Literature Review



Hospice volunteering isn't for everyone but a rewarding way to give back

12/30/24 at 03:00 AM

Hospice volunteering isn't for everyone but a rewarding way to give back News Talk 830 WCCO; by Susie Jones; 12/27/24 Volunteering is big part of the holiday season for some, with people wanting to help others even in difficult times. Being a hospice volunteer isn't for everyone.  It can certainly be scary to sit with someone who is dying. "It's not just a job, it's not just a volunteer gig, and I can always, always welcome new volunteers," says Allina Health hospice program administrator Erika Schuld. However, Schuld says it can be very rewarding. "You're in these really intimate, vulnerable settings, and you just form bonds really quickly, and it really is our honor in hospice to walk along with patients and families," explains Schuld. Doctor Glen Varns is the medical director of the program and he says volunteers do not administer medication. Instead they do other things to support families. Editor's note: The CMS standard 42 CFR §418.78(e) requires hospices to use volunteers for at least 5% of patient care hours. This was waived during the COVID-19 pandemic, and then reinstated May 11, 2023 when the Public Health Emergency (PHE) officially expired. CMS's volunteer requirement is unique to hospice care. Ensure that your hospice provides appropriate selection, background checks, required TB tests, job descriptions for different volunteer roles, matching of the volunteer to the best role, training, supervision, and tracking of hours for CMS's requirement. Additionally, your hospice must adhere to applicable state laws and internal HR Policies and Procedures regarding volunteers. Click here for the CMS standard.

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As a hospice nurse, Jaffrey's Nancy Folsom helps make the journey easier

12/30/24 at 03:00 AM

As a hospice nurse, Jaffrey's Nancy Folsom helps make the journey easier The Keene Sentinel, Keene, NH; by Elijah de Castro; 12/28/24 Nancy Folsom has been working around death since she was a teenager in her family’s funeral home, where she was an embalmer apprentice. From there, she took a step back, pursuing a career as a home hospice nurse in the Monadnock Region, where she helps those who are dying confront death. “Death is never easy, at any age or any time,” Folsom said. “We want to make it as human as possible. I’ve always been comfortable with death.” ... Folsom, 62, of Jaffrey, “has never had a boring day” on the job. When she’s not out in the community working, she’s in the Peterborough office of Home Healthcare, Hospice and Community Services, a local nonprofit provider of home health services that also has offices in Keene and Charlestown. ... Over the years, Folsom has gained experience in how to best read a situation when she gets a new patient. Building trust between a hospice nurse and a patient, Folsom said, takes time, something many of her patients don’t have. Folsom resolves this dilemma by first making sure she is comfortable herself and cultivating a calm, abiding presence. ...

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Sierra Hills employees strike for safer conditions to live and work

12/30/24 at 03:00 AM

Sierra Hills employees strike for safer conditions to live and work Wyoming Tribune-Eagle, Cheyenne, WY; by Noah Zahn; 12/26/24 Employees at Sierra Hills Assisted Living protested Thursday outside the facility after Edgewood Healthcare, which owns Sierra Hills, has refused to budge in negotiations for safer working conditions for employees and residents after more than 10 months of negotiation. “We did include many things in our contract proposal that we feel will really benefit the residents,” said Taylor Ewig, who has been a CNA at Sierra Hills for around 10 years. ... There are currently between 70 and 80 residents at the facility and around eight under hospice care. Ewig and other CNAs participating in the strike said that many of the Sierra Hills residents are supportive of the strike. The issues began at the facility when Sierra Hills implemented a hospice care service a few years ago, shortly after the onset of the COVID-19 pandemic. ... The company hires hospice nurses who are only on the facility about two hours per week, according to Sierra Hills staff. The rest of that time, the burden of care for the resident falls to the staffed CNAs and RNs.

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What does a hospital chaplain do for patients seeking health care in Connecticut?

12/30/24 at 03:00 AM

What does a hospital chaplain do for patients seeking health care in Connecticut? Shelton Herald; by Jordan Nathaniel Fenster; 12/29/24 Rev. ReBecca Sala described her work as “archaeology of the soul.” Her first masters’ degree, long before she became a hospital chaplain, was in museum administration of archeological collections. She doesn’t see the two roles as very different.  “I've been a searcher my whole life,” she said. In the same way that an archaeologist gently brushes away the silt and stone of centuries, Sala said she attempts to gently allow emotions and spirituality to emerge from patients and their families receiving care at Stamford Hospital.  ... “That people even allow me to be there with them is humbling.” ... “It's meeting the patient where they are, not where I want them to be, what we as chaplains want them to be. It's finding out what's most important to them in that moment,” she said. .. Sala said if there was a bridge between the physical and the spiritual, it would be palliative care. The goal of palliative medicine is to improve the quality of a patient’s life physically, emotionally and spiritually. 

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Jimmy Carter, the 39th US president, has died at 100

12/30/24 at 03:00 AM

Jimmy Carter, the 39th US president, has died at 100 Associated Press (AP), Atlanta, GA; by Bill Barrow; 12/29/24 Jimmy Carter, the peanut farmer who won the presidency in the wake of the Watergate scandal and Vietnam War, endured humbling defeat after one tumultuous term and then redefined life after the White House as a global humanitarian, has died. He was 100 years old. The longest-lived American president died on Sunday, more than a year after entering hospice care, at his home in the small town of Plains, Georgia, where he and his wife, Rosalynn, who died at 96 in November 2023, spent most of their lives, The Carter Center said. “Our founder, former U.S. President Jimmy Carter, passed away this afternoon in Plains, Georgia,” the center said in posting about his death on the social media platform X. It added in a statement that he died peacefully, surrounded by his family. ...

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UnitedHealth Group waives deadlines to complete $3.3B home health acquisition

12/30/24 at 03:00 AM

UnitedHealth Group waives deadlines to complete $3.3B home health acquisition The MInnesota Star Tribune; by Brooks Johnson; 12/27/24 UnitedHealth Group has filed for more time to complete a $3.3 billion deal to buy Amedisys, a home health care and hospice company, after the companies agreed to waive deadlines in the face of antitrust scrutiny. The U.S. Department of Justice and several states last month sued to block the deal, alleging the merger would give the Minnetonka-based health care conglomerate a commanding stake in many areas. “ ... UnitedHealth and Amedisis agreed to waive two deadlines to complete the deal, according to a Securities and Exchange Commission document filed Friday. One would have given 10 days after a court ruling to complete the deal; the other gave the companies until the end of 2025. UnitedHealth will now have to pay $275 million if the company backs out of the deal, a $25 million increase, and that figure could rise to $325 million.

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Love remains the greatest gift of all

12/30/24 at 02:30 AM

Love remains the greatest gift of all The Eagle-Tribune; Commentary by Raymond Hackett, Jr.;  12/28/24 On Christmas Eve in the year 2000, an article I wrote, "Love is the greatest gift of all," was published in the Haverhill Gazette, a sister paper to The Eagle-Tribune. At the time, my grandmother Frances V. (Anderson) Marchand Mears, was a resident of Penacook Place nursing home on Water Street in Haverhill. She was afflicted with Alzheimer's disease. As young as 6 years old I knew I loved writing. That year I handed my grandmother a birthday card I made for her on her St. Patrick's Day. ... She has since passed. However, on Oct. 7 of this year, we found ourselves at Penacook Place again, this time to bring our father, Raymond Hackett. It was a difficult day for my family. We knew he was at that stage of Alzheimer's disease when he really needed 24-hour care. ... A hospice nurse showed up and checked my father's vital signs. ... My father died about a month later on Dec. 15, but we forever have that day, when we left the nursing home saddened and facing the inevitable. We also left with the knowledge that blessings come in many – sometimes unexpected – ways, and that love will always and forever be the greatest gift of all.

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Flu season is here. Here’s what you can do about it.

12/30/24 at 02:30 AM

Flu season is here. Here’s what you can do about it. USA Today; by Eduardo Cuevas; 12/26/24 Holidays are upon us — and so is the flu. More Americans are getting infected with seasonal influenza and seeking care, according to Centers for Disease Control and Prevention data. “It is clearly the season,” Dr. Eduardo Azziz-Baumgartner, a medical epidemiologist in the Centers for Disease Control and Prevention’s Influenza Division, told USA TODAY. One important step, if people haven’t done so, is to get vaccinated, he said. Full protection takes a couple weeks to kick in, but it has benefits in preventing serious illness. “The flu season still has weeks to go, so they will still get protection from the flu shot if they get it soon,” he said. Last year, the flu led to 470,000 hospitalizations and 28,000 deaths.

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Statement on the passing of former President Jimmy Carter

12/30/24 at 02:00 AM

Statement on the passing of former President Jimmy Carter National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; by Matt Wilkinson; 12/29/24 With profound sadness, Tom Koutsoumpas, CEO of the National Partnership for Healthcare and Hospice Innovation (NPHI), the leading advocate for not-for-profit advanced illness, hospice, and palliative care providers, today released the following statement on the passing of former President Jimmy Carter: “With heavy hearts, NPHI joins the nation in mourning the passing of former President Jimmy Carter — an incredible statesman and humanitarian. His long and impactful life, spanning almost a century, is reflective of a steadfast dedication to service. As a Nobel Peace Prize recipient, he will be remembered for his persistent efforts in seeking peaceful solutions to conflicts, advancing democracy and human rights, and promoting economic and social development. When President Carter chose to receive hospice care in his hometown of Plains, Georgia, he and his family made the decision that countless others do — to receive care in the comfort and solace of their homes, surrounded by the love and support of family. President Carter’s nearly two-year journey in hospice care highlights its profound value, challenging the misconception that hospice is solely for the final days of life. His experience illustrates how hospice can provide comfort, dignity, and compassion for those navigating life’s final chapter. Our heartfelt condolences are extended to the entire Carter family and to those who drew inspiration from his life’s extraordinary work.” 

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Providence’s joint venture with Compassus likely delayed amid concerns about patient care and rural access

12/29/24 at 03:55 AM

Providence’s joint venture with Compassus likely delayed amid concerns about patient care and rural access Home Health Care News; by Audri Martin; 12/19/24Oregon’s Health Care Market Oversight (HCMO) program is reviewing a proposal to spin off Providence’s home health and hospice services into a joint venture supported by private equity. ... OHA’s HCMO program evaluates health care business transactions to ensure they do not negatively impact citizens or communities. The program also empowers state regulators to impose conditions on acquisitions and mergers or reject deals they find anti-competitive. Critics of the deal argue that the joint venture will result in cost-cutting measures, increased staff workloads and reduced patient services. Providence is the fifth largest nonprofit health care provider in the United States, while Compassus is a private equity-backed provider of home-based care services operating in more than 30 states.

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EverHeart Hospice expands and offers growth in the community

12/29/24 at 03:50 AM

EverHeart Hospice expands and offers growth in the community Mercer County Outlook, Mercer County, OH; 12/19/24 EverHeart Hospice is thrilled to announce the opening of its newly expanded Inpatient Care Center. This significant milestone marks a new chapter in their commitment to providing compassionate care to patients and families experiencing life-limiting illnesses. The grand opening event, held in their new space on the 3rd floor of Wayne HealthCare, was a resounding success, bringing together community members, healthcare professionals, and local dignitaries. Attendees had the opportunity to tour the new space, which featured enhanced patient rooms, advanced medical equipment, and comfortable family areas designed to create a serene and supportive environment.

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Hospice Special Focus Program List

12/29/24 at 03:45 AM

Hospice Special Focus Program ListCMS Announcement; 12/20/24December 20, 2024: Today, the Centers for Medicare & Medicaid Services (CMS) released the list of the initial cohort of 50 hospices selected for participation in the Hospice Special Focus Program (SFP) in 2025. The SFP program, led by the Center for Clinical Standards and Quality, drives hospice quality improvement through increased health and safety oversight. This effort is a continuation of CMS’s commitment to improving hospice care for patients and families by holding hospice agencies accountable to national health and safety standards. [The initial cohort of 50 hospices selected for participation in the SFP can be downloaded here.]

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This little light of mine, I'm gonna let it shine

12/29/24 at 03:40 AM

This little light of mine, I'm gonna let it shine. ~ Click here for its history: "... Well-known in many parts of the world with variations in lyrics and melody. Participants in the civil rights movement of the 1950s and 60s sang this powerful anthem as they faced their oppressors with strength and dignity." Selected for Today's Encouragement to honor the December 26th start of Kwanzaa and its 7 candles:

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Muslim community-engaged research highlights Muslim Americans' end-of-life-healthcare gaps and needs

12/29/24 at 03:35 AM

Muslim community-engaged research highlights Muslim Americans' end-of-life-healthcare gaps and needs WisconsinMuslimJournal.org; by Sandra Whitehead; 12/20/24 Few Muslim Americans use hospice care, despite its posited benefits. A multi-sectoral team of academicians and community leaders in southeastern Wisconsin decided to find out why. ... Muslims are one of the fastest-growing religious communities in the United States, numbering between 3 to 5 million, with projections it will double by 2050. “With an aging Muslim population, there is a growing need for specialized healthcare services like hospice and palliative care,” the team’s research explains. ... Through a qualitative descriptive study with a Muslim patient and 10 family caregivers, the research team identified their perceptions of hospice care, ethical concerns and experiences. Among their varied perceptions, many saw it as useful only in the last hours of life. Participants also had ethical concerns about the use of sedative medication and with cessation of feeding terminally ill patients. Some had concerns about how hospice care might lead to unnecessary interventions or even hasten death. ...  The team is developing an informational resource, Islamic Bioethical Considerations for the End of Life: A Guide for Muslim Americans, to help Muslims who struggle when thinking about death and dying. 

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Musician mom, 31, enters hospice in final days, writes song for young son: 'My art is all I have to leave behind'

12/29/24 at 03:30 AM

Musician mom, 31, enters hospice in final days, writes song for young son: 'My art is all I have to leave behind'People, by Jordan Greene; 1/25/24Cat Janis shared her final wish – for her song 'Dance You Outta My Head' which she wrote for her 7-year-old son — to go viral. Editor's note: Click here for a follow-up article we posted on 2/19/24 about her song having hit number 1 on the TikTok Billboard Top 50. 

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Mobile app–facilitated collaborative palliative care intervention for critically ill older adults-A randomized clinical trial

12/29/24 at 03:25 AM

Mobile app–facilitated collaborative palliative care intervention for critically ill older adults-A randomized clinical trialJAMA Internal Medicine; Christopher E. Cox, MD, MPH; Deepshikha C. Ashana, MD, MBA, MS; Katelyn Dempsey, MPH; Maren K. Olsen, PhD; Alice Parish, MSPH; David Casarett, MD; Kimberly S. Johnson, MD; Krista L. Haines, DO; Colleen Naglee, MD; Jason N. Katz, MD, MHS; Mashael Al-Hegelan, MD, MBA; Isaretta L. Riley, MD, MPH; Sharron L. Docherty, RN, PNP, PhD; 12/24An automated electronic health record–integrated, mobile application–based communication platform that displayed family-reported needs over 7 days, coached ICU attending physicians on addressing needs, and prompted palliative care consultation if needs were not reduced within 3 study days. In this randomized clinical trial, a collaborative, person-centered, ICU-based palliative care intervention had no effect on palliative care needs or psychological distress compared to usual care despite a higher frequency of palliative care consultations and family meetings among intervention participants.

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An innovative take on transforming hospice spaces with Buildner for better well-being

12/29/24 at 03:20 AM

An innovative take on transforming hospice spaces with Buildner for better well-being Arch Daily; 12/19/24 Buildner has announced the results of its Hospice - Home for the Terminally Ill competition, the third in a series of architectural idea challenges focused on creating compassionate spaces for individuals facing terminal illnesses. This competition encouraged architects to move beyond traditional medical models, designing environments that prioritize comfort, dignity, and community. Participants were tasked with envisioning a facility for up to 15 visitors and five staff members, incorporating essential spaces such as a library-equipped common area, gathering room, chapel, kitchen, dining area, nurse's station, and therapy room for psychological support. Designs were grounded in theoretical sites within participants' home countries, allowing for the integration of local cultural, social, and environmental contexts. The competition highlighted how innovative, thoughtful design can provide solace and strength during life's most difficult moments. ...

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ProCare Hospice of Nevada names nationally recognized hospice expert Keith Everett as new CEO

12/29/24 at 03:15 AM

ProCare Hospice of Nevada names nationally recognized hospice expert Keith Everett as new CEOProCare Hospice press release; 12/9/24In a move that underscores its vision to transform the cultural perceptions of advanced illness care, ProCare Hospice of Nevada (PCH) proudly announces Keith Everett as its new Chief Executive Officer. Everett, a proven leader in hospice care, most recently served as the President and CEO of Hospice of Acadiana in Lafayette, Louisiana.

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National Alliance for Care at Home and Transcend Strategy Group publish Rural American Hospice Insights Report

12/29/24 at 03:10 AM

National Alliance for Care at Home and Transcend Strategy Group publish Rural American Hospice Insights Report National Alliance for Care at Home, Alexandria, VA and Washington, DC; Press Release; 12/19/24The National Alliance for Care at Home (the Alliance) and Transcend Strategy Group published the results of new research exploring perceptions of hospice care among rural and small-town communities. This survey of 400 people is part of the Alliance’s commitment to health equity and to breaking down barriers to accessing hospice and home care through knowledge sharing, data collection, and collaborative discussion. Along with key research findings, the Rural American Hospice Insights report offers recommendations for hospice providers to help increase understanding of hospice care and help overcome barriers to access. Key findings and recommendations include:

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House of Goshen makes history as Chicago’s first black-owned independent inpatient hospice house

12/29/24 at 03:05 AM

House of Goshen makes history as Chicago’s first black-owned independent inpatient hospice house G20 News Today, Flossmoor, IL; 12/21/24 House of Goshen, a state-of-the-art inpatient hospice facility and the first Black-owned independent hospice center in the Chicago Southland area, is now officially accepting patients. Located at 19810 Governors Highway in Flossmoor, the center represents a pivotal advancement in equitable, compassionate end-of-life care in Chicagoland, the South Suburbs and beyond. The 14,000-square-foot facility offers 14 private suites designed to provide comfort, dignity, and peace for patients and their families. ... “Our goal is to create a sanctuary where every patient and family member feels supported, seen, and cared for,” said Sade Bello, co-founder of House of Goshen. “Being the first Black-owned hospice center in the region comes with immense pride and responsibility. We are committed to setting a standard of care that reflects the diversity and humanity of the communities we serve.”Editor's note: Thank you to the House of Goshen. Readers, pair this with the significance about hospice locations in "Who gets access to a good death?," an article that we posted on 10/24/24.

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Today's Encouragement

12/29/24 at 03:00 AM

Just be a good person. Love who you can, help where you can, give what you can. ~LessonsLearnedInLifeInc.

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Sunday newsletters

12/29/24 at 03:00 AM

Sunday newsletters focus on headlines and top read stories of the last week (in order) - enjoy!

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10 Years of making the world a more livable place for all bereaved people

12/29/24 at 03:00 AM

10 Years of making the world a more livable place for all bereaved people Evermore; by Joyal Mulheron, Executive Director; 12/21/24   Fourteen years ago today, I was sitting on my couch, trying to make sense out of what just happened to our family. Our terminally ill daughter, Eleanora, had died a few weeks prior. While others sang holiday songs and gleefully exchanged gifts, it was a profoundly painful, dark, and isolating time for me. Within a few short years, I quit my career because I saw tragedies saturating our national headlines, leaving a trail of unseen and unsupported bereaved people in their wake, and I believed our nation should prioritize the needs of all bereaved people. ... This is what I set out to change. ... Evermore’s groundbreaking advocacy efforts resulted in our nation’s first Report to Congress, which provided an overview of grief and bereavement services in the United States. Next year, a report analyzing more than 8,000 scientific studies will be published, reviewing the highest quality interventions for bereaved people — which was championed by Evermore and endorsed by Congress. Editor's note: Click on the title's link to continue reading Evermore's trailblazing, state-of-the-art leadership and advocacy with Congress, with the government's Substance Abuse and Mental Health Services Administration (SAMHSA), Newsweek, PBS, Harvard's Public Health magazine, Penn State, the University of California, and more. Click here to join Evermore's mailing list, and to learn from Joyal Mulhuron, Evermore's innovative, inspirational Founder/Executive Director. 

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Today's Encouragement

12/28/24 at 03:55 AM

In the end, it's not the years in your life that count. It's the life in your years. ~Abraham Lincoln 

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Trends in private equity acquisition of pain management practices

12/28/24 at 03:45 AM

Trends in private equity acquisition of pain management practicesJAMA Network Open; Geronimo Bejarano, MPH; James E. Eubanks, MD, MS; Robert T. Braun, PhD; 12/24Pain has the highest health care spending in the US and is expected to increase with the aging population, which may entice private equity acquisitions of pain management practices. Private equity has increasingly acquired physician practices and acquisitions are associated with higher spending, utilization of more expensive treatments, and increasing patient volume. In this cross-sectional study of private equity acquisitions of pain management practices, we found a rise in acquisitions over the last decade with almost 1 in 10 pain management physicians affiliated with a private equity–owned pain management practice. [The] ... high amount of consolidation within certain states poses concerns for private equity to have enough market power to control care delivery of several procedure-based specialties, including pain management. Policymakers and the Federal Trade Commission have taken notice of the harms of increases in both health care consolidation and private equity acquisitions, and there are ongoing efforts to curb their detrimental effects. 

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