month of life, hospice at home is associated with higher rating of the quality of care while inpatient palliative care services in hospital, hospice residence, or hospice IPU settings are rated lower.
Top ten tips palliative care clinicians should know about the psychiatric manifestations of nonpsychiatric serious illness and treatments
05/18/24 at 03:05 AMTop ten tips palliative care clinicians should know about the psychiatric manifestations of nonpsychiatric serious illness and treatmentsJournal of Palliative Medicine; Gregg A. Robbins-Welty, Paul A. Riordan, Daniel Shalev, Danielle Chammas, Paul Noufi, Keri O. Brenner, Joshua Briscoe, William E. Rosa, Jason A. Webb; 5/24Mental health issues are widespread and significant among individuals with serious illness. Among patients receiving palliative care, psychiatric comorbidities are common and impact patient quality of life. Despite their prevalence, PC clinicians face challenges in effectively addressing the intricate relationship between medical and psychiatric disorders due to their complex, intertwined and bidirectionally influential nature.
Saturday newsletters
05/18/24 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
Today's Encouragement
05/18/24 at 03:00 AMGratitude turns what we have into enough. ~Melody Beattie
End-of-life care of persons with Alzheimer’s Disease and other dementias
05/18/24 at 03:00 AMEnd-of-life care of persons with Alzheimer’s Disease and other dementiasAmerican Journal of Hospice and Palliative Medicine; by Darlon Jan, Kye Y. Kim; 5/24End-of-life (EOL) care has been a common option for patients with terminal medical conditions such as cancers. However, the utilization of EOL care in Alzheimer disease and other dementing conditions have become available relatively recently. As the end-stage dementia approaches, the clinicians and caregivers become faced with numerous clinical challenges—delirium, neuropbehavioral symptoms, the patient’s inability to communicate pain and associated discomfort, food refusal, and so on. In addition to providing quality clinical care to the EOL patients, clinicians should pay special attention to their families, assuring that their loved ones will receive supportive measures to improve quality of life (QOL).
A Review of "Heartwood: The Art of Living with the End in Mind" by Barbara Becker
05/17/24 at 03:00 AMA Review of "Heartwood: The Art of Living with the End in Mind" by Barbara Becker CU Anschutz; by Darcy Campbell, AGNP-D, ACHPN; 5/14/24 This year, one of our [small group] readings was the book, Heartwood; The Art of Living with the End in Mind, by interfaith pastor Barbara Becker. The book is composed of small vignettes from her life that explore death and dying. Many of her experiences as a hospice volunteer are captured as well. Her book was to be about death, but she learned that in writing about death she really explored what it means to live. Heartwood is the inner core of a tree. While dead it does not decay as it is supported by the outer living rings of the tree. Becker, describes Heartwood as the ideal metaphor for our life, “where life and death cannot exist separately from each other.” ... Working in palliative care, we too are forced to look at our own mortality.
10 most common sentinel events in 2023: Joint Commission
05/17/24 at 03:00 AM10 most common sentinel events in 2023: Joint Commission Becker's Clinical Leadership; by Mackenzie Bean; 5/15/24 In 2023, patient falls were once again the most common sentinel event reported by healthcare organizations, according to a May 15 report from The Joint Commission. The Joint Commission defines a sentinel event as a patient safety event that results in death, permanent harm, severe temporary harm or intervention required to sustain life. ... The 10 most frequently reported sentinel events for 2023:
PACE program officially launches in Greater Peoria area
05/17/24 at 03:00 AMPACE program officially launches in Greater Peoria area OSF HelathCare, Peoria, IL; by Nathan Pritzker; 5/14/24 It’s a new and exciting day for older adults receiving health care services in the Greater Peoria area. After months of preparation, the state of Illinois and the Centers for Medicare and Medicaid Services (CMS) have awarded OSF HealthCare a contract to be one of the first in the state to offer Program of All-Inclusive Care for the Elderly (PACE). Enrollment for the program, known as OSF PACE, is currently underway with services officially beginning June 1.“OSF PACE will really help the people in the Tri-County area stay in their home and community,” says Nathan Pritzker, executive director of OSF PACE.
Aveanna is looking to grow in its ‘rightsized’ home health segment again
05/17/24 at 03:00 AMAveanna is looking to grow in its ‘rightsized’ home health segment again Home Health Care News; by Andrew Donlan; 5/14/24 Aveanna Healthcare Holdings leaders believe the company is back at a place where it can bank on near-term growth in its Medicare-certified home health business. It first entered into a business “transformation” in January 2023, and that transformation is already paying dividends, according to CEO Jeff Shaner. But much of the turnaround has been led by the private-duty services segment. Now, Shaner sees a path for the company to begin accelerating its home health and hospice lines.
Other Business Headlines of Interest, updated 5/16/24 per nasdaq.com
05/17/24 at 03:00 AMOther Business Headlines of Interest, updated 5/16/24 per nasdaq.com
Today's Encouragement
05/17/24 at 03:00 AMPurpose. Benefit. Check. ~Peter Benjamin, quoted at the Homecare & Hospice Association of Colorado Annual Conference
VA Committee leaders unveil bipartisan veterans package
05/17/24 at 03:00 AMVA Committee leaders unveil bipartisan veterans packageHouse Committee on Veterans' Affairs; by Kathleen McCarthy; 5/14/24 House and Senate Committee on Veterans’ Affairs leaders Chairman Mike Bost (R-Ill.), Chairman Jon Tester (D-Mont.), and Ranking Member Jerry Moran (R-Kan.), introduced H.R. 8371, the Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act. This legislation includes a number of bipartisan and bicameral proposals to reform and improve the delivery of healthcare, benefits, and services at the Department of Veterans Affairs (VA) for veterans, their families, and their survivors. ... The Senator Elizabeth Dole 21st Century Veterans Healthcare and Benefits Improvement Act is supported by a growing list of the following organizations: The American Legion [TAL] ... Wounded Warrior Project (WWP), ... Tragedy Assistance Program for Survivors (TAPS), ... National PACE Association, National Hospice and Palliative Care Organization (NHPCO), Hospice Action Network (HAN), and [many more].
Psychological trauma can worsen symptom burden at end-of-life
05/17/24 at 03:00 AMPsychological trauma can worsen symptom burden at end-of-life Hospice News; by Holly Vossel; 5/15/24 Recent research has found that traumatic experiences can lead to increased pain and symptom burden at the end of life, along with a greater likelihood of emotional suffering and isolation. Collective trauma experiences have been associated with higher instances of pain and dyspnea among more than half of seniors nationwide, a recent study found, published in the Journal of Pain and Symptom Management. Traumatized seniors are also more likely to experience loneliness, dissatisfaction with their life and depression. ... Hospices need a greater understanding of both the depth of these patients’ suffering and the scope of their unique needs to improve trauma-informed care delivery, [Dr. Ashwin] Kotwal said, assistant professor of medicine at the University of California San Francisco’s (UCSF) Division of Geriatrics.
Emerging leaders in hospice and palliative care
05/17/24 at 03:00 AMEmerging leaders in hospice and palliative care AAHPM - American Academy of Hospice and Palliative Medicine; webpage source for various press releeases of individuals; 5/24AAHPM developed the Emerging Leaders in Hospice and Palliative Care program to recognize the exceptional work accomplished by the next generation of leaders and bring increased exposure to the specialty of hospice and palliative medicine. In 2014, the first class of Emerging Leaders was named. AAHPM seeks to recognize accomplished early career professionals and the next generation of hospice and palliative care leaders. This award recognizes new Emerging Leaders in recognition of their career accomplishments, involvement in the Academy, mentoring of residents and students, and participation in charitable work. [Click on the title's link for the list of 36 honorees.]Editor's Note: Do you work with or know any of these honorees? If so, please share this with them and your colleagues, along with congratulations from Hospice & Palliative Care Today! (Invite them to register for free--no strings attached--to our daily newsletter.)
Executive Personnel Changes - 5/17/24
05/17/24 at 03:00 AMExecutive Personnel Changes - 5/17/24
Jefferson-Lehigh Valley Health merger process moves forward
05/17/24 at 03:00 AMJefferson-Lehigh Valley Health merger process moves forward Modern Healthcare; by Caroline Hudson; 5/15/24 Jefferson Health and Lehigh Valley Health Network have taken a major step toward completing their proposed merger. The two health systems have signed a definitive agreement to merge, according to a Wednesday news release. The organizations said they plan to create a $15 billion regional nonprofit system with more than 65,000 employees, which will operate 30 hospitals and more than 700 care sites in Pennsylvania and New Jersey. The health systems expect the deal to close this summer, pending regulatory approval, according to the news release.
Vitas’ acquisition pipeline likely growing
05/17/24 at 03:00 AMVitas’ acquisition pipeline likely growing Hospice News; by Jim Parker; 5/15/24 Vitas Healthcare, a subsidiary of Chemed Corp. is gearing up for potential acquisitions. ... VITAS is targeting its home state of Florida and other Certificate of Need (CON) states for potential deals, Michael Witzeman, vice president, CFO and controller at Chemed said during the Bank of America Securities Health Care Conference. “We certainly think that there’s a pipeline growing, and we have the resources on our balance sheet with cash and no debt to be able to really be a player in any of these,” Witzeman said. “We would like to be in states that have CON restrictions much more than an unrestricted state, but we certainly have the interesting inability when things come available to be able to jump on them.” ...
The top Affordable Care Act reporting mistakes we continue to see in 2024
05/17/24 at 03:00 AMThe top Affordable Care Act reporting mistakes we continue to see in 2024 HR Blog; by Eric Gregory; 5/13/24... There are a number of mistakes—some simple and some not-so-simple—that employers should avoid to prevent receiving a panic-inducing assessment letter from the IRS.
When doctors withhold futile treatments, that isn’t ‘assisted dying’
05/17/24 at 03:00 AMWhen doctors withhold futile treatments, that isn’t ‘assisted dying’ The Guardian; by Dr. James Haslam; 5/15/24 [Commentary / Letter] I write in response to Dr Jagat Aulakh’s letter (A form of assisted dying already happens in hospitals, 8 May). It must be made clear that withholding or withdrawing futile treatments is not and never has been assisted dying. Stopping – or not starting – treatments that are not wanted, are not working or are not worthwhile is good medicine and the law of the land. Whereas “assisted dying” is the modern euphemism for physician-assisted suicide and euthanasia, both forms of medicalised killing [the author's choice of words]. ... Intentions are important. ...Editor's Note: This thoughtful response puts forth ethical support against Medical Aid in Dying (MAiD), also known as "physican assisted suicide." Likely, different opinions can be inflammatory among your hospice and palliative employees, board, community, and more personally among your family and friends. As hospice and palliative leaders, we must address this issue with respectful dialogue, critical thinking, case studies, personal beliefs and values, empathy, and humanity.
Providing culturally sensitive palliative care to children with cancer: A conversation with Justin Baker, MD
05/17/24 at 03:00 AMProviding culturally sensitive palliative care to children with cancer: A conversation with Justin Baker, MDThe ASCO Post; by Rikki Camarillo; 5/16/24In the fall of 2023, Justin Baker, MD, took on the role of Chief of the Division of Quality of Life and Pediatric Palliative Care and Director of the Quality of Life for All Program, Stanford Medicine Children’s Health, Stanford, California. He formerly worked at St. Jude Children’s Research Hospital, Memphis, as Chief of the Quality of Life and Palliative Care Division. The ASCO Post recently spoke with Dr. Baker about his new role in palliative care for the treatment of children with cancer at Stanford Children’s and the importance of culturally sensitive care for patients and their families.
Industry professionals reflect on five years of medical marijuana in Arkansas
05/16/24 at 03:45 AMIndustry professionals reflect on five years of medical marijuana in Arkansas Arkansas Advocate; by Mary Hennigan; 5/13/24Since the launch of medical marijuana in Arkansas in 2019, more than three dozen storefronts have opened, at least 102,000 residents have registered for patient cards and revenue has topped $1.1 billion. The latest card count exceeds 102,000, and there’s no indication of a letup in new applications, ... As of June 2023, one in three Arkansans with a patient card listed post-traumatic stress disorder as their qualifying condition, ... The next highest qualifying condition was intractable pain, or pain that has not responded to ordinary medications for more than six months, at nearly 30%.