Literature Review

Build sustainable schedules to support physician well-beingAmerican Medical Association (AMA) - Physician Health; by Sara Berg, MS; 4/1/25Physician schedules often fail to block off the time required to complete nonpatient-facing tasks such as clinical documentation, patient messages and chart review. If this hidden time were accounted for, doctors could show that they have vastly reduced patient availability, given the amount of time that is required to complete these nonclinical tasks. ”Rather than reduce patients’ access to a doctor by blocking their schedules, it makes much more sense to delegate various tasks,” said R. John Sawyer, PhD, a neuropsychologist at Ochsner Health. [Continue reading ...] 

Practical tools and heartfelt hope: How Nancy Y Treaster is empowering dementia caregivers worldwide Thrive Global; by Stacey Chillemi; 4/2/25 In this empowering interview, dementia care expert Nancy Y Treaster shares practical strategies, emotional insights, and vital resources to help family caregivers navigate the challenges of caregiving with confidence and compassion. ...

Franciscan Health men’s group meets to grieve together Daily Journal, Indianapolis, IN; by Ryan Trares; 3/31/25 The depths of the loss felt so great. When Phil Darmelio’s wife, Joanne, died in March 2023, he knew he needed help in his grief. The couple had been together for 60 years, and Darmelio was not certain who to talk to about his feelings. The suggestion of attending a bereavement group specifically for men seemed like a good place to start. The support has been overwhelmingly positive. ... The men’s bereavement group, hosted by Franciscan Health, has offered men grieving a death in their lives a place to heal with others in similar situation. Meeting weekly at the Franciscan Hospice House on the southside, the group offers a specially tailored program intended to meet the emotional needs of men. [Continue reading ...]

The most personal column I’ve ever written The Times, United Kingdom; by Professor Tanya Byron; 3/31/25 ... This column will be more personal than any other I have written in my now 20 years writing for The Times. I write it four days after my sister Katrina and I lost our beloved mum, Elfie, who ... had advanced end-stage dementia. Where do we start when trying to describe the many moments of heartbreak and the challenges that come with the long goodbye we have faced with our parents? Dementia is unpredictable. We say goodbye more than once and so the pain of bereavement does not begin at the time of death. Instead it is a prolonged pain marked by gradual losses. Watching a loved one slowly fade away over months or years brings grief, exhaustion and deep emotional turmoil. Amid all this is the experience of being on a rollercoaster of loss and hope, an experience that creates huge lurches between perceptions and emotions. There are moments of clarity and regression, ... [Continue reading ...]

[UK] Play 'humanizes' pediatric care and should be key feature of a child-friendly NHS, report suggests Medical Xpress; by University of Cambridge; 3/30/25 The report, by University of Cambridge academics for the charity "Starlight," calls for play, games and playful approaches to be integrated into a "holistic" model of children's health care—one that acknowledges the emotional and psychological dimensions of good health, alongside its physical aspects.  ... Both internationally and in the UK, health systems have, in recent decades, increasingly promoted play in pediatric health care. There is a growing understanding that making health care more child-friendly can reduce stress and positively improve younger patients' experiences. Despite this recognition, play often remains undervalued and inconsistently integrated across health care contexts. For the first time, the report compiles evidence from over 120 studies to make the case for its more systematic incorporation. [Continue reading ...] Editor's note: Click here to access the report, Playing with children's health? 

MaineHealth Memorial Hospital leverages telehealth in unexpected ways MaineHealth, North Conway, ME; Press Release; 3/312/25 When a patient presenting with stroke symptoms arrives at MaineHealth Memorial Hospital's emergency department, time is of the essence. It could take hours to arrange for medical transport and get that patient to a tertiary care center like MaineHealth Maine Medical Center to see a stroke neurologist. Using telehealth, these patients can receive this specialized care if it is necessary in less than 30 minutes. While telehealth is often associated with remote home visits, MaineHealth Memorial Hospital also uses it to enhance on-site care. Using remote consult technology, MaineHealth specialists can offer local care teams expert advice at the bedside or in the exam room. [Continue reading ...]

Honoring a young girl’s love of nature on her final dayMayo Clinic News Network; by Mayo Clinic Staff; 3/27/25 On a Saturday evening in September of 2024, Mae Helgeson arrived at Mayo Clinic in Rochester, her small body reeling from the trauma of a life-threatening accident. Although she was intubated and sedated, it didn't take long for the care team to learn what made this little girl special. ... "I often ask parents to tell me about their child. Is there anything you think is important or that I should know about your family?" says Paige Dighton, one of the Child Life specialists who partnered with Mae's family. "This allows them to share the special things — those unique qualities that make them a family. You learn more than just what's in their chart." ... It was only a couple of days later that Mae's family was faced with the devastating decision they'd hoped to avoid. ... The question shifted from "Can we save her?" to "How do we say goodbye?" Following their lead, the team began focusing on end-of-life care. "Dr. Schiltz gave us the space to think and process our emotions — it didn't feel rushed," says Matt. 

‘Show up and share’: How one UCLA ICU helps patients and staff live with dying Los Angeles Times; by Corinne Purtill; 3/20/25 

The COVID mistake no one talks enough about The Atlantic; by Sunita Puri; 3/25/25 Deaths in isolation have been treated as a painful memory, not as a problem that hospitals need to address. He was one of the few ICU patients whose face I saw in early 2021, when COVID raged through Los Angeles. As a palliative-care physician, my job was to meet, over Zoom, with the families of intubated patients to ensure that they had complete medical updates and to help them make difficult medical decisions on behalf of their loved one, particularly when that person faced death. But in a surreal departure from my usual practice, I’d never once seen these patients myself: At the time, to minimize exposure to COVID, the only people permitted to enter the ICU regularly were members of the ICU team. ... His wife told me that during his many previous illnesses, she had slept every night in his hospital room, making sure he asked for pain medications and watching movies with him to pass the time. “He fought harder to live when I was there,” she told me. [Continue reading ... full access may require a free trial or subscription]

Carolyn Hax: Does sibling love justify traveling to abusive mom’s deathbed?The Washington Post, Washington, DC; 3/24/25 Sister asks the letter writer to join her at their dying mom’s bedside — despite their PTSD-inducing childhoods. [The rest of this article may require a subscription to The Washington Post.]Editor's note: Even if you're not able to access the full article, what does this question stir in you? Be aware that many family caregivers (or simply family members) face complex, conflicted relationships with the persons they are tending--or in this case, even considering visiting or not. Be attuned to these common, everyday occurrences that your direct care interdisciplinary team members regularly navigate. What family systems' education and support do you provide for them?

Mt. Hood Hospice to present third Grief Made Visible art exhibit in April Sandy Post, West Linn, OR; by Brit Allen; 3/23/25 Aside from in-home hospice services, Mt. Hood Hospice offers numerous other resources to the community, regardless of income or if they have any other ties to the organization. Among them are grief support groups that utilize art as a tool of healing. As a result of these groups, 16 artists will have the art that they created in these groups on display at AntFarm Café & Bakery, 39140 Proctor Blvd., throughout the month of April, from April 3-30, while the cafe is open. ... “This art show creates a space that normalizes talking about mental health and grief,” said Mt. Hood Hospice Bereavement Services Director Laura Lirette. “In a culture where grief is often experienced alone and behind closed doors, our hope is that this exhibit will invite conversations about grief and supporting grievers.”

‘Dying people are incredible teachers’: Hospice nurse leans on personal loss experience to speak about end of life, write children’s books Dayton Daily News, Dayton, OH; by Beth Anspach; 3/20/25 Kim Vesey has experienced more than her share of loss. Her husband, Les, passed away in 2006 of colon cancer. “He died at home with Hospice care,” Vesey said. “Having worked in this area and experiencing it myself, this took it all to a much deeper level and changed my understanding of the process of grief.” ... She was hired for her first Hospice job in 1985. “It’s taught me a lot about life and living and what is important,” she said. “Dying people are incredible teachers.” ... After losing her husband, Vesey continued her work in Hospice care. Then in 2017, her daughter Sarah, who had struggled with severe asthma her entire life, passed away after going into cardiac arrest. She was just 29 years old and left behind a 4-year-old son, Warren. She was also pregnant with her second child. “My experience of losing my daughter shined a light on the struggle for children who are grieving,” Vesey said.“ ... Today, Vesey has published four books with two additional scheduled to be published this year, including a book about losing a beloved pet. ...

Weinstein Hospice launches innovative VR initiative: The program will allow residents to enjoy "bucket list" experiences Atlanta Jewish Times; by AJT Staff; 3/12/25 Jewish HomeLife and Weinstein Hospice are pioneering a new way to bring joy, comfort, and meaningful experiences to hospice patients through the groundbreaking Weinstein Hospice VR Initiative. This transformative program harnesses the power of virtual reality (VR) to fulfill unforgettable “bucket list” experiences, offering patients moments of joy and cognitive stimulation that transcend their physical limitations. For Vicki and Ed A., this initiative has been nothing short of miraculous. ... One of the most profound moments for Ed came when he was able to experience Scuba diving again—virtually. ...