Literature Review

Seeking human empathy, health insurers turn to AI Modern Healthcare; by Nona Tepper; 3/27/25 When Florida Blue wanted its call center employees to demonstrate greater emotional intelligence when dealing with customers, the nonprofit health insurance company enlisted a tutor incapable of emotion. A generative artificial intelligence, or genAI, chatbot instructs 30 Florida Blue customer service representatives on how to behave like human beings when interacting with other human beings. The chatbot guides workers on human behaviors, such as when to slow their speech, when to hasten a call to its conclusion and what to recommend to policyholders. The company plans to expand this pilot program to its entire 1,600-person call center team this year. [Continue reading ... access may be limited]Editor's note: Is this backwards? What happened to human kindness? Courtesy and core respect? I am a lifelong lover of new technologies. Still, I am surprised at this seemingly-backwards twist. For whatever works, may we learn and grow in "[behaving] like human beings when interacting with other human beings."

2 nursing staff practices tied to safety risks: Study Becker's Clinical Leadership, Washington, DC; by Mariah Taylor; 4/3/25 Washington, D.C.-based George Washington University and Premier researchers found overreliance on agency nurses and nurse overtime was associated with lower patient safety. The study, published April 2 in JAMA Network Open, analyzed data on quality measures for pressure ulcers and nurse staff overtime and agency use from 70 U.S. hospitals from January 2019 through December 2022. Researchers found that nearly half of the hospitals in the study utilized more nurse overtime and agency hours than was safe. The average hours exceeding safe thresholds for agency staff reached 140% and 63.6% for nurse overtime. Overuse of agency nurses and overtime hours was associated with increased rates of pressure ulcers. [Continue reading ...]

Housing instability complicates end-of-life care for aging unhoused populations The Conversation; by Pilar Ingle, University of Denver; 4/7/25 Research estimates that one-third or more of the unhoused population in the U.S. is age 50 or older. Unhoused people of all ages face high rates of chronic and serious illness. They also die at younger ages compared with people who are not unhoused. Yet, there are few options for palliative and end-of-life care for unhoused people. ... In 2024, Colorado saw a 30% increase in the number of people experiencing homelessness from the year before. Nationally, 771,480 people — the highest number ever recorded — experienced homelessness last year. As the number of people experiencing homelessness in the U.S. grows, so too does the need for palliative and end-of-life care for these individuals. ... [Continue reading ...]

A dying wish: Man with terminal cancer travels to volunteer in all 50 states ABC-7 News, Bay Area, CA; by 4/6/25 When Doug Ruch was told he had just 12 to 18 months to live, he didn't choose to stay home. Instead, he hit the road - on a mission to help as many people as possible while he still can. "I thought to myself, I have two choices. I can sit at home and wait to die, or I can go out and live," he told ABC7 News. [Continue reading ...] Editor's note: For more, visit Doug's website, www.dyingtoserve.com.

Nurse honor guard hoping to grow in South Dakota Sisseton Courier, Sisston, SD; by Brenner Cariveau; 4/4/25Nurse Honor Guard is a national organization which aims to honor the life of a nurse in funeral services. Traveling home, health and hospice nurse Laura Frankenhoff said the ceremonies help highlight the career of the nurses and is a way to ensure they are recognized for the work they have done as a nurse. Nurse Honor Guard has been performing ceremonies to honor the lives of nurses nationwide since their inception in the 1980s, Frankenhoff said. Regarding the honor guard, the base is made up of volunteers, according to Frankenhoff. "It's a volunteer chapter. You can make a chapter anywhere." Editor's note: Especially for pioneer hospice organizations--typically non-profits but definitely not all--do you honor those who laid the foundations for the work you're able to do now? If not, how can you? While nurses are absolutely core, how might you also honor your aides, social workers, chaplains, grief counselors, executives, office staff, and others who invested their talents and years in hospice care? May we remember. May we humbly thank and honor them.

Home hacks for geriatric dogs and cats dvm360; by Tyler Carmack, DVM, CVA, CVFT, CHPV, CTPEP, CVPP; 4/4/25 As pets grow older, they encounter mobility, comfort, and overall well-being challenges that can significantly affect their quality of life. Anticipating and addressing these issues early can profoundly impact their later years. As a house call veterinarian dedicated to hospice and palliative care, the first thing I take note of when entering a new home is all the challenges that the patient faces to simply navigate their daily routine. Often, families are aware of some of these difficulties, but others often go overlooked or unnoticed. ... Here are some valuable "home hacks" to share with clients, ensuring their aging dogs and cats enjoy improved day-to-day comfort. ...

What happens when someone passes at home? It depends Bozeman Daily Chronicle, Bozeman, MT; Chris Remely "discussions with a funeral director"; 4/5/25 One of the most common questions we get asked as funeral directors is, “What happens if I pass away at home?” The answer is ... it depends. Home death is fairly common in the context of someone being on hospice care. For many individuals who have been given a difficult medical diagnosis that is terminal, they often prefer to be at home surrounded by loved ones for as long as possible. ... In this scenario, hospice will pronounce the death and work with the funeral home to transfer the individual into their care. ... However, when someone passes away at home and they are not on hospice, this is considered an “unattended death” — meaning a medical professional is not involved. In this case, the coroner’s office is required to investigate the death to determine the cause and manner of death — as well as pronounce the death. ... When someone from the coroner’s office arrives, they will do several things. They will visit with the next of kin and ask them questions about their loved one’s medical history and investigate the scene where the death occurred. Editor's note: Too often, hospices gloss over this all-important information for caregivers and families. Death is traumatic enough. Families are left in a lurch. Conflicts can erupt at the family's most vulnerable moments. Yes, timing and delivery for such sensitive information is important. Our sponsor Composing Life Out of Loss provides empathic, sensitive videos for hospice teams to use with caregivers and families, with interdisciplinary team guides for tending individuals' different readiness for education and preparation.

Build sustainable schedules to support physician well-beingAmerican Medical Association (AMA) - Physician Health; by Sara Berg, MS; 4/1/25Physician schedules often fail to block off the time required to complete nonpatient-facing tasks such as clinical documentation, patient messages and chart review. If this hidden time were accounted for, doctors could show that they have vastly reduced patient availability, given the amount of time that is required to complete these nonclinical tasks. ”Rather than reduce patients’ access to a doctor by blocking their schedules, it makes much more sense to delegate various tasks,” said R. John Sawyer, PhD, a neuropsychologist at Ochsner Health. [Continue reading ...] 

How unexpected empathy for the incarcerated inspired the Bonnie Raitt ballad she found difficult to singAmerican Songwriter; by Tina Benitez-Eves; 4/3/25 Bonnie Raitt was moved to tears by a story she read in The New York Times Magazine in May of 2018. The article spotlighted a prison hospice program in Vacaville, California, where inmates work as caregivers for fellow terminal convicts. Raitt was surprised by her reaction to the intimate photographs and stories of volunteers devoting their time to those incarcerated at the end of their lives and began writing a story about some of the people who weren’t forgotten at the end of their lives, despite their crimes. [From] “Down the Hall” ...: I asked if they let family in / She said not really at the end / Truth is a lot don’t have someone, no friends or next of kin / The thought of those guys going out alone, it hit me somewhere deep / I asked could go sit with them, for some comfort and relief. [Continue reading ...]

How hospices can avoid pitfalls in AI implementation Hospice News; by Jim Parker; 4/4/25 Hospice providers, along with the rest of health care, are increasingly relying on technology for clinical and business operations, with artificial intelligence among the most common investments. However, careful implementation is necessary to effectively use these systems. ... One of hospices’ key goals with AI is to increase efficiency. This lean toward efficiency reflects larger trends in the industry as the labor pool dwindles. Without more boots to put on the ground, providers are seeking ways to get more productivity from the ones they already have in place. [Continue reading ...] 

National Volunteer Week - April 20-26, 2025 National Volunteer Week is celebrated annually during the third week of April and this year it will be observed from April 20 to 26. This week-long celebration is about placing a spotlight on inspiring figures whose invaluable seeds of kindness through volunteering are bettering the community and our world in general. This significant celebration which was established in 1974 provides the perfect opportunity to say thank you. It also challenges us to do better and look for ways to be active participants, joining hands to impact our local communities and calling for more support. [Continue reading ...]

The evolution of work: How Gen Z is reshaping leadership and workplace culture Forbes; by First Place For Youth - Jayme Catalano; 4/2/25 As Generation Z enters the workforce in growing numbers, they are bringing fresh perspectives and expectations that are reshaping the traditional workplace. This digital-native generation, born between 1997 and 2012, is driving significant changes in management styles, work environments, and organizational values. Their influence is prompting companies to adapt, evolve and innovate, creating a new paradigm for the future of work.

Higher sedentary time linked to more chronic conditions, study shows McKnights Long-Term Care News; by Kristen Fischer; 4/2/25 A new study showed a progressive increase in multimorbidity, or multiple chronic conditions, in people who spent more time sedentary (or not moving). When people limited their time being sedentary to under four hours a day, it was linked with a lower chance of multimorbidity. Findings were published Tuesday in Archives of Public Health. ... On average, 46.1% of participants were sedentary for one to three hours a day, while 9.4% of people were still for more than seven hours each day. When scientists put the data together, they noticed a clear trend: The longer time people spent sedentary, the more likely they were to have more health ailments. ... Systemic arterial hypertension, chronic spine problems and high cholesterol were the most common chronic conditions among participants. [Continue reading ...]  Editor's note: What health/wellness support do you provide for your employees who spend hours upon hours at a computer? Do you provide innovative breaks? Walking groups? A roomwith exercise machines? Employee discounts for local gyms? Email me with your supportive solutions.