Literature Review

Exploring unmet concerns in home hospice cancer care: Perspectives of patients, informal caregivers, palliative care providers, and family physicians Cambridge University Press; by Eran Ben-Arye, Noah Samuels, Yael Keshet, Miri Golan, Erez Baruch, and Jama Dagash; 4/8/24 Objectives: The study examines perspectives of patients in home hospice care; their informal caregivers; palliative health-care providers (HCPs); and family physicians, all regarding patients’ unmet needs and quality of life (QoL)-related concerns.Conclusions: While the 4 groups were similar in their scoring of patient QoL-related concerns, there were discrepancies for some concerns (e.g., patient fatigue) and expectations regarding the need to discuss emotional and spiritual concerns, including on death and dying. Educational initiatives with programs providing training to all 4 groups may help bridge this gap, creating a more open and collaborative hospice care environment.

The spectrum of end-of-life experiences: A tool for advancing death educationOmega; by Shared Crossing Research Initiative; 3/24 Abstract: Studies on end-of-life experiences (ELEs) suggest that caregivers and loved ones of dying patients also have ELEs, though these are rarely explored. This article introduces the Spectrum of End-of-Life Experiences (SELE) as a descriptive list of types of ELEs reported by all members of the care unit, including dying patients, their caregivers, and their loved ones. We applied SELE towards identifying ELEs reported by 143 caregivers and loved ones and successfully identified every experience. Interviews revealed that participants viewed their ELEs as profound communicative events, yet a substantial minority also reported struggling to name and process these experiences. We propose that SELE be included in death education to raise awareness about ELEs that can occur within the care unit, and we suggest that SELE has additional applications, including use as a prognostic aid in end-of-life care and as a therapeutic aid for bereavement support.

America’s favorite, weed, comes with big health risks: Pyschosis is an increasing risk of today's strong marijuana.Psychology Today; by Mark S. Gold, MD; 4/30/24Key Points:

May 6-12, 2024 National Nurses Week: Nurses Make a DifferenceNursing World; by the American Nurses Association; 4/30/24 The American Nurses Association is celebrating National Nurses Week 2024 May 6 - May 12, and throughout May. This year's theme, "Nurses Make the Difference," honors the incredible nurses who embody the spirit of compassion and care in every health care setting. Join us in recognizing the invaluable contributions of nurses worldwide. Whether you're a health care professional, a patient, or simply someone who appreciates nurses' dedication, this is your chance to express gratitude and support for their capability and fortitude. Let’s come together to celebrate Nurses Week 2024 and show our appreciation for these extraordinary professionals!

Aetna hit with $900M in surprise MA costs, CVS Health report Modern Healthcare; by Nona Tepper; 5/1/24 CVS Health will launch a multiyear plan to boost Medicare Advantage profitability after its Aetna subsidiary recorded $900 million in higher-than-anticipated medical costs during the first quarter, President and CEO Karen Lynch said during an earnings announcement Wednesday. “We continue to evaluate our cost structure and productivity and will accelerate these and other initiatives over the next few months,” Lynch said.

FTC makes changes to healthcare breach reporting Becker's Health IT; by Naomi Diza; 4/26/24... The changes clarify the rule's scope regarding health apps and similar technologies while expanding the information covered entities must provide to consumers in the event of a breach of their health data, according to an April 26 FTC news release. Under the new rule, vendors of personal health records and related entities not governed by HIPAA are mandated to notify individuals, the FTC and, when applicable, the media, in case of a breach of unsecured personally identifiable health data. [Click on the title's link for more revisions to the rule.]

Be like bacon. Bacon makes everything better! - Heard from someone, somewhere on the Food Network

Transitional Bridges offers compassionate alternative to plastic belongings bagsABC 8 News, Richmond, VA; by EIN Presswire; 4/30/24Transitional Bridges, a San Diego-based nonprofit focused on inspiring compassion and improving end-of-life care through art, has created Transitional Belongings Bags, a compassionate and eco-friendly alternative to the plastic bags hospitals use to hand over belongings to loved ones after a patient has died. The concept was first introduced 17 years ago by the Irish Hospice Foundation Hospice Friendly Hospitals Program to promote dignity and sensitivity when returning a loved one’s possessions to bereaved family and friends. ... Lorene Morris, the founder and president of Transitional Bridges, became inspired to bring the movement to the U.S. after her mother, an artist, died unexpectedly from postoperative complications. When the family was handed their mother's possessions in two large, clear plastic bags, Morris recalls, “I felt like the whole world could see those intimate items. It was just so wrong.”

Is pot legal now? Despite big marijuana news, it's still in legal limbo. USA Today; by Joel Shannon and Jeanine Santucci; 5/1/24 Tuesday brought big marijuana news: The Biden Administration is expected to soon reclassify marijuana for the first time in decades, putting it in a less restrictive drug category that would allow it to be studied and prescribed more easily. But that news comes in a nation where many states have already crafted their own marijuana policy: Some states allow for it to be prescribed already; others allow people to use it recreationally. Few states ban it outright. ... Here's what to know.

Physician-Assisted Suicide Bill recommended by second committee in Massachusetts legislature New Boston Post; 5/1/24 A bill that would legalize physician-assisted suicide has gotten a favorable vote from a second legislative committee, ... This is the earliest in the state’s two-year legislative session that the bill has been recommended by the Joint Committee on Public Health, and it’s the first time the bill has made it out of the Joint Committee on Health Care Financing, said Melissa Stacy, Northeast regional advocacy manager for Compassion & Choices, according to MASSterList.

What Hospice VBID’s ending means for palliative care Hospice News; by Markisan Naso; 5/1/24 The impending demise of the hospice component of U.S. Centers for Medicare & Medicaid Services’ value-based insurance design (VBID) model has largely been met with a sense of relief by providers as they plan new initiatives for palliative care in 2025. ... The program, which initially contained promising components designed to give patients better access to palliative care, instead became an increasing source of frustration for organizations. ... With the end date for the hospice component of the VBID model approaching, many palliative care providers are left with concern for their patients and questions about the coming transition, as they shift focus to what happens next.  Editor's Note: This article includes perspectives from Rory Farrand, Vice President of Palliative and Advanced Medicine at NHPCO, and Mollie Gurian, Vice President of Home-Based and HCBS Policy at LeadingAge.

New federal rule meant to strengthen nondiscrimination protections, advance civil rights in healthcare McKnights Senior Living; by Kathleen Steele Gaivin; 4/30/24 The Department of Health and Human Services on Friday released a final rule aiming to protect individuals from discrimination in healthcare, including members of the LBGTQ+ community. ... The rule “reverses a Trump-era regulation and restores gender identity and sexual orientation discrimination protections under Section 1557 of the Affordable Care Act,” Bloomberg Law reported. Section 1557 prohibits discrimination on the basis of race, color, national origin, sex, age or disability by entities that primarily provide healthcare and receive federal funding. It is enforced by the HHS Office for Civil Rights.

Nurse pleads guilty to 22 counts of patient murder, attempted murder Becker's Hospital Review; by Mariah Taylor; 5/2/24 Heather Pressdee, a Pennsylvania nurse, pleaded guilty to three counts of first-degree murder and 19 counts of attempted homicide, the Pittsburgh Post-Gazette reported May 1. Ms. Pressdee pleaded guilty on May 2 in an ongoing hearing that is expected to go until May 3. She was given three consecutive life sentences and 380 to 760 years consecutively. Ms. Pressdee, 41, was first charged in May 2023 in connection with the mistreatment of three nursing home patients while working at Quality Life Services in Chicora, Pa., including two counts of homicide and one count of attempted murder. In November, she was charged in connection with the mistreatment of 19 additional patients that were in her care at five different facilities since 2020.