Literature Review

Reimagining end-of-life care: Balancing polypharmacy, treatment modification, and quality of life in advanced cancer patientsBNN, by Mahnoor Jehangir; 2/15/24In a recent groundbreaking study, researchers have illuminated the complexities surrounding polypharmacy and the prescription of potentially inappropriate medications (PIMs) to patients at the end of their lives, particularly those battling advanced cancer. This investigation, involving a cohort of 265 older adults, sheds light on the nuanced challenges and critical decisions faced by healthcare providers in managing the delicate balance between treatment efficacy and quality of life for terminally ill patients. 

A race against time: Cancer patient's touching keepsake for his familyBNN; 2/15/24When time was running out, 44-year-old cancer patient Yiu created a heartfelt keepsake for his family. With the help of an art therapist, he cast a realistic mold of his intertwined hands with his wife's symbolizing their love and unity. This touching story highlights the power of love and hope in the face of adversity.

This hospice volunteer program is transforming end-of-life care for inmates in MaineYouTube - News Center Maine, video news; 2/16/24The prisoner hospice volunteer program started in 2001 as a partnership among the Maine Hospice Council, Maine State Prison, and Maine Department of Corrections.

Bristol Hospice’s quest to help patients sleepHospice News, by Jim Parker; 2/14/24Salt Lake City-based Bristol Hospice has developed a branded program designed to help their patients get better sleep, which can significantly impact quality of life.

Understanding the discordance about prognosis between clinicians and terminally ill patients and their surrogatesThe ASCO Post, by Jo Cavallo; 2/14/24A Conversation with Douglas B. White, MD, MASResearch shows that about half of adults near the end of life in the United States are too ill to participate in decisions about whether to accept life-prolonging treatment, requiring family members and other proxies to serve as surrogate decision-makers for their critically ill loved ones. However, research also shows that surrogates of patients with advanced illness often have optimistic expectations about prognosis, which often lead to the increased use of invasive treatment (including life support) in dying patients and delays in the integration of palliative care.

Hospice nursing a ‘privilege and honour’, says chief nurseNursing Times, by Edd Church; 2/13/24The chief nurse of a children's hospice is seeking to challenge perceptions of the specialty and encourage more nurses into it.

Highest-paying cities for nurses in every stateBecker's Clinical Leadership, by Mariah Taylor; 2/6/24Here is the top metro area in every state with the median annual wage for nurses. [Highest paying cities include:]

Large study ties OCD to greater risk of death from any causeJAMA, by Emily Harris; 2/7/24Previous research on the mortality risk of people with obsessive-compulsive disorder (OCD) has shown mixed results and hasn’t gone into specific causes of death. Now, results from a large cohort study published in The BMJ suggests they have an 82% higher risk of dying from all causes.

Exploring the relationship between hospice care and end-of-life doulasPhaneuf Funeral Homes & Crematorium; 2/7/24Highlighting the collaborative nature of this relationship, [Lee] Webster pointed out, “Doulas are not out to steal [healthcare professionals’] jobs, but are another set of tools in the tool chest.” The supportive role of doulas can enhance the comprehensive care provided by hospice teams. “People everywhere involved with the doula movement are struggling with this [integration],” Webster added.

Where things stand: a summary of pending federal cannabis legislationReuters, Jean E. Smith-Gonnell and Cole White; 2/8/247Federal legislation pertaining to cannabis reform, once a political oddity, now commands significant resources and attention in Congress. With numerous bills under consideration, the landscape is both dynamic and complex. ... In this overview, we aim to provide clarity amidst the legislative maze and get to the root of the most significant cannabis legislation introduced in 2023. 

Children to have a place to grieve: Shepherd’s Cove Hospice plans musical-themed activity garden at Albertville facility Sand Mountain - The Reporter, by Mary Bailey; 2/6/24Shepherd’s Cove Hospice is in the beginning stages of building a space where children can grieve and cope with loss on site at their facility. The “Shepherd’s Cove Activity Garden” will be a place where children will be able to run, play and continue to be children while dealing with their emotions.

How PBM legislation would transform the industryModern Healthcare, by Lauren Berryman; 1/24/24The pharmacy benefit manager industry could look a lot different soon if Congress follows through with bipartisan efforts to pass bills governing the sector. PBMs such as CVS Caremark, Express Scripts and OptumRx would face new transparency requirements that would give health insurance companies, employers, customers and regulators new insights into how they negotiate prices for prescription medicines—and how much of the savings they generate find their way to patients and plan sponsors. Pending legislation also would prohibit lucrative practices such as spread pricing.

Clinicians and caregivers must keep pace with new pacemaker tech available for seniors: studyMcKnight's Senior Living, by Aaron Dorman; 2/6/24As new pacemaker and implantable heart technology becomes available, it has become increasingly important for caregivers to keep track of the different models. A new survey classifies cardiac implantable electronic devices, or CIEDs, according to both their function and where in the heart their components are placed. The various categories also overlap, the study indicates, as CIEDs can be leadless — that is, have no wires connecting heart implants to the battery — and can include defibrillator shock capabilities.Editor's Note: Dying with an defibrillator can be traumatic for the patient and the family if the implanted defibrillator attempts to shock the person back to life, even after the heart has given out. Examine this with your Medical Director, physicians and nurses, and Policies and Procedures.