Literature Review

2nd Annual Walk for Hospice raises over $60,000 for the Aroostook House of Comfort The County, Presque Isle, ME; 9/19/24 The Aroostook Hospice Foundation is proud to announce that the 2nd Annual Walk for Hospice, presented by Event Sponsor McCrum Family Holdings, LLC, raised over $60,000 in support of the Aroostook House of Comfort. Held in memory of Dr. David Jones, the event was a powerful and moving tribute to those impacted by hospice care. The Foundation extends heartfelt gratitude to  everyone who contributed to the event’s success. The Walk for Hospice not only aims to raise essential funds but also to increase community awareness and celebrate the lives of those  impacted by hospice care. This year’s event saw tremendous support with 15 Trail Sponsors, 12 Community Sponsors, 22 Friend Sponsors and 10 In-Kind Sponsors, and boasted a remarkable turnout of 32 teams and 335 participants. The day offered families, friends, and colleagues a beautiful opportunity to walk, reflect, and honor their loved ones in a memorable and meaningful way.  

We honor Labor Day with this special issue. Instead of the typical business articles we post, we use today's issue to pause. To breathe. 

What is Death?GeriPal podcast; by Eric Widera, Alex Smith, Winston Chiong, Sean Aas; 8/22/24We’ve talked about Brain Death before ... and in many ways today’s podcast is a follow up to that episode. Why does this issue keep coming up? Why is it unresolved? Today we put these questions to Winston Chiong, a neurologist and bioethicist, and Sean Aas, a philosopher and bioethicist.

Sophisticated caregiver training remains an underutilized retention, ROI tool Home Health Care News; by Audrie Martin; 8/22/24 ... [Only] 43.8% of home-based care staff and 55% of home health and hospice staff feel prepared to care for new clients, according to the 2024 Activated Insights Benchmarking Report. As a possible result, the annual care staff turnover rate has climbed 14% in the last two years to almost 80%. Organizations demonstrating a commitment to continuing education improve employee satisfaction by allowing caregivers to hone their skills and grow in their careers. Investing in employees’ long-term success will impart a sense of purpose and possibility within a role known for turnover and burnout. “The average home-based care provider offers five hours of orientation and eight hours of ongoing training,” the report read. “Those who offer at least eight orientation hours and 12 hours of ongoing training see an increase of $1,103,291 in revenue. However, while establishing a clear path is one of the top strategies to retaining long-term employees, only 39% of providers have one.”

Hospices facilities launch, renovate with growth in mind: Julia Hospice & Palliative refuels de novo plans Hospice News; by Holly Vossel; 8/23/24 Pennsylvania-based Julia Hospice & Palliative (JHPC) has reignited plans to launch a de novo after experiencing pandemic-related setbacks. Dubbed Julia House, the facility will provide inpatient hospice and serve as an outpatient palliative care clinic. It will be the first hospice center in Erie County, Pennsylvania, the provider indicated. The new location will allow for improved support for serious and terminally ill patients that lack caregiver support or need higher levels of care, said Dr. Christopher Strzalka, medical director at Julia Hospice & Palliative Care. “For people who don’t have a caregiver in their home, we can put them in our facility and they can live there until their natural death, and they’ll have access to specially trained caregivers in end-of-life care,” Strzalka told local news.

5 books to make caregiving a little more manageable DNYUZ; 8/19/24Tina Sadarangani, a geriatric nurse practitioner in New York City, has spent years working with older adults and their families. She counsels patients on the medications they should take, the eating habits they should change and the specialists they should see. But it wasn’t until her own father became seriously ill — requiring a slew of medications, deliveries, physical therapy and more — that she understood the experience from what she calls “the other side of the table.” ... Here are five titles, recommended by health care providers and other experts, to help those who help others.

New ASCO Guidelines stress importance of early palliative care Hospice News; by Jim Parker; 8/26/24 The 2024 update to the American Society of Clinical Oncology’s (ASCO) clinical practice guidelines place renewed emphasis on palliative care. The guidelines are updated periodically by a multidisciplinary team, including a patient representative and experts in medical and radiation oncology, hematology and palliative care. For the 2024 revisions, this panel reviewed 52 randomized controlled trials that evaluated outcomes among cancer patients who received palliative care, ASCO reported. “This is a pivotal time,” the panel’s co-chair Betty Ferrell of City of Hope Cancer Care told the ASCO Post. “This guideline is a call to action for everyone to think about how they are integrating palliative care for all patients with cancer. There are great advances in cancer care, but none of these will be fully effective unless we fully integrate palliative care.”

Carolina Caring’s second hospice resale shop location in Mountain View opens 8/28 FOCUS Newspaper; 8/21/24 Carolina Caring is delighted to announce the grand opening of its second Hospice Resale Shop location on Wednesday, August 28, at 10 a.m. This new shop will be located at 2920 S. Highway 127 in Mountain View, just a few miles from the nonprofit serious illness provider’s Catawba Valley Hospice House. ... Carolina Caring, founded in 1979, is an independent, community-based, nonprofit healthcare provider. ... Carolina Caring serves 12 counties across western North Carolina and the Charlotte Region.

Imagination is more important than knowledge. Knowledge is limited. Imagination encircles the world. ~Albert Einstein

[Australia] Maybe for unbearable suffering: Diverse racial, ethnic and cultural perspectives of assisted dying. A scoping reviewPalliative Medicine; Melissa J Bloomer, Laurie Saffer, Jayne Hewitt, Lise Johns, Donna McAuliffe, Ann Bonner; 8/24Perspectives on assisted dying are dynamic and evolving. Even where assisted dying is legalised, individual's cultural attributes contribute to unique perspectives of assisted dying as an end-of-life option. Thus, understanding a person's culture, beliefs, expectations and choices in illness, treatment goals and care is fundamental, extending beyond what may be already considered as part of clinician-patient care relationships and routine advance care planning.

Clinical reasoning and artificial intelligence: Can AI really think? Transactions of the American Clinical and Climatological Association; Richard M. Schwartzstein, MD; 2024Artificial intelligence (AI) in the form of ChatGPT ... holds great promise for more routine medical tasks, may broaden one’s differential diagnosis, and may be able to assist in the evaluation of images, such as radiographs and electrocardiograms, the technology is largely based on advanced algorithms akin to pattern recognition. One of the key questions raised in concert with these advances is: What does the growth of artificial intelligence mean for medical education, particularly the development of critical thinking and clinical reasoning? AI will clearly affect medicine in the years to come and will change the ways in which doctors work. It will also make the ability to reason, to think, to analyze problems, and to know how best to apply principles of human biology at the bedside more important.

Pediatric complex chronic condition systemJAMA Open Network; Lisa C. Lindley, PhD, RN; 7/24The pediatric complex chronic condition (CCC) system is the gold standard in classifying patients younger than 18 years who are seriously ill in pediatric research. Feinstein et al report on the development and comparison of the most recent revision (V3) of the CCC system [which includes] modifications to new, missing, and retired ICD-10-CM and procedure codes. The authors recommend using the newest V3 of the CCC system for research because it incorporates the evolving ICD-10 system. ICD-10 codes are continually being added, deleted, and modified, and the CCC system, which is based on the ICD and procedure codes, needs to keep pace. Feinstein et al are to be commended for their significant effort to update codes, especially ahead of the imminent US transition to the International Classification of Diseases, 11th Revision (ICD-11).

Clinician-and patient-directed communication strategies for patients with cancer at high mortality risk-A cluster randomized trialJAMA Open Network; Samuel U. Takvorian, MD; Peter Gabriel, MD, MS; E. Paul Wileyto, PhD; Daniel Blumenthal, BA; Sharon Tejada, MS; Alicia B. W. Clifton, MDP; David A. Asch, MD, MBA; Alison M. Buttenheim, PhD, MBA; Katharine A. Rendle, PhD, MSW, MPH; Rachel C. Shelton, ScD, MPH; Krisda H. Chaiyachati, MD, MPH, MSHP; Oluwadamilola M. Fayanju, MD, MA, MPHS; Susan Ware, BS; Lynn M. Schuchter, MD; Pallavi Kumar, MD, MPH; Tasnim Salam, MBE, MPH1; Adina Lieberman, MPH; Daniel Ragusano, MPH; Anna-Marika Bauer, MRA; Callie A. Scott, MSc; Lawrence N. Shulman, MD; Robert Schnoll, PhD; Rinad S. Beidas, PhD; Justin E. Bekelman, MD; Ravi B. Parikh, MD, MPP; 7/24Serious illness conversations (SICs) that elicit patients’ values, goals, and care preferences reduce anxiety and depression and improve quality of life, but occur infrequently for patients with cancer. Behavioral economic implementation strategies (nudges) directed at clinicians and/or patients may increase SIC completion. In this cluster randomized trial, nudges combining clinician peer comparisons with patient priming questionnaires were associated with a marginal increase in documented SICs compared with an active control. Combining clinician- and patient-directed nudges may help to promote SICs in routine cancer care.