Literature Review

Palliative ECT for catatonia in a terminal cancer patient: A case reportJournal of the Academy of Consultation-Liaison Psychiatry, by Arushi Mahajan B.S., Thanvi Vatti M.P.H., Andrew Coulter M.D., Elias Khawam M.D., Molly Howland M.D.Common end-of-life illnesses and medications can lead to catatonia. Catatonia can decrease interactivity, which worsens a terminal patient's quality of life. Treatment includes medications and electroconvulsive therapy (ECT). Though treating psychiatric disorders aligns with the palliative care philosophy, end-of-life ECT has been rarely reported. The few case reports on palliative ECT involved continuation of prior ECT courses for chronic psychiatric conditions in psychiatric settings after a terminal diagnosis. No studies have explored palliative ECT for acute catatonia.

Saturday Newsletters: Research literature is the focus of Saturday newsletters - enjoy!

Evaluation of a novel hospice-specific patient decision aidAmerican Journal of Hospice and Palliative Medicine, by Channing E. Tate, PHD, MPH; Gwendolyn Mami, JD; Monica McNulty, MS; Deborah J. Rinehart, PhD; Robin Yasui, MD; Nicole Rondinelli, FNP; Jonathan Treem, MD; Diane Fairclough, PhD; Daniel D. Matlock, MD, MPH; 4/24[Randomized Controlled Trial] We tested a novel hospice-specific patient decision aid to determine whether the decision aid could improve hospice knowledge, opinions of hospice, and decision self-efficacy in making decisions about hospice... The intervention demonstrated significant improvements in decision self-efficacy but not in hospice knowledge or hospice beliefs and attitudes.

Perceptions of palliative care: Demographics and health status among the general population in Florida and the United StatesAmerican Journal of Hospice and Palliative Medicine, by Brenda W. Dyal, PhD, DNP; Saunjoo L. Yoon, PhD; Keesha L. Powell-Roach, PhD, RN; Derek M. Li, MSc; Sheri Kittelson, MD; Michael Weaver, PhD, RN, FAAN; Janice L. Krieger, PhD; Diana J. Wilkie, PhD, RN, FAAN; 4/24Palliative care (PC) helps maintain quality of life for seriously ill patients, yet, many Americans lack knowledge of PC. Young adults compared with adults, middle-adults, and older-adults were less likely to agree that the goal of PC is to help friends and family cope with a patient’s illness, and that the goal of PC is to manage pain and other physical symptoms compared with adults, middle-adults, and older-adults. Participants with greater rural identity were more likely to agree that accepting PC means giving up. Increased knowledge of PC might be influenced through targeting educational interventions and educating the general population through social media use.

Social model hospice: Providing hospice and palliative care for a homeless population in Salt Lake City, UtahJournal of Hospice & Palliative Nursing, by Jensen, Francine Bench, PhD, RN; Thorpe, Deborah PhD, APRN; 4/24Health care for the homeless population is a complex challenge and represents a significant gap in care, particularly for those at the end of life. Hospice care may be desired but is rarely an option for people without residences, social support, and payment sources. Social model hospice is a unique paradigm of care delivery that offers a viable solution to make hospice and palliative care possible for this population.

A death doula keeps legacies alive in rural OregonJefferson Public Radio, by Justin HIgginbottom; 3/13/24 print and audioRudd is an end-of-life doula, sometimes called a death doula, specializing in rural care. In that role she provides non-medical support to those in their last stage of life. ... She helps with practical things like funeral arrangements, helping someone donate their body, or planning for what happens to their property after death. She’s been helping one 83-year-old client with that recently. 

Data breach affects more than 2,000 Texas hospital patients Becker's Health IT, by Madeline Ashley; 3/13/24Dallas-based UT Southwestern Medical Center has been hit with a data breach that is affecting 2,094 patients, according to a data security breach report on Texas Attorney General Ken Paxton's website. ... The type of patient information breached includes addresses, medical information, health insurance, date of birth, and "other." "The incident involved internal use of unapproved software and did not involve a cyberattack or external exposure of data," a spokesperson for UT Southwestern Medical Center said in a statement shared with Becker's. 

Healthcare execs need to 'iterate faster' for success, says CIO Becker's Health IT, by Laura Dyrda; 3/13/24 Baton Rouge, LA-based Franciscan Ministries of Our Lady Health System embarked on a journey last year to incorporate more artificial intelligence into its operational and clinical systems. Will Landry, senior vice president and CIO of the system, said while the organization doesn't want AI making decisions, there is a lot of value in supporting caregivers and team mates. He joined the "Becker's Healthcare Podcast" to share the health system's strategy for governance and his push for more innovative thinking around AI applications.

Heart failure staging and indications for advanced therapies in adults with Congenital Heart DiseaseHeart Failure Clinics / Elsevier, by Alexander C Egbe and Heidi M Connolly; pre-publish 4/24 via onlineSummary: Heart Failure (HF) is common in adults with Congenital Heart Disease (CHD), United States, and it is the leading cause of death in this population. Adults with CHD presenting with stage D HF have a poor prognosis, and early recognition of signs of advanced HF, and referral for advanced therapies for HF offer the best survival as compared with other therapies. The indications for advanced therapies for HF outlined in this article should serve as a guide for clinicians to determine the optimal time for referral. Palliative care should be part of the multidisciplinary care model for HF in patients with CHD.

Google Cloud releases new clinical generative AI tools at HIMSS24MedCity News, by Katie Adams; 3/12/24 At HIMSS, Google Cloud announced new AI features designed to assist providers, payers and any other healthcare organizations seeking to make better use of their clinical data.

Other Business Headlines of Interest, updated 3/14/24 per nasdaq.com

Palliative Care integration on the rise Hospice News, by Jim Parker; 3/13/24A range of medical specialties are incorporating palliative care principles into their care models. The trend points to ways that patients might receive palliative services through new avenues, such as geriatrics, primary care or home health care. 

Workplace Violence Prevention Plan Implementation: Answers to Frequently Asked QuestionsLCW, California Public Agency Labor & Employment Bolg; 3/13/24With the enactment of [California] Senate Bill (“SB”) 553, the legislature amended Labor Code section 6401.7 and added Labor Code section 6401.9, requiring employers to adopt and implement a Workplace Violence Prevention Plan (“WVPP”) and corresponding training for their employees by July 1, 2024. ... Since the enactment of the bill, employers have had questions regarding the WVPP and the training requirements. Below are some common questions and the responses to them: ... [Click on the article's title to view]