Literature Review

How will Kentucky's medical marijuana program be regulated? Here's where things stand Louisville Courier Journal, by Olivia Evans; 3/4/24The Kentucky Medical Cannabis Program — which regulates the legal cultivation, production, sale and use of medical marijuana products — is set to officially start Jan. 1, 2025. ... In early January, Gov. Beshear's administration filed its first set of 10 regulations governing the industry and providing a framework for how businesses will operate. ... The 10 regulations focus on cultivators, processors, producers, safety compliance facilities, dispensaries and more. ... According to the website for the state medical cannabis program, the cabinet is in the process of developing additional regulations.

Perceptions of interprofessional practitioners regarding pediatric palliative transports Am J Crit Care; by Harriett Swasey, Diana Morrill, Sandra Mott, Shannon Engstrand, and Jean Anne Connor; 3/1/24 Background: Pediatric palliative transport (PPT) is the practice of offering critically and terminally ill children requiring life-sustaining measures the opportunity to be discharged from the hospital to home or a hospice facility for end-of-life care. Although studies have shown PPT to favorably affect both children and their families, limited research exists on the perspectives of health care practitioners. 

Facing dementia: Clarifying end-of-life choices, supporting better lives The Hastings Center; 2/28/24The report includes 10 recommendations for policymakers, research funders, clinical and legal practitioners, and professional societies. ... “Facing Dementia: Clarifying End-of-Life Choices, Supporting Better Lives” is the major product of a Hastings Center research project, codirected by Hastings senior research scholar Nancy Berlinger and President Emerita Mildred Z. Solomon. 

Right-sizing interprofessional team training for serious-illness communication: A strength-based approach PEC Innvov, by Liana Eskola, Ethan Silverman, Sarah Rogers, Amy Zelenski; distributed 2/28/24Objective: Palliative care communication skills help tailor care to patients' goals. With a palliative care physician shortage, non-physicians must gain these serious illness communication skills. Historically, trainings have targeted physician-only groups; our goal was to train interprofessional teams.

Surgeon shares biggest lesson: ‘Never underestimate the power of hope Mofitt Cancer Center, by Corrie Pellegrino; 2/27/24An Interview with Dr. Monica Avila. ...[Question] What is the biggest lesson you’ve learned from a patient?[Response] I think the biggest lesson is to never underestimate the power of hope and the power of the patients’ will to live. I’ve had patients literally placed on hospice care who I have taken to the operating room, had successful optimal debulking for ovarian cancer and who are living life right now after chemotherapy. So I never underestimate patients’ ability to keep going and keep living.

House set to vote on bill that could give dramatic boost to nurse-aide training efforts McKnights Long-Term Care News, by Josh Henreckson; 2/28/24 A bill that could reshape how new workers enter the long-term care workforce is scheduled for a vote in the US House of Representatives this week, according to a spokesperson for House Majority Leader Steve Scalise (R-LA). If passed, HR 6585 — referred to as the Bipartisan Workforce Pell Act — would make work training programs of as short as eight weeks with a minimum of 150 hours of training eligible for the federal aid through the Pell Grant program. Previously, grants were available only to programs with a minimum of 15 weeks and 600 hours of training.

Communicating with patients with hearing loss or deafness—Can you hear me? JAMA Intern Med, by Dianne P. O'Leary, PhD and Timothy J. O'Leary, PhD, MD... Virtually all health care professionals want to provide the best possible care and to communicate as effectively as possible. However, ... frequent communication failures are leading to inferior care for the hearing impaired. Effective communication might require some or all of the approaches listed in [this article].

Racial differences in shared decision-making about critical illnessJAMA Intern Med, by Deepshikha C. Ashana, MD, MBA, MS; Whitney Welsh, PhD; Doreet Preiss, PhD; et al; published online 2/26/24Question: How do critical care clinicians approach shared decision-making with Black compared with White caregivers of critically ill patients?Findings: In a thematic analysis of 39 audio-recorded clinician-caregiver meetings, racial differences were most evident in the following clinician behaviors: providing emotional support to caregivers, acknowledging trust and gratitude expressed by caregivers, disclosing medical information, and validating caregivers' treatment preferences.

Subcutaneous patient-controlled analgesia in home-based palliative care: "It's as straightforward as pushing a button, right at my fingertips" J Pain Palliat Care Pharmacother, by Miguel Julião, Patrícia Calaveiras, Eduardo Bruera, Paulo Faria de Sousa; 2/26/24Subcutaneous patient-controlled analgesia (SCPCA) in home-based palliative care is a potentially valuable option for providing effective pain relief to some patients, particularly when conventional analgesic approaches prove ineffective or are refused.

'Goes beyond words': UNC Health incorporates music in health careThe Daily Tar Heel, by Akash Bhowmik; 2/25/24At UNC Health, music is a space for emotional and physical support and remains an important strategy for improving and humanizing patient care during times of crisis, music therapists Maryrose Nelson and Joyu Lee said. ... [Music therapists at UNC Health] help achieve clinical therapeutic goals – including treating pain and physiological injuries, promoting mental health outcomes and providing end-of-life care. Therapies are managed by licensed professionals who have graduated with a degree in music therapy, completed an internship experience and passed a national exam supervised by the Certification Board for Music Therapists. 

Medical marijuana testing: Mississippi revokes license of lab that covered 70% of state's supply, raising patient access concerns Benzinga - Investing.com; by Maureen Meehan; 2/25/24Mississippi’s Department of Health (MSDH) revoked the license of Rapid Analytics, a medical cannabis testing lab, citing “significant deviations from regulations” following a two-month investigation. 

Not all mourning happens after bereavement – for some, grief can start years before the death of a loved one The Conversation, by Beth Daley; 2/22/24For many people, grief starts not at the point of death, but from the moment a loved one is diagnosed with a life-limiting illness. Whether it’s the diagnosis of an advanced cancer or a non-malignant condition such as dementia, heart failure or Parkinson’s disease, the psychological and emotional process of grief can begin many months or even years before the person dies. This experience of mourning a future loss is known as anticipatory grief.Editor's Note: All clinical team members need to be equipped to tune into and validate grief that is already underway. Social workers and chaplains--especially--need to be trained to tend grief in the present, and to know how to make high-acuity referrals to bereavement counselors.