Literature Review
Talking about dying
01/08/24 at 04:00 AMTalking about dyingJAMA Network, by Yael Schenker, MD, MAS; 12/23As a palliative medicine physician, I had been asked to see her for pain. Reading through her medical record, I saw that she had been admitted to the hospital 5 days ago. Many specialists had been involved in her care, their notes laser focused on the particular body part or system within their area of expertise...
Cap rates increase by 74 basis points across all segments of senior living and care
01/08/24 at 04:00 AMCap rates increase by 74 basis points across all segments of senior living and careMcKnights Senior Living, by Kathleen Steele Gaivin, 1/3/24The average senior housing and care capitalization rate across all segments increased by 74 basis points between April and October, according to results of the 13th edition of CBRE’s US Senior Housing & Care Investor Survey for the second half of 2023. An April survey had found that cap rates had increased for all sectors but skilled nursing. The commercial real estate services and investment company sought feedback from senior housing investors, developers, lenders and brokers throughout the United States. The survey was conducted in October, and results were released in December.
Most palliative care nurses feel unable to meet patient needs
01/08/24 at 04:00 AMMost palliative care nurses feel unable to meet patient needsNursing Times, by Ella Devereaux; 1/4/24Junior health staff are having to make complex decisions about end-of-life care, due to a lack of out-of-hours palliative care nursing services, a new report has warned. The report, published by the Queen’s Nursing Institute and the Marie Curie Charity, has assessed how end-of-life care has changed over time and some of the issues that continue to impact the efficiency of services.
Pets can improve health outcomes for older adults living at home, overseas study finds
01/08/24 at 04:00 AMPets can improve health outcomes for older adults living at home, overseas study findsMcKnights Home Care, by Adam Healy; 1/3/24Pet ownership may be linked to slower cognitive decline among adults aging in place, according to a recent study conducted in England. “Older adults living alone are at high risk for developing dementia,” the researchers wrote in the study published by JAMA Network Open. “Pet ownership might completely offset the association of living alone with faster rates of decline in verbal memory and verbal fluency among older adults.”Editor's Note: What happens when the senior adult becomes to ill to take care of their pet? Explore one program, Banfield's "Peace of Mind: Keeping Pets and People Together During Hospice Care."
5 Healthcare trends that will shape 2024
01/08/24 at 04:00 AM5 Healthcare trends that will shape 2024MedCity News, by Holly Miller; 1/5/24
Terminally ill Connecticut woman ends her life on her own terms, in Vermont
01/08/24 at 04:00 AMTerminally ill Connecticut woman ends her life on her own terms, in VermontAP US News, by Lisa Rathke; 1/4/24A Connecticut woman who pushed for expanded access to Vermont’s law that allows people who are terminally ill to receive lethal medication to end their lives died in Vermont on Thursday.
Older Americans say they feel trapped in Medicare Advantage plans
01/08/24 at 04:00 AMOlder Americans say they feel trapped in Medicare Advantage plansKFF Health News, by Sarah Jane Tribble; 1/5/24Enrollment in Medicare Advantage plans has grown substantially in the past few decades, enticing more than half of all eligible people, primarily those 65 or older, with low premium costs and perks like dental and vision insurance. And as the private plans’ share of the Medicare patient pie has ballooned to 30.8 million people, so too have concerns about the insurers’ aggressive sales tactics and misleading coverage claims.
7 health tech predictions for 2024
01/08/24 at 04:00 AM7 health tech predictions for 2024McKnights Home Care, by Patrtick Tarnowski; 1/4/24
Home health agencies grapple with 'acuity creep' as patient needs become more complex
01/08/24 at 04:00 AMHome health agencies grapple with 'acuity creep' as patient needs become more complexHome Health Care News, by Patrick Filbin; 1/5/24As the demand for home-based care continues to rise, so does the need for more intensive care plans as patients continue to be sicker and more complex. Home health agencies are feeling this “acuity creep,” and they’re adjusting. But at times, it’s hard to keep up. “When I’m talking about acuity creep, I’m thinking about how much need do the patients in our care models require?” Michael Johnson, president of home health and hospice at Bayada Home Health Care, said. “It’s not just medical needs, either — there’s a social need as well."
Upcoming e-prescribing regs could give relief to hospice, palliative care providers, advocates say
01/08/24 at 04:00 AMUpcoming e-prescribing regs could give relief to hospice, palliative care providers, advocates sayMcKnights Home Care, by Adam Healy; 1/5/24Proposed rules, if finalized, could make it easier for providers to prescribe controlled substances via telemedicine. The Drug Enforcement Administration is expected to develop a “special registry” for certain controlled substances that could be prescribed without an in-person visit, according to Katy Barnett, director of home care and hospice operations and policy at LeadingAge. Certain substances were already granted similar prescription flexibilities during the COVID-19 public health emergency (PHE); a new registry would subject these substances to oversight by the DEA.
How technology is shaping the value-based care evolution
01/08/24 at 04:00 AMHow technology is shaping the value-based care evolutionMcKnights Long-Term Care News, 1/4/24Podcast - Join us as we explore the transformative influence of technology on the evolution of value-based care. Leaders from MatrixCare, a key technology solution, and Mark Parkinson, President of AHCA, join us to discuss the challenges faced by post-acute providers in the ever-changing world of value-based care.
To affiliate or acquire: Trends in nonprofit hospice consolidation
01/08/24 at 03:00 AMTo affiliate or acquire: Trends in nonprofit hospice consolidationHospice News, by Jim Parker; 1/5/24Recent years have seen an uptick in consolidation activity among nonprofits in the hospice space. Increasingly, nonprofit s are pursuing acquisitions and affiliations, as well as forming regional collaboratives. To achieve these kinds of growth, hospices must consider whether they should affiliate or buy another company outright. Each approach comes with benefits and risks.
Today's Encouragement
01/07/24 at 04:00 AMI have no special talents. I am only passionately curious. ~Albert Einstein, 1952
After the chaotic closure of a St. Louis nursing home, will others also shut down?
01/07/24 at 03:40 AMAfter the chaotic closure of a St. Louis nursing home, will others also shut down?St. Louis Post-Dispatch; 12/24/23St. Louis, MO—The north St. Louis nursing home that closed abruptly last weekend, setting off a chaotic relocation of residents and layoffs of workers without warning, had been in decline for several years. ... Other area nursing homes face similar financial pressures and lingering damage from the COVID-19 pandemic. ... “I think we’re going to see a lot of nursing homes close, that’s my prediction—I mean a lot of nursing homes,” [Harvey] Tettlebaum [a lawyer who for decades has represented the Missouri Healthcare Association, a group for long-term health care organizations] said. “I think it’s going to escalate next year.” Among the most vulnerable are providers that primarily serve residents who rely on Medicaid.
Bank employees go above and beyond—Donations exceed $100,000 in 2023
01/07/24 at 03:35 AMBank employees go above and beyond—Donations exceed $100,000 in 2023PRNewswire; 12/28/23Lake City, FL—First Federal Bank is pleased to announce the success of its 2023 First Federal Way campaign, which received contributions of $50,430 from employees. With the bank’s match, a total of $100,900 is being donated to local non-profit agencies who make a significant difference in their communities.
Aaron A. & Maria H. Putnam Family Charitable Trust gives grant to Aroostook Hospice Foundation
01/07/24 at 03:30 AMAaron A. & Maria H. Putnam Family Charitable Trust gives grant to Aroostook Hospice FoundationThe County (Presque Isle, ME); 12/26/23Presque Isle, ME—The Aroostook Hospice Foundation, owner of the Aroostook House of Comfort, is delighted to announce the receipt of a generous $5,000 grant from the Aaron A. and Maria H. Putnam Family Charitable Trust of Houlton.
New residential end-of-life facility opens in central PA
01/07/24 at 03:25 AMNew residential end-of-life facility opens in central PAPatriot-News (Harrisburg, PA); 12/26/23Chambersburg, PA—Mercy House of Chambersburg has opened at 730 Norland Ave. in Chambersburg. Mercy House was formed last year and partners with local hospice agencies in providing care for those who need 24-hour assistance and who are unable to remain at home.
What do people dream about before they die? Doctors mention this one common detail
01/07/24 at 03:20 AMWhat do people dream about before they die? Doctors mention this one common detail24/7 News Agency, 12/25/23A study from 2020 confirms that patients who experienced such symptoms became stronger and mentally stronger. There was peace coming from them. The family and relatives of the dying person claimed that being aware of this information helped them go through the mourning process more smoothly. Christopher Kerr, a cardiologist and director of the Hospice and Palliative Care Center in Buffalo, as well as the author of the book “Death is Just a Dream”, is one of the first people who decided to explore the topic of dreams occurring just before death.
Hospice patient enjoys fishing adventure
01/07/24 at 03:15 AMHospice patient enjoys fishing adventureHickory Daily Record; 12/30/23Carolina Caring’s compassionate hospice and palliative care empowers patients to make the most of each day as they navigate serious illness. One patient, Barbara, has been under hospice care with Carolina Caring and has shared ... with her nurse, Kelly Avery, and social worker, Megan Elmore ... that her fondest memories were of fishing with her family on Lake Hickory. After being diagnosed with chronic obstructive pulmonary disease and chronic heart failure, Barbara’s symptoms were getting increasingly harder to manage. She went from fishing once a week to once a month, to not having fished in over two years. ... Thanks to multiple visits a week from her Carolina Caring care team, Barbara was able to build the confidence to once again cast her line and enjoy the great outdoors. ... Kelly and Megan coordinated with the Carolina Caring Volunteer and Foundation Departments to secure fishing licenses and gather together a spread of Barbara’s favorite foods at Dallas Park & Recreation ponds. For just the second time in the past year, Barbara left the house.
Top 5 ‘Hidden Gem’ Palliative Care News Stories from 2023
01/07/24 at 03:10 AMTop 5 ‘Hidden Gem’ Palliative Care News Stories from 2023Hospice News, by Holly Vossel; 12/18/23
Rosalynn Carter’s impact on caregivers
01/07/24 at 03:05 AMRosalynn Carter’s impact on caregiversKevin MD Blog, by R. Lynn Barnett; 12/25/23... As caregivers, we are the voice for others, but we also need to be a voice for ourselves. ... I wasn’t prepared, as many people aren’t, for the fiscal and physical aspects of caregiving. ... The toll that caregiving can take is often underrated, understated, and under-appreciated. ... Rosalynn Carter was known as a “Steel Magnolia,” showing the same inner fortitude and mettle, combined with grace, of the main characters in the film of the same name. I think all of us caregivers become steel magnolias. It’s not that we deserve a medal for our actions; we just deserve a little peace.[Editor's Note, Joy Berger for Hospice and Palliative Care Today: Rosalynn Carter founded the Institute for Caregiving 35 years ago, preparing for the surge of Baby Boomers' aging and caregiving needs. Her memorable quote lives on: "There are only four kinds of people in the world--those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers." Visit www.rosalynncarter.org for more information.]
Sunday Newsletters
01/07/24 at 03:00 AMSunday NewslettersTop read stories of the last month will be the focus of Sunday newsletters - enjoy!
Today's Encouragement
01/06/24 at 04:00 AM"Study hard, for the well is deep and our brains are shallow" ~Richard Baxter
Measuring the impact of AI in the diagnosis of hospitalized patients
01/06/24 at 04:00 AMMeasuring the impact of AI in the diagnosis of hospitalized patientsJAMA Network, by Sarah Jabbour, MSE; David Fouhey, PhD; and Stephanie Shepard, PhD; Thomas S. Valley, MD; Ella A Kazerooni, MD, MS; Nikola Banovic, PhD; Jenna Wiens, PhD; Michael W. Sjoding, MD; 12/23In this multicenter randomized clinical vignette survey study, diagnostic accuracy significantly increased by 4.4% when clinicians reviewed a patient clinical vignette with standard AI model predictions and model explanations compared with baseline accuracy. However, accuracy significantly decreased by 11.3% when clinicians were shown systematically biased AI model predictions and model explanations did not mitigate the negative effects of such predictions.
I want to be seen as myself: needs and perspectives of persons with dementia concerning collaboration and a possible future move to the nursing home in palliative dementia care
01/06/24 at 04:00 AMI want to be seen as myself: Needs and perspectives of persons with dementia concerning collaboration and a possible future move to the nursing home in palliative dementia careAging & Mental Health, by Chandni Khemai, Judith M. Meijers, Sascha R. Bolt, Sabine Pieters, Daisy J. A. Janssen, Jos M. G. A. Schols; 12/23Interprofessional collaboration (IPC) within and during movements between care settings is crucial for optimal palliative dementia care. The objective of this study was to explore the experiences of persons with dementia regarding collaboration with and between healthcare professionals (HCPs) and their perceptions of a possible future move to the nursing home (NH) in palliative dementia care.
