Literature Review

United States dementia cases estimated to double by 2060: Anticipated jump especially large for women, Black people & those over age 75NYULangone Health; by David March; 1/13/25A new study shows that the risk of developing dementia at any time after age 55 among Americans is 42 percent, more than double the risk reported by older studies. That dementia risk translates into an estimated half-million cases this year, rising to a million new cases a year by 2060, according to the new work. Dementia involves progressive declines in memory, concentration, and judgment. The increasing number of cases is directly tied to the aging of the U.S. population. Beyond aging, a high risk of dementia is linked to genetic factors, as well as high rates of hypertension and diabetes, obesity, unhealthy diets, lack of exercise, and poor mental health.

Hospice of the Chesapeake expands inpatient care with high-flow oxygen therapy Southern Maryland News Net; by Hospice of the Chesapeake; 1/13/25 Hospice of the Chesapeake is proud to announce the addition of high-flow oxygen therapy to its inpatient care centers, enhancing the quality of care for patients with complex respiratory needs. ... High-flow oxygen therapy is designed to deliver precise oxygen levels, improving breathing efficiency and overall comfort for patients. ... “Adding high-flow oxygen therapy to our inpatient care centers represents our commitment to providing comprehensive, patient-centered care,” said Dr. Sonja Richmond, Vice President of Medical Affairs & Hospice Medical Director. “This advancement enables us to better meet the needs of our patients and their families during a challenging time.”

January is the quietest month in the garden. But just because it looks quiet doesn't mean that nothing is happening. ~ Rosalie Muller Wright

NPHI welcomes Robin Shultz as Vice President for Member Programs and Engagement National Partnership for Healthcare and Hospice Innovation (NPHI), Washington, DC; Press Release; 1/8/25 The National Partnership for Healthcare and Hospice Innovation (NPHI) is proud to welcome Robin Shultz, LCSW, ACC, ACHP-SW, to the team as Vice President for Member Programs and Engagement. With her proven track record of leadership and a passion for innovation, Robin’s expertise is set to deepen connections among our members and drive meaningful engagement at all levels. Robin brings significant experience in hospice and palliative care to NPHI. ... In her new role with NPHI, Robin will focus on strengthening member engagement, ensuring active participation across forums, and fostering deeper inclusion for member staff at all levels. Her efforts will build on NPHI’s mission to advance the work of nonprofit hospice providers, empowering them to deliver exceptional care and services to their communities.

Concurrent/simultaneous services from Hospice and a Home and Community Based Services waiver- UPDATED Information about claims submissionAlabama Media Portal - media.alabama.gov; by the State of Alabama Press Release - Medicaid; 1/14/25The Alabama Medicaid Agency (Medicaid) updated the policy to allow concurrent services from hospice and a Home and Community-Based Services (HCBS) Waiver. However, it is vital that the hospice and HCBS waiver case manager coordinate to avoid duplication of services.The HCBS waiver person-centered care plan (PCCP) and hospice plan of care (POC) of the recipient should be coordinated between the hospice, HCBS waiver case manager, and the recipient and his/her caregiver. A conference that includes these parties must be held before concurrent services can start. The PCCP/POC conference shall be documented in both the recipient’s hospice and waiver record. [Click on the title's link to continue reading.]

Friday is final deadline for McKnight’s Women of Distinction award nominations McKnights Senior Living; by Lois A. Bowers; 1/13/25 The final nomination deadline for the 2025 McKnight’s Women of Distinction awards program is Friday [1/17]. The annual program is presented by McKnight’s Senior Living, McKnight’s Long-Term Care News and McKnight’s Home Care ... Eligible for recognition in 2025 are women working as direct care providers, managers, executives, corporate executives and owners in independent living, assisted living, memory care and life plan communities, as well as those working in those capacities in skilled nursing facilities and in home care, home health, hospice and palliative care. ... Nominators for the Rising Star, Veteran VIP and Hall of Honor categories should be prepared to share detailed qualitative and quantitative information about nominees’ work histories, exceptional achievements and contributions or service, and anything else the judging panel should consider. [Click on the title's link for more information.] 

Climb aboard that jungle gym: Career path need not be linear to be successful The Journal Gazette, Fort Wayne, IN; by Theresa Laxton; 1/10/25 In today’s ever-evolving professional landscape, more women are realizing that their careers don’t have to follow a linear path. Instead, they’re embracing the concept of a career jungle gym, a metaphor introduced by Sheryl Sandberg in her book “Lean In.” Unlike a ladder with one direct route, a jungle gym allows for lateral moves, creative pivots and even deliberate pauses, all of which can lead to success. For women, and nurses in particular, this mindset is transformative. ...

Our emotions can teach us valuable lessons. Let them shine a light on what you want to change, how you want to act in the future or what is valuable to you. ~ Susan David, Harvard Business Review Guide to Emotional Intelligence

ECHO report exposes deadly toll of homelessness in Austin CBS Austin, TX; by Abigail Velez; 1/10/25 A report released this week by Austin's Ending Community Homelessness Coalition (Austin ECHO) revealed the human cost of the city's growing homelessness crisis. The report, analyzing six years of data, found that a staggering 1,010 unhoused individuals died in Austin between 2018 and 2023. Their average age of death: is just 50 years old, a full 20 years younger than their housed counterparts. ... The report offered a number of concrete recommendations, including: ... Develop a medical triage team to connect vulnerable individuals with appropriate care, including respite care, long-term care, substance use treatment, and hospice.

CMS Gives Notice of 4.3% Pay Hike for Medicare Advantage Plans Hospice News; by Jim Parker; 1/13/25 The U.S. Centers for Medicare & Medicaid Services (CMS) plans to increase payments to Medicare Advantage plans for 4.3% in 2026, but implementation will depend on what happens with the new presidential administration. CMS has issued an advance notice of policy changes for Medicare Advantage and Part D that would install technical updates, including to the ways the agency calculates payments to health plans. ... Though Medicare Advantage does not cover hospice care, many providers depend on MA payments for other programs like palliative care, among others. The changes are intended to continue CMS’s three-year phase-in of updates to the MA risk adjustment model and growth-rate calculation related to medical education costs. However, it will be up to the incoming Trump administration to bring these changes to fruition — if they so choose. 

Home … where we all want to be The Journal; Dr. Sarah Phillips, Medical Director Hospice of the Panhandle; 1/12/25 Two days before Christmas, I arrived at the home of a patient who had been recently admitted to Hospice services. ... [Story of the patient being on a ventilator in a hospital.] This courageous and self-determined woman expressed the desire to be free from pain, suffering, and the complications and progression of her disease. Knowing that the ventilator was life-sustaining and essentially breathing for her, she made the decision to stop it. To ensure her comfort during discontinuation of the ventilator, the hospice team was present before, during, and after the procedure. Medications were used to ease shortness of breath, pain, and anxiety. ... “It’s a Wonderful Life” was playing on the TV, the Christmas tree was lit. I looked over and see the daughter wiping away her mother’s tears. Each reassured the other that everything will be OK and that they are at peace with this decision. As the medications took effect, the patient drifted off to sleep. The ventilator was stopped. Next, something happens that I will never forget. The daughter leans in and whispers to the patient, “Mom, the ventilator is off now, you are back in total control. This was profound to me on many levels. It certainly spoke to the power and importance of autonomy, the ability to make independent decisions that are aligned with one’s values and goals. ... Despite working in end-of-life care for over a decade, I still have these moments of being overwhelmed by the human spirit.

Bestselling author: I asked 26,000 people around the world their biggest regrets—these were the top 4 NBC News NECN Channel 4, Boston, MA; by Aston Jackson, CNBC; 1/11/25 Living life without regrets is impossible, says bestselling author Daniel Pink. "Everybody has regrets. It's one of the most common emotions that human beings have," said Pink, in a podcast episode that published last month. "And yet, we've been sold such a bill of goods about positivity and being positive all the time that when we feel regret, we think we're the only one." Pink combed through decades of research and surveyed more than 26,000 people from 130 countries about their biggest regrets for his 2022 book, "The Power of Regret," according to his website. Most of those people struggled with four core regrets:

3 nurse specialties with highest, lowest pay Becker's Hospital Review; by Kelly Gooch; 1/13/25 From January through July 2024, staff registered nurses involved in direct patient care saw their median base pay increase by 2%, compared to 1.4% for those in indirect patient care. However, RNs involved in direct and indirect patient care were poised for annual increases of 3% to 4% to close out 2024. ... The survey includes six-month percentage change data from January through July 2024. It is based on data from more than 700 participating organizations, representing approximately 358,000 individuals across over 115 nursing roles, including RNs, nursing managers and licensed practical nurses. [Click on the title's link for this important data.]