Literature Review
Spiritual distress, hopelessness, and depression in palliative care: Simultaneous concept analysis
05/09/24 at 03:00 AMSpiritual distress, hopelessness, and depression in palliative care: Simultaneous concept analysisMDPI; by Helga Martins, Rita S. Silva, Joana Braganca, Joana Romeiro, and Silvia Caldeira; 5/7/24The results highlight that the three concepts are different but also share some overlapping points. Spiritual distress is embedded in the rupture of their spiritual/religious belief systems, a lack of meaning in life, and existential issues. Hopelessness is a sense of giving up and an inability to control and fix the patient’s situation. Finally, depression is a state of sadness with a multi-impaired situation. In conclusion, refining the three concepts in palliative care is essential since it promotes clarification and enhances knowledge development towards intervention.
Exploring grief: Cleveland Institute of Art student copes with loss through her paintings
05/09/24 at 02:15 AMExploring grief: Cleveland Institute of Art student copes with loss through her paintings FreshWater, Cleveland, OH; by Karin Connelly Rice; 5/8/24 Maddie Cantrell, 21, and a painting major at the Cleveland Institute of Art (CIA), grew up in the small town of Traveler’s Rest, South Carolina, with her grandparents, Alaine and Jim Sosebee, living just around the corner. ... Now a rising senior at CIA, Cantrell has found her art to be an outlet for coping with the sudden deaths of her grandparents. The result of her effort her exhibit is, “Living with Grief,” four paintings that illustrate the experience of living with grief, at Hospice of the Western Reserve’s The Elisabeth Severance Prentiss Bereavement Center, ... “My work is centered around having to grow up without [my grandparents] and making a bridge between where I exist and where they exist,” Cantrell explains of her works. “... How would I speak to them if I could? Or, how would we have a conversation, even though they're not here?” ...
VA extends health coverage to family caregivers of patients who served
05/09/24 at 02:00 AMVA extends health coverage to family caregivers of patients who served McKnights Home Care; by Adam Healy; 5/6/24As recognition grows nationally of the needs of unpaid caregivers, family members and caregivers of veterans soon will have more options to receive care through the Civilian Health and Medical Program of the Department of Veterans Affairs (CHAMPVA). Starting at the end of May, these caregivers will be granted new coverage for audio telehealth services, mental health care and [more]. ... Telehealth coverage is particularly important for caregiver beneficiaries living in rural areas, the VA noted.
Over $293k bequeathed to Valley Hospice by former Marshall County educator
05/08/24 at 03:00 AMOver $293k bequeathed to Valley Hospice by former Marshall County teacher The Intelligencer, Wheeling News-Register; by Shelley Hanson; 5/7/24; titled "Nearly $1.5M Bequeathed to Organizations by Former Marshal County Teacher" [Wheeling, WV] Nearly $1.5 million was bequeathed to four different organizations during a memorial luncheon honoring the late Harold Vitalie, a former Marshall County educator who died in 2023. ... Valley Hospice, the Ohio County Public Library and Marshall County Public Library each received $293,531. The John Marshall High School Scholarship Fund received $587,063. ... Jennifer Taylor of Valley Hospice described the gift of money as “transformational” for Valley Hospice. Vitalie’s mother was taken care of by Valley Hospice before she died.
[Australia] Palliative patients can die peacefully at home with paramedic support, claims proposed framework
05/08/24 at 03:00 AMPalliative patients can die peacefully at home with paramedic support, claims proposed frameworkRiotack - Australia; by James Day; 5/6/24A proposed national framework suggests paramedics could help ease pressure on emergency departments by supporting palliative care patients who wish to die at home. Published in the leading international peer reviewed journal Palliative Medicine, the framework seeks to embed palliative care into paramedics’ core business and reduce needless transports to hospital. ... Lead author and trained paramedic Dr. Madeleine Juhrmann developed the framework in consultation with paramedics, palliative care doctors, GPs, carers with lived experience and others. The expert group – representing six countries and all the states of Australia – agreed on the framework’s 32 service changes to standardise best practice for paramedics delivering palliative care in community-based settings.Pair this with a USA article in today's newsletter, "Stranded in the ER, seniors await hospital care and suffer avoidable harm."
Wide-ranging health care bill gets final approval from CT House
05/08/24 at 03:00 AMWide-ranging health care bill gets final approval from CT House CT Mirror - Connecticut's Nonprofit Journalism; by Jenna Carlesso; 5/6/24The House gave final passage Monday to a wide-ranging health care bill that would add protections for home care workers, boost preparedness for cyberattacks at medical facilities and establish new regulations for the state’s health information exchange, among other reforms. ... The sections on additional protections for home care workers were prompted by the murder of visiting nurse Joyce Grayson, who was killed in October while working at a halfway house in Willimantic. ... The bill requires home health aide agencies to collect certain client information upon intake and make it available to any employee assigned to the client. Information includes a history of violence against health care workers, domestic abuse, substance use, psychiatric history, any listing on a sex offender registry, the crime rate of the municipality the person lives in, and whether there are any weapons or safety hazards in the home. [Click on the title's link for more important information about this bill's safety measures.]
Keys to addressing ethical, moral distress in pediatric hospice
05/08/24 at 03:00 AMKeys to addressing ethical, moral distress in pediatric hospice Hospice News; by Holly Vossel; 5/6/24 Hospices may be under-prepared to navigate the complexities in end-of-life decisions among terminally ill children, as the ethical and moral considerations related to patient autonomy are vastly different for pediatric populations compared to adults. Ethical principles of autonomy vary in pediatric populations due to a number of factors, including a child’s age, developmental stage, cognitive capacity and their spiritual background and beliefs, according to Christy Torkildson, director at the Children’s Hospice and Palliative Care Coalition of California.
6 lessons I learned from inheriting a parent’s house
05/08/24 at 03:00 AM6 lessons I learned from inheriting a parent’s house Bankrate; by Linda Bell; 5/3/24 Inheriting a house is a bittersweet, overwhelming experience. I remember receiving the deed that transferred ownership of my mother’s home to me and my siblings. I felt a whirlwind of emotions: sadness that my mother was gone, relief that the complicated process was over and trepidation for the enormous responsibilities that lay ahead. Along with those feelings was the compelling need to honor her legacy. Here are six lessons I learned from inheriting my mother’s house. ...
Steward files for bankruptcy
05/08/24 at 03:00 AMSteward files for bankruptcyBecker's Hospital CFO Report; by Laura Dyrda; 5/6/24Dallas, Texas-based Steward Health Care filed for Chapter 11 bankruptcy and will receive millions in financing from Medical Properties Trust to maintain operations at existing hospitals and clinics, according to a May 6 health system news release. The 30 hospitals in the Steward network will continue patient care during the bankruptcy proceedings, and the physician-led health system does not expect interruptions to daily operations. ... The for-profit health system has faced financial challenges and liquidity issues in recent months, blaming low reimbursement from government payers and increasing costs for labor, materials and operations due to inflation. The system also reported continuing to experience negative financial effects from the COVID-19 pandemic.
He thinks his wife died in an understaffed hospital. Now he’s trying to change the industry.
05/08/24 at 03:00 AMHe Thinks His Wife Died in an Understaffed Hospital. Now He’s Trying to Change the Industry.Fortune; by KFF Health News and Kate Wells; 4/19/24For the past year, police Detective Tim Lillard has spent most of his waking hours unofficially investigating his wife’s death. The question has never been exactly how Ann Picha-Lillard died on Nov. 19, 2022: She succumbed to respiratory failure after an infection put too much strain on her weakened lungs. She was 65. For Tim Lillard, the question has been why.Publisher's note: We often discuss workforce shortages in terms of staff stress. This interesting and heartbreaking story explores workforce shortages in terms of patient harm.
Georgia system reopens hospital to inpatient services
05/08/24 at 03:00 AMGeorgia system reopens hospital to inpatient services Hospital CFO Report; by Mariah Taylor; 5/2/24 Piedmont Augusta (GA) is reopening the emergency department and inpatient services at its Summerville campus after converting the location into an outpatient campus over a year ago. Effective May 16, the hospital will open 15 beds in the emergency department, 12 inpatient unit beds, and new imaging services. Outpatient services will continue as normal, according to a May 1 system news release. "What we heard pretty quickly from our community is that they missed the efficiency of that campus," Lily Henson, MD, CEO of Piedmont's Augusta clinical hub, said in the release.
27 hospitals, health systems cutting jobs
05/08/24 at 03:00 AM27 hospitals, health systems cutting jobs Becker's Hospital CFO Report; by Kelly Gooch; updated 5/3/24A number of hospitals and health systems are reducing their workforces or jobs due to financial and operational challenges. Below are workforce reduction efforts or job eliminations announced this year. ...
Early-career physicians working temp roles to 'test drive' practice settings, survey finds
05/08/24 at 03:00 AMEarly-career physicians working temp roles to 'test drive' practice settings, survey finds Becker's Hospital Review; by Alan Condon; 5/3/24Physicians and advanced practice providers are opting for the flexibility of temporary, locum tenens work in seek of improved job conditions and to relieve burnout, according to an April 23 survey conducted by AMN Healthcare. AMN, the largest provider of healthcare interim leadership and executive search services in the U.S., asked physicians, physician assistants and nurse practitioners who recently have worked locum tenens why they do so. The number one reason, according to 86% of respondents, was a better work schedule, followed closely by addressing feelings of burnout (80%).
Medicaid disenrollments higher than expected: Report
05/08/24 at 03:00 AMMedicaid disenrollments higher than expected: Report Becker's Payer Issues; by Rylee Wilson; 5/2/24 The number of people disenrolled from Medicaid through the redeterminations process has surpassed original estimates from the Urban Institute and Robert Wood Johnson Foundation. According to a May 2 report, as of November 2023, nearly 9 million people had been disenrolled from Medicaid. The figure came out to 60.5% of the foundation's original estimate of 14.8 million people losing coverage, with several months remaining in the redetermination process.
Highlighting Nurses Week: Best, worst states for nurses in 2024
05/08/24 at 03:00 AMHighlighting Nurses Week: Best, worst states for nurses in 2024 Becker's Hospital Review; by Erica Carbajal; 4/30/24 WalletHub has deemed Washington the best state for nurses to practice in 2024 — a recognition based on an analysis of earnings, job growth and working conditions. For the annual ranking, the financial services company compared 50 states across two key dimensions: opportunity and competition, and work environment. Twenty metrics were grouped into those two dimensions, ... Here are the 10 best and worst states for nurses in 2024, per the ranking: ...
Today's Encouragement: The character of the nurse ...
05/08/24 at 03:00 AMThe character of the nurse is as important as the knowledge s/he possesses. - Carolyn Jarvis
Star ratings of Leapfrog's 25 straight-'A' and 'F' hospitals
05/08/24 at 03:00 AMStar ratings of Leapfrog's 25 straight-'A' and 'F' hospitals Becker's Hospital Review; by Mackenzie Bean; updated 5/3/24 A comparison of data from CMS and The Leapfrog Group suggests that a hospital's strong performance in one national quality rating system does not necessarily mean it will be a top performer in another. Leapfrog updated its spring safety grades May 1, recognizing 15 hospitals that have received an "A" grade in every consecutive update since 2012. Of these hospitals, only eight received a five-star rating from CMS. Similar discrepancies are seen across Leapfrog's "F" hospitals. While two did receive one star — the lowest possible rating — another five received two stars, and one hospital earned four stars. [Click on the title's link for the list.]
Stranded in the ER, seniors await hospital care and suffer avoidable harm
05/08/24 at 03:00 AMStranded in the ER, seniors await hospital care and suffer avoidable harm KFF Health News; by Judith Graham; 5/6/24 Every day, the scene plays out in hospitals across America: Older men and women lie on gurneys in emergency room corridors moaning or suffering silently as harried medical staff attend to crises. Even when physicians determine these patients need to be admitted to the hospital, they often wait for hours — sometimes more than a day — in the ER in pain and discomfort, not getting enough food or water, not moving around, not being helped to the bathroom, and not getting the kind of care doctors deem necessary.
Terminal cancer: What matters to patients and caregivers
05/08/24 at 03:00 AMTerminal cancer: What matters to patients and caregivers Medscape Medical News; by Megan Brooks; 5/6/24 What's most important to patients with terminal cancer and their caregivers? New research found that patients and caregivers both tend to prioritize symptom control over life extension but often preferring a balance. Patients and caregivers, however, are less aligned on decisions about cost containment, with patients more likely to prioritize cost containment. ... As patients approached the end of life, neither patients nor caregivers shifted their priorities from life extension to symptom management.
Medicare program suddenly ending leaves seniors in limbo
05/08/24 at 03:00 AMMedicare program suddenly ending leaves seniors in limbo Newsweek; by Suzanne Blake; 5/6/24 Some hospice patients on Medicare Advantage are now facing uncertainty after the government ended a pilot program. Medicare Advantage is one of the top programs for seniors looking for health insurance, and more than 50 percent of those eligible now use the privatized Medicare Advantage option instead of just traditional Medicare. ... According to the Medicare Payment Advisory Commission, around half of 1.7 million Medicare Advantage recipients who died in 2022 were in hospice for end of life care.
How Mass General Brigham provides emergency care at home
05/08/24 at 03:00 AMHow Mass General Brigham provides emergency care at home Becker's Health IT; by Giles Bruce; 5/6/24Somerville, MA-based Mass General Brigham now treats patients needing emergency or urgent care at home. The health system's patients can request referrals to the Home Hospital Emergency Care program through their primary care providers, who decide if patients are stable enough to be treated at home. If they are, a nurse talks to the provider and schedules a home visit, where a paramedic completes a physical exam joined virtually by an emergency medicine physician. Editor's Note: Pair this article with others in today's newsletter: "Stranded in the ER, seniors await hospital care and suffer avoidable harm" (in our Post-Acute Care section), and "[Australia] Palliative patients can die peacefully at home with paramedic support, claims proposed framework" (in our International section).
Honoring Nurses Week: Workplace factors that are 'extremely important' to nurses
05/08/24 at 02:30 AMHonoring Nurses Week: Workplace factors that are 'extremely important' to nurses Becker's Clinical Leadership; by Mariah Taylor; 5/6/24 ... The survey asked nurses how important different elements of the workplace were. Here are the six elements of the workplace with the percentage of nurses who said it was "extremely important":
TCN News Stories of the Month, April 2024
05/08/24 at 02:00 AMTCN News Stories of the Month, April 2024TCN Talks; by Chris Comeaux; 5/1/24In this week’s podcast Mark Cohen joins once more for the Top News Stories for the prior month. This is a new format as Mark has retired from publishing the Hospice News Today as he has transitioned it to Cordt Kassner and the daily publication has been rebranded as Hospice and Palliative Care Today. You can subscribe for free here: https://www.hospicepalliativecaretoday.com.
Building connections, showing compassion and bringing peace to patients and families
05/07/24 at 03:30 AMBuilding connections, showing compassion and bringing peace to patients and families St. Louis Post-Dispatch; by Mary McHugh; 5/3/24Three thousand colorfully painted rocks are artfully arranged in the landscaped outdoor meditation courtyard at Evelyn’s House, a part of BJC HealthCare, a ranch-style hospice home located adjacent to Barnes-Jewish West County Hospital. Each rock pays tribute to a patient who has spent their last days of life there. Decorated by the staff, the stones are visible through the garden window from the home’s central gathering space for families. It’s one of the first sights visitors see when they enter the facility. For the staff, including nurse Dawn Anderson, the stones are a unique and memorable way to honor the lives who have passed and prepare the staff to care for those who have yet to come. ...
Families are often unaware of benefits of palliative hospice care, says retired oncologist
05/07/24 at 03:00 AMFamilies are often unaware of benefits of palliative hospice care, says retired oncologist KSMU Ozarks Public Radio; radio segment by Linda Regan; 5/5/24 In this episode of our local program Making Democracy Work, host Linda Regan speaks with returning guest Dr. Robert Carolla, retired medical oncologist and board member for Hospice Foundation of the Ozarks. Carolla discusses palliative hospice care and says that families often sign up too late to receive all of the supportive benefits. He says “death is a part of life” and explores common misconceptions associated with hospice care.