Literature Review

How therapy dogs are bringing comfort to hospice patients in Metro Detroit The Detroit News, by Anne Snabes; 4/7/24 For over two months, hospice patient Virginia Favero has been getting occasional visits from Sam the beagle-mix, providing her with a canine companion. Sam isn't her dog, but he's there to bring her comfort. Sam's owner, Rachel Marshall, typically has the dog sit on a black folding chair, so Favero can reach him from her recliner chair in the Pomeroy Living community in Northville. ... "It really warms her heart when he comes," said Lynn Favero, Virginia Favero's daughter.

New safeguards added to New York's proposed Medical Aid in Dying ActSpectrum News 1, by Luke Parsnow; 4/5/24The two architects behind New York’s Medical Aid in Dying Act have amended added additional safeguards to the legislation in the hope it can soon become law. The act would allow terminally ill, mentally capable adults who have been given six months or less to live to take their own lives with a cocktail of pharmaceutical drugs.

How to talk about death Maine Public Radio, by Jennifer Rooks and Cindy Han; 4/5/24 Talking about death is not easy. We'll discuss why stigma and discomfort can impede end-of-life conversations, for the person who may be nearing death as well as for friends and family members. We'll find out how to address the emotional and spiritual aspects of dying. And we'll discuss the more practical legal, financial and medical matters to handle before and after someone has died.Panelists: Julie Weiss, social worker, Hospice of Southern Maine; Dr. Paul Segal, nephrologist, assistant professor of medicine; helped create curriculum for end-of-life doula students, University of New England; Dr. Fernando Moreno, palliative care specialist; medical director, Hospice of Southern Maine

Dane County Board approves funding for hospice care program for homeless individualsABC TV 27 WKOW, Madison, WI; by Chloe Morrissey; 4/6/24Multiple organizations aiming to combat homelessness received approval for funding after Thursday night's Dane County Board meeting. One organization, Solace Friends, will be receiving $100,000 for the creation of Solace Home. It's a hospice program for housing insecure individuals given less than 6 months to live. The home can serve up to four people at one time who are currently living on the street, in a shelter or an unstable housing situation. 

Providence spins off patient portal company Modern Healthcare, by Brock E.W. Turner; 4/2/24 Providence is spinning off a patient portal company from its incubator program, the health system said Tuesday. The Renton, Washington-based Catholic health system Providence is spinning out consumer engagement technology company Praia Health. Praia also received a $20 million Series A funding round as part of the spinoff.

[Psychology Today] Facing Mortality Honestly Psychology today, by Patricia Prijatel; 4/6/24 Personal Perspective: Being Mortal, by Atul Gawander, explores end-of-life-care. I read Being Mortal by Atul Gawande when it was first published in 2014 and haven’t stopped talking about it. It shot to the top of my list as one of the most important books I’ve ever read. After 10 years, I read it again to see if it held up. It did. I was as entranced the second time as the first—even more so because, as it happens, I am also now 10 years older.

Improved onboarding process could boost worker retentionMcKnights Senior Living, by Kathleen Steel Gaivin; 4/8/24As long-term care providers navigate post-pandemic workforce challenges, they also need to improve the onboarding process, according to the results of a new survey by Viventium. ... The study detailed in the company’s 2024 Caregiver Onboarding Experience Report solicited responses from 175 administrators and caregivers in skilled nursing, assisted living, independent living, home health, home care and hospice care in November and December. The survey, Viventium said, found a “shockingly low bar for what passes as a ‘good’ onboarding experience, with strong indications that raising that bar could correlate to higher retention rates.”Editor's Note: See the article in today's newsletter, "A day in the life: Hospice nurse" for the importance of onboarding hospice nurses to to differences between long-term care and hospice care.

Incorporating bereavement into the continuum of careMedpage Today, by Charles Bankhead; 4/4/24... Despite being integral to high-quality, family-centered healthcare, bereavement support often is poorly resourced, even described as the "poor cousin of palliative care." ... To develop a framework for compassionate communities requires shifting bereavement care from "an afterthought to a public health priority," wrote Wendy G. Lichtenthal, PhD, of the University of Miami Sylvester Comprehensive Cancer Center, and co-authors in Lancet Public Health. ... In an ideal setting, bereavement care begins with pre-death grief education, continues through the dying process and end of life, and transitions into community-based support and psychosocial services, as needed. .. The [continuum of care] model comprises five essential "pillars":

CMS: Contract Year 2025 Medicare Advantage and Part D Final Rule (CMS-4205-F)CMS, Medicare Part D, Policy; 4/4/24On April 4, 2024, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that revises the Medicare Advantage Program, Medicare Prescription Drug Benefit Program (Medicare Part D), Medicare Cost Plan Program, Programs of All-Inclusive Care for the Elderly (PACE), and Health Information Technology Standards and Implementation Specifications. Additionally, this final rule addresses several key provisions that remain from the CY 2024 Medicare Advantage and Part D proposed rule, CMS-4201-P, published on December 14, 2022. ... This fact sheet discusses the major provisions of the 2025 final rule which can be downloaded here: https://www.federalregister.gov/public-inspection/2024-07105/medicare-program-medicare-advantage-and-the-medicare-prescription-drug-benefit-program-for-contract

Telehealth effective in supporting rural caregivers Hospice News, by Jim Parker; 4/3/24Palliative care delivered via telehealth is effective at improving access to caregiver support. Moreover, these services can also be cost-effective, recent research has found. ... “[Technology-enhanced transitional palliative care] is a feasible, low cost and sustainable strategy to enhance [family caregiver] support in rural areas,” researches indicated in the study. “Potential reimbursement mechanisms are available to offset the costs to the health system for providing transitional palliative care to caregivers of patients recently hospitalized.”

Optimizing RN responsibilities ‘more essential’ than staffing hours: study McKnights Long-Term Care News, by Josh Henreckson; 4/2/24 ... [New] analysis suggests that optimizing the role of registered nurses would be an even more effective way of increasing quality of care. Care quality would strongly benefit from an industry-wide focus on the responsibilities of RNs, the study’s authors said. Specifically, leaders should more actively differentiate RNs from licensed practical nurses, use a nursing practice model framework to maximize the role of RNs and provide RNs with more education in leadership and geriatric care.

Major unions, including SEIU, maintain momentum following 2023 strike upswing McKnights Long-Term Care News, by Josh Henreckson; 4/5/24 New analysis of US Department of Labor data shows that large unions such as the SEIU were able to leverage heightened labor activity to recruit new workers in 2023. In a year characterized by headline-grabbing strikes across multiple industries, the long-term care sector has not been without its share of labor activity — such as recent strikes organized by the SEIU to demand higher wages. With so many providers’ staffing and funding woes poised to remain at the forefront of sector concerns, some experts suggest that unions may be able to gain even more momentum in the months and years ahead.

The iconic stethoscope is getting a 21st century makeoverManaged Healthcare Executive, by Peter Wehrwein; 4/4/24 Two years ago, a pair of New Zealand physicians wrote an opinion piece in a peer-reviewed journal of the Royal Australasian of Physicians about point-of-care ultrasound. The gist of their argument was that ultrasound ought to be used more routinely to detect various heart and lung conditions. The somewhat cheeky title of that article is “Update on Echocardiography: Do We Still Need a Stethoscope?” Jason Bellet has spent more than a decade making pretty much the opposite case: Not only do healthcare professionals still need a stethoscope, they need a vastly improved, 21st century version that harnesses digital technology and artificial intelligence (AI).