Literature Review

When the American Dream becomes survival: Short doc chronicles rural healthcare crisis PBS - KET, by Nathan Duke; 3/17/24 Director Ramin Bahrani’s acclaimed films ... focus on people struggling to survive due to economic challenges or failing to achieve the mythologized American Dream. His latest, the short documentary If Dreams Were Lightning: Rural Healthcare Crisis, is a startling look at the challenges facing rural communities in which hospitals are closing and leaving residents without options for care. The film incorporates themes from Bahrani’s previous work, but its subjects’ struggles are far from fictional. 

Palliative Care as ‘Personalized Medicine’Hospice News, by Jim Parker; 3/18/24The term “personalized medicine” is often used to describe health needs based on a patient’s genetics. However, more stakeholders are applying the term to palliative care. Personalized medicine is a step away from a “one-size-fits-all” approach to health care. The model uses information gathered from a patient’s genome to plan for care, treatment and services, and to some extent, predict a likely health trajectory, according to the National Human Genome Research Institute, part of the National Institutes of Health.

Navigating difficult conversations with patients with terminal cancer diagnoses Oncology Nursing News, by Darlene Dobkowski, MA; 3/18/24 Although oncology nurses need strong communication skills to help all of their patients navigate their cancer journeys, it is critical to have the ability to have difficult conversations with patients who received a terminal diagnosis, ... Betty Ferrell, Ph.D., M.S.N., CHPN, director and professor in the Division of Nursing Research and Education in the Department of Population Sciences at City of Hope in Duarte, California, said in an interview with Oncology Nursing News. For the past 24 years, her institution has been directing a project called the End-of-Life Nursing Education Consortium (ELNEC), which is a palliative care training program and includes a module focused on communication.  ... “One of the things that we teach nurses is … that your No. 1 job is to listen,” Ferrell said. “Another thing that we say to nurses is, it is not your job to have all the answers. Patients ask very unanswerable questions. ‘Why me?’ is not an answerable question. But when a patient says, ‘Why me,’ then we want nurses to have good communication skills to say, ‘I can imagine why you're asking that question. Because as you've shared with me, you had no idea that you might be diagnosed with cancer, or you're the first person in your family to ever have cancer.’”

Should the DOJ break up UnitedHealth Group? MedCity News, by Marissa Plescia; 3/17/24 The U.S. Department of Justice has reportedly recently launched an antitrust investigation of UnitedHealth Group, which begs the question of whether the healthcare giant should be broken up. Experts have varying opinions.

Healthcare workers' mental well-being among ECRI's top patient safety concerns Becker's Behavioral Health, by Rylee Wilson; 3/14/24 The mental and physical well-being of the workforce is one of the ECRI's top 10 patient safety concerns for 2024.  The nonprofit organization published its annual list detailing the biggest threats to patient safety March 12. "Rampant physical and emotional exhaustion" has led some healthcare workers to leave the workforce, creating stress on those who remain and possibly threatening patient care, according to ECRI's report. 

Expanding horizons: New palliative care services introduced in Valparaiso ABNewswire; 3/14/24 South Valparaiso Immediate & Urgent Care Clinic is proud to announce the expansion of its healthcare services with the introduction of comprehensive palliative care. ... The South Valparaiso palliative care team consists of highly skilled professionals, including physicians, nurses, social workers, and chaplains, who work collaboratively to develop personalized care plans for each patient. 

Sylvester researchers, collaborators call for greater investment in bereavement care NewsWise, by Sylvester Comprehensive Cancer Center; 3/15/24The public health toll from bereavement is well-documented in the medical literature, with bereaved persons at greater risk for many adverse outcomes, including mental health challenges, decreased quality of life, health care neglect, cancer, heart disease, suicide, and death.  ... Wendy G. Lichtenthal, PhD, FT, FAPOS, who is Founding Director of the new [Sylvester Comprehensive Cancer] Center and associate professor of public health sciences at the University of Miami Miller School of Medicine, noted, “We need a paradigm shift in how healthcare professionals, institutions, and systems view bereavement care. Sylvester is leading the way by investing in the establishment of this Center, which is the first to focus on bringing the transitional bereavement care model to life.”

Specialized nursing facility clinicians improve end-of-life care Cornell Chronicle, by Marijke Vroomen Durning, Weill Cornell Medicine; 3/15/24 Specialized nursing facility clinicians, or SNFists, may decrease the likelihood of nursing home residents experiencing stressful hospitalizations and improve the quality of life in their last days, according to researchers from Weill Cornell Medicine. The paper, published March 15 in JAMA Network Open, examined how SNFists uniquely impacted the care of nursing home residents in their last 90 days, compared with those cared for by other clinicians. This large-scale study is the first of its kind. 

Beautiful people: Busy 14-year-old still finds time to volunteer for local hospice [creating legacy books]

The identity dilemma: Navigating rebranding decisions in home health M&A Home Health Care News, by Patrick Filbin; 3/14/24 ... While some companies swiftly integrate acquired businesses into their brand and splash their logo, marketing materials and likeness on the newly acquired assets, others opt to maintain the selling company’s identity. In home-based care, the decision to “rebrand or retain” takes into account a number of factors, sources told Home Health Care News. They include operational efficiency, patient/client retention, market positioning and more.

Telehealth study investigates reimbursements for rural health care deliveryMedical Xpress, by Vincent Jacobbi, Mayo Clinic; 3/15/24A recent Mayo Clinic study published in the American Journal of Hospice and Palliative Medicine investigated how telehealth in palliative care may provide value for rural caregivers, health care teams and their patients. Researchers were particularly interested in determining what billing models were most cost-effective and sustainable for health care teams and caregivers transitioning patients from hospital to home care

Breast cancer palliative care and metastatic disease: Looking beyond end of life MedPage Today, by Shalmali Pal; 3/15/24 ... It is important to inform patients that they can receive palliative care at any timeopens in a new tab or window during their treatment, from the time of diagnosis to end of life. ... At some juncture, the options for metastatic breast cancer treatment become limited. Progression can be classified into four general types: