Literature Review

A not-so-silent battle: Tackling nurse burnout with innovative solutionsElectronic Health Reporter, by Brandy Sparkman-Beierle; 1/2/24... "The intersection of rising patient volumes and staffing challenges has led to a significant drop in nursing satisfaction rates. This overextension puts healthcare professionals at risk of burnout, impacting their physical and mental well-being." Brandy Sparkman-Beierle, chief clinical officer for Homecare Homebase identifies these needs:

Palliative care providers can enhance care coordination Hospice News, by Rachel Edwards; 1/2/24Fragmented health care has significant ties to adverse outcomes in patients with chronic or serious illnesses. Palliative care providers’ ability to navigate the health care system, coordinate the delivery of care, interact regularly with patients and facilitate communication between providers can reduce this fragmentation. This type of coordination can improve outcomes, decrease costs and offer patients a better quality of life.

Education CalendarHospice & Palliative Care Today has begun a page dedicated to hospice and palliative care focused state and national conferences. Please click the link above to access the current calendar and let us know about your events!

How do you ethically integrate a GIP hospice service into the hospital?Hospitalist.org, by William Frederick, et.al.; 1/2/24[General inpatient (GIP) hospice] ... provides holistic end-of-life care and family support in acute-care hospitals. Patients who are appropriate for GIP hospice services often have a life expectancy of hours to days, require care that cannot be delivered at home, and have symptoms that are difficult to control in any other settingEditor's Note: Examine this article for (1) a flow chart of the "GIP Hospice Process at UCSD Health System" and (2) Indications for GIP Hospice Care Indications for GIP Hospice Care."

BrightSpring Health Services Files To Go Public For The Second TimeHome Health Care News, by Andrew Donlan; 1/3/24BrightSpring Health Services officially filed plans for an initial public offering Tuesday. The home- and community-based services provider first planned to go public in 2021, but ultimately decided against it. Now, those plans are full speed ahead yet again. Based in Louisville, Kentucky, and backed by the investment firm KKR, BrightSpring provides home- and community-based provider services to complex populations. It provides care across all 50 states to 350,000 patients daily, and provides home-based care specifically to 250,000 patients daily across 40 states.Notable Mentions: Jon Rousseau, CEO; Michael McMaude.

Should patients be allowed to die from anorexia?DNYUZ; 1/3/24The doctors told Naomi that she could not leave the hospital. She was lying in a narrow bed at Denver Health Medical Center. Someone said something about a judge and a court order. Someone used the phrase “gravely disabled.” Naomi did not think she was gravely disabled. Still, she decided not to fight it. She could deny that she was mentally incompetent — but this would probably just be taken as proof of her mental incompetence. Of her lack of insight. She would, instead, “succumb to it.” [Read more of Naomi's story, followed by this examination of palliative care.]The field of palliative care was developed in the 1960s and ’70s, as a way to minister to dying cancer patients. Palliative care offered “comfort measures,” like symptom management and spiritual guidance, as opposed to curative treatment, for people who were in pain and would never get better. Later, the field expanded beyond oncology and end-of-life care — to reach patients with serious medical illnesses like heart disease, H.I.V. and AIDS, kidney failure, A.L.S. and dementia. Some people who receive palliative care are still fighting their diseases; in these cases, the treatment works to mitigate their suffering. [Read more of this discussion of emerging issue.]

Hospice patient enjoys fishing adventureHickory Daily Record; 12/30/23Carolina Caring’s compassionate hospice and palliative care empowers patients to make the most of each day as they navigate serious illness. One patient, Barbara, has been under hospice care with Carolina Caring and has shared ... with her nurse, Kelly Avery, and social worker, Megan Elmore ... that her  fondest memories were of fishing with her family on Lake Hickory. After being diagnosed with chronic obstructive pulmonary disease and chronic heart failure, Barbara’s symptoms were getting increasingly harder to manage. She went from fishing once a week to once a month, to not having fished in over two years. ... Thanks to multiple visits a week from her Carolina Caring care team, Barbara was able to build the confidence to once again cast her line and enjoy the great outdoors. ... Kelly and Megan coordinated with the Carolina Caring Volunteer and Foundation Departments to secure fishing licenses and gather together a spread of Barbara’s favorite foods at Dallas Park & Recreation ponds. For just the second time in the past year, Barbara left the house.

Mass General Brigham's generative AI plans for '24Becker's Health IT, by Bruce Giles; 1/2/24Mass General Brigham plans to use generative artificial intelligence to compare patients to ones with similar profiles to help with their treatment, The Wall Street Journal reported. The health system also intends to release its first AI-powered diagnostic products as part of its new commercial AI office in the first half of 2024, according to the Dec. 29 story. ... With advancements in large language models, algorithms that scan medical images for insights used to take millions of dollars and several years to create, he told the news outlet. Now they can be built in a matter of months.

West Monroe’s 3 healthcare outlooks for 2024: AI, cost pressures, dealmakingMedCityNews, by Marissa Plescia; 12/29/23 In a recent report, consulting firm West Monroe laid out three trends for the healthcare industry to watch out for:

‘Profound’ financial, workforce challenges persist for senior living providers as 2024 beginsMcKnights Senior Living, by Lois Bowers; 1/2/24Senior living operators will continue to face inflationary pressures and capital market challenges in 2024, but some effects may lessen before the year is out, according to industry experts.

“What the New Year brings to you will depend a great deal on what you bring to the New Year.” Vern McLellan

Palliative medicine helps stage IV melanoma survivor reclaim her life after treatmentAtrium Health; 1/1/24After a stage IV malignant melanoma diagnosis, brain surgery, radiation therapy and immunotherapy, Kate Crawford, 45, has reclaimed her quality of life thanks to palliative medicine at Atrium Health Levine Cancer. ...  While she has a vibrant, positive energy, the cancer treatments and disease itself led to numerous side effects and symptoms that drastically affected her quality of life. But thanks to palliative medicine at Levine Cancer, Kate says she feels more clear than she has in years. And her family says: “Kate is back.”

What is your greatest hope for the new year? (per a Wall Street Journal email)Answers shared tomorrow!