Literature Review
All posts tagged with “Clinical News | Patient Safety.”
Executive producer Bradley Cooper's film Caregiving to premiere on PBS for nationwide broadcast June 24, streaming begins May 27
03/26/25 at 03:00 AMExecutive producer Bradley Cooper's film Caregiving to premiere on PBS for nationwide broadcast June 24, streaming begins May 27ABC WHTM-27, Harrisburg, PA; 3/20/25 PBS and WETA Washington, DC, today announced that Caregiving, the documentary created with executive producer Bradley Cooper highlighting the challenges and triumphs of caregiving in America, will premiere Tuesday, June 24, 2025 at 9 p.m. ET on PBS (check local listings), and on the PBS YouTube Channel. Caregiving will be available to stream on PBS.org and the PBS App beginning Tuesday, May 27, 2025. Award-winning actress Uzo Aduba (The Residence, Painkiller, Orange is the New Black) was also announced as the film's narrator, bringing her own experience as a caregiver for her mother to the project. The two-hour documentary is centered on the personal experiences of caregivers providing for loved ones, and the challenges and triumph they face each day. These stories are interwoven with the broader context of the cultural and economic conditions in the U.S., leading to a care system tipping into crisis. [Continue reading ... including "Bradley Cooper Invites the Public to Share Their Caregiving Story]
Health care system adaptation and resilience during the wildfire crisis
03/21/25 at 03:00 AMHealth care system adaptation and resilience during the wildfire crisisJAMA Network; by Attila J. Hertelendy, PhD, Jeremy Maggin, MD, MS, and Gregory Ciottone, MD; 3/19/25 ... Within a span of hours, the Palisades and Eaton fires, propelled by record-breaking Santa Ana winds reaching 150 miles per hour, consumed more than 37,000 acres, destroyed more than 16,000 structures, and claimed 29 lives. All told, greater than 186,000 residents were placed under evacuation orders. ... The experience in Los Angeles County demonstrates the value of maintaining dual-purpose resources: facilities and personnel who can transition between routine operations and emergency response functions. This approach is exemplified by Kaiser Permanente’s successful deployment of mobile health vehicles and the use of clinically trained administrative leaders in direct patient care roles during crisis events. Key elements of successful resource mobilization include:
‘Early discussions on what to expect can lessen the strain’
03/21/25 at 03:00 AM‘Early discussions on what to expect can lessen the strain’ Nursing Times; by Kylie Chaffin; 3/19/25 The article explains the pros and cons of nutrition and hydration at end of life and the several types of artificial nutrition and hydration that can be used, written in a way patients and families can understand. Resources and educational articles, like this one, can also be a great way to introduce new or even more effective ways nurses and care team members can support patients and families when pursuing a palliative approach to their health and wellbeing. My question for readers is, “Should the conversation of end-of-life, hospice and palliative care, and nutritional changes, be initiated sooner rather than later in patients with a terminal diagnosis?”
Hastening death by stopping eating and drinking: Hope Wechkin, Thaddeus Pope, and Josh Briscoe
03/21/25 at 03:00 AMHastening death by stopping eating and drinking: Hope Wechkin, Thaddeus Pope, and Josh Briscoe GeriPal Podcasts; by Hope Wechkin, Thaddeus Pope, and Josh Briscoe Eric and Alex have featured discussions about complex bioethical concepts around caring for people at the end of life, including voluntarily stopping eating and drinking (VSED), and multiple episodes about the ethical issues surrounding medical aid in dying (MAID). Recently, discussion has emerged about how these issues intertwine in caring for patients with advancing dementia who have stated that they would not want to continue living in that condition: for those with an advanced directive to stop eating and drinking, how do we balance caring for their rational past self and their experiential current self? Should these patients qualify for medical aid in dying medications? And is there a middle path to provide some degree of comfort while also hastening the end of life?
Revamped tool can reliably assess pain symptoms in dementia patients: researchers
03/19/25 at 02:00 AMRevamped tool can reliably assess pain symptoms in dementia patients: researchers McKnights Long-Term Care News; by Zee Johnson; 3/17/25 ... A team of researchers reconstructed the End-of-Life Dementia-Comfort Assessment in Dying, or EOLD-CAD, after a multifacility study showed that caregivers could adequately and reliably address a host of pain symptoms seen in end-of-life dementia patients. ... When clinicians working in the SNFs that were part of the trials used the EOLD-CAD, they were able to detect patterns in more than 600 residents that fell into four categories: physical distress, symptoms of dying, emotional distress, and well-being. Common symptoms observed across these categories were restlessness, shortness of breath, choking, gurgling, difficulty in swallowing, fear and anxiety. ...
Less wealth at death linked to more end-of-life symptoms
03/18/25 at 02:30 AMLess wealth at death linked to more end-of-life symptoms McKnights Long-Term Care News; by Kristen Fischer; 3/10/25 Older people with less wealth showed a higher burden of symptoms when they approached the end of their lives compared with those who had more wealth, a study found. The report was published in JAMA Network Open on March 6. Investigators looked at data from 8,976 older adults. The team evaluated 12 end-of-life symptoms including difficulty breathing, frequent vomiting, low appetite, difficulty controlling arms and legs, depression, and severe fatigue or exhaustion.Then they correlated symptoms to individuals’ wealth. Wealth was broken into three categories: low wealth was having less than $6,000; medium wealth was having between $6,000 and $120,000; and high wealth was considered having more than $120,000 at the time of death. Of respondents, 22.5% had low wealth, 50.5% had medium wealth and 27.1% had higher wealth. People who had less wealth were more likely to have a higher burden of symptoms compared to those who had more money. Functional impairment, multimorbidity and dementia were factors that affected the association, data revealed.Editor's note: Click here for this important JAMA article, posted in our Saturday Research issue 3/15/25, "Wealth disparities in end-of-life symptom burden among older adults."
Flu season lingering despite springlike weather in Indiana
03/17/25 at 03:00 AMFlu season lingering despite springlike weather in Indiana NBC WTHR 13, Indianapolis, IN; by Dustin Grove; 3/14/25 With warmer weather moving into central Indiana, you'd think flu season would be over by now, but it's still hanging on. The Centers for Disease Control and Prevention estimates at least 33 million cases of flu nationwide, with 430,000 people hospitalized. So far, 19,000 have died. "(I think) it is more severe than it has been in the past few years. I think that with those numbers ... it really tells a story and that, especially with the 19,000 deaths, we're talking about a serious illness this year," said Dr. Darlene Lawrence. "COVID is waning, folks are having vaccine wariness." ... Even with spring weather arriving and the thought that flu season is waning, it's still not too late to get vaccinated. ... Flu is particularly dangerous for the elderly, people with chronic conditions and children, she said. ... Patients can talk to their doctor or pharmacist to help find the best vaccine for them.
Sarcopenia in terminally ill patients with cancer: Clinical implications, diagnostic challenges, and management strategies
03/17/25 at 03:00 AMSarcopenia in terminally ill patients with cancer: Clinical implications, diagnostic challenges, and management strategies Journal of Hospice & Palliative Care; by Se-Il Go, Myoung Hee Kang, and Hoon-Gu Kim; 3/1/25 Sarcopenia, characterized by progressive loss of skeletal muscle mass and strength, is a prevalent but often overlooked condition in patients with cancer who are terminally ill. It contributes to functional decline, increased symptom burden, and reduced quality of life, yet remains underrecognized in palliative care. Diagnosing sarcopenia in this population is challenging because conventional imaging techniques are often impractical. Instead, alternative assessments, such as the Strength, Assistance with walking, Rise from a chair, Climb stairs, and Falls questionnaire (SARC-F), anthropometric measurements, and bioelectrical impedance analysis offer feasible options. Management should focus on symptom relief, functional preservation, and patient comfort, rather than on muscle mass restoration.
Mid-Ohio Valley emergency rooms ask for breathing room as respiratory illnesses flare up
03/13/25 at 03:00 AMMid-Ohio Valley emergency rooms ask for breathing room as respiratory illnesses flare up The Parkersburg News and Sentinel, Marietta, OH; by Staff Reports; 3/11/25 As flu, COVID and other respiratory illnesses increase, Memorial Health System is advising people to take preventive measures, prioritize rest at home or seek medical attention elsewhere before heading to an emergency department. "When needed, seeking care through a primary care provider or at a Physicians Care Express location can help ensure timely treatment and help keep emergency departments available for those in urgent, life-saving situations,” according to a release from the Health System. ... Emergency care should be sought for respiratory illnesses if people experience the following:
[Multi-cultural] Honouring traditions: Integrating cultural wisdom into palliative care – Saif Mohammed
03/13/25 at 03:00 AM[Multi-cultural] Honouring traditions: Integrating cultural wisdom into palliative care - Saif Mohammed ehospice; by Saif Mohammed; 3/10/25[Personal Story] ... "Reflecting on this experience, I realize that caregiving is deeply embedded in tradition and culture, a natural extension of communal life." Caregiving is as old as humanity itself. One of the earliest known cases of palliative care dates back 45,000 years to Shanidar 1, a Neanderthal male found in present-day Iraq. His skeletal remains indicated severe injuries, yet he had survived for decades, suggesting that his community had cared for him. This example highlights that palliative care is a deeply human and historical practice, far predating modern medicine. Cultures around the world continue to recognize the importance of caregiving, often embedding it in traditions and religious beliefs. ... In some societies, the emphasis on independence can make caregiving more complex, as patients may refuse assistance to maintain self-sufficiency. ... Palliative care workers must be equipped to understand and respect the cultural traditions of the communities they serve. This requires training in cultural competence, which involves:
‘The weekend effect’: If you’re planning surgery, doctors say you should think twice about Fridays
03/11/25 at 03:00 AM‘The weekend effect’: If you’re planning surgery, doctors say you should think twice about Fridays DailyDot.com; by Ilana Gordon; 3/7/25 Everybody’s working for the weekend, which, according to a new study, is incidentally the worst time of the week to undergo surgery. A paper published in the JAMA Network on March 4, 2025, concludes that patients experience worse outcomes during the weekends, as compared to weekdays. This phenomenon is known as the “weekend effect” and the study, which examined 429,691 patients in Ontario, Canada, determined that people whose surgeries began directly before the weekend “experienced a statistically significant increase in the composite outcome of death, complications, and readmissions at 30 days, 90 days, and 1 year.”
19-year-old says home hospice is a gift, not doom and gloom
03/03/25 at 03:00 AM19-year-old says home hospice is a gift, not doom and gloom Keloland Media Group, Sioux Fall, SD; by Tom Hanson; 2/27/25 ... Cheyenne may be 19, but she is wise beyond her years, especially when it comes to something doctors discovered when she was 11. “I have stage 4 Metastatic Osteosarcoma, which is bone cancer in my lungs and It hasn’t responded very well to treatment, so that’s so I’m on hospice, but not because, I’m not on hospice because its the end right now, I’m on hospice because just so I have that extra support,” she said. Cheyenne knows people often misunderstand what hospice is all about. “It’s like doom and gloom and it’s like the end, there’s nothing they can do and that’s just not the case, she said. She was able to go on her road trip because Sanford’s Home Hospice team, including Becky Jibben, helped plan the trip and organize support teams along the way if Cheyenne needed help.
‘Global problem’: Numerous factors, biases contribute to overtreatment at end of life
02/27/25 at 02:00 AM‘Global problem’: Numerous factors, biases contribute to overtreatment at end of life Healio; by Josh Friedman; 2/26/25 Nathan I. Cherny, MD, has worked all around the world. At every stop — from Australia to Israel, and Memorial Sloan Kettering Cancer Center in between — he has seen people with cancer receive overly aggressive treatment at the end of life. ... In a review published in ESMO Open, Cherny and a cohort of multinational colleagues highlighted numerous reasons why overtreatment occurs among patients approaching the end of life, ... They listed more than 20 contributing factors, including desire for control of the cancer, denial and anger, family pressure and hope preservation. The two factors that contribute most to overtreatment are optimism bias and the “counterphobic determination to treat,” which involves clinicians having a difficult time introducing the suggestion of palliative care revert to offering further treatments, Cherny said. ... Responsibility for decisions does not need to fall solely on oncologists, Cherny added. Palliative care physicians, social workers, chaplains and others can be part of a team to assist patients with their choices. ... The number of patients who are overtreated differs at each institution. “Each institution has its own culture of care,” Cherny said. Editor's note: This article puts forth significant insights for all palliative and hospice clinicians, interdisciplinary teams, and palliative/hospice executive leaders. Apply Cherny's to your referral sources: "Each institution has its own culture of care." Apply these findings to your own palliative and hospice services.
[Turkey] Actual roles of Occupational Therapists in palliative and hospice cre: A scoping review
02/22/25 at 03:55 AM[Turkey] Actual roles of Occupational Therapists in palliative and hospice care: A scoping reviewAmerican Journal of Hospice and Palliative Medicine; Güleser Güney Yılmaz, PhD, OT; Hülya Yücel, PT, PhD; Milda Gintiliene, MD; 1/25 Occupational therapists play a crucial role in coordinating and facilitating safe transitions from the hospital to home, aiming to improve the overall quality of life and reduce hospital stays. Various roles of occupational therapists have been defined in palliative care: discovering occupational meaning in the last periods of life and supporting occupational participation, management of persistent physical and psychological symptoms, especially pain and fatigue, improving or supporting the quality of life for individuals under palliative care, supporting mental well-being, supporting social participation, use of adaptive technologies, providing individuals with confidence and comfort. Occupational therapists also have various duties in maintaining palliative-hospice care at home include evaluating the individual at home and supporting home care and rehabilitation after discharge. Interventions for caregivers or supporting caregivers who have lost their roles, occupations or jobs in the care process are also among the roles of occupational therapists.
Hiding in plain sight: The most harmful and costly hospital-acquired infection
02/06/25 at 03:00 AMHiding in plain sight: The most harmful and costly hospital-acquired infection Infection Control Today; by Dian Baker, PhD, APRN; 2/5/25 Nonventilator hospital-acquired pneumonia (NV-HAP) is among the most deadly, harmful, and costly hospital-acquired infections (HAI). In a 2023 study of 284 US hospitals, NV-HAP was attributed to 1 in 14 hospital deaths with an inpatient mortality of 22.4%. NV-HAP is associated with significant morbidity and mortality, the incidence of sepsis, longer hospital stays, increased discharges to skilled nursing facilities and hospice, costs, and higher intensive care unity (ICU) utilization.
US flu cases are peaking for a second time this season. Now you can test for the virus at home
02/06/25 at 03:00 AMUS flu cases are peaking for a second time this season. Now you can test for the virus at home CNN; by Neha Mukherjee; 2/5/25 The United States is seeing a second peak in flu cases this season. After doctor’s office visits for flu dipped early this year, they jumped past the previous season peak at the end of last month, with a 30% test positivity rate — and there are still months to go. The US Centers for Disease Control and Prevention estimates that there have been at least 20 million cases and 11,000 deaths from flu so far this season. Hospitalizations are rising too, with an estimated 38,255 hospitalizations from flu last week alone. It’s not the only illness spreading, either ... But there are some new tools to help this respiratory virus season: over-the-counter tests that can identify whether an illness is Covid-19 or influenza. The tests are available for purchase at most pharmacies or online ... The tests won’t check for every respiratory virus, but they mark the first time the public can test for flu at home.
Arizona couple pleads guilty to $1.2B health care fraud
02/03/25 at 03:00 AMArizona couple pleads guilty to $1.2B health care fraud Office of Public Affairs - U.S. Department of Justice; Press Release; 1/31/25 An Arizona couple pleaded guilty for causing over $1.2 billion of false and fraudulent claims to be submitted to Medicare and other health insurance programs for expensive, medically unnecessary wound grafts that were applied to elderly and terminally ill patients. According to court documents, Alexandra Gehrke, 39, and her husband, Jeffrey King, 46, both of Phoenix, conspired with others to orchestrate the massive scheme. Gehrke ran two companies, Apex Medical LLC and Viking Medical Consultants LLC, that contracted with medically untrained “sales representatives” to locate elderly patients, including hospice patients, who had wounds at any stage and order amniotic wound grafts from a specific graft distributor.
The Handbook of LGBTQIA-inclusive Hospice and Palliative Care, 2nd edition
01/31/25 at 03:00 AMThe Handbook of LGBTQIA-inclusive Hospice and Palliative Care, 2nd edition Review in Ageing & Society, published online by Cambridge University Press; book authored by Kimberly D. Acquavia, review authored by Luis Stoisser; 1/23/25 The Handbook of LGBTQIA-inclusive Hospice and Palliative Care is a comprehensive guide to providing inclusive palliative and hospice care to everyone, regardless of their self-identification. Following the author's belief that LGBTQIA+ hospice and palliative care requires change at three levels - individual, institutional and systemic - the book extends state-of-the-art palliative and hospice practices (US focused) by including LGBTQIA+ perspectives. Such a rethinking educates hospice and palliative care practitioners on how to provide person-centered care, how to be self-reflexive on a daily basis and how to handle their own stereotypes and stigmas. [This book is available via Columbia University Press and Amazon.]
Major tuberculosis outbreak hits Kansas City area
01/30/25 at 03:15 AMMajor tuberculosis outbreak hits Kansas City area U.S. News & World Report; by Hannah Lang; 1/29/25 An outbreak of tuberculosis in the Kansas City area has grown into one of the largest ever recorded in the United States, with dozens of active cases of the infectious disease reported, according to health officials. As of Jan. 24, 67 active cases of tuberculosis, or TB, had been reported in Wyandotte and Johnson counties in Kansas. The outbreak began last year, the Kansas Department of Health and Environment said on its website. It did not specify a source of the outbreak. ... Tuberculosis replaced COVID-19 as the top cause for infectious disease-related deaths in 2023, according to a World Health Organization report published in October, highlighting challenges in the global effort in eradicating the disease.
Hospice of Savannah awarded grant for safety improvements
01/28/25 at 03:00 AMHospice of Savannah awarded grant for safety improvements NBC WSAV Savannah News, Savannah, GA; by Eric Dorsch; 1/27/25 Hospice of Savannah Inc. (HSI) has announced it has been awarded a grant for repairs and home modifications. HSI will receive $1,999,111 in Older Adults Home Modification Program grant funding to complete safety and functional home modifications and limited repairs in the primary residences of two hundred eligible homeowners and renters over age 62 with low income. The work aims to improve general safety, increase accessibility, reduce falls, and improve residents’ functional abilities in the home for their safe and successful aging in place.
Transforming care: Spencer Health Solutions and Pharmerica partner to simplify medication management and improve lives
01/23/25 at 03:00 AMTransforming care: Spencer Health Solutions and Pharmerica partner to simplify medication management and improve lives The MarCom Journal, Morrisville, NC; by Leigh White, PharMerica and Daphne Earley, Spencer Health Solutions; 1/21/25In a move set to redefine how medication is managed, Spencer Health Solutions (SHS), a leader in innovative healthcare technology, and PharMerica, one of the nation’s largest and most trusted long-term care pharmacy services provider, are joining forces. This transformative partnership aims to make managing medications easier and more reliable for individuals with complex medication needs, senior living communities, and payers nationwide. ... Spencer Health Solutions (SHS) is dedicated to transforming medication management through innovative healthcare technology. ... PharMerica ... serves the long-term care, senior living, hospital, home infusion, hospice, behavioral, specialty and oncology pharmacy markets.
Respiratory virus activity remains 'high' in US and will 'continue for several more weeks': CDC
01/22/25 at 03:00 AMRespiratory virus activity remains 'high' in US and will 'continue for several more weeks': CDC ABC News; by Mary Kekatos and Youri Benadjaoud; 1/20/25 Respiratory viruses are continuing to spread across the United States, sickening millions of Americans. Overall respiratory illness activity -- including flu, COVID-19 and RSV -- continues to be listed as "high" nationwide and is causing people to seek health care "at a high level," according to the Centers for Disease Control and Prevention. As of Jan. 17, two states -- Hawaii and New Hampshire -- are listed as having "very high" activity while another 15 states are listed as having "high" activity, CDC data shows.
Woman reveals terminally ill mom asked for just 'one thing' before passing
01/21/25 at 02:00 AMWoman reveals terminally ill mom asked for just 'one thing' before passing Newsweek; by Jack Beresford; 1/17/25 A terminally ill woman asked for "one thing" from her adult daughter before she died: to let her be her mom one last time. ... "I had a torn meniscus in my knee that I had been putting off, hoping it would improve, but it was only getting worse," Johnson said. ... [The mom] told her daughter: "I'm going downhill, and I know the end is coming, and if you don't hurry up and take care of this knee, then I'm gonna miss taking care of you in your recovery." ... "She didn't want me going through it without her," Johnson said. "She had already gone on hospice, and all treatments for her cancer had stopped. So, I called my orthopedic surgeon and told him I was ready to get it fixed. I was scheduled just a few days later." [Johnson's mom] cooked and cleaned despite being in a considerable amount of pain herself. She even slept in a chair by her daughter's bedside. That was her way of showing she cared.
Norovirus positivity rate hits 28%, double 2024's peak: 6 notes
01/17/25 at 03:00 AMNorovirus positivity rate hits 28%, double 2024's peak: 6 notes Becker's Clinical Leadership; by Alexandra Murphy; 1/15/25 A surge in norovirus infections this season has resulted in a 28% positivity rate, more than double 2024's high, alarming health officials, CBS News reported Jan. 14. The unprecedented spike is a part of a broader viral surge as the U.S. grapples with four major viruses — norovirus, respiratory syncytial virus, influenza and COVID-19. Hospitals across the country are also feeling the strain, as emergency departments struggle to accommodate the rising number of patients. ... Experts predict that the "quademic" — norovirus, syncytial virus, influenza and COVID-19 — could worsen as hospitals are already overwhelmed. With more outbreaks likely, health systems are implementing stricter protocols including visitor restrictions and increased coordination between hospitals to maintain trauma care capacity.
Guidelines for evaluating, diagnosing, and disclosing dementia published by Alzheimer’s Association
01/16/25 at 02:10 AMGuidelines for evaluating, diagnosing, and disclosing dementia published by Alzheimer’s Association Practical Neurology; 1/14/25 The Diagnostic Evaluation, Testing, Counseling, and Disclosure Clinical Practice Guideline (DETeCD-ADRD CPG) Workgroup, convened and funded by the Alzheimer’s Association, has developed new recommendations for clinicians to use when evaluating patients with possible Alzheimer disease (AD) or AD and related dementias (ADRD). An executive summary of the recommendations for use in primary care and other practice settings was published in Alzheimer’s & Dementia, along with a companion article summarizing specific guidance for specialists. The Workgroup included representatives from primary, specialty, subspecialty, long-term, and palliative care disciplines as well as the fields of health economics and bioethics. Editor's note: Click for open access to the Alzheimer's Association clinical practice guideline ..., executive summary of recommendations for primary care.