Literature Review
Executive Personnel Changes - 4/19/24
04/21/24 at 03:20 AMExecutive Personnel Changes - 4/19/24
The HAP Foundation conducts research study on Black Americans’ experience with serious illness care in Chicago
04/21/24 at 03:15 AMThe HAP Foundation conducts research study on Black Americans’ experience with serious illness care in ChicagoThe HAP Foundation, by Rachel French; 4/9/24 The HAP Foundation and NORC at the University of Chicago have completed a joint research project to understand the knowledge, attitudes, and experiences of Black Americans around serious illness care in Chicago. Through a community-based participatory research design, narratives from Black individuals living in Chicago were captured by focus groups and in-depth interviews. “Community-Based Study: Prioritizing Dignity and Respect in End-of-Life Care for Black Chicagoans” is being distributed widely to health care providers and the community to encourage conversations and create change in behavioral patterns during end-of-life care.Editor's Note: Click here for this downloadable, 17 page booklet.
LGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says
04/21/24 at 03:10 AMLGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says ONS Voice [Oncology Nursing Society]; by Magdalen Millman; 4/18/24 About 7% of the U.S. population identifies as LGBTQ+, but understanding cancer in this population is difficult because surveillance data are limited to national surveys on risk factors and screening, the American Cancer Society (ACS) observed in a special section of its Cancer Facts and Figures 2024 report on cancer in the LGBTQ+ community. More than 50% of LGBTQ+ individuals have experienced harassment such as slurs, violence, microaggressions, and sexual harassment, even in healthcare settings. “One in 6 LGBTQ+ adults, and 1 in 5 transgender adults specifically, avoid health care due to previous discrimination,” ACS reported. It’s one factor implicated for the disparities affecting LGBTQ+ individuals’ access to cancer care, including prevention, screening, diagnosis, treatment, and palliative care. Editor's Note: Click here for this site's downloadable pdf, Cancer Facts and Figures 2024, Special Section: Cancer in People Who Identify as Lesbian, Gay, Bisexual, Transgender, Queer, or Gender-nonconforming. Pair this with another article in today's newsletter, "Stillwater Hospice earns SAGECare credential for LGBTQ+ care."
Today is National Healthcare Decisions Day
04/21/24 at 03:05 AMToday is National Healthcare Decisions Day.Are your advance directives in place? When did you last update them? Have you communicated your decisions with those involved? Use and share these resources with your employees and volunteers.
Physician coaching by professionally trained peers for burnout and well-being: A randomized clinical trial
04/21/24 at 03:00 AMPhysician coaching by professionally trained peers for burnout and well-being: A randomized clinical trial JAMA Network; by Stephanie B. Kiser, MD, MPH; J. David Sterns, MD, MPH; Po Ying Lai, MS; et al; 4/12/24Findings: In this randomized clinical trial of 138 physicians, participants who received 3 months of coaching by professionally trained physician peers had a statistically significant reduction in interpersonal disengagement and burnout, with improvement in professional fulfillment and work engagement.
Volunteers make best days possible for 600 people a day at VNA Hospice NWI
04/21/24 at 03:00 AMVolunteers make best days possible for 600 people a day at VNA Hospice NWIGreatNews.Life, Valparaiso, IN; 5/19/24VNA Hospice NWI serves over 600 people a day. From Hospice and Palliative Care, Grief Support services for adults and children to the Medical Guardian help button and a Meals on Wheels program, the impact of VNA services around the region is tremendous. The VNA staff work tirelessly to ensure these essential services are available each day – but they can’t do it alone. Their team relies on an army of volunteers, who do everything from stuffing envelopes and labeling meal bags, to working directly with hospice patients and bereaved children, and delivering the meals. Maria Galka, Director of Development for VNA Hospice, said that the organization’s volunteers outnumber its staff by about five to one. Editor's Note: April's Volunteer Appreciation Month is still underway. Learn from this superb article, posted on an online community site. VNA Hospice NWI's astonishing volunteer program bears repeating: "... the organization’s volunteers outnumber its staff by about five to one."
Sunday newsletters
04/21/24 at 03:00 AMSunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!
Today's Encouragement
04/21/24 at 03:00 AMThe best portion of a good person's life are the little, nameless, unremembered acts of kindness and of love. ~adapted from William Wordsworth
Lens X: A practical approach to taking care of your people
04/20/24 at 03:05 AMLens X: A practical approach to taking care of your peopleThe Journal of Character & Leadership Development, by Daphne DePorres, Matthew Orlowsky, Matthew Horner, David Levy; 4/24Graduates of the United States Air Force Academy (USAFA), as commissioned officers, are charged to “take care of their people.” While this leadership aphorism makes sense, this article describes what it means in practice. An interdisciplinary USAFA team explored the dynamics of leader development from multiple angles, resulting in a focus on two dimensions (or “lenses”) that help a leader understand what actions can be taken to help an employee achieve subjective well-being at work. The intent is to draw attention to the nature of the interaction with organizational members that foster engagement and need fulfillment. We do that by focusing a leader’s attention on needs, narratives, and micro-exchanges. Those interactions, behav-iors, and micro-exchanges are the foundations of and the most tangible, changeable element of climate and culture. This practical lens equips any leader to seize every opportunity to foster fulfillment of the psychological needs for belonging, agency, and efficacy. This framework can be used by anyone but is particularly relevant to supervisors and USAFA cadets who will be entrusted to lead an all-volunteer military force.Publisher's note: An interesting article on leadership and change management by my friend and colleague Dave Levy, PhD, Professor of Management and Leadership at the US Air Force Academy. He also co-authored three books: The 52nd floor: Thinking deeply about leadership, Attitudes aren't free: Thinking deeply about diversity in the US Armed Forces and Echoes of mind: Thinking deeply about humanship.
Journal of Religion & Health Issues Research Articles in April 2024 Edition
04/20/24 at 03:00 AMJournal of Religion & Health Issues Research Articles in April 2024 Edition Targeted News Service posts list of titles; 4/18/24; Journal published by SpringerThe Journal of Religion and Health, a journal that says it explores modes of religious and spiritual thought with emphasis on their relevance to current medical and psychological research, published research articles on the following topics in its April 2024 edition (Vol. 63, Issue 2): [Click on the title's link]Classification/Subject: Religion (96%), Muslims & Islam (92%), Suicide (91%), Assisted Suicide (90%), Death & Dying (90%), Diseases & Disorders (90%), Ethics (90%), Medicine & Health (90%), Psychology (90%), Research Reports (90%), Cancer (89%), Novels & Short Stories (89%), Associations & Organizations (87%), Indigenous Peoples (79%), Adolescents & Teens (78%), Alternative Medicine (78%), Bioethics (78%), Health Care Professionals (78%), ...Editor's Note: Click here for access to the journal.
Automated electronic health record score to predict mortality risk at the US Department of Veterans Affairs
04/20/24 at 03:00 AMAutomated electronic health record score to predict mortality risk at the US Department of Veterans AffairsAmerican Journal of Hospice and Palliative Medicine, by Thomas F Osborne, Zachary P Veigulis, Anna Ware, David M Arreola, Catherine Curtin, Marianne Yeung; 4/24A readily available risk score, automatically calculated from EHR data, was able to identify patients at high risk for 30-day mortality in the acute care setting. Next steps will be to assess how the CAN score can be utilized to in improve end of life care for high-risk hospitalized Veterans.
Value of a multidisciplinary geriatric oncology committee on patient care in a community-based, academic cancer center
04/20/24 at 03:00 AMValue of a multidisciplinary geriatric oncology committee on patient care in a community-based, academic cancer centerJournal of Geriatric Oncology, by Gurbani Singh, Lena Morant, McKenzie Bedra, Jennifer Emel, Kelly Harris, Yudhishtra Markan, Christopher de Borja, Monica Tong, Patrice Downs, Cherif Boutros; 5/24The present study demonstrates the profound impact that the complexities in health status and frailty among older individuals can have during cancer management. The Geriatric Oncology Program at the University of Maryland Baltimore Washington Medical Center maximized treatment outcomes for older adults through the provision of standard oncologic care therapies and optimization services, while also minimizing unnecessary interventions on an individual patient-centric level.
Rural-urban disparities and trends in utilization of palliative care services among US patients with metastatic breast cancer
04/20/24 at 03:00 AMRural-urban disparities and trends in utilization of palliative care services among US patients with metastatic breast cancerJournal of Rural Health, by Jincong Q Freeman, Adam W Scott, Ted O Akhiwu; 2/24In this national, racially diverse sample of patients with metastatic breast cancer, the utilization of palliative care services increased over time, though remained suboptimal. Further, our findings highlight rural-urban disparities in palliative care use and suggest the potential need to promote these services while addressing geographic access inequities for this patient population.
Formal training in palliative care for the trauma surgeon: Hospice and Palliative Medicine Fellowship
04/20/24 at 03:00 AMFormal training in palliative care for the trauma surgeon: Hospice and Palliative Medicine FellowshipCurrent Trauma Reports, by Alison Haruta, Ian McCurry, Allyson Cook Chapman; 4/24Palliative care aims to alleviate suffering across multiple domains and treat the patient and family as a unit to provide goal concordant care. Utilization of palliative care principles in trauma surgery has emerged as a crucial component of comprehensive patient care. We discuss formal hospice and palliative medicine training, the benefits of this fellowship, and how surgeons integrate this into their careers.
Strategies to enhance the affordability of hospice and palliative care services
04/20/24 at 03:00 AMStrategies to enhance the affordability of hospice and palliative care servicesDigital Commons @ University of South Florida - Annual Undergraduate Research Conference, by Jhanav Sabharwali, Roy Chen, Valerie Vargas Ardila (mentor Dr. Irene Hurst); 4/24This research aims to find efficient solutions to aid affordability in vulnerable populations, specifically the hospice and palliative care population.Publisher's note: Interesting topic for an undergraduate research conference!
Diary of a Family Physician
04/20/24 at 03:00 AMDiary of a Family PhysicianAmerican Family Physician, by Elizabeth Philippe, Jennifer Nielsen Fan; 4/24Publisher's note: This is part of a series of "a day in the life of...". It's interesting to view the world through someone else's perspective, and what might the "Diary of a Hospice Physician" say?
Today's Encouragement
04/20/24 at 03:00 AMWe are what we repeatedly do. Excellence, then, is not an act but a habit. ~Aristotle
How do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countries
04/20/24 at 03:00 AMHow do people in prison access palliative care? A scoping review of models of palliative care delivery for people in prison in high-income countriesPalliative Medicine, by Emma Gilbert, Nick De Viggiani, Joana de Sousa Martins, Tanuka Palit, Jessica Sears, Daniel Knights, Audrey Roulston, Mary Turner, Lucy E Selman; 4/24We identified a typology of three models of care delivery for people in prison in high-income countries: (1) Embedded hospice model, typified by an interdisciplinary team and volunteer caregivers providing care on-site; (2) Outsourcing Care model, in which end-of-life care is provided outside the prison; (3) Collaborative community model, which involves prisons engagement with other healthcare facilities or practitioners. ... Embedded hospice models in the USA are prevalent and demonstrate promising evidence for enhancing the care experience for recipients and peer caregivers. Chaplains, social workers and peer caregivers provide psychosocial support, yet documented assessment and strategies for managing the distinctive needs of this group and their families are lacking, despite their acknowledged complexity.
Saturday newsletters
04/20/24 at 03:00 AMSaturday newsletters focus on headlines and research - enjoy!
Factors associated with early palliative care among patients with heart failure
04/20/24 at 02:05 AMFactors associated with early palliative care among patients with heart failurePalliative Medicine, by Caroline P Meehan, Emily White, Alexander CVitan, Lan Jiang, Wen-Chih Wu, Mitchell Wice, Jensy Stafford, James L Rudolph; 4/24While more than 20% of HF patients in our cohort had PC well in advance of death, more than half died without PC. PC involvement seemed to be driven by comorbidities rather than HF. Effective collaboration with Cardiology is needed to identify patients who would benefit from earlier PC involvement.
Cultural values influence on rural family caregivers' decision-making for ill older adult loved ones
04/20/24 at 02:00 AMCultural values influence on rural family caregivers' decision-making for ill older adult loved onesShena Gazaway, PhD, RN; J. Nicholas Odom, PhD, RN; Ivan Herbey, MD, MPH; Margaret Armstrong, MSN; Felicia Underwood, LICSW, MPA; T. Vantrice Heard, PhD; Ashley Allen, BSN, RN; Christiana Ekelem, BS; Marie A. Bakitas, DNSc, CRNP; Ronit Elk, PhDRural older adult Americans receive more intense treatment at end of life. Studies indicate that those who participate in goals of care conversations receive care more concordant with their values. Yet, rates of documented goals of care discussions are lower in rural and Black communities. Although multi-factorial, the role that rural family caregivers play in decision-making for ill loved ones is understudied.
Stillwater Hospice earns SAGECare credential for LGBTQ+ care
04/19/24 at 03:10 AMStillwater Hospice earns SAGECare credential for LGBTQ+ care 89.1 WBOI News - Fresh Air; by Ella Abbott; 4/18/24 Stillwater Hospice received a platinum level SAGECare credential this week, making it the only hospice agency in Indiana to have received the training-based credential. A SAGECare credential shows that the hospice team has been trained on LGBTQ+ aging cultural competency. Stillwater CEO Leslie Friedel said an advocate from the community reached out to them, recommending they work to get the training in order to create safe, local healthcare. “We started to look into it and it aligned so closely with our values," she said. "One of our core values at Stillwater is inclusivity and we felt like this was a way to really live in our values.” Friedel said it’s important for hospice staff to understand issues specific to that community because by 2030, experts expect around 7 million LGBTQ+ people 65 or older nationally.
LGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says
04/19/24 at 03:05 AMLGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says ONS Voice [Oncology Nursing Society]; by Magdalen Millman; 4/18/24 About 7% of the U.S. population identifies as LGBTQ+, but understanding cancer in this population is difficult because surveillance data are limited to national surveys on risk factors and screening, the American Cancer Society (ACS) observed in a special section of its Cancer Facts and Figures 2024 report on cancer in the LGBTQ+ community. More than 50% of LGBTQ+ individuals have experienced harassment such as slurs, violence, microaggressions, and sexual harassment, even in healthcare settings. “One in 6 LGBTQ+ adults, and 1 in 5 transgender adults specifically, avoid health care due to previous discrimination,” ACS reported. It’s one factor implicated for the disparities affecting LGBTQ+ individuals’ access to cancer care, including prevention, screening, diagnosis, treatment, and palliative care. Editor's Note: Click here for this site's Cancer Facts and Figures 2024 report on cancer in the LGBTQ+ community.
Comparative effectiveness of acupuncture vs massage for relieving pain in patients with advanced cancer
04/19/24 at 03:00 AMComparative effectiveness of acupuncture vs massage for relieving pain in patients with advanced cancer The ASCO Post; by Jun J. Mao, MD, MSCE and Andrew S. Epstein, MD; 4/17/24... The IMPACT study was conducted at Memorial Sloan Kettering Cancer Center and regional sites in New York, New Jersey, and Florida to evaluate the long-term comparative effectiveness of acupuncture vs massage for pain in patients with advanced cancer. ... The primary outcome—change in worst pain intensity score from baseline to 26 weeks—was measured using the Brief Pain Inventory (BPI ranging from 0–10; higher numbers indicate worse pain intensity or interference). The secondary outcomes included fatigue, insomnia, and quality of life. ... To use these therapies, it is important to seek credentialed practitioners who have training or experience in working with patients who have cancer.
Other Business Headlines of Interest, updated 4/18/24 per nasdaq.com
04/19/24 at 03:00 AMOther Business Headlines of Interest, updated 4/18/24 per nasdaq.com