Literature Review

A rabbi shares what he’s learned speaking with people in their final moments of life: Exploring the final moments before death is a reminder of what really matters in life  Forward - Jewish. Independent. Nonprofit.; by Rabbi Daniel Cohen; 7/28/24  I have been at the bedside of many people in their final moments on earth. The experience can be either haunting or inspiring. Ironically, my first experience of saying goodbye to someone I loved was as a 9-year-old boy. My grandfather was dying from lung cancer ... I remember the final moments as if they were yesterday. ... I have seen people call out to loved ones in the days or moments before their body and soul separate. I have seen people wait for a loved one to arrive at their bedside, further testimony that the body may be dying but the soul is very much alive. ... In truth, exploring the final moments before death is not intended to be depressing, but a reminder of what really matters in life. ... Looking at the day of death can awaken us to invest more fully in life. Each of us possesses an inner voice beckoning us and pushing us towards greatness. Do we hear that voice and do we invest in it?

Death can be a gentler exit for those enrolled in hospice care The Blade; by Kimberly Wynn; 7/28/24 A baby coming into the world needs a lot of care, and families prepare for that wailing, cooing bundle of life with cribs, and changing tables and advice from mothers-in-law. When baby formula was in short supply, family members branched out to scour retail shelves for the necessities. For those leaving this world, care is also needed, according to Victoria Palenske, branch director for Elara Caring, which offers home health and hospice services in the Toledo area. Such souls may need oxygen, pain medications, and spiritual counseling, as well as a hand to hold. “People deserve a lot of care at the beginning of life, but they also deserve care at the end of their life,” said Ms. Palenske, who began her career as a registered nurse whose focus turned to hospice services. “It is a calling.”Editor's Note: Thank you Elara Caring for this mission-oriented description of hospice care that gently addresses "dying," in contrast to some hospice materials that deny or completely divert purposes related to terminal illness, dying, death, or bereavement.  

Humana to takeover 23 Walmart Health locations with new CenterWell senior care clinics. Here's where Louisville Courier Journal; by Olivia Evans; 7/25/24 Humana, the Louisville-based health insurance giant, has announced its health care services branch of the company, CenterWell, will open 23 senior primary care centers in Walmart Supercenters. The centers will operate under the CenterWell Senior Primary Care and Conviva Care Centers brand names, according to a press release from Humana.

Keeping for-profits out of hospices in New York State: A moral imperative Mid Hudson News, Albany, NY; 7/28/24 In recent years, the debate surrounding the role of for-profit entities in healthcare has intensified, particularly concerning the hospice sector. New York State, known for its robust healthcare infrastructure and progressive policies, now faces a critical decision: whether to allow for-profit companies to operate hospices. The implications of this decision are profound, as it touches on the very essence of what hospice care represents—compassion, dignity, and support at the end of life. The New York State Assembly is taking action by introducing Assembly Bill 6032, aimed at restricting the expansion of for-profit hospices across the state and preventing existing providers from increasing their capacity.

Caregivers of end-of-life patients reveal the last words they hear most often and the most common regrets from patients WhatsNew2Day; by Alexander; 7/27/24... While each person’s final moments are different, chaplains and palliative care nurses have said most people approach their death with “radical acceptance.” People who are actively dying also often have a new sense of clarity about the universe and may even have a temporary burst of energy or sudden moments of clarity if they have dementia. The last words patients usually say to their families are to tell them they love them... [Often, people] who are in the midst of dying want to be surrounded by their loved ones and pets. Their final words are often words of love and pleas for forgiveness, as well as expressions of regret, ... [Another described that people show] "a desire for connection" with loved ones and faith. Editor's Note: This article provides a balanced scope of descriptions from several professionals, notably Catherine Duncan, Annemarie Switchulis, Neal Shah, and Zackary Price. In this day of social media, some hospice professionals (past or present) tout definitive, authoritative descriptions of what all dying persons experience, with too many assumptions and generalizations. Beware what you read and distribute, especially if the tone and language (of other articles) are sensationalized in a way to garner social media "expertise," followers and Shares--at the expense of more balanced, sensitive, diverse, personalized experiences.

Assisted dying bill introduced in Parliament BBC News; 7/26/24 A bill which would allow terminally ill adults with six months or fewer to live to get medical help to end their own lives has been introduced in the House of Lords, by former Labour Justice Secretary Lord Falconer. He told the BBC his bill would apply only to people "mentally able to make the decision." Their choice would also need to be approved by two doctors and the high court. Private members' bills introduced in the Lords rarely become law. However, Lord Falconer says he hopes a backbench MP will introduce a similar bill in the Commons, where it will have a greater chance of success.

No One Dies Alone: a movement against isolation and loneliness in the final hours The Optimist Daily; by The Optimist Daily Ediorial Team; 7/27/24 The fear of dying alone is one of the most powerful and agonizing feelings that many harbor, especially during the COVID-19 pandemic. For some, this fear sadly becomes a reality. To address this issue, the No One Dies Alone (NODA) initiative trains and supports volunteers who provide companionship to people in their final hours. ... The NODA concept began in 1986 in Oregon, United States [by] Sandra Clarke, a nurse. ... [Alison] Bunce founded Compassionate Inverclyde (CI) in 2016 as an Ardgowan Hospice-funded project, where she worked as director of care. Starting with 20 volunteers, CI sought to sit with people who were dying alone, initially in hospices and local hospitals before extending to private homes. Today, CI has grown substantially, with over 100 volunteers available to provide companionship at a moment’s notice.

Baptist Health taps 3 vendors to build a population health system that works Healthcare IT News; by Bill Siwicki; 7/26/24With help from Oracle, Innovaccer and Salesforce, the South Florida provider is scoring big population health wins, including a 7% increase in coding gap closure rate and a 17% increase in annual wellness visit completion rates. Baptist Health South Florida operates a network of 11 hospitals covering four counties. It also includes numerous ambulatory facilities, urgent care centers and emergency departments to provide comprehensive healthcare services across the region. ... "One of our primary issues was the fragmented nature of patient data across multiple provider organizations and electronic health record systems," said Milady Cervera, vice president, population health and physician integrated networks, at Baptist Health South Florida. "This lack of interoperability made it difficult to gain a comprehensive view of our patients' health status, care history and ongoing needs. ..."

Passion is a huge prerequisite to winning. It makes you willing to jump through hoops, go through all the ups and downs and everything in between to reach your goal. ~ Kerri Walsh, American beach volleyball player and three-time gold medalist

Hospice of the Ozarks accepting submissions for Pet Peace of Mind Calendar Contest KTLO.com; by Staff; 7/27/24 Hospice of the Ozarks is holding its annual contest to benefit the program supporting the bond between hospice patients and their pets. There is still time to enter a photo submission for the Pet Peace of Mind Calendar Contest. ...Pet Peace of Mind is a national program the staff at Hospice of the Ozarks has been proud to be associated with for more than 10 years. ... Calendars are expected to be available in October. The cost for the 2025 calendar will be $10.Editor's Note: Typically, we do not post hospice fundraisers until results are complete. (Typically, you--our readers--will not be attend or contribute to events in process.) However, we post this fundraiser as an example of exceptionally creative, fun, meaningful initiative that focuses on the organization's patients, families, and community. These photo calendars are sure to be keepsakes for years ahead. Click here for Hospice of the Ozarks' 2025 Calendar Contest information. Click here for Pet Peace of Mind. 

Hospices strategize sustainable growth for Veteran Programs Hospice News; by Holly Vossel; 7/26/24 Hospices combat both operational and financial challenges as they seek to grow and evolve their veteran programs around the diverse and complex needs of patients and their families. Some of the largest expenses associated with offering veteran services include staffing and training costs ... In addition to staff training, this includes having ways to honor veterans for their service, assess the social determinant of health resources they may need and identify gaps of caregiver support. ...Editor's Note: Notable mentions include Carlos Graveran, executive director at Maryland-based Frederick Health Hospice; Sherri Bickley, vice president of patient support services at Oklahoma-based Crossroads Hospice & Palliative Care; and Carla Creegan, PACE director of clinical services and director of adult day swervices at Empath Health.

‘Bad apples in a barrel’: How fraudsters in home health care impact the entire space Home Health Care News; by Joyce Famakinwa; 7/19/24 The home health industry has its very own boogeyman--the bad actor. However, there's a difference between providers that had made errors in claims ... [Additional subscription may be required]

Screening for Dementia: A Podcast with Anna Chodos, Joseph Gaugler and Soo BorsonGeriPal Podcast; Eric Widera, Alex Smith, Anna Chodos, Joseph Gaugler, Soo Borson; 7/19/24The US Preventive Services Task Force (USPSTF) concluded back in 2000 that there is insufficient evidence to recommend for or against routine screening for dementia in older adults. Are there, though, populations that it may be helpful in, or should that change with the advent of the new amyloid antibodies?  Should it?  If so, how do we screen and who do we screen? On this week’s podcast we talk with three experts in the field about screening for dementia.