Literature Review

Indiana music therapy specialists talk about the practice BallStateDailyNews.com; by Hannah Amos; originally posted 9/3/24, distributed 9/12/24 The strum of a guitar, the hum of a voice and the steady beat of a drum makes more than just music. It provides a way for people to work through their emotions.  Kirby Gilliam, owner and founder of Plainsong Music Services in Anderson, Indiana, said she noticed music creates a safe space.  ... [She] uses different techniques: expressive, receptive, recreated and the ISO principle. Expressive music therapy is when the patient makes music. The receptive technique is when the therapist makes music and the patient listens. Recreated is when patients sing songs made by other artists. Finally, the ISO principle is when the music matches the patient’s mood, and through music, they shift the mood in a positive direction, Gilliam said.  “Music therapy is an evidence-based field, based and rooted in science and research,” Gilliam said. “If it didn't have the evidence base, it would be more like hippie-dippy and anecdotal … The why is [that] music opens up your entire brain — all of the pathways.” ... Another worker at Plainsong is Hospice Coordinator Kinsey Lavy, who primarily works with geriatrics and individuals with intellectual and developmental disabilities.  Editor's note: For a book specific to music therapy and music for hospice and grief care, with practical uses by mental health practitioners, I invite you to examine my book, Music of the Soul - Composing Life Out of Loss, published in Routledge's Series in Death, Dying and Bereavement, edited by Robert A. Neimeyer.

Innovative program reduces nurse turnover and fosters development Oncology Nursing News; by Heather Wood, RN, OCN and Marie Garcia, RN, OCN; 9/12/24 Cancer incidence is on the rise in the US, especially among the growing older population. ... Unfortunately, the current shortage of oncology nurses is expected to worsen, as fewer people enter the profession while aging nurses retire. By 2025, a shortage of 200,000 to 450,000 oncology nurses is predicted in the US. ... In response, The US Oncology Network (The Network) has developed one of the most comprehensive programs in the nation to support the professional development and retention of new oncology nurses. ... Designed to enhance their knowledge of fundamental oncology, OCEAN is a collaborative effort bringing together a multidisciplinary team of experts and speakers from across The Network. The program provides fundamental oncology knowledge around 12 core areas delivered over 22.5 hours of live virtual learning. Content ranges from ... various treatment modalities ... to palliative care and advanced care planning. OCEAN’s impact extends beyond skill development, fostering a sense of belonging and purpose among participating nurses. ... Early results from the program are promising, such as increased retention rates [12% better than the national average] and cost savings. 

Improving access to palliative care for patients with cancer JAMA - JN Learning; podcast by Eduardo Bruera, MD; 9/11/24 Palliative care is an essential component to high-quality care for patients with cancer. How can access to palliative care be expanded? Eduardo Bruera, MD, from MD Anderson Cancer Center speaks with JAMA Editor in Chief Kirsten Bibbins-Domingo about 2 new trials in JAMA that address access to care and what more it will take for executives, insurers, and regulators to support palliative care programs. [Podcast: 11 minutes 53 seconds] 

Helping patients keep their dignity in their final moments Physician's Weekly; by Linda Girgis, MD, FAAFP; 9/11/24 In the US, approximately $365 billion is spent annually on end-of-life care, or ten percent of total healthcare expenditures. While some of this is essential, such as hospice care, much is spent on futile care. The Merriam Webster Dictionary defines futile as “serving no useful purpose, completely ineffective.” While we may be able to keep patients alive longer, such as using ventilators, it should be evaluated as to the endpoint. It is futile if the patient has no hope of recovery. ... How can we help our patients die with dignity?

AI scribes show promising results in helping family doctors and nurse practitioners spend more time with patients and less time on paperwork LaGrange Daily News, Toronto, Canada; by PR Newswire / Canada Newswire; 9/11/24 Family doctors report spending 70% to 90% less time on paperwork in a study evaluating the use of artificial intelligence (AI) scribe technology. OntarioMD (OMD), a subsidiary of the Ontario Medical Association (OMA), announced this week the findings of the study that examined the use of AI scribes by more than 150 family doctors and nurse practitioners (NPs) over a three-month period. AI scribes capture conversations between family doctors or nurse practitioners (NPs) and their patients and summarizes them into detailed electronic medical notes. The family doctors and NPs assessed AI scribes' effectiveness in reducing their time spent on administrative tasks and the results are very promising. ... The results also support the Ministry of Health and Ontario Health's Patients Before Paperwork (Pb4P) initiative aimed at helping doctors spend more time caring for patients instead of doing unnecessary paperwork.

The ‘Holy Grail’ of palliative care payment through ACOs Hospice News; by Jim Parker; 9/11/24 As opportunities to provide palliative care through Accountable Care Organization (ACO) relationships continue to arise, operators will likely need to understand the varying types of reimbursement that exist in that arena. ACOs are groups of physicians, hospitals and other health care providers who come together voluntarily to give coordinated high-quality care to their Medicare patients. Hospices and palliative care providers can collaborate with ACOs by becoming members of those organizations themselves, or by contracting with them through a preferred provider network. Community-based palliative care’s track record of reducing costs and hospitalizations could make providers of those services attractive to ACOs, according to Edo Banach, partner at Manatt Health, a division of the law firm Manatt, Phelps & Phillips, LLP.

Competency standards for quality are needed now more than everModern Healthcare; by Stephanie Mercado; 9/11/24Stephanie Mercado is CEO of the National Association for Healthcare Quality. Healthcare quality is foundational to achieving the overarching goals of every care provider: improving population health, enhancing patient experiences, controlling costs, and more. Yet we are not where we need to be – and sustainably achieving quality and safety goals continues to be just outside of our reach. Why? New research from the National Association for Healthcare Quality reveals that people working in healthcare define quality very differently from one another. They use a range of terms like compliance, utilization management, safety, equity, population health, value. When stakeholders see quality differently and see each effort to advance quality as separate and distinct, it’s no wonder we are not further along in this quest for quality.Publisher's note: This article discusses concerns including care, cost, the workforce cliff, and how quality is achieved.

Agnesian HealthCare Foundation 2024 Charity Open has successful year envision - Greater Fond du Lac, WI; by Agnesian HealthCare Foundation; 9/11/24 The Agnesian HealthCare Foundation recently hosted its 36th annual Charity Open, presented by the Michels Corporation, celebrating another successful year supporting local hospice and cancer patient care. Since 1989, the Charity Open has raised more than $7.6 million. Thanks to the generosity of those attending and sponsoring the event, the Agnesian HealthCare Foundation raised approximately $455,000. Proceeds from this year’s event are supporting SSM Health at Home Hospice and SSM Health Cancer Care services within the greater Fond du Lac area – helping ensure that all patients have access to these vital services regardless of their ability to pay. “Our hospice team supports our patient’s last days by offering comfort and dignity,” according to Kim Laws, Agnesian HealthCare Foundation director of development and interim leader. “Our goal is to provide this service regardless of the family’s ability to pay." 

The psychological impact of inclusive leadership Psychology Today; by Priya Nalkur Ed.D; 9/9/24 Here's how empathy can drive organizational success. Key Points:

A dying wish: Longtime hospice volunteer has a challenge for GV Green Valley News, Green Valley, AZ; by Dan Shearer; 9/10/24 ... The woman who walked alongside dying patients as a hospice volunteer for more than 20 years is now herself in hospice. She smiles but says the glistening in her eyes are sad tears. But cancer hasn't taken her joy, and she’s emotionally strong enough to meet with a reporter in her final weeks to make a request of Green Valley: Please consider taking up just the kind of work she’s been doing for two decades. It’s tough, but it comes with lessons and blessings that last a lifetime. ...

Two decades after 9/11, Tarrant County interfaith group brings women together Fort Worth Report, Fort Worth, TX; by Marissa Greene; 9/10/24 Janice Harris Lord remembers Sept. 11, 2001, crystal clear. ... In late 2001, it struck Harris Lord that there was something she could do: pull women of different faiths together. By January 2002, Harris Lord formed Daughters of Abraham, a discussion group made up of local Muslim, Jewish and Christian women. The group serves as a venue for women to learn about and build friendships with women of different religions. In its 22-year history, the group has grown from 18 women to various regional groups in Fort Worth, Arlington, northeast Tarrant County and Dallas. ... In the group’s two-decade history, the most poignant thing Harris Lord learned was the tradition that Jewish and Muslim families undergo when preparing a deceased loved one for burial. Muslim and Jewish families participate in a tradition called ghusl in Arabic or tahara in Hebrew, which involves washing and purifying a body before burial. It is considered one of the greatest good deeds someone can do for another in the faiths. When Harris Lord’s husband tragically died ..., she knew she wanted to honor him in that way. “(The hospice nurse) gave me some soap and water, and we shaved him, and I washed his hair and got it combed right, like he wanted it,” Harris Lord said. “It was beautiful. I think it helped me more with my grieving than anything, because I knew I had done the very last thing I could do for him.” 

Make it a September to remember. ~ Anonymous

Central Coast lavender farm helping cancer and hospice patients in Monterey County KSBW-8 News, Monterey County, CA; by Zoe Hunt; 9/9/24  Lavender Creek Co. has turned its family farm into a source of comfort for cancer and hospice patients in Monterey County. Ryan and Myriah Hopkins are the husband-and-wife duo behind the lavender farm on Carmel Valley Road. They’re using their home-grown lavender to donate products like hand towels and eye pillows designed to soothe and relax, a much-needed comfort for hospital patients. ... "We are donating our lavender that [the Monterey Quilters Guild sews]into eye pillows and then donate it to our hospital or nonprofits," Hopkins said. "Then those go to patients undergoing cancer treatment and hospice care."