Literature Review

Virtual reality therapy offers ‘sustained improvement’ in cancer-related pain Healio, by Josh Friedman; 4/8/24  Individuals with cancer reported significantly reduced pain immediately following a 10-minute virtual reality (VR) session, study results published in Cancer showed. The findings from the randomized trial suggest that pain reductions associated with VR use are sustainable for up to 24 hours and produced a reduction in pain bothersomeness and destress, according to researchers. 

Overcome fear of financial regret to embrace a fulfilling life Advisorpedia, Viewpoints by Ross Levin; 4/8/24 ... A primary job of financial planners is to help their clients see what is possible. It is also to help them balance living today while preparing them for tomorrow. But not knowing how many tomorrows we have can create too much emphasis on an uncertain future. ... One of our long-term clients is now in hospice. As we were talking, she said how grateful she was for what she and her husband did with their family ... Although cancer will rob her of some years, she has lived her life fully. I have worked with countless clients, and here is some wisdom I have discovered that helped them avoid regret: [click on the title's link to read]

Telehealth access threatened as internet subsidies near endModern Healthcare, by Sarah Jane Tribble, KFF News; 4/4/24 More than 23 million low-income households — urban, suburban, rural, and tribal — are enrolled in the federal discount program Congress created in 2021 to bridge the nation’s digital connectivity gap. The program has provided $30 monthly subsidies for internet bills or $75 discounts in tribal and high-cost areas. But the program is expected to run out of money in April or May, according to the Federal Communications Commission. In January, FCC Chairwoman Jessica Rosenworcel asked Congress to allocate $6 billion to keep the program running until the end of 2024. 

Jefferson CEO lays out Lehigh Valley integration plan Modern Healthcare, by Alex Kacik; 4/9/24 Jefferson Health and Lehigh Valley Health Network will soon take the next steps toward the formation of a $15 billion nonprofit health system. Philadelphia-based Jefferson and Lehigh in December signed a non-binding letter of intent under which Jefferson would merge with Lehigh. The organizations plan to sign a definitive agreement this month, Jefferson CEO Dr. Joseph Cacchione said. 

Healthcare on the brink: navigating the challenges of an aging society in the United States  npj Aging, by Charles H. Jones and Mikael Dolsten; 4/6/24 The US healthcare system is at a crossroads. With an aging population requiring more care and a strained system facing workforce shortages, capacity issues, and fragmentation, innovative solutions and policy reforms are needed. ... Through a comprehensive analysis of the impact of an aging society, this work highlights the urgency of addressing this issue and the importance of restructuring the healthcare system to be more efficient, equitable, and responsive. 

Insurers’ response to the Change breach failed providers Modern Healthcare, by Chip Kahn and Dr. Bruce Siegel; 4/8/24 ... The Feb. 21 attack on Change Healthcare, a subsidiary of UnitedHealth Group’s Optum unit, severed the electronic ties that connect patients, providers and insurance companies. The attack robbed patients of the certainty they could seek and receive care, and it robbed physicians, pharmacists and hospitals of the resources necessary for patient care. ... Overlooked in this crisis, is that insurance companies failed to act decisively and collectively to protect patients and providers. ... Here’s what should have happened immediately when the threat facing patient care became painfully obvious. 

Reminder: April 16 is National Healthcare Decisions Day The Conversation Project, Institute for Healthcare Improvement; ongoing until 4/16/24[Read for] specific ideas and suggestions for ways to implement National Healthcare Decisions Day (NHDD) activities in your community and at your facility. First and foremost, lead by example…be sure you have thoughtfully considered and made your own healthcare decisions known. Editor's Note: from The Conversation Project's "About Us": "The Conversation Project began 2010, when Pulitzer Prize-winning writer Ellen Goodman and a group of colleagues and concerned media, clergy, and medical professionals gathered to share stories of 'good deaths' and 'hard deaths' within their own circle of loved ones."

Care partners have an increased loneliness risk HCP Live, by Chelsie Derman; 4/8/24 The study highlights how the experience of loneliness for care partners of people with dementia changes relationship roles throughout the dementia trajectory. A new study sought to widen the knowledge gap on why people with dementia and their care partners have an increased loneliness risk and identified primary themes: losing external social networks, losses with the dyadic relationship, and the burden of a care partner supporting their loved ones.Editor's Note:

New safeguards added to New York's proposed Medical Aid in Dying ActSpectrum News 1, by Luke Parsnow; 4/5/24The two architects behind New York’s Medical Aid in Dying Act have amended added additional safeguards to the legislation in the hope it can soon become law. The act would allow terminally ill, mentally capable adults who have been given six months or less to live to take their own lives with a cocktail of pharmaceutical drugs.

Medicine—Both a Science (Care) and an Art (CARE) JAMA Network - Viewpoint; by Theodore J. Strange, MD and Mario R. Castellanos, MD; 4/3/24In the current era, health care is increasingly characterized by the integration of big data, predictive analytics, medical devices, and artificial intelligence. These technological advancements have undoubtedly transformed the landscape of medical care, offering unprecedented precision and efficiency in diagnosis and treatment. Yet, amidst this surge of scientific innovation, the timeless art of medicine (compassion and caring) remains a foundational aspect of patient-centered health care ... The acronym CARE (compassion, assistance, respect, and empathy) encapsulates these enduring values. ... In a world increasingly driven by data and algorithms, these qualities foster a trusting and supportive relationship between health care professionals and patients, thereby enhancing the healing process and enriching the overall health care experience.

World Hospice & Palliative Care Day: October 12, 2024 The Worldwide Hospice and Palliative Care Alliance; 4/6/2024World Hospice and Palliative Care Day [WHPCD] has been marked every year since 2005. Join us on Saturday 12 October 2024 to advocate for better hospice and palliative care services around the world. The WHPCD theme for 2024 is "Ten Year's since the Resolution: How are we doing?" ... Download a wealth of resources, including last year's toolkit ...

A day in the life: Hospice nurseDaily Nurse - The Pulse of Nursing; blog by Renee Hewitt; 4/8/24 Supporting someone with a life-limiting diagnosis or talking about death can be difficult for many people, but not for a hospice nurse. What’s it like to care for patients and their families in the end-of-life process? Maryette Williamson, RN, BSN, knows firsthand from working as a BAYADA Hospice Nurse in Fayetteville, North Carolina. We asked her about her work. What follows is our interview ... [From Maryette] ... "There was a learning curve from long-term care to hospice. The most significant difference in hospice is our focus on quality of life rather than a cure. That was the most important change for me."Editor's Note: Consider linking to this resource with your nurse recruitment tools. Hospice executives, this nurse's common transition when moving from long-term care to hospice. Ensure solid orientation/onboarding/precepting training, time, resources, support, and accountability for new hospice employees. Do not assume that they will automatically translate their years of practice into hospice principles and best practices. 

Medicaid expansion and palliative care for advanced-stage liver cancer Journal of Gastrointestinal Surgery; by Henrique A Lima, Parit Mavani, Muhammad Musaab Munir, Yutaka Endo, Selamawit Woldesenbet, Muhammad Muntazir Mehdi Khan, Karol Rawicz-Pruszyński, Usama Waqar, Erryk Katayama, Vivian Resende, Mujtaba Khalil, Timothy M Pawlik; dated 4/24/28 (for print) Conclusion: The implementation of ME [Medicaid expansion] contributed to increased rates of palliative treatment for patients residing in ME states after expansion. However, racial disparities persist even after ME, resulting in inequitable access to palliative care.