Literature Review

After Hurricane Helene, the VA in Western NC is making sure that no veteran is left behind  Southern Living; by Abigail Wilt; 11/11/24The agency has contacted 100% of the high-risk veterans they identified before the storm—some visits requiring mile-long hikes up unstable mountainous terrain. As Western North Carolina continues to pick up the pieces on a long road to recovery following the devastation of Hurricane Helene, teams from the local VA are going above and beyond to care for veterans. ... That service extended deep into the mountains. Prior to the storm, the VA identified over 2,600 vulnerable veterans at highest risk, including patients going through chemo treatments and those with spinal cord injuries, mobility issues, and home oxygen needs. When the floodwaters hit, the Emergency Department never closed. Immediately following Helene, the VA began addressing the oxygen needs of 1200 vulnerable veterans, Young shared, and a task force was mobilized to perform wellness checks. But as many roads were washed out and phone and internet service inconsistent, these wellness checks often took the form of compassion on foot. “We contacted 100% of the high-risk veterans, either by phone or in person at their homes,” Young said. “Some visits required mile-long hikes up unstable mountainous terrain to reach veterans, including those determined to stay in their homes."

Signs and symptoms of end-of-life kidney failure Health; by Lindsay Curtis; 11/8/24 Kidney failure, or end-stage kidney disease (ESKD), occurs when the kidneys lose their ability to filter waste and excess fluids from the blood. As toxins and fluid build up in the body, other health problems can develop, increasing the risk of life-threatening complications. ...

The dozen phrases doctors warned never say to patients, including ‘everything is going to be fine’ What's New 2Day; by Alexander; 11/8/24 “Everything is going to be okay.” No doubt you or someone you know has heard those words from a doctor, but doctors are now being warned to stop doing so because it could raise false hope. A new report has identified 12 “never phrases” that doctors should never use with patients with serious illnesses, such as heart failure, cancer and lung disease. They explain that these “isolated words or phrases not only lack benefits but can also cause emotional harm and accentuate power differences.” If a patient is seriously ill, for example, a doctor should never mention the words “withdraw care,” as this implies that the medical team is “giving up.” While “everything will be okay” may seem like a comforting phrase, researchers say this could offer false hope when dealing with a serious illness and a better expression might be “I’m here to support you through this whole process.” [Click on the title's link for the dozen phrases they identify, with alternative language and rationale.]

Nurse burnout the root of decreased resident safety, medication errors, study shows McKnights Long-Term Care News; by Zahara Johnson; 11/6/24 A new study has found a direct link between nurse burnout and unfavorable patient and facility outcomes, including medication errors and a degraded safety culture. The meta-analysis of 85 studies and 288,581 nurses, compiling more than 30 years of research, concluded that nurses who suffer from burnout – emotional exhaustion, depersonalization and a low sense of personal accomplishment – have a negative impact on patients.

[Nebraska Department of Correctional Services] NDCS launches hospice care volunteer program News 2 North Platte, NE; 11/4/24 A new program is aiming to bring transformative change to end-of-life care in Nebraska correctional facilities. The Nebraska Department of Correctional Services recently launched a hospice care volunteer program to ensure terminally ill patients are not alone in their final moments. The first cohort of 16 volunteers selected from the Reception and Treatment Center completed 10 weekly trainings, delivered by healthcare professionals. The trainings covered various aspects of hospice care, including communication skills with patients and families, confidentiality, end-of-life care and stress management. In the program, volunteers work with NDCS team members and healthcare providers a few hours each day to addresses the physical, emotional and spiritual needs of incarcerated individuals who have a terminal diagnosis. This will allow them to maintain employment within the facility and participate in programming, NDCS said.

It takes more than love to care for a loved one Tri-Cities Area Journal of Business; guest column by Jason Erskine, AARP; 11/5/24 Chances are, if you aren’t a family caregiver, you know someone who is. Every day, more than 820,000 Washingtonians help their parents, spouses, siblings, grandparents, neighbors and other loved ones to live independently at home – where they want to be. November is National Family Caregivers Month, a time to highlight the important work these folks do. But simply thanking them isn’t enough. ... AARP and United Way have teamed up to connect caregivers with trained, compassionate people in your community who can help you find AARP caregiving resources and more. It’s called 211, it’s a free service, and you can talk to specialists who can help you find local resources for caring for your loved one … and for yourself too. ... AARP Washington is here to help with information and resources to support and connect caregivers. Go to: aarp.org/caregiverswa.

More Minnesotans face ‘pharmacy deserts’ with chain drugstore closures The Minnesota Star Tribune; by Dee DePass; 11/2/24 KB Brown’s phone hasn’t stopped ringing since Walgreens shut its W. Broadway store last year, leaving one pharmacy to serve 67,000 residents in the north Minneapolis area where he lives and runs his graphics design business. With Walgreens gone — and CVS shutting four other area stores — Brown, at least three times a week, transports employees, relatives and older neighbors to pharmacies in Robbinsdale or other suburbs so they can get their medications. ... North Minneapolis joins a growing number of “pharmacy deserts” rapidly dotting the state and nation as small and large pharmacies close up shop, leaving people with few options to quickly access prescription medicines. ... CVS, which closed 600 U.S. stores between 2021 and 2023, said it would close 300 more this year as leases end. On Oct. 15, Walgreens announced a plan to close 1,200 unprofitable stores, starting with 500 in 2025.

CNY Inspirations: Caregiving is redemptive Syracuse.com, Syracuse, NY; by InterFaith Works of Central New York; 11/3/24 I will carry him with me for my life as one of the greatest examples of caring that I ever met. I will be obscure on the details, but he cared for his wife, who was completely immobilized, with a degree of fidelity, creativity, and painstaking love that I have rarely seen and could only hope to imitate. He lived what Arthur Kleinman calls in his book of the same title, The Soul of Care. ... He says, “Caregiving, for me, at its deepest was redemptive. It redeemed me…. in caregiving, there is a common tug of war between the sometimes-bitter feelings that care is a burden and the more heartening certainty that no matter how burdensome, it is ultimately rewarding.” ... My friend never expressed that verbally, but I saw it lived as I watched him over the years through periods of anxiety, weariness, anger, hurt, despair, and through it all, intense, personal demanding caregiving. “And so, in the end, the soul of care pivots to care of the soul.” Inauspiciously, my friend took good care of his soul…and certainly helped mine.

We invite you to listen to our latest podcast: Imagine Heaven, with John Burke TCN Talks (Teleios Collaborative Network); podcast by Chris Comeaux; 10/30/24 In this inspiring episode of TCNtalks, Chris Comeaux sits down with John Burke, New York Times bestselling author of Imagine Heaven and Imagine the God of Heaven, for a soul-stirring conversation on near-death experiences (NDEs) and their profound implications. John shares the overwhelming evidence of the commonalities of near-death experiences (NDEs) and the evidence that supports their validity from across the world and from across many different cultures.  Chris begins by recounting his own transformative experience reading Imagine Heaven over his summer sabbatical, describing it as a refreshing oasis for the parched soul. John delves into the fascinating and consistent patterns found in NDEs worldwide, revealing how people from vastly different backgrounds describe similar encounters of leaving their bodies, seeing with a spiritual clarity—even those blind from birth—and entering realms filled with light, love, and peace. 

How to initiate goals of care discussions with familyExpertClick, Denver, CO; by Pamela D. Wilson; 10/30/24 ... While many adults set these conversations aside until a health diagnosis or other situation occurs, having goals of care discussions early in life allows more effective planning.

80-year-old 'Mom' cares for homeless men in Philadelphia ABC News 7, New York, NY; by Matteo Iadonisi; 10/30/24 Cecelia Robinson has earned the nickname 'Mom' during her two decades of showing motherly love to homeless residents at St. John's Hospice. Her work in environmental services and housekeeping ranges from taking out the trash to developing relationships with clients and making sure their needs are met. Specifically, she works in the Good Shepherd residence at St. John's Hospice, which cares for men who are considered medically fragile. Robinson has helped men like Craig Freeman, who utilized the Good Shepherd for transitional housing and has since moved into his own apartment. Watch the video [here] to see Robinson's story in action.Editor's note: Do you need inspiration? Click here to view this beautiful story about Cecelia Robinson's care for homeless residents at St. John's Hospice.

Providence Alaska Medical Center tests virtual care model, announces hospice partner Alaska Business - Healthcare, News; 10/28/24 Providence Alaska Medical Center (PAMC) recently launched a new way of caring for patients that combines bedside nursing with a virtual or remote nurse and a dedicated patient care technician or certified nursing assistant. Known as co-caring or virtual nursing, the bedside nurse manages direct patient-care duties while the virtual nurse coordinates other support tasks. Also this month, the Washington-based not-for-profit healthcare system that operates PAMC announced it will partner with Compassus...Co-Caring Model Leverages Skilled Nurses: Virtual nursing is a response to a strained labor market. A study by the National Center for Health Workforce Analysis shows Alaska is projected to lead the nation in nursing vacancies, with as many as 23 percent of openings unfilled, by 2030. The co-caring model helps address the impending shortage while providing added patient care, Providence officials say.

The ‘perfect way to die’ in North Dakota CBS KX News, Bismarck, ND; by Brendan Rodenberg; 10/27/24 Death is not something people tend to look forward to at the end of their lives, but it is important to discuss nonetheless — and while many have ideas of how they would like to pass away, these vary immensely across America. This begs the question: How would North Dakotans like to spend their last moments?  ... [An insurance poll that surveyed 3,000 people from across the nation indicated]  that the perfect death for a North Dakotan would be to pass while hiking White Butte, the state’s highest point. ... The survey also delved deeply into other aspects of one’s last moments, including those surrounding them and what occurs after the moment of death. Below is a list of the most prevalent takeaways from this part of the study.