Literature Review

A year after Jimmy Carter entered hospice care, advocates hope his endurance drives awareness ABC News, by Bill Barrow, Associated Press; 2/18/24Since Jimmy Carter entered hospice care at his home in south Georgia one year ago, the former U.S. president has celebrated his 99th birthday, enjoyed tributes to his legacy and lost his wife of 77 years. Rosalynn Carter, who died in November, about six months after the Carter family disclosed her dementia diagnosis, lived only a few days under hospice supervision, with her frail husband at her bedside. Experts on end-of-life care say the Carters’ different paths show the range of an oft-misunderstood service. Those advocates commend the Carter family for demonstrating the realities of aging, dementia and death. They express hope that the attention spurs more Americans to seek out services intended to help patients and families in the latter stages of life.Editor's Note:

Changes in hospice care experiences during the COVID-19 pandemicRand, Journal of the American Geriatrics Society; by Maria DeYoreo, Rebecca Anhang Price, Ann C. Haas, Anagha Alka Tolpadi, Joan M. Teno, Marc N. Elliott; 2/12/24Demand for hospice and palliative care services increased during the COVID-19 pandemic. Hospices strove to meet this demand despite staffing shortages and visitation restrictions that sometimes prevented family members and hospice staff from visiting patients in institutional settings such as nursing homes, assisted living facilities, and hospitals. We examine how the COVID-19 pandemic may have influenced the characteristics of patients receiving hospice care, the settings in which they received care, and their care experiences using national data from the Consumer Assessment of Healthcare Providers and Systems (CAHPS) Hospice Survey. The survey is completed by bereaved family caregivers following the death of the hospice patient, and is the national standard for assessing patient- and family-centeredness of hospice care.

Using patient narratives to evaluate a hospice serviceNursing Times - Patient Experience, by Val Stangoe and Steve Mee; 2/12/24Questionnaire surveys at a hospice proved ineffective as a tool to identify areas for service improvement, but narrative inquiry with patients and their families identified important deficits that offered clear guidance for service development. This method needed a careful, respectful approach, as well as significant time and resources, but proved to be invaluable. Many of the patients enjoyed having an opportunity to tell their stories, while nursing staff could be involved in the project, thereby enhancing their skills and raising their ambitions.

Explore the enormous benefits of multigenerational living in this essential guide for the modern American familyNewsDirect; 2/5/24In today's rapidly evolving world, the modern American family encounters unprecedented challenges without a roadmap for guidance. Addressing this pressing need, Under One Roof (River Grove Books, Feb. 5, 2024) emerges as a comprehensive guidebook authored by Emily K. Graham, Angel L. Vargas, and John L. Graham. With a wealth of experience and insights, the authors present innovative approaches to multigenerational living, shedding light on its opportunities and complexities.

Colorado’s paid leave program just launched. Here’s why that’s good for the state.U.S. Department of Labor Blog, by Gayle Goldin; 2/5/24Today marks the 31st anniversary of the Family and Medical Leave Act (FMLA), landmark federal legislation that provides eligible workers unpaid, job-protected leave for specific family and medical reasons. ... But the FMLA is not enough. The lack of a paid leave standard means that many people cannot afford to take time away from work, even when they need it. That’s why we’re celebrating Colorado’s new paid Family and Medical Leave Insurance Program (FAMLI), which began accepting applications on Jan. 1.

Cancer facts & figures 2024American Cancer Society; 2024Cancer Facts & Figures 2024 is an educational companion for Cancer Statistics 2024, a scientific paper published in the American Cancer Society journal, CA: A Cancer Journal for Clinicians. These annual reports provide:

‘Crying wolf’ or dying breed? Incentives often ignore plight of rural skilled nursing operatorsMcKnights Long-Term Care News, by Kimberly Marselas; 1/29/24As hundreds of nursing homes have shuttered in the last few years, the very strategies meant to prop up the sector have often left the most isolated, resource-strapped facilities with nothing gained. Several new federal payment models and insurance programs are designed to allow skilled nursing providers to take on financial risk, tap into new revenue streams or access additional staffing and clinical resources.

Planning ahead for peace of mind: How an advance care conversation educator can help

Cancer statistics, 2024American Cancer Society, by Rebecca L. Siegel MPH, Angela N. Giaquinto MSPH, and Ahmedin Jemal DVM, PhD; 1/17/2024In this article, we provide the estimated numbers of new cancer cases and deaths in 2024 in the United States nationally and for each state, as well as a comprehensive overview of cancer occurrence based on up-to-date population-based data for cancer incidence and mortality through 2020 and 2021, respectively.

$15 billion win for physicians on prior authorizationAMA, by Kevin B. O'Reilly; 1/18/24Under the leadership of Administrator Chiquita Brooks-LaSure, the Centers for Medicare & Medicaid Services (CMS) has released a final rule making important reforms to prior authorization to cut patient care delays and electronically streamline the process for physicians. Together, the changes will save physician practices an estimated $15 billion over 10 years, according to the U.S. Department of Health and Human Services (HHS).

Survey shows 2024 to be a "Year of Efficiency" for Care at Home OrganizationsHomeCare News; 1/16/24To improve their bottom line and operations, care-at-home organizations plan to focus on shoring up operational processes and how they manage staffing and scheduling, according to the just-released 2024 Industry Trends Report. ... The focus on having more efficient operations was reflected in the top concerns from respondents: staffing, and addressing the changing payment dynamics and new regulations and oversight in the care at-home industry.

How history has shaped racial and ethnic health disparities: A timeline of policies and eventsKFF, with thanks to Daniel Dawes, Gilbert Gee, Michelle Tong; ongoing reference for health policy research, polling and journalismThis timeline offers a historical view of significant U.S. federal policies and events spanning the early 1800s to today that have influenced present-day health disparities. It covers policies that directly impacted health coverage and access to care, relevant events in medicine, social and economic policies and developments that influence health, and efforts to tackle inequalities. ... While not exhaustive, the timeline aims to provide context for addressing disparities, acknowledging the complex history that shapes racial and ethnic health and health care disparities that persist today.