Literature Review

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

Social acceptability of psilocybin-assisted therapy for existential distress at the end of life: A population-based surveyPalliative Medicine, by Louis Plourde, Sue-Ling Chang, Houman Farzin, Pierre Gagnon, Johanne Hébert, Robert Foxman, Pierre Deschamps, François Provost, Marianne Masse-Grenier, Jean-François Stephan, Katherine Cheung, Yann Joly, Jean-Sébastien Fallu, Michel Dorval for the P3A Study Group; 2/24Internationally, there is a growing interest in the potential benefits of psilocybin-assisted therapy to treat existential distress at the end of life. However, the social acceptability of this therapy is not yet well known. The social acceptability of psilocybin-assisted therapy for existential distress at the end of life is rather high in Canada. These findings may contribute to efforts to mobilise resources and improve access to this emerging therapy in palliative and end of life care settings.

Palliative ECT for catatonia in a terminal cancer patient: A case reportJournal of the Academy of Consultation-Liaison Psychiatry, by Arushi Mahajan B.S., Thanvi Vatti M.P.H., Andrew Coulter M.D., Elias Khawam M.D., Molly Howland M.D.Common end-of-life illnesses and medications can lead to catatonia. Catatonia can decrease interactivity, which worsens a terminal patient's quality of life. Treatment includes medications and electroconvulsive therapy (ECT). Though treating psychiatric disorders aligns with the palliative care philosophy, end-of-life ECT has been rarely reported. The few case reports on palliative ECT involved continuation of prior ECT courses for chronic psychiatric conditions in psychiatric settings after a terminal diagnosis. No studies have explored palliative ECT for acute catatonia.

Perceptions of palliative care: Demographics and health status among the general population in Florida and the United StatesAmerican Journal of Hospice and Palliative Medicine, by Brenda W. Dyal, PhD, DNP; Saunjoo L. Yoon, PhD; Keesha L. Powell-Roach, PhD, RN; Derek M. Li, MSc; Sheri Kittelson, MD; Michael Weaver, PhD, RN, FAAN; Janice L. Krieger, PhD; Diana J. Wilkie, PhD, RN, FAAN; 4/24Palliative care (PC) helps maintain quality of life for seriously ill patients, yet, many Americans lack knowledge of PC. Young adults compared with adults, middle-adults, and older-adults were less likely to agree that the goal of PC is to help friends and family cope with a patient’s illness, and that the goal of PC is to manage pain and other physical symptoms compared with adults, middle-adults, and older-adults. Participants with greater rural identity were more likely to agree that accepting PC means giving up. Increased knowledge of PC might be influenced through targeting educational interventions and educating the general population through social media use.

Saturday Newsletters: Research literature is the focus of Saturday newsletters - enjoy!

Ethics Consult: Using hospice as "treatment" for behavioral problems of dementiaAmerican Journal of Geriatric Psychiatry, by Luisa Skoble MD, Jonathan Crane MPhil, PhD; 4/24This session will present 2 cases of individuals with advanced dementia who did not meet the traditional Medicare criteria for hospice, as both were ambulatory and did not have significant co-morbid medical issues. Both had significant aggressive behaviors that responded poorly to extensive trials of various medications during extended stays on a geriatric psychiatry inpatient unit. Both were referred to a local inpatient hospice where the staff use “suffering" as a hospice criteria and were “treated” with the usual hospice medications and expired in less than 3 weeks.

A death doula keeps legacies alive in rural OregonJefferson Public Radio, by Justin HIgginbottom; 3/13/24 print and audioRudd is an end-of-life doula, sometimes called a death doula, specializing in rural care. In that role she provides non-medical support to those in their last stage of life. ... She helps with practical things like funeral arrangements, helping someone donate their body, or planning for what happens to their property after death. She’s been helping one 83-year-old client with that recently. 

Data breach affects more than 2,000 Texas hospital patients Becker's Health IT, by Madeline Ashley; 3/13/24Dallas-based UT Southwestern Medical Center has been hit with a data breach that is affecting 2,094 patients, according to a data security breach report on Texas Attorney General Ken Paxton's website. ... The type of patient information breached includes addresses, medical information, health insurance, date of birth, and "other." "The incident involved internal use of unapproved software and did not involve a cyberattack or external exposure of data," a spokesperson for UT Southwestern Medical Center said in a statement shared with Becker's. 

Healthcare execs need to 'iterate faster' for success, says CIO Becker's Health IT, by Laura Dyrda; 3/13/24 Baton Rouge, LA-based Franciscan Ministries of Our Lady Health System embarked on a journey last year to incorporate more artificial intelligence into its operational and clinical systems. Will Landry, senior vice president and CIO of the system, said while the organization doesn't want AI making decisions, there is a lot of value in supporting caregivers and team mates. He joined the "Becker's Healthcare Podcast" to share the health system's strategy for governance and his push for more innovative thinking around AI applications.

Workplace Violence Prevention Plan Implementation: Answers to Frequently Asked QuestionsLCW, California Public Agency Labor & Employment Bolg; 3/13/24With the enactment of [California] Senate Bill (“SB”) 553, the legislature amended Labor Code section 6401.7 and added Labor Code section 6401.9, requiring employers to adopt and implement a Workplace Violence Prevention Plan (“WVPP”) and corresponding training for their employees by July 1, 2024. ... Since the enactment of the bill, employers have had questions regarding the WVPP and the training requirements. Below are some common questions and the responses to them: ... [Click on the article's title to view]

How home care companies can optimize operationsMcKnights Home Care, by Lance A. Slatton; 3/12/24To meet the evolving needs of this growing industry without placing additional stress on employed caregivers, it’s crucial that home care companies optimize their operations. This may involve streamlining their processes, adopting innovative technologies, and prioritizing efficiency to ensure high-quality care and sustainable growth.

Healthcare provider anti-burnout bill advances in Congress Modern Healthcare, by Michael Mcauliff; 3/12/24 A bill to support healthcare workers struggling with burnout, stress and other work-related mental health problems advanced in Congress on a unanimous subcommittee vote Tuesday. ... The measure funds grants for healthcare organizations and professionals associations to offer employee education programs to address burnout, encourage peer support, and direct struggling providers to mental and behavioral health treatment.