Literature Review

The art of the obit: Longtime journalist offers tips of the trade Times Colonist, by Pedro Arrais; 4/5/24 Sandra Martin has written obituaries for everyone from Queen Elizabeth II to Margaret Thatcher, Betty Fox — mother of Marathon of Hope runner Terry Fox — Nelson Mandela, Farley Mowat and Jackie Burroughs. ... When she tells the story of an individual’s life and legacy, Martin says, she does it with the reader, not the family, foremost in mind. In that way, her work is different from a family’s death notice. ... “As a journalist, I write for the reader, not the family. That means that it has to be true. What I include has to have had an effect on the subject’s life.”

Regret for the things we did can be tempered by time; it is regret for the things we did not do that is inconsolable. - Sydney HarrisEditor's Note: This quote is from today's post, "Overcome financial regret to embrace a fulfilling life," in category "Today's Inspirational Story."

Virtual reality therapy offers ‘sustained improvement’ in cancer-related pain Healio, by Josh Friedman; 4/8/24  Individuals with cancer reported significantly reduced pain immediately following a 10-minute virtual reality (VR) session, study results published in Cancer showed. The findings from the randomized trial suggest that pain reductions associated with VR use are sustainable for up to 24 hours and produced a reduction in pain bothersomeness and destress, according to researchers. 

Iowa River Hospice resident receives Quilt of Valor Times Republican, by Robert Maharry; 4/8/24 Kenny King may have only spent two years in the military after being drafted into the U.S. Army at the height of the Vietnam War, but he’s always recognized the importance of that period in his life since returning to central Iowa. King who spent the vast majority of his life in the Grinnell area, has been living at Iowa River Hospice since late December, and recently, he received a Quilt of Valor recognizing his service from Denise Straits of the Central Iowa Quilt Sew-ciety, who also happens to be an RN at Iowa River Hospice. 

Telehealth access threatened as internet subsidies near endModern Healthcare, by Sarah Jane Tribble, KFF News; 4/4/24 More than 23 million low-income households — urban, suburban, rural, and tribal — are enrolled in the federal discount program Congress created in 2021 to bridge the nation’s digital connectivity gap. The program has provided $30 monthly subsidies for internet bills or $75 discounts in tribal and high-cost areas. But the program is expected to run out of money in April or May, according to the Federal Communications Commission. In January, FCC Chairwoman Jessica Rosenworcel asked Congress to allocate $6 billion to keep the program running until the end of 2024. 

Insurers’ response to the Change breach failed providers Modern Healthcare, by Chip Kahn and Dr. Bruce Siegel; 4/8/24 ... The Feb. 21 attack on Change Healthcare, a subsidiary of UnitedHealth Group’s Optum unit, severed the electronic ties that connect patients, providers and insurance companies. The attack robbed patients of the certainty they could seek and receive care, and it robbed physicians, pharmacists and hospitals of the resources necessary for patient care. ... Overlooked in this crisis, is that insurance companies failed to act decisively and collectively to protect patients and providers. ... Here’s what should have happened immediately when the threat facing patient care became painfully obvious. 

Care partners have an increased loneliness risk HCP Live, by Chelsie Derman; 4/8/24 The study highlights how the experience of loneliness for care partners of people with dementia changes relationship roles throughout the dementia trajectory. A new study sought to widen the knowledge gap on why people with dementia and their care partners have an increased loneliness risk and identified primary themes: losing external social networks, losses with the dyadic relationship, and the burden of a care partner supporting their loved ones.Editor's Note:

Reminder: April 16 is National Healthcare Decisions Day The Conversation Project, Institute for Healthcare Improvement; ongoing until 4/16/24[Read for] specific ideas and suggestions for ways to implement National Healthcare Decisions Day (NHDD) activities in your community and at your facility. First and foremost, lead by example…be sure you have thoughtfully considered and made your own healthcare decisions known. Editor's Note: from The Conversation Project's "About Us": "The Conversation Project began 2010, when Pulitzer Prize-winning writer Ellen Goodman and a group of colleagues and concerned media, clergy, and medical professionals gathered to share stories of 'good deaths' and 'hard deaths' within their own circle of loved ones."

Thinking outside the box: eco concerns prompt greener funeral options Positive.News, by Alison McClintock; 4/5/24 Keeping a lid on your carbon footprint doesn’t stop with your last breath. Your choice of funeral can have a significant environmental impact. In a recent report by the US-based National Funeral Directors Association, 60.5% of those surveyed expressed their interest in greener options including resomation (water cremation) human composting and natural burials.  And while the UK’s funeral preferences are currently split 80:20 between cremations and burials, YouGov research finds that almost a third (29%) of people in the UK would choose alternative committal methods if available. 

Hospitals cash in on a private equity-backed trend: Concierge physician care KFF Health News, by Phil Galewitz; 4/1/24 Nonprofit hospitals created largely to serve the poor are adding concierge physician practices, charging patients annual membership fees of $2,000 or more for easier access to their doctors. It’s a trend that began decades ago with physician practices. Thousands of doctors have shifted to the concierge model, in which they can increase their income while decreasing their patient load. ...

Medicaid expansion and palliative care for advanced-stage liver cancer Journal of Gastrointestinal Surgery; by Henrique A Lima, Parit Mavani, Muhammad Musaab Munir, Yutaka Endo, Selamawit Woldesenbet, Muhammad Muntazir Mehdi Khan, Karol Rawicz-Pruszyński, Usama Waqar, Erryk Katayama, Vivian Resende, Mujtaba Khalil, Timothy M Pawlik; dated 4/24/28 (for print) Conclusion: The implementation of ME [Medicaid expansion] contributed to increased rates of palliative treatment for patients residing in ME states after expansion. However, racial disparities persist even after ME, resulting in inequitable access to palliative care. 

A day in the life: Hospice nurseDaily Nurse - The Pulse of Nursing; blog by Renee Hewitt; 4/8/24 Supporting someone with a life-limiting diagnosis or talking about death can be difficult for many people, but not for a hospice nurse. What’s it like to care for patients and their families in the end-of-life process? Maryette Williamson, RN, BSN, knows firsthand from working as a BAYADA Hospice Nurse in Fayetteville, North Carolina. We asked her about her work. What follows is our interview ... [From Maryette] ... "There was a learning curve from long-term care to hospice. The most significant difference in hospice is our focus on quality of life rather than a cure. That was the most important change for me."Editor's Note: Consider linking to this resource with your nurse recruitment tools. Hospice executives, this nurse's common transition when moving from long-term care to hospice. Ensure solid orientation/onboarding/precepting training, time, resources, support, and accountability for new hospice employees. Do not assume that they will automatically translate their years of practice into hospice principles and best practices. 

Champions play as they practice. Create a consistency of excellence in all your habits. – Mike Krzyzewski Editor's Note: Dedicated to March Madness 2025 teams. Dedicated to the hospice and palliative care organizations who will provide care to your family and friends this next year.