Literature Review
Palliative care providers can enhance care coordination
01/04/24 at 04:00 AMPalliative care providers can enhance care coordination Hospice News, by Rachel Edwards; 1/2/24Fragmented health care has significant ties to adverse outcomes in patients with chronic or serious illnesses. Palliative care providers’ ability to navigate the health care system, coordinate the delivery of care, interact regularly with patients and facilitate communication between providers can reduce this fragmentation. This type of coordination can improve outcomes, decrease costs and offer patients a better quality of life.
Investigating Medicare hospice overpayments
01/04/24 at 04:00 AMInvestigating Medicare hospice overpaymentsHospice News, by Jim Parker; 1/2/24As auditing activity by regulators continues to spike, hospices need to know how to conduct internal investigations to identify any potential improper payments.
The book "The In-Between: Unforgettable encounters during life's final moments
01/04/24 at 04:00 AMThe book "The In-Between: Unforgettable encounters during life's final momentsHSJ Online, by David Webster; 1/2/24Recently, I received a book from one of my daughters for my birthday, "The In-Between" by Hadley Vlahos, RN. While in Florida for a vacation, I made reading the best-selling book a priority and admittedly cried with each chapter as Hadley shares her personal life mixed in with being a Hospice nurse. Hadley made a statement ... that really struck me, ... “I have learned how important it is to be a human first and an employee second.”
Today's 10-Second Question
01/04/24 at 04:00 AMYesterday's 10-Second Question was: What is your greatest hope for the new year? (per a Wall Street Journal email). Responses included:
Medscape: Long COVID has caused thousands of US deaths: New CDC data
01/04/24 at 04:00 AMMedscape: Long COVID has caused thousands of US deaths: New CDC dataMedscape Medical News, by Lisa Rapaport; 1/3/24While COVID has now claimed more than 1 million lives in the United States alone, these aren't the only fatalities caused at least in part by the virus. A small but growing number of Americans are surviving acute infections only to succumb months later to the lingering health problems caused by long COVID. ... At least 4600 Americans have died from long COVID since the start of the pandemic, according to new estimates from the CDC.
Young paperboy volunteers for hospice in memory of grandparents
01/04/24 at 04:00 AMYoung paperboy volunteers for hospice in memory of grandparents BNN, by Ayesha Mumtaz; 1/3/24Jack Hartley, a 14-year-old paperboy, has taken up a noble cause close to his heart. Channeling personal loss into community service, Jack is volunteering his time to distribute leaflets for the East Cheshire Hospice, an organization that holds deep significance for him and his family. Both of Jack’s grandparents, Philip and Olwen Hobson, received care at the hospice before their demise just three months apart in 2015.Editor's Note: I wish the word "demise" had not been used, as it has (to this reader) negative connotations similar to the word "expired," for life's natural processes of dying and death. Otherwise, this story might spark ideas for creative ways to involve younger volunteers--with appropriate parental / adult supervision--for other meaningful ways to contribute toward your hospice mission.
Education Calendar
01/04/24 at 04:00 AMEducation CalendarHospice & Palliative Care Today has begun a page dedicated to hospice and palliative care focused state and national conferences. Please click the link above to access the current calendar and let us know about your events!
Medical assistance in dying: What are we talking about?
01/04/24 at 04:00 AMMedical assistance in dying: What are we talking about?University of Oxford Practical Ethics, by Alberto Giubilini; 1/2/24Medical assistance in dying – or “MAID”, to use the somehow infelicitous acronym – is likely to be a central topic in bioethics this year. That might not be true of bioethics as an academic field, where MAID has been widely discussed over the past 40 years. But it is likely true of bioethics as a wider societal and political area of discussion. There are two reasons to think this. First, the topic has attracted a lot of attention the last year, especially with “slippery slope” concerns around Canada’s policies. Second, MAID has recently been in the news in the UK, where national elections will take place in 2024. It is not hard to imagine it will feature in the heated political polarization that always accompanies election campaigns.
Kingston man arrested for allegedly threatening bedridden father
01/04/24 at 04:00 AMKingston man arrested for allegedly threatening bedridden fatherBNN, by Salman Akhtar; 1/2/2431-year-old Tyler Jason Vasquez, a resident of Kingston, was apprehended by the local law enforcement following a disturbing incident involving his ailing father. The event, captured by a Ring doorbell camera at their home on New Hurbane Street, had Vasquez allegedly threatening his bedridden father with a firearm. The security camera had been installed by Vasquez’s sister to keep an eye on their father, who is under home hospice care.
How to live: What the dying tell us
01/04/24 at 04:00 AMHow to live: What the dying tell usPsychology Today, by Tasha Seiter; 1/2/24Subtitle: The top regrets of the dying and how we can use them to better our lives.Bronnie Ware, a hospice nurse, asked the dying what they regretted most. While it may have been too late for her patients, their answers can tell us about how we should be living while we still have the chance. Here are the top five regrets of the dying, according to her research (both qualitative and quantitative):
Pennant and John Muir Health enter into a home health joint venture in the Bay Area, California
01/04/24 at 03:55 AMPennant and John Muir Health enter into a home health joint venture in the Bay Area, CaliforniaGlobe Newswire; 1/2/24The Pennant Group, Inc. (NASDAQ: PNTG), the parent company of the Pennant group of affiliated home health, hospice, home care and senior living companies, today announced that it has closed on a home health joint venture with John Muir Health, a leading nonprofit integrated health system that serves communities throughout San Francisco’s East Bay Region. ... "Muir Home Health will bring together the deep experience of one of the Bay Area’s premier health systems with Pennant’s deep experience in managing and supporting the delivery of life-changing home health services, ..." said Brent Guerisoli, Pennant's Chief Executive Officer.
How do you ethically integrate a GIP hospice service into the hospital?
01/04/24 at 03:05 AMHow do you ethically integrate a GIP hospice service into the hospital?Hospitalist.org, by William Frederick, et.al.; 1/2/24[General inpatient (GIP) hospice] ... provides holistic end-of-life care and family support in acute-care hospitals. Patients who are appropriate for GIP hospice services often have a life expectancy of hours to days, require care that cannot be delivered at home, and have symptoms that are difficult to control in any other settingEditor's Note: Examine this article for (1) a flow chart of the "GIP Hospice Process at UCSD Health System" and (2) Indications for GIP Hospice Care Indications for GIP Hospice Care."
BrightSpring Health Services Files To Go Public For The Second Time
01/04/24 at 03:00 AMBrightSpring Health Services Files To Go Public For The Second TimeHome Health Care News, by Andrew Donlan; 1/3/24BrightSpring Health Services officially filed plans for an initial public offering Tuesday. The home- and community-based services provider first planned to go public in 2021, but ultimately decided against it. Now, those plans are full speed ahead yet again. Based in Louisville, Kentucky, and backed by the investment firm KKR, BrightSpring provides home- and community-based provider services to complex populations. It provides care across all 50 states to 350,000 patients daily, and provides home-based care specifically to 250,000 patients daily across 40 states.Notable Mentions: Jon Rousseau, CEO; Michael McMaude.
Should patients be allowed to die from anorexia?
01/04/24 at 03:00 AMShould patients be allowed to die from anorexia?DNYUZ; 1/3/24The doctors told Naomi that she could not leave the hospital. She was lying in a narrow bed at Denver Health Medical Center. Someone said something about a judge and a court order. Someone used the phrase “gravely disabled.” Naomi did not think she was gravely disabled. Still, she decided not to fight it. She could deny that she was mentally incompetent — but this would probably just be taken as proof of her mental incompetence. Of her lack of insight. She would, instead, “succumb to it.” [Read more of Naomi's story, followed by this examination of palliative care.]The field of palliative care was developed in the 1960s and ’70s, as a way to minister to dying cancer patients. Palliative care offered “comfort measures,” like symptom management and spiritual guidance, as opposed to curative treatment, for people who were in pain and would never get better. Later, the field expanded beyond oncology and end-of-life care — to reach patients with serious medical illnesses like heart disease, H.I.V. and AIDS, kidney failure, A.L.S. and dementia. Some people who receive palliative care are still fighting their diseases; in these cases, the treatment works to mitigate their suffering. [Read more of this discussion of emerging issue.]
Niagara Hospice CEO John Lomeo stepping down after 24 years
01/04/24 at 03:00 AMNiagara Hospice CEO John Lomeo stepping down after 24 yearsBuffalo News, by Jon Harris; 1/3/24Niagara Hospice President and CEO John Lomeo will be stepping down July 31 after 24 years with the nonprofit organization, the Hospice and Palliative Care Group board of directors announced Wednesday. The board also announced that Carlo Figliomeni, chief financial officer and chief operating officer, will become president and CEO on Aug. 1. Figliomeni has been with the organization for 18 years.
Today's Encouragement: New year ... or same old story?
01/03/24 at 06:33 PMNew Year: a new chapter, new verse, or just the same old story? Ultimately we write it. The choice is ours. Alex Morritt
Man 'accidentally' fires gun in Iowa hospital
01/03/24 at 04:00 AMMan 'accidentally' fires gun in Iowa hospital: policeBecker's Clinical Leadership, by Mackenzie Bean (Twitter); 1/2/24 Police are investigating an incident in which a gun was discharged at MercyOne Waterloo (Iowa) Medical Center Dec. 29, according to NBC affiliate WHO 13 News. Authorities found damage from a single gunshot in a restroom after responding to a report of a gun being fired at the hospital around 9:40 a.m. CST. No injuries were reported.
Seniors are embracing marijuana, which offers relief — and risk
01/03/24 at 04:00 AMSeniors are embracing marijuana, which offers relief — and riskThe Washington Post, by Fenit Nirappil; 1/2/24
Hospice patient enjoys fishing adventure
01/03/24 at 04:00 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.
‘Profound’ financial, workforce challenges persist for senior living providers as 2024 begins
01/03/24 at 04:00 AM‘Profound’ financial, workforce challenges persist for senior living providers as 2024 beginsMcKnights Senior Living, by Lois Bowers; 1/2/24Senior living operators will continue to face inflationary pressures and capital market challenges in 2024, but some effects may lessen before the year is out, according to industry experts.
Biased AI models in healthcare may lead caregivers and clinicians astray, new study warns
01/03/24 at 04:00 AMBiased AI models in healthcare may lead caregivers and clinicians astray, new study warnsMcKnights' Tech Daily News, by Aaron Dorman; 1/2/24Over the past year, studies have highlighted how artificial intelligence models in healthcare sometimes can increase bias. Now, a new study warns that clinicians could follow AI down the wrong path. When reviewing data for respiratory failure, a common problem for older adults, clinicians were 11% less accurate in their diagnoses when using a biased AI model than if they didn’t use AI at all, the study found. Disturbingly, this fact was true even when given explanations about how the AI came to a diagnostic conclusion.
A medication mistake cost a Lockport woman her life. A new grant aims to help others avoid same fate
01/03/24 at 04:00 AMA medication mistake cost a Lockport woman her life. A new grant aims to help others avoid same fateThe Buffalo News, by Scott Scanlon; 1/2/24 In a perfect health care system, patients who ended up in the hospital would start to feel better soon and go home with a recovery plan, along with any medications designed to help in that process. ... “All medications have side effects, and some are especially harmful in older adults,” UB officials said in announcing a four-year, $1.95 million grant focused on improving medication prescribing.
Today's Encouragement: "What the New Year brings to you ..."
01/03/24 at 04:00 AM“What the New Year brings to you will depend a great deal on what you bring to the New Year.” Vern McLellan
Corporations award $20K in grants to make hospice care accessible in Texarkana area
01/03/24 at 04:00 AMCorporations award $20K in grants to make hospice care accessible in Texarkana areaTexarkana Gazette; 1/1/24A local nonprofit has received $20,000 in grants to make end-of-life care accessible. Tyson Foods, Weyerhaeuser and Union Pacific recently awarded the funding to Hospice of Texarkana's Diversity & Inclusive Care Project. The project is a comprehensive educational and awareness program to address demographic disparities in hospice and palliative care in Northeast Texas and Southwest Arkansas. It includes staffing, training, and community outreach.
