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All posts tagged with “Clinical News | Physician & Nursing News.”



Staffing shortages weighing on hospice executive’s minds in 2025

02/21/25 at 03:00 AM

Staffing shortages weighing on hospice executive’s minds in 2025 Hospice News; by Holly Vossel; 2/19/25 Hospice leaders have lost sleep over workforce pressures plaguing the industry for several years running, a trend that is not anticipated to abate anytime soon. Staffing challenges were cited as the leading concern among 35% of 112 hospice professionals who participated in this year’s Outlook Survey by Hospice News and Homecare Homebase. This represented an 18% decline compared to the 2023 survey results. ...

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800 Geisinger nurses strike: 5 things to know

02/20/25 at 03:00 AM

800 Geisinger nurses strike: 5 things to know Becker's Hospital Review; by Kelly Gooch; 2/19/25Members of Service Employees International Union Healthcare Pennsylvania began a five-day strike Feb. 17 at Geisinger's Luzerne County facilities in Pennsylvania, union and health system spokespeople confirmed to Becker's. Five things to know:

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ViVE 2025: Improving clinical workflows amid workforce shortages

02/20/25 at 03:00 AM

ViVE 2025: Improving clinical workflows amid workforce shortages HealthTech; by Teta Alim; 2/18/25 As the U.S. braces for a dearth of physicians and nurses, healthcare organizations are transforming processes to attract and retain talent. By 2034, experts have projected, there will be a shortage of between 17,800 to 48,000 primary care physicians. For full-time registered nurses, 2030 projections are even steeper. Healthcare organizations are well aware of these forecasts and have been testing and deploying solutions to improve employee satisfaction and retention and attract new talent. At ViVE 2025 in Nashville, Tenn., industry leaders discussed how improvements supported by artificial intelligence (AI) are offering promising results for streamlining workflows. [Click on the title's link to read this discussion.]

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Improving quality of life and end-of-life care: Standardizing goals of care notes in EHRs

02/20/25 at 03:00 AM

Improving quality of life and end-of-life care: Standardizing goals of care notes in EHRs EurekAlert! - American Association for the Advancement of Science (AAAS), Indianapolis, IN; Regenstrief  Institute, peer-reviewed publication; 2/19/25 ... A new study by researchers from Regenstrief Institute, the Indiana University School of Medicine and Indiana University Health presents the standardized goals of care note they developed, deployed and evaluated as a quality improvement initiative at IU Health, a large, statewide healthcare system. ... The study authors report:

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Addressing overtreatment in end-of-life cancer care

02/20/25 at 02:30 AM

Addressing overtreatment in end-of-life cancer care Medscape; by David J. Kerr, CBE, MD, DSc; 2/19/25 ... What do we mean by overtreatment? This means that many patients who are approaching the end of life receive treatments, like directed anticancer therapies, that are unlikely to provide clinically meaningful benefits and may do more harm than good. This is an expression that I use often in the clinic when I'm explaining to patients that we have reached the end of the road in active interventions, such as chemotherapeutic drugs, that will do more harm than good. It doesn't stop us from doing our very best to look after patients. We focus on improving the quality of life and maintaining that for as long as we can, while continuing to care and look after the patients. ... Overtreatment may even, one would argue, accelerate death when you consider those 1% or 2% mortality rates that can be associated with some treatments that we offer. ...

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[UK] An interview with Clinical Psychologist (retired) Johanne de Montigny, M.A.Ps.

02/20/25 at 02:00 AM

An interview with Clinical Psychologist (retired) Johanne de Montigny, M.A.Ps. ehospice; interview between Dr. Stefanie Gingras and Johnne de Montigny; 2/14/25 Ahead of her February 19, 2025 lecture entitled “What I’ve learned about accompaniment, death and bereavement: 29 years of psychological services at the heart of an MUHC care team (1986-2015)”, part of the McGill National Grand Rounds programme, Johanne de Montigny shared her thoughts with Program Director and palliative care physician Dr. Stéfanie Gingras.Dr. Stéfanie Gingras (SG): How did you first become interested in the field of palliative care?Johanne de Montigny (JdM): It was a very profound and sudden experience where I almost died that guided me in this choice. I survived a plane crash, in which 17 people (out of 24) died. After this event, I asked myself what I was going to do with my life. For me, that meant choosing a profession that would be meaningful. After returning to school to study psychology, I chose to become a palliative care psychologist. After being confronted with sudden death, I wanted to understand how people reacted when they learned that they were going to die, that they still had time, and how to live with it. ... In those moments, I remembered that before I died – because I thought I was going to die – the young flight attendant who, in the space of a minute before the crash, had managed to help us contain the shock and give us some hope. She told us, “Whatever happens, we’re together and we’re going to get through this together.” That one relational minute made all the difference. It enabled us, I believe, to survive psychically before dying physically. She was my first carer just before she died. ... As for the family, what was most striking for me was the realization that the end of life is a time of unparalleled intimacy. Editor's note: This rich life-reflection provides powerful insights in light of many recent plane tragedies.

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As hospitalists’ role grows, so do the ethical dilemmas

02/19/25 at 03:00 AM

As hospitalists’ role grows, so do the ethical dilemmas Medscape; by Donavyn Coffey; 2/17/25 Margot Eves, JD, clinical ethicist for Cleveland Clinic, was called in for an emergency consult: A man in his early 50s was asking doctors to take him off the ventilator. Just 24 hours before, the man with chronic obstructive pulmonary disease (COPD) okayed the life-saving treatment. The hospitalist over his care expected him to come off the ventilator in a few days, but 24 hours was too soon. He wouldn’t survive. With head nods and in writing the patient signaled that he was fully aware — he understood this would end his life. Eves was called in to help weigh the options: Honor the patient’s wishes or help him survive. These kinds of ethical dilemmas have become common to the burgeoning hospitalist profession. ....

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Cancer, aging, and meaning: Navigating psychosocial challenges

02/19/25 at 03:00 AM

Cancer, aging, and meaning: Navigating psychosocial challenges The ASCO Post (Association for Clinical Oncology); by Ramy Sedhom, MD; 2/18/25 I’ve learned a lot about medicine over the years, but one thing I wasn’t taught was how to guide someone through the existential weight of dying. My education centered on diagnosing, curing, or at least managing disease—not on the delicate art of helping people and their loved ones cope with what cannot be cured. Now, several years into my career as an oncologist, primarily caring for older adults, I recognize that providing cancer care for the whole patient requires deep attention to their psychosocial health needs. ...

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The case for a 4-day workweek for nurse managers

02/19/25 at 03:00 AM

The case for a 4-day workweek for nurse managers Becker's Clinical Leadership; by Kelly Gooch: 2/18/25 Four-day workweeks lead to an improved work-life balance for nurse managers, nurse leaders at Philadelphia-based Fox Chase Cancer Center argue in a new paper shared with Becker's. "A 4-Day Workweek for Nurse Leaders: Unveiling the Lessons Learned" is based on a study conducted at the 100-bed specialty cancer center. The study aims to evaluate the influence of a four-day workweek on nurse leaders' perceptions of workload and job satisfaction. Results of the study were published Feb. 17, and included 24 care delivery units and 43 nursing directors, managers and assistant nurse managers.

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The hidden curriculum in medical school: What they don’t teach you

02/19/25 at 03:00 AM

The hidden curriculum in medical school: What they don’t teach you Medscape; by Roni Robbins; 2/14/25... For Krastein and other medical students, there’s a hidden curriculum in medical school: Unwritten, informal lessons, and values learned outside of formal academic settings that shape the culture of medicine, influence behavior, and how to approach patient care and professional relationships. ... These lessons may unfold in informal moments, conversations during rounds or with patients, observing faculty handling difficult cases, or seeing how peers and mentors navigate challenges. [Identified themes include the following:]

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New insights into older hearts

02/19/25 at 03:00 AM

New insights into older hearts  The New York Times; by Paula Span; 2/15/25 It turns out that the Isley Brothers, who sang that 1966 Motown hit “This Old Heart of Mine (Is Weak for You),” were onto something when they linked age to an aching and flagging heart. Heart disease, the nation’s leading cause of death and disability, has been diagnosed in about 6 percent of Americans ages 45 to 64, but in more than 18 percent of those over 65, according to the Centers for Disease Control and Prevention. ... [In] recent years, dramatic improvements in treatments for many kinds of cardiovascular conditions have helped reduce both heart attacks and cardiac deaths. ... That can complicate decision-making for heart patients in their 70s and beyond, however. Certain procedures or regimens may not markedly extend the lives of older patients or improve the quality of their remaining years, especially if they have already suffered heart attacks and are contending with other illnesses as well. “We don’t need to open an artery just because there’s an artery to be opened,” said Dr. Alexander, referring to inserting a stent. “We need to think of the whole person.” ...

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Center for Hospice Care's BreatheEazy Program supports patients with respiratory issues

02/18/25 at 03:00 AM

Center for Hospice Care's BreatheEazy Program supports patients with respiratory issues LaporteCounty.Life; by Garrett Spoor; 2/13/25 One of the toughest health challenges a person can face is the trouble of breathing. Center for Hospice Care comes across a lot of patients who experience this issue and encourages many of them to become a part of their BreatheEazy program. Dr. Karissa Misner, medical director at Center for Hospice Care, considers the BreatheEazy program to be a monumental boost for patients who might have respiratory issues. “This is a specialized pulmonary program for our patients with chronic obstructive pulmonary disease,” Misner said. “It can also be used for many other terminal diagnoses that affect the lungs. Whenever there is any type of illness that causes difficulty in breathing, we can utilize this program.”

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People with depression develop long-term health conditions quicker than those without, study finds

02/17/25 at 03:00 AM

People with depression develop long-term health conditions quicker than those without, study finds McKnights Home Care; by Kristen Fischer; 2/13/25 Adults who have experienced depression develop long-term physical conditions about 30% faster than those without depression, a new study finds. Authors of the report said depression needs to be viewed as a “whole body” condition, with treatment approaches that address mental and physical health. The report was published Thursday [2/13/25] in PLOS Medicine. Investigators evaluated the association between depression and the rate at which conditions accrued in midlife and older age.

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The talk nurses don't talk about enough: Death and dying

02/17/25 at 03:00 AM

The talk nurses don't talk about enough: Death and dying Nurse.org - Nurse Converse podcast; by "Courtney" DNP, APRN, AGNP-C; 2/11/25 ... Nursing and medical curricula extensively cover subjects such as pathophysiology, pharmacology, and anatomy, yet they often fail to provide structured training on effective communication regarding death and dying. In the podcast, the hosts recall their own educational experiences, noting that they were not equipped with the tools or frameworks necessary to engage in these sensitive discussions. One telling example from a medical course on difficult conversations revealed that when students were asked if they had received any training on the subject, not a single hand was raised. 

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Class action over UHG's alleged AI-driven care denials advances

02/17/25 at 03:00 AM

Class action over UHG's alleged AI-driven care denials advances Modern Healthcare; by Lauren Berryman; 2/13/25 A class action regarding UnitedHealthcare’s alleged use of artificial intelligence to deny care for Medicare Advantage members will continue playing out in court, but with fewer claims. In a court filing Thursday, a federal judge said two of seven claims brought against UnitedHealth Group by health plan members and their families — who alleged the company used AI to deny coverage for medically necessary post-acute care — can move forward. UnitedHealth Group has been battling the lawsuit, filed in the U.S. District Court for the District of Minnesota, since November 2023. Plaintiffs have alleged the company's health insurance unit UnitedHealthcare used an AI tool called nH Predict to make coverage decisions, sometimes overriding physician judgment. 

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Local hospice clinic reacts to doctor’s death

02/17/25 at 03:00 AM

Local hospice clinic reacts to doctor’s death NBC 11, CBS 13, Fox 9, Yuma, AZ; by Miriam Ordonez and Dillon Fuhrman; 2/12/25 A Yuma physician has been identified as the victim of a fatal vehicle crash that took place early Monday morning. 75-year-old William Michael Shea, a longtime doctor at Hospice of Yuma, was struck while crossing S. James Drive at East 24th Street. Authorities say the driver, a 65-year-old woman, was turning onto James Road from 24th Street when the accident happened. Shea was rushed to Onvida Health, where he later died from his injuries. Hospice of Yuma shared their sadness over Dr. Shea's passing, calling him a beloved leader whose "dedication, compassion and leadership touched countless lives."

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How to help caregivers of patients with dementia

02/14/25 at 03:00 AM

How to help caregivers of patients with dementia Physician's Weekly; by Linda Girgis, MD, FAAP; 2/13/25 Dr. Linda Girgis discusses how physicians can assist caregivers of patients with dementia, helping these critical caretakers avoid experiencing burnout. ... As doctors, we all have witnessed caregiver burnout. Often, it was a family member who bore the brunt of the responsibility, one for whom there were no vacation days or sick time available. Whatever specialty we practice, we know patients with dementia can present a significant problem. ... How can we assist caregivers of patients with dementia?

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Rebuilding trust in medical science: How doctors and scientists can bridge the misinformation divide

02/13/25 at 03:00 AM

Rebuilding trust in medical science: How doctors and scientists can bridge the misinformation divide Association of American Medical Colleges  (AAMC); by Patrick Boyle; 2/11/25 Medical science has not fully recovered from the distrust that erupted among some segments of the public during the COVID-19 pandemic. Skepticism and misinformation about vaccines and other health matters are spreading. Can anyone help doctors and scientists build faith in medical expertise? Reed Tuckson, MD, is trying. Tuckson is cofounder and chair of the Coalition for Trust in Health & Science, a nonprofit that focuses on “ensuring that everyone is empowered to make informed and personally appropriate health decisions … based on accurate, understandable, and evidence-based information.” ...Tuckson recently spoke with AAMCNews about applying what has been learned over the past several years to responding to misinformation and distrust in medical science. ...

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Non-profit news: Sullivans commit $1.6M to support palliative care

02/13/25 at 03:00 AM

Non-profit news: Sullivans commit $1.6M to support palliative care The Swellesley Report, Wellesley, MA; by Bob Brown; 2/11/25 Steve and Rebecca Sullivan of Wellesley have made a $1.6 million commitment to support palliative care at Newton-Wellesley Hospital. This adds to their $1.5M gift in 2021 to endow the chief of palliative care position.

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How to live when you know you are dying

02/13/25 at 02:00 AM

How to live when you know you are dying Equity Atlas; 2/11/25 Living with the knowledge of impending death is an incredibly challenging and emotional experience. Whether facing a terminal illness or a life-threatening situation, the idea of living when you know you are dying can be overwhelming. However, it is possible to find peace, acceptance, and even joy in the midst of such difficult circumstances. In this article, we will explore how to navigate this journey with grace and courage. ... How does one navigate this difficult journey? We turned to professionals in the field for their insights on how to live when you know you are dying.

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HealthcareBusinessToday.com series on hospice care

02/12/25 at 03:00 AM

HealthcareBusinessToday.com series on hospice careEditor's note: The following articles were posted on 2/10/25 by HealthcareBusinessToday.com.

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Best Nurse Practitioner (NP) career and salaries in 2025

02/12/25 at 03:00 AM

Best Nurse Practitioner (NP) career and salaries in 2025 AllNurses; by Erin Lee, BSN, RN; 2/7/25 ... Over the years, the scope of practice for NPs has significantly expanded, enabling them to specialize in various healthcare fields and cater to diverse patient populations. NPs now play a vital role in meeting primary care needs and delivering specialized care across a wide range of specialties. Regardless of the chosen specialty, all NPs are advanced practice registered nurses (APRNs) who have obtained their master's degree or doctorate in nursing practice, passed a board certification exam, and obtained state licensure to practice. ... The level of autonomy and responsibility NPs have in their professional roles is influenced by state regulations on the scope of practice. Although some states allow NPs to work independently, others require them to be supervised by a healthcare provider or MD. To determine which NP job suits your career goals, it's imperative to understand your state's scope of practice regulations and the responsibilities of the NP specialty you plan to pursue. ..  [Click here for extensive data] from the latest Bureau of Labor Statistics (BLS) report that shows NPs' annual salaries for 2025. 

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Medicare's 2025 physician pay cut, explained

02/11/25 at 03:00 AM

Medicare's 2025 physician pay cut, explainedBecker's Hospital CFO Report; by Stefanie Asin; 2/5/25 As of Jan. 1, Medicare is paying physicians almost 3% less than last year for services provided to the country's 66 million Medicare patients. The decreased payments aren't a surprise or anything new, as CMS, by law, must keep physician payments budget neutral (cannot raise total Medicare spending by more than $20 million in a year). As a result, since 2020, Medicare has cut physician pay each year ... [Click on the title's link to continue reading these items.]

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How CNOs can manage change management

02/11/25 at 03:00 AM

How CNOs can manage change management Health Leaders; by G. Hatfield; 2/10/25 Crisp, clear communication is key for CNOs who are trying to handle their change management processes, says this CNO. ... According to Stefanie Beavers, chief nursing executive at OU Health, and HealthLeaders Exchange member, a key focus of the change management process is solidifying organizational identity.

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What we talk about, or not, when talking about death

02/11/25 at 03:00 AM

What we talk about, or not, when talking about death Enumclaw Courier-Herald; by Wire Service; 2/9/25 Death is a guarantee for everyone, so why do people shy away from talking about it and using words like death and dying? ... As a death doula and grief coach, Kathleen Putnam hopes that providing care to those who are grieving can help change the language surrounding death. ... Putnam explains that in present society, people want to avoid grief and pain. With medical advancements and industries and marketing systems focusing on keeping people alive, the rhetoric surrounding dying has become negative. Putnam also pointed out that instead of using phrases like “they died” or “they’re dying,” other phrases like “pass away” and “they went to sleep” have become popular when talking about a loss.

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