Literature Review

How poor communication is killing patients and burning out doctors Medpage Today's KevinMD.com; by Pamela Buchanan; 1/14/25 This week alone, I had two particularly heart-wrenching encounters [as an Emergency Room physician]: A 65-year-old man with metastatic lung cancer, convinced his shortness of breath was just pneumonia. When I explained the progression of his disease, he was shocked. No one had told him that his cancer was likely incurable. A 97-year-old woman brought in for “failure to thrive.” She was frail, pale, and not eating—classic signs of the final stages of metastatic cancer. When I suggested hospice care, she seemed blindsided, as if this reality was completely new to her. Both cases highlight a troubling trend: Patients often come to the ER not just for care, but for clarity. They don’t understand their diagnosis, prognosis, or treatment plan. ...

Weekly US map: Influenza summary update U.s. Centers for Disease Control and Prevention (CDC); retrieved 1/15/25 A Weekly Influenza Surveillance Report Prepared by the Influenza Division utpatient Respiratory Illness Activity Map Determined by Data Reported to ILINet. This system monitors visits for respiratory illness that includes fever plus a cough or sore throat, also referred to as ILI, not laboratory confirmed influenza and may capture patient visits due to other respiratory pathogens that cause similar symptoms. Editor's note: Throughout the nation, local and regional reports of increased flu, respiratory diseases, and COVID are emerging. Click here to monitor information for your service areas. Scroll down to the bottom of the page for its map.

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.

My husband almost died. When I asked his doctor for help, I was appalled by the insensitive response. HuffPost; by Carrie Severson; 1/13/25 ... The physician’s assistant came in and looked at Gavin [the author's husband]. As soon as she took her seat, I told her I wanted to schedule him for a feeding tube, expecting her complete understanding and compassion. Instead, she laughed. “I recommended a consult for a feeding tube last week, and you declined it,” she said sharply. “Now I have to start over from scratch and reach back out to the GI team to see how we can get him in.” My mouth dropped open. I stared at her, bewildered. “I wasn’t ready last week. I’m ready now,” Gavin mumbled, barely audible. “What did he say?” the physician’s assistant snarled. I very calmly repeated what Gavin said, my heart breaking for him and rage racing through my body. “Well, you certainly have made my job harder. And now I’ll have to see what I can do for you. You’ll hear from me about your next steps, and you better follow them. It might be too late because of your attitude,” she barked. I leaned in, looked at her straight on, meeting her nasty tone, and said, “No. Your attitude has made this harder. And it’s very much not appreciated right now. He’s in pain, and your job is to help us. In fact, you took an oath to do no harm, and what you’re doing in this room is harmful.” ...

The anonymous advantage: How anonymous patient surveys can improve healthcare outcomes Forbes; by Lauren Parr; 1/9/24 When it comes to improving patient care, feedback is the compass that guides healthcare providers in the right direction. But here’s the catch, traditional feedback often fails to capture honest patient opinions due to fear of judgment, privacy concerns and other potential repercussions. This is where anonymous surveys prove to be valuable. Studies have demonstrated that anonymous surveys yield more candid responses, leading to a deeper understanding of patient experiences. This increased transparency fosters trust between patients and healthcare providers, enabling a more collaborative approach to care. Free from fear of judgment or consequences, patients can provide honest feedback, highlighting strengths and identifying areas for improvement. This ultimately leads to better healthcare outcomes.

End-of-life care can be more aggressive for cancer patients with defibrillators Medical Xpress; by UT Southwestern Medical Center; 1/8/25 Patients with advanced cancer who also had cardiac defibrillators were more likely than those without these implants to receive aggressive end-of-life care, a team led by UT Southwestern Medical Center researchers found in a new study. The findings, published in Cancer, could help physicians guide patients in this growing population toward care that better matches their goals. ... The findings showed that about 6% of patients with advanced cancer also had [implantable cardioverter defibrillators] ICDs. However, significantly more of the ICD patients received aggressive care during the last month of their lives compared to those without these devices.

The idea of a good daughterHealth Affairs; by Jennifer Beard; 12/24A public health professor and her mother failed to receive long-term care support from the health care system when they needed it most.

OSF recommends masks in clinics as respiratory illnesses spread WIFR Newsroom, Rockford, IL; by WIFR Newsroom; 1/1/25 OSF HealthCare recommends masks for patients and visitors as respiratory illnesses become more widespread. ... Patients and visitors are urged to wear masks in the hospitals, hospice home and clinics.

Hospice workers share the foods that bring patients comfort till the end: Plus, they reveal how families can support their loved ones with scents, small bites and shared memories HuffPost; by Julie Kendrick; 12/30/24... We all live, we all die and we all enjoy food along the way. The memory and meaning of food, along with the bliss of being able to savor a cherished flavor, are still present in our lives, even as we head toward a last meal, a soothing sip of water or a final bit of sustenance. “Food often plays an emotional role in the last stages of life,” said Dr. Kurt Merkelz, the chief medical officer at Compassus, a home-based care company. “Some patients may reminisce about favorite meals or foods that connect them to fond memories and loved ones. There are instances where patients crave a specific dish that reminds them of their family or heritage, even if they can’t eat much.” ... People often ask for things like mashed potatoes, ice cream and chicken soup, according to Gail Inderwies, the founder and president of KeystoneCare, a hospice and home health provider in Pennsylvania. ... Sometimes, those comforts are part of a culinary heritage.

Preliminary research suggests that grief after the death of a public figure looks very similar to grief over our personal relationships and can have comparable levels of intensity News Wise; by Sylvester Comprehensive Cancer Center; 12/29/24 Many people are surprised by the intensity of their response when a well-known person dies, and their feelings of sadness may last longer than they expect. In fact, that sadness and grief can be intense, and preliminary research suggests that grief after the death of a public figure looks very similar to grief over our personal relationships and can have comparable levels of intensity. Wendy Lichtenthal, Ph.D., a bereavement science researcher and founding director of the Center for the Advancement of Bereavement Care at Sylvester Comprehensive Cancer Center, is available to discuss “parasocial grief” – that which occurs when a celebrity, political figure or other highly recognized person dies.

[Cure] Top palliative care stories from 2024 Cure; by Alex Biese; 12/28/24 This year, CURE® worked to provide education and insight that underscored the importance of palliative care in cancer treatment. Early integration of palliative care, whether through in-person visits, telehealth or ongoing emotional support, can make a significant difference in a patient's quality of life. Here are some of the top articles on the topic of palliative care from 2024.

What does a hospital chaplain do for patients seeking health care in Connecticut? Shelton Herald; by Jordan Nathaniel Fenster; 12/29/24 Rev. ReBecca Sala described her work as “archaeology of the soul.” Her first masters’ degree, long before she became a hospital chaplain, was in museum administration of archeological collections. She doesn’t see the two roles as very different.  “I've been a searcher my whole life,” she said. In the same way that an archaeologist gently brushes away the silt and stone of centuries, Sala said she attempts to gently allow emotions and spirituality to emerge from patients and their families receiving care at Stamford Hospital.  ... “That people even allow me to be there with them is humbling.” ... “It's meeting the patient where they are, not where I want them to be, what we as chaplains want them to be. It's finding out what's most important to them in that moment,” she said. .. Sala said if there was a bridge between the physical and the spiritual, it would be palliative care. The goal of palliative medicine is to improve the quality of a patient’s life physically, emotionally and spiritually. 

'We do more than just pray': Chaplains take active role at Milwaukee VA and in community U.S. Government Veterans Administration; by David Walter; 12/23/24 If you think hospital chaplains just pray at bedsides, think again. At the Milwaukee VA Medical Center, chaplains are much more than comfort providers. They are fully integrated into the everyday workings of the hospital, serving on committees, participating in numerous events and consulting with other subject matter experts. Their work also goes beyond the walls of the hospital, interfacing with the community to help better reach those Veterans who may not venture into the hospital. And while they continue to meet one-on-one with patients on a daily basis, they also extend their services to hospital staff, providing solace and support for those dealing with the emotional toll that caregiving can sometimes take on health care professionals. “There’s been a really big shift here,” said Chaplain Robert Allen, chief of the Milwaukee VA’s Chaplain Services, adding that for too long chaplains were “put in this corner, thinking that we only just pray.” Editor's note: To strengthen your understanding of chaplaincy roles, standards, training, and certification, examine the national Association of Professional Chaplains.