Literature Review
All posts tagged with “Clinical News.”
Alzheimer’s risk rises when amount of deep sleep falls, study suggests
04/11/25 at 03:05 AMAlzheimer’s risk rises when amount of deep sleep falls, study suggests CNN Health; by Sandee LaMotte; 4/8/25 Need another reason to prioritize your sleep? Not spending enough time in the two deep stages of sleep — slow-wave and rapid eye movement, or REM, sleep — may hasten the deterioration of parts of the brain associated with Alzheimer’s disease, a new study found. Deficits in slow-wave and REM sleep appear to shrink parts of the brain known to be early indicators of cognitive deterioration and Alzheimer’s disease, said lead study author Gawon Cho, a postdoctoral associate in internal medicine at the Yale School of Medicine in New Haven, Connecticut. [Continue reading ...]
Heart & Soul: Nikki Harris
04/11/25 at 03:00 AMHeart & Soul: Nikki HarrisCharleston Area Medical Center, Charleston, WV; 4/8/25 Nikki Harris is a Charge Nurse on 4 West at Memorial Hospital. Harris’ coworkers say she always provides excellent care but went out of her way for one man who wasn’t even her patient. The man’s wife was near the end of life in Hospice at Memorial Hospital. He had not been able to see or visit her since his own hospitalization. Recognizing the importance of this moment, Harris went above and beyond by personally escorting him to his wife’s side. She ensured that he had the time he needed to hold her hand, express his love and say goodbye before her passing. Harris’ compassion and selflessness in providing this extraordinary gesture of care during such a difficult time was deeply appreciated. She made a meaningful difference in this patient’s life and honored the final moments of his wife’s life.
Caregiving can test you, body and soul. It can also unlock a new sense of self
04/11/25 at 02:00 AMCaregiving can test you, body and soul. It can also unlock a new sense of selfNPR; by Kat McGowan; 4/1/25Amanda Cruz took care of her mother, who died of cancer late last year. The experience changed her sense of identity. She is still sorting through what that means. When it was all over, Amanda Cruz felt like a phoenix, a new person rising from what had been. First, though, she had to go through the fire... In 2009, two researchers proposed an explanation for why caregiving for an adult who is ill or disabled can be so profound. Their argument, simply called "caregiver identity theory," is now widely accepted among psychologists and social workers who study and help caregivers.
You've got a friendtor in me: Innovations in peer mentoring for mid-career palliative care clinicians
04/10/25 at 03:00 AMYou've got a friendtor in me: Innovations in peer mentoring for mid-career palliative care clinicians American Journal of Hospice & Palliative Care; April Zehm, Andrew J Lawton, Leah B Rosenberg, Sudha Natarajan, Bethany-Rose Daubman; 3/14/25 Mentoring is crucial to professional success, but little is known about the professional development needs of mid-career hospice and palliative medicine (HPM) clinicians. ... An interprofessional "friendtor" group of five HPM clinicians from three academic medical centers met monthly and for a year-end focus group. ... Several themes emerged that highlight the importance of ...
2 nursing staff practices tied to safety risks: Study
04/09/25 at 03:00 AM2 nursing staff practices tied to safety risks: Study Becker's Clinical Leadership, Washington, DC; by Mariah Taylor; 4/3/25 Washington, D.C.-based George Washington University and Premier researchers found overreliance on agency nurses and nurse overtime was associated with lower patient safety. The study, published April 2 in JAMA Network Open, analyzed data on quality measures for pressure ulcers and nurse staff overtime and agency use from 70 U.S. hospitals from January 2019 through December 2022. Researchers found that nearly half of the hospitals in the study utilized more nurse overtime and agency hours than was safe. The average hours exceeding safe thresholds for agency staff reached 140% and 63.6% for nurse overtime. Overuse of agency nurses and overtime hours was associated with increased rates of pressure ulcers. [Continue reading ...]
Nurse honor guard hoping to grow in South Dakota
04/08/25 at 03:15 AMNurse honor guard hoping to grow in South Dakota Sisseton Courier, Sisston, SD; by Brenner Cariveau; 4/4/25Nurse Honor Guard is a national organization which aims to honor the life of a nurse in funeral services. Traveling home, health and hospice nurse Laura Frankenhoff said the ceremonies help highlight the career of the nurses and is a way to ensure they are recognized for the work they have done as a nurse. Nurse Honor Guard has been performing ceremonies to honor the lives of nurses nationwide since their inception in the 1980s, Frankenhoff said. Regarding the honor guard, the base is made up of volunteers, according to Frankenhoff. "It's a volunteer chapter. You can make a chapter anywhere." Editor's note: Especially for pioneer hospice organizations--typically non-profits but definitely not all--do you honor those who laid the foundations for the work you're able to do now? If not, how can you? While nurses are absolutely core, how might you also honor your aides, social workers, chaplains, grief counselors, executives, office staff, and others who invested their talents and years in hospice care? May we remember. May we humbly thank and honor them.
Build sustainable schedules to support physician well-being
04/08/25 at 03:00 AMBuild 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 ...]
What happens when someone passes at home? It depends
04/08/25 at 03:00 AMWhat happens when someone passes at home? It depends Bozeman Daily Chronicle, Bozeman, MT; Chris Remely "discussions with a funeral director"; 4/5/25 One of the most common questions we get asked as funeral directors is, “What happens if I pass away at home?” The answer is ... it depends. Home death is fairly common in the context of someone being on hospice care. For many individuals who have been given a difficult medical diagnosis that is terminal, they often prefer to be at home surrounded by loved ones for as long as possible. ... In this scenario, hospice will pronounce the death and work with the funeral home to transfer the individual into their care. ... However, when someone passes away at home and they are not on hospice, this is considered an “unattended death” — meaning a medical professional is not involved. In this case, the coroner’s office is required to investigate the death to determine the cause and manner of death — as well as pronounce the death. ... When someone from the coroner’s office arrives, they will do several things. They will visit with the next of kin and ask them questions about their loved one’s medical history and investigate the scene where the death occurred. Editor's note: Too often, hospices gloss over this all-important information for caregivers and families. Death is traumatic enough. Families are left in a lurch. Conflicts can erupt at the family's most vulnerable moments. Yes, timing and delivery for such sensitive information is important. Our sponsor Composing Life Out of Loss provides empathic, sensitive videos for hospice teams to use with caregivers and families, with interdisciplinary team guides for tending individuals' different readiness for education and preparation.
Practical tools and heartfelt hope: How Nancy Y Treaster is empowering dementia caregivers worldwide
04/07/25 at 03:00 AMPractical 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. ...
‘The most someone wants is to be heard’: Students foster connection, create memoirs for hospice patients
04/07/25 at 03:00 AM‘The most someone wants is to be heard’: Students foster connection, create memoirs for hospice patients The Daily Texan - University of Texas, Austin, TX; 4/3/25 ... Brought to UT in 2023, Last Writers is a service organization where student volunteers interview hospice patients over the course of several months to write a memoir that is then printed and given to the patients and their families. The process is intended to bring comfort to hospice patients and create a physical memento for the families, representing their lives once they pass. ... “It’s not often that you’re a college student and you get to meet someone who is going to pass away in the next few months,” Nguyen said. “To be with them in that very vulnerable point, it gives you a lot of perspectives. A lot of our members come out of it realizing how much they have to live for. … It makes us more grateful in life and puts our mortality into perspective.” [Continue reading ...]
Franciscan Health men’s group meets to grieve together
04/04/25 at 03:00 AMFranciscan 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 ...]
Navigating the intersection of heart failure and palliative care: A holistic approach to improving quality of life
04/04/25 at 03:00 AMNavigating the intersection of heart failure and palliative care: A holistic approach to improving quality of life Cureus; by Awanwosa V. Agho, Fatimot Disu, Efeturi M. Okorigba, Okelue E. Okobi, Safiyya Muhammad, Toheeb Bakare, Chioma Ezuma-Ebong, Nneka Muoghalu; 3/30/25 ... Historically, palliative care has often been perceived as a last-resort option, introduced only when curative treatments have failed, creating a false dichotomy between life-prolonging therapies and symptom management. However, modern palliative care frameworks emphasize its integration throughout the disease trajectory, particularly for chronic, progressive illnesses like heart failure. ... Palliative care should ideally be initiated at diagnosis of advanced heart failure or with early signs of significant symptom burden to ensure timely, patient-centered support, as recommended by ACC, AHA, and HFSA guidelines
Experiences of family caregivers of children aged 1–23 months who have received pediatric palliative care: A systematic review with qualitative metasynthesis
04/03/25 at 03:00 AMExperiences of family caregivers of children aged 1–23 months who have received pediatric palliative care: A systematic review with qualitative metasynthesis Sigma Global Nursing Excellence - Journal of Nursing Scholarship; by Juan Manuel Vázquez Sánchez, Manuela Rodríguez Sánchez, Emilio Mota Romero, Ana Alejandra Esteban Burgos, Rafael Montoya Juárez, César Hueso Montoro, Daniel Puente Fernández; 4/1/25 This study underscores the importance of addressing the unique needs of family caregivers of children aged 1–23 months receiving pediatric palliative care (PPC), highlighting their struggles with social isolation, neglected self-care, and disrupted family life. Healthcare providers should prioritize age-specific approaches to PPC, focusing on improving communication, care coordination, and understanding of palliative care principles to better support these caregivers. [Continue reading ...]
The most personal column I’ve ever written
04/03/25 at 03:00 AMThe 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 ...]
Stetson University professor joins millions of Americans as she embraces caregiver role for her aging parents
04/02/25 at 02:00 AMStetson University professor joins millions of Americans as she embraces caregiver role for her aging parents Spectrum News 13, Orlando/Deland, FL; by Nicole Griffin and Devin Martin; 3/31/25 According to the U.S. Bureau of Labor Statistics, more than 10 million Americans act as unpaid caregivers for an elderly parent on a regular basis. Millions in that group not only have a full- or part-time job, they are also part of the so-called “sandwich generation” — people who find themselves supporting their children and parents at the same time. ... Stetson University professor Wendy Anderson is part of that group. ... She has moved in with her parents to help care for her elderly father and mother, who is in at-home hospice care. [Continue reading ...]
[UK] Play 'humanizes' pediatric care and should be key feature of a child-friendly NHS, report suggests
04/01/25 at 03:30 AM[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?
Port St. Lucie Police honor 10-year-old with badge for his birthday celebration
04/01/25 at 03:00 AMPort St. Lucie Police honor 10-year-old with badge for his birthday celebration TCPalm, Port St. Lucie, FL; by Eric Hasert; 3/29/25 William Rivero enjoys a 10th birthday with family, friends, and Port St. Lucie Police at his parent’s home on S.E. Nancy Lane on Saturday, March 29, 2025, in Port St. Lucie. William Rivero has muscular dystrophy and is under hospice care, and wanted to be a police officer, so the Port St. Lucie Police got him a small uniform, along with a badge, and swearing in with Chief Leo Niemczyk.
MaineHealth Memorial Hospital leverages telehealth in unexpected ways
04/01/25 at 02:00 AMMaineHealth 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 day
03/31/25 at 03:00 AMHonoring 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.
Long-overdue recognition: Vietnam veterans welcomed home at emotional ceremony
03/31/25 at 03:00 AMLong-overdue recognition: Vietnam veterans welcomed home at emotional ceremony Grice Connect; by DeWayne Grice; 3/29/25 A poignant and heartfelt welcome home ceremony was held at Ogeechee Area Hospice, honoring Vietnam veterans from the surrounding communities. The event, filled with emotional tributes and personal stories, aimed to provide long-overdue recognition for the sacrifices made by these veterans. The ceremony, organized by Ogeechee Hospice, the American Legion Post 90, and Georgia Department of Veteran Affairs, brought together veterans, their families, and community members. The atmosphere was one of gratitude and respect, as attendees acknowledged the often-overlooked service of those who served during a tumultuous period in American history.Editor's note: We add this to previous posts,
Hospital workers share 26 deathbed regrets they’ve heard that changed their lives
03/31/25 at 02:00 AMHospital workers share 26 deathbed regrets they’ve heard that changed their lives Boredpanda; by Ruta Zumbrickaite; 3/28/25 While painful, regret can also be a motivator for learning and growth, encouraging us to avoid repeating past mistakes and make better decisions in the future. We guess that’s why self-help author Debbie Ford once said, “Pain can be our greatest teacher.” Someone on the web asked hospital workers, “What regrets do you hear from dying patients?”, and folks who’ve been there in people’s last moments shared the words that hit them the hardest. Here’s a list of some of their most profound responses.
‘Show up and share’: How one UCLA ICU helps patients and staff live with dying
03/27/25 at 03:00 AM‘Show up and share’: How one UCLA ICU helps patients and staff live with dying Los Angeles Times; by Corinne Purtill; 3/20/25
Ohio reported its first measles case in 2025. Here’s what you need to know about this highly contagious virus.
03/26/25 at 03:15 AMOhio reported its first measles case in 2025. Here’s what you need to know about this highly contagious virus. Signal Cleveland, Cleveland, OH; by Sue Zake and Reegan Davis Saunders; 3/25/25 An unvaccinated adult in Ashtabula contracted the first case of measles in Ohio, according to the Ohio Department of Health. The individual had contact with someone who recently traveled internationally and was confirmed to have contracted the highly contagious respiratory virus. ... As of March 20, the CDC has reported 378 confirmed cases in the U.S. — 95% of those who became ill were either unvaccinated or had an unknown vaccination status. Twenty-seven percent of children under 5 years of age who contracted measles have been hospitalized since Jan. 1. Here’s more information to help you understand the disease and protect yourself and your family [and prfoessionals]. [Continue reading ...]
The COVID mistake no one talks enough about
03/26/25 at 03:00 AMThe 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]
Assisted ventilation withdrawal in motor neuron disease: updated results
03/26/25 at 03:00 AMAssisted ventilation withdrawal in motor neuron disease: updated results BMJ Supportive & Palliative Care; by Lucy Bleazard, Jonathan Palmer, David Wenzel, Thomas Jeffery, and Christina Faull; 3/24/25 Introduction: Patients with ventilator-dependent motor neuron disease (MND) may request withdrawal of their assisted ventilation. Facilitating this process as a healthcare professional (HCP) can be emotionally and practically challenging. The Association for Palliative Medicine (APM) issued guidance to support HCPs and invited anonymised accounts of the withdrawal process to provide an update on the guidance. ... Results: Younger patients tended to need higher doses to achieve adequate symptom management prior to withdrawal. Practices of weaning the ventilator varied significantly between respondents. The median time to death following withdrawal of ventilation was 30 min, with three-quarters of patients dying within 2 hours. Conclusion: This is the largest data set to date regarding the withdrawal of assisted ventilation in MND. This updated analysis reaffirms that a personalised, titrated approach remains appropriate and effective. The revised APM Guidance 2025 incorporates new sections on recommendations for managing the ventilator. [Continue reading ...]