Literature Review
Rising suicide risk among seniors due to loneliness, mobility, financial insecurity, study finds
03/17/24 at 03:00 AMRising suicide risk among seniors due to loneliness, mobility, financial insecurity, study finds McKnights Home Care, by Adam Healy; 3/5/24As the number of adults over 65 continues to grow, suicide rates among older adults have also been rising, according to data from the National Center for Health Statistics. Between 2008 and 2017, the share of suicide-related emergency department visits among adults 65 years and older more than doubled. These older adults face age-related stressors that can negatively affect mental health, such as declining physical health, reduced mental sharpness, or the loss of friends or loved ones, which can heighten the risk of suicide.
Ethics Consult: Using hospice as "treatment" for behavioral problems of dementia
03/16/24 at 03:00 AMEthics Consult: Using hospice as "treatment" for behavioral problems of dementiaAmerican Journal of Geriatric Psychiatry, by Luisa Skoble MD, Jonathan Crane MPhil, PhD; 4/24This session will present 2 cases of individuals with advanced dementia who did not meet the traditional Medicare criteria for hospice, as both were ambulatory and did not have significant co-morbid medical issues. Both had significant aggressive behaviors that responded poorly to extensive trials of various medications during extended stays on a geriatric psychiatry inpatient unit. Both were referred to a local inpatient hospice where the staff use “suffering" as a hospice criteria and were “treated” with the usual hospice medications and expired in less than 3 weeks.
Perceptions of palliative care: Demographics and health status among the general population in Florida and the United States
03/16/24 at 03:00 AMPerceptions of palliative care: Demographics and health status among the general population in Florida and the United StatesAmerican Journal of Hospice and Palliative Medicine, by Brenda W. Dyal, PhD, DNP; Saunjoo L. Yoon, PhD; Keesha L. Powell-Roach, PhD, RN; Derek M. Li, MSc; Sheri Kittelson, MD; Michael Weaver, PhD, RN, FAAN; Janice L. Krieger, PhD; Diana J. Wilkie, PhD, RN, FAAN; 4/24Palliative care (PC) helps maintain quality of life for seriously ill patients, yet, many Americans lack knowledge of PC. Young adults compared with adults, middle-adults, and older-adults were less likely to agree that the goal of PC is to help friends and family cope with a patient’s illness, and that the goal of PC is to manage pain and other physical symptoms compared with adults, middle-adults, and older-adults. Participants with greater rural identity were more likely to agree that accepting PC means giving up. Increased knowledge of PC might be influenced through targeting educational interventions and educating the general population through social media use.
Courage
03/16/24 at 03:00 AMCourageJournal of Hospice & Palliative Nursing, by Ferrell, Betty PhD, MA, RN, CHPN; 4/24This issue is a quilt I would call “Courage,” with bold colors, vibrant images and creative designs providing warmth and comfort to those whose stories are told in these pages.
Social model hospice: Providing hospice and palliative care for a homeless population in Salt Lake City, Utah
03/16/24 at 03:00 AMSocial model hospice: Providing hospice and palliative care for a homeless population in Salt Lake City, UtahJournal of Hospice & Palliative Nursing, by Jensen, Francine Bench, PhD, RN; Thorpe, Deborah PhD, APRN; 4/24Health care for the homeless population is a complex challenge and represents a significant gap in care, particularly for those at the end of life. Hospice care may be desired but is rarely an option for people without residences, social support, and payment sources. Social model hospice is a unique paradigm of care delivery that offers a viable solution to make hospice and palliative care possible for this population.
Correcting health disparities at end-of-life in persons of color
03/16/24 at 03:00 AMCorrecting health disparities at end-of-life in persons of colorJournal for Nurse Practitioners, by Leah D. Ward, Anthony Young; 4/24Forty years after the creation of the Medicare hospice benefit, low use of hospice and palliative care services in persons of color increases suffering and aggressive care at the end of life related to social determinants of death... This article provides tools for nurse practitioners and other health care personnel in spiritual, cultural, and goals-of-care assessments, quality improvement, and an explanation of the benefits of faith-based programs and partnerships
Saturday newsletters
03/16/24 at 03:00 AMSaturday Newsletters: Research literature is the focus of Saturday newsletters - enjoy!
The PACT Project: Feasibility of a multidisciplinary, multi-faceted intervention to promote goals of care conversations
03/16/24 at 03:00 AMThe PACT Project: Feasibility of a multidisciplinary, multi-faceted intervention to promote goals of care conversationsAmerican Journal of Hospice and Palliative Medicine, by Eytan Szmuilowicz, MD; Rebecca K. Clepp, MA, MEd, MHA; Jayson Neagle, MD; Adeboye Ogunseitan, MD; Martha Twaddle, MD; Gordon J. Wood, MD, MSCI; 4/24Patients living with serious illness generally want their physicians to facilitate Goals of Care conversations (GoCc), yet physicians may lack time and skills to engage in these conversations in the outpatient setting... A multifaceted quality improvement intervention focused on serious illness communication skills can support a diverse clinical workforce to facilitate inpatient GoCc over time.
Evaluation of a novel hospice-specific patient decision aid
03/16/24 at 03:00 AMEvaluation of a novel hospice-specific patient decision aidAmerican Journal of Hospice and Palliative Medicine, by Channing E. Tate, PHD, MPH; Gwendolyn Mami, JD; Monica McNulty, MS; Deborah J. Rinehart, PhD; Robin Yasui, MD; Nicole Rondinelli, FNP; Jonathan Treem, MD; Diane Fairclough, PhD; Daniel D. Matlock, MD, MPH; 4/24[Randomized Controlled Trial] We tested a novel hospice-specific patient decision aid to determine whether the decision aid could improve hospice knowledge, opinions of hospice, and decision self-efficacy in making decisions about hospice... The intervention demonstrated significant improvements in decision self-efficacy but not in hospice knowledge or hospice beliefs and attitudes.
Today's Encouragement
03/16/24 at 03:00 AMHalf the world is composed of people who have something to say and can't, and the other half who have nothing to say and keep on saying it. ~Robert Frost
Social acceptability of psilocybin-assisted therapy for existential distress at the end of life: A population-based survey
03/16/24 at 03:00 AMSocial acceptability of psilocybin-assisted therapy for existential distress at the end of life: A population-based surveyPalliative Medicine, by Louis Plourde, Sue-Ling Chang, Houman Farzin, Pierre Gagnon, Johanne Hébert, Robert Foxman, Pierre Deschamps, François Provost, Marianne Masse-Grenier, Jean-François Stephan, Katherine Cheung, Yann Joly, Jean-Sébastien Fallu, Michel Dorval for the P3A Study Group; 2/24Internationally, there is a growing interest in the potential benefits of psilocybin-assisted therapy to treat existential distress at the end of life. However, the social acceptability of this therapy is not yet well known. The social acceptability of psilocybin-assisted therapy for existential distress at the end of life is rather high in Canada. These findings may contribute to efforts to mobilise resources and improve access to this emerging therapy in palliative and end of life care settings.
Palliative ECT for catatonia in a terminal cancer patient: A case report
03/16/24 at 03:00 AMPalliative ECT for catatonia in a terminal cancer patient: A case reportJournal of the Academy of Consultation-Liaison Psychiatry, by Arushi Mahajan B.S., Thanvi Vatti M.P.H., Andrew Coulter M.D., Elias Khawam M.D., Molly Howland M.D.Common end-of-life illnesses and medications can lead to catatonia. Catatonia can decrease interactivity, which worsens a terminal patient's quality of life. Treatment includes medications and electroconvulsive therapy (ECT). Though treating psychiatric disorders aligns with the palliative care philosophy, end-of-life ECT has been rarely reported. The few case reports on palliative ECT involved continuation of prior ECT courses for chronic psychiatric conditions in psychiatric settings after a terminal diagnosis. No studies have explored palliative ECT for acute catatonia.
A death doula keeps legacies alive in rural Oregon
03/15/24 at 03:45 AMA death doula keeps legacies alive in rural OregonJefferson Public Radio, by Justin HIgginbottom; 3/13/24 print and audioRudd is an end-of-life doula, sometimes called a death doula, specializing in rural care. In that role she provides non-medical support to those in their last stage of life. ... She helps with practical things like funeral arrangements, helping someone donate their body, or planning for what happens to their property after death. She’s been helping one 83-year-old client with that recently.
[Eleventh-Hour Program] Volunteers provide companionship to patients reaching the end of life
03/15/24 at 03:30 AM[Eleventh-Hour Program] Volunteers provide companionship to patients reaching the end of lifeCharleston Area Medical Center, Vandalia Health; 3/13/24Established in April 2023, the Eleventh-Hour Program was designed to ensure no patient passes alone in the hospital. The first Eleventh Hour vigil was held on Easter Sunday in 2023. Since then, the companions have participated in 14 vigils in six nursing units at CAMC Memorial and General hospitals.
Data breach affects more than 2,000 Texas hospital patients
03/15/24 at 03:15 AMData breach affects more than 2,000 Texas hospital patients Becker's Health IT, by Madeline Ashley; 3/13/24Dallas-based UT Southwestern Medical Center has been hit with a data breach that is affecting 2,094 patients, according to a data security breach report on Texas Attorney General Ken Paxton's website. ... The type of patient information breached includes addresses, medical information, health insurance, date of birth, and "other." "The incident involved internal use of unapproved software and did not involve a cyberattack or external exposure of data," a spokesperson for UT Southwestern Medical Center said in a statement shared with Becker's.
Palliative and end-of-life care in hematologic malignancies: Progress and opportunities
03/15/24 at 03:00 AMPalliative and end-of-life care in hematologic malignancies: Progress and opportunities JCO Oncology Practice, by Mazie Tsang, MD, MAS, MS and Thomas W. LeBlanc, MD, MA, MHS, FAAHPM, FASC; 3/13/24 ... An important finding from this study was the qualitative data from narratives of volunteer caregivers and hospice staff that described daily patient care, changes in patient status, perceived symptom burden, and indications for medication administration. The authors identified skin integrity concerns, bleeding, pathologic fractures, and delirium as unique issues for patients with hematologic malignancies enrolled on hospice. ... These findings provide further evidence that hospice care can and does work well for some patients with hematologic malignancies.
Heart failure staging and indications for advanced therapies in adults with congenital heart disease
03/15/24 at 03:00 AMHeart failure staging and indications for advanced therapies in adults with Congenital Heart DiseaseHeart Failure Clinics / Elsevier, by Alexander C Egbe and Heidi M Connolly; pre-publish 4/24 via onlineSummary: Heart Failure (HF) is common in adults with Congenital Heart Disease (CHD), United States, and it is the leading cause of death in this population. Adults with CHD presenting with stage D HF have a poor prognosis, and early recognition of signs of advanced HF, and referral for advanced therapies for HF offer the best survival as compared with other therapies. The indications for advanced therapies for HF outlined in this article should serve as a guide for clinicians to determine the optimal time for referral. Palliative care should be part of the multidisciplinary care model for HF in patients with CHD.
Today's Encouragement
03/15/24 at 03:00 AMBeware the Ides of March... ~William Shakespeare
Healthcare execs need to 'iterate faster' for success, says CIO
03/15/24 at 03:00 AMHealthcare execs need to 'iterate faster' for success, says CIO Becker's Health IT, by Laura Dyrda; 3/13/24 Baton Rouge, LA-based Franciscan Ministries of Our Lady Health System embarked on a journey last year to incorporate more artificial intelligence into its operational and clinical systems. Will Landry, senior vice president and CIO of the system, said while the organization doesn't want AI making decisions, there is a lot of value in supporting caregivers and team mates. He joined the "Becker's Healthcare Podcast" to share the health system's strategy for governance and his push for more innovative thinking around AI applications.
Healthcare provider anti-burnout bill advances in Congress
03/15/24 at 03:00 AMHealthcare provider anti-burnout bill advances in Congress Modern Healthcare, by Michael Mcauliff; 3/12/24 A bill to support healthcare workers struggling with burnout, stress and other work-related mental health problems advanced in Congress on a unanimous subcommittee vote Tuesday. ... The measure funds grants for healthcare organizations and professionals associations to offer employee education programs to address burnout, encourage peer support, and direct struggling providers to mental and behavioral health treatment.
Workplace Violence Prevention Plan Implementation: Answers to Frequently Asked Questions
03/15/24 at 03:00 AMWorkplace Violence Prevention Plan Implementation: Answers to Frequently Asked QuestionsLCW, California Public Agency Labor & Employment Bolg; 3/13/24With the enactment of [California] Senate Bill (“SB”) 553, the legislature amended Labor Code section 6401.7 and added Labor Code section 6401.9, requiring employers to adopt and implement a Workplace Violence Prevention Plan (“WVPP”) and corresponding training for their employees by July 1, 2024. ... Since the enactment of the bill, employers have had questions regarding the WVPP and the training requirements. Below are some common questions and the responses to them: ... [Click on the article's title to view]
Other Business Headlines of Interest, updated 3/14/24 per nasdaq.com
03/15/24 at 03:00 AMOther Business Headlines of Interest, updated 3/14/24 per nasdaq.com
Radiothon raises over $32,000 for Quiet Oaks Hospice House
03/15/24 at 03:00 AMRadiothon raises over $32,000 for Quiet Oaks Hospice House WJON Radio News; 3/14/24The St. Cloud radiothon held on Tuesday was a huge success for a local nonprofit. ... The radiothon is the kickoff to the fundraising campaign for Quiet Oaks Hospice House. ...
Responding to Soul Injury: Tools for hope and healing
03/15/24 at 03:00 AMResponding to Soul Injury: Tools for hope and healing Journal of Hospice & Palliative Nursing; by Deborah Grassman, Abi Katz, Luann Conforti-Brown, Josephine F Wilson, Angie Snyder; 3/13/24Soul Injury is defined as a wound that separates a person from their real self, caused by unmourned loss and hurt, unforgiven guilt and shame, and fear of helplessness or loss of control. Tools and interventions have been developed to guide people impacted by Soul Injury. This study assessed the effectiveness of 12 tools and interventions, ... The Anchor Your Heart tool was the most frequently used tool and had the most enduring utilization across time and settings.Editor's Note: Click here for The Anchor Your Heart Tool identified in this article. Share this research and article with your clinical teams and bereavement counselors.
Private equity sets sights on home care, hospice, new report finds
03/15/24 at 03:00 AMPrivate equity sets sights on home care, hospice, new report findsMcKnights Home Care, by Adam Healy; 3/14/24The home care segment increasingly has become an attractive target for private equity buyers, particularly personal care and hospice, according to the Private Equity Stakeholder Project, a nonprofit financial watchdog organization.