Literature Review

Fear of falling: Do you have an emergency plan? Harvard Health Letter - Tribune Content Agency; by Heidi Godman; 11/1/24 You’re doing everything you can to avoid a fall, but sometimes tumbles occur despite best efforts: one in four U.S. adults ages 65 and older report falling in any given year. As common as these accidents are, most of us never consider what to do in the event of a fall. How would you get help? Should you contact your doctor or go to a hospital? What would happen after that? If you haven’t already, it’s time to come up with a basic emergency plan, while you’re healthy and can think calmly and clearly.

PositivelyJAX Award - The purple bench of compassionate St. AugustineNews4JAX; by Melanie Lawson; 11/1/24 This month’s PositivelyJAX Award goes to something unique: a bench. But it’s no ordinary bench—it’s The Purple Bench, powered by people and conversation. The concept was brought to life by a group called Compassionate St. Augustine, sparking empathy and understanding in anyone willing to sit down and listen. This purple bench, located just outside the gates of the Lincolnville Community Garden in St. Augustine, often sits empty, waiting for someone to take a seat and begin a conversation.  When I approached, Eileen Reid was happy to join me. In just a short 10-minute conversation, I got to know her—a retired hospice nurse ... “I’ve been around a lot of endings, and endings are beginnings, but now, now I’m beginning a whole different phase of my life, and it’s interesting. ...”Editor's note: Click on the title's link for the community news article. Click here for a photo and description of this Purple Bench Initiative: "The Purple Bench initiative was formed to challenge the community to engage in compassionate practices despite different backgrounds, religions, ethnicities, and views. In a world divided by polarizing opinions, it is increasingly important to find common ground to help those in need."

Amedisys is now oversold (AMED) Nasdaq; by BNK Invest; 10/31/24 Legendary investor Warren Buffett advises to be fearful when others are greedy, and be greedy when others are fearful. One way we can try to measure the level of fear in a given stock is through a technical analysis indicator called the Relative Strength Index, or RSI, which measures momentum on a scale of zero to 100. A stock is considered to be oversold if the RSI reading falls below 30. In trading on Thursday [10/31], shares of Amedisys, Inc. (Symbol: AMED) entered into oversold territory, hitting an RSI reading of 29.4, after changing hands as low as $94.76 per share. By comparison, the current RSI reading of the S&P 500 ETF (SPY) is 44.0. ...

How end-of-life dreams and visions are bringing comfort to dying patients: A conversation with Christopher W. Kerr, MD, PhD The ASCO Post (American Society of Clinical Oncology); by Jo Cavallo; 11/1/24 Just weeks or even days or hours away from death, the majority of conscious terminally ill patients often experience growth and meaning in their lives and the absence of fear through end-of-life dreams and visions, according to research by Christopher W. Kerr, MD, PhD. Dr. Kerr is Chief Executive Officer and Chief Medical Officer of Hospice and Palliative Care Buffalo, New York, and coauthor of Death Is But a Dream: Finding Hope and Meaning at Life’s End (Avery, 2020). ... In this interview with The ASCO Post, Dr. Kerr discussed how end-of-life dreams and visions bring comfort to dying patients, the difference between these experiences and hallucinations, and the importance of ensuring that patients understand the reality of their prognosis when cure is no longer attainable.

Anvoi Hospice welcomes Senate proclamation honoring National Hospice Month AN17 Local News, Loranger, LA; Press Release; 11/2/24 On Friday, November 1, Louisiana State Senator Bill Wheat officially recognized November as National Hospice Care Month with a Senate proclamation presented to Anvoi Hospice. 2024 marks the 42nd anniversary of the first Proclamation recognizing November as National Hospice Month. In 1982, President Ronald Reagan signed into law the Medicare Hospice benefit which ensured that millions of seriously ill Americans could die with dignity while receiving care in their own homes. That same year, the president also declared a National Hospice Care Week, which we now celebrate as National Hospice Care Month. “For more than 40 years, hospice has helped provide comfort and dignity to millions of people, ... We were so pleased to collaborate closely with Senator Wheat’s office on this proclamation, and we thank the Louisiana Senate for recognizing the importance of hospice and palliative care,” said Anvoi CEO, Angelique Richardson.Editor's note: Thank you, Anvoi Hospice for your public advocay. Additionally, we recognize the important leadership and state-wide presence of the Louisiana-Mississippi Hospice & Palliative Care Organization (LMHPCO). 

Mortality and function after widowhood among older adults with dementia, cancer, or organ failureJAMA Network Open; Rebecca Rodin, MD, MSc; Alexander K. Smith, MD, MS, MPH; Edie Espejo, MPH; Siqi Gan, MPH; W. John Boscardin, PhD; Lauren J. Hunt, PhD, RN; Katherine A. Ornstein, PhD, MPH; R. Sean Morrison, MD; 9/24In this cohort study including 13,824 participants in the Health and Retirement Study, widowhood was associated with functional decline and increased 1-year mortality in functionally impaired older adults with dementia and cancer. The study findings suggest that older adults with functional impairment and cancer or dementia are at risk of adverse outcomes following widowhood, including functional decline and a marked elevation in the risk of death, in the year after widowhood.

Patient, staff satisfaction biggest ROIs of trauma-informed hospice care Hospice News; by Holly Vossel; 10/23/24 Improved patient and staff satisfaction are among the most significant returns on investment for hospices that are pouring greater resources into trauma-informed training. The ability to build a trusting relationship with patients and their families is a key skill set for any hospice professional to possess, but one that takes on a profoundly different meaning when caring for survivors of abuse, violence and trauma. This is according to Amber Ash, pediatric hospice and palliative care social worker at Ohio-based Hospice of the Western Reserve. Trauma-informed education should be a normalized part of hospice’s interdisciplinary training to help staff recognize and respond to a range of experiences, Ash indicated. This type of training can help provide opportunities for improved goal-concordant care while also aligning with staff’s professional goals and personal values, she stated. 

Family caregiver experience at heart of new project McKnights Home Care; by Foster Stubbs; 10/27/24 In healthcare, the needs of the patient are paramount. But for every patient there is at least one caregiver with needs of their own. Former first lady of the United States Rosalynn Carter understood this and established The Rosalynn Carter Insitute for Caregivers (RCI) to serve this underserved population. ... More than 40 years later, RCI continues Carter’s mission through its newest caregiver support resource. Using over two decades of research on caregiving combined with feedback from actual caregivers, RCI composed a series of 10 different Caregiver Profiles that reflect the unique and diverse experiences of family caregivers. These profiles revolve around the following:

LeadingAge: Diverting patients from SNF to home health does more harm than good McKnights Home Care; by Adam Healy; 10/28/24 Mounting evidence suggests that Medicare Advantage plans are directing beneficiaries to home health when they should receive skilled nursing facility care, which is negatively affecting providers’ care quality, according to LeadingAge. The Senate Committee Permanent Subcommittee on Investigations recently reported that MA plans may be diverting patients in need of SNF care to home health as a means of saving money. In an Oct. 25 letter, LeadingAge said this practice damages care quality and patient health outcomes, and asked the Medicare Payment Advisory Commission (MedPAC) to investigate the issue further. 

The ever-rising importance of hospital chaplains Religion News Service (RNS); by Robert L. Klitzman; 10/24/24 Frequently, chaplains are the only hospital staff member who has time to sit and speak with patients and families. ... “My religion is watching CNN,” a feisty elderly woman with cancer recently told a hospital chaplain who had knocked on the patient’s door to introduce himself. ...  [After initial resistance, they] developed a rapport, and she described her deep loneliness and terror of dying. At the end of their conversation, she felt better, grasped the chaplain’s hand firmly and said, “Thank you!” ... In recent decades, the proportion of Americans who are “religiously unaffiliated” has risen sixfold, and the percentage of “Christian” individuals has dropped about a third. Partly as a result, chaplains have, at the same time, increasingly gained training in interfaith and nondenominational approaches, and frequently see their profession as “post-religious” — extending beyond the boundaries of any one particular faith; taking nondenominational, multifaith and humanistic approaches; and commonly receiving training in counseling. With these skills they aid patients, from evangelical to agnostic, atheist and “nothing in particular,” in resetting priorities and finding sources of connection, meaning, purpose and hope. Strongly committed to aiding vulnerable and underserved populations, chaplains remind doctors to uphold the dignity of every patient.Editor's note: Call all executive leaders--whatever your faith background--click here to continue reading this excellent article with data, descriptions, and applications about the importance of your patients spiritual care needs and the unique training and skills for hospital/hospice/palliative care chaplains. For a recent, related post, see Research synthesis related to oncology family caregiver spirituality in palliative care.

The case for stronger caregiver vetting in home care Home Health Care News; by Audrie Martin; 10/24/24 Direct care workers are, in many ways, the collective face of home-based care organizations. They are who clients and patients interact with. Therefore, regulators and providers are increasingly taking a closer look at who they’re hiring in the first place. While it is shocking to see caregivers commit crimes against clients, it does happen. About one in six people aged 60 and older experienced some form of abuse during 2023, according to the World Health Organization. Rates of abuse against older people have increased since the COVID-19 pandemic and are predicted to continue rising as many countries experience rapidly aging populations. To combat this trend, increased vetting is essential when hiring individuals to care for seniors in their homes. Editor's note: Related, disturbing articles we posted recently include ...

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

Be yourself; everyone else is already taken. ~Oscar Wilde