Literature Review
All posts tagged with “Clinical News | Physician & Nursing News.”
Cancer facts & figures 2024
02/05/24 at 04:00 AMCancer facts & figures 2024American Cancer Society; 2024Cancer Facts & Figures 2024 is an educational companion for Cancer Statistics 2024, a scientific paper published in the American Cancer Society journal, CA: A Cancer Journal for Clinicians. These annual reports provide:
Odds for dementia nearly triple in the year after a stroke
02/05/24 at 03:00 AMOdds for dementia nearly triple in the year after a strokeHealth Day, by Ernie Mundell; 2/1/24A person's odds for a dementia diagnosis nearly triple in the first year after a stroke, new research shows. This post-stroke spike in dementia risk does subside with time, but it never returns to pre-stroke levels, the same report found. "Our findings reinforce the importance of monitoring people with stroke for cognitive decline," said lead researcher Dr. Raed Joundi.
Global cancer burden growing, amidst mounting need for services
02/02/24 at 04:04 AMGlobal cancer burden growing, amidst mounting need for services World Health Organization; 2/1/24Ahead of World Cancer Day, the World Health Organization (WHO)’s cancer agency, the International Agency for Research on Cancer (IARC), released the latest estimates of the global burden of cancer. ... Three major cancer types in 2022: lung, breast and colorectal cancers
Nurses' encounters with patients having end-of-life dreams and visions in an acute care setting - A cross-sectional survey study
02/02/24 at 04:00 AMNurses' encounters with patients having end-of-life dreams and visions in an acute care setting - A cross-sectional survey studyJ Adv Nurse, by Alison Hession, Tim Luckett, David Currow, Michael Barbato; 1/31/24Results: Fifty-seven nurses participated from a workforce of 169 (34% response rate), of whom 35 (61%) reported they had encountered end-of-life dreams and visions. The nature of end-of-life dreams and visions encountered was similar to those reported in previous studies by patients and clinicians. Nurses generally held positive attitudes towards end-of-life dreams and visions but identified an unmet need for education and training on this aspect of end-of-life care.Editor's Note: This research was in Australia, yet has global applications. For U.S. leaders, call on your chaplains, many of whom are trained pastoral counselors to sensitively support and explore patient's "dreams and visions," in non-manipulative ways.
Hospices struggle to balance costs, patient needs in medication deprescribing
02/02/24 at 04:00 AMHospices struggle to balance costs, patient needs in medication deprescribingHospice News, by Jim Parker; 1/30/24When deprescribing medications for hospice patients, providers have to navigate a complex web of factors. But according to some clinicians, the prospect of cost savings often takes precedence over clinical outcomes. Medication costs are among hospices’ biggest expenses, and deprescribing some medications deemed “curative” or “unrelated” to the patient’s terminal diagnosis is a standard practice. However, even in the context of providing comfort care at the end of life, many patients do not receive medications that could benefit them, including those for pain management.
What the mental health crisis may be missing: Spirituality as a tool
02/02/24 at 04:00 AMWhat the mental health crisis may be missing: Spirituality as a tool Forbes, by Nicole F. Roberts; 1/31/24 It is estimated that approximately one in four people globally will experience mental illness during their lives, with about one billion individuals facing mental health disorders at any given time ... [such as] anxiety, depression, loneliness or some other diagnosable illness. ... Despite most people believing in both science and a form of spirituality there are fundamental differences in how and why people seek the care they do, and how and why they adhere to recommended treatment plans as they do. And much of those decisions is based on beliefs.
Docs see smaller checks as Congress weighs options on Medicare cut
02/01/24 at 04:00 AMDocs see smaller checks as Congress weighs options on Medicare cutModern Healthcare, by Michael Mcauliff; 1/30/24If anyone were to ask members of Congress if doctors should be contending with Medicare pay cuts after a pandemic and a period of extraordinary inflation, and amid a chronic physician shortage, nearly all would say no.Subscription required for full access
Can Artificial Intelligence improve doctor-patient visits and reduce burnout?
02/01/24 at 04:00 AMCan artificial intelligence improve doctor-patient visits and reduce burnout?AAMC News, by Patrick Boyle; 1/30/24Physicians are testing tools that listen to conversations and create written notes, freeing them to focus on patients and easing documentation burdens. The technology is evolving to address limitations.
Worcester hospital nurses file complaints over 'dangerous conditions'
02/01/24 at 04:00 AMWorcester hospital nurses file complaints over 'dangerous conditions' MassLive.com, by Susannah Sudborough; 1/30/24Nurses at Saint Vincent Hospital in Worcester have filed official complaints with the Massachusetts Department of Public Health and other state agencies over “dangerous conditions” they say are jeopardizing patient safety, the state’s largest nurse’s union announced Tuesday. The complaints are based on over 500 reports made by nurses over the last six months that detail issues such as staffing deficiencies and poor allocation of technology, the Massachusetts Nurses Association (MNA), which represents the nurses, said in a press release.
Effectiveness of an Advance Care Planning intervention in adults receiving dialysis and their families
02/01/24 at 02:30 AMEffectiveness of an Advance Care Planning intervention in adults receiving dialysis and their families: A cluster randomized clinical trialJAMA Network, by Mi-Kyung Song, PhD, RN; Amita Manatunga, PhD; Laura Plantinga, PhD; 1/29/24In this randomized clinical trial, the [Advanced Care Planning] ACP intervention implemented by health care workers at dialysis centers improved preparation for EOL decision-making but showed mixed effectiveness on bereavement outcomes. The ACP intervention implemented in dialysis centers may be an effective strategy to the dyad preparation for end-of-life care as opposed to the current focus on advance directives.
Predictors of early hospice or death in patients with inoperable lung cancer treated with curative intent
02/01/24 at 02:00 AMPredictors of early hospice or death in patients with inoperable lung cancer treated with curative intentClin Lung Cancer, by Siddharth Ramanathan, Kimberly A Hochstedler, Anna M Laucis, Benjamin Movsas, Craig W Stevens, Larry L Kestin, Michael M Dominello, Inga S Grills, Martha Matuszak, James Hayman, Peter A Paximadis, Matthew J Schipper, Shruti Jolly, Thomas P Boike; Michigan Radiation Oncology Quality Consortium; NCBI published 1/31/24Introduction: Treatment for inoperable stage II to III non-small cell lung cancer (NSCLC) involves chemo-radiotherapy (CRT). However, some patients transition to hospice or die early during their treatment course. We present a model to prognosticate early poor outcomes in NSCLC patients treated with curative-intent CRT.
Introducing the expanded JAMA Internal Medicine Editorial Fellowship
01/31/24 at 04:00 AMIntroducing the expanded JAMA Internal Medicine Editorial FellowshipJAMA Intern Med, by Michael A. Incze, MD, MSEd; Kenneth E. Covinsky, MD, MPH; Sharon K. Inouye, MD, MPH; 1/29/24We are pleased to announce the launch of our new Editorial Fellowship program at JAMA Internal Medicine. Educating clinicians and future leaders in internal medicine is a core part of JAMA Internal Medicine’s mission, and the journal has had a robust Fellowship program for medical trainees since 2015. This year, we will grow our Fellowship program, inviting early-career faculty to apply for an immersive 1-year program that provides longitudinal mentorship and hands-on experience in learning how to work as a member of the editorial team at a leading, widely read, high-impact internal medicine journal.
Care fragmentation, care continuity, and care coordination—How they differ and why it matters
01/31/24 at 04:00 AMViewpoint: Care fragmentation, care continuity, and care coordination—How they differ and why it mattersJAMA Intern Med., by Lisa M. Kern, MD, MPH; Julie P. W. Bynum, MD, MPH; Harold Alan Pincus, MD; 1/29/24Health care in the US is characterized by fragmentation, with many patients seeing multiple physicians. Indeed, 35% of Medicare beneficiaries saw 5 or more physicians in 2019.1 Having multiple physicians may be appropriate, but it may also lead to medical errors, unnecessary visits, avoidable hospitalizations, and suboptimal care if all of the physicians do not have complete information about the patient and each other’s care plans.
Ethical issues in pain and palliation
01/31/24 at 04:00 AMEthical issues in pain and palliationCurr Opin Anaesthesiol, by Marco Cascella, Alessandro Laudani, Giuliana Scarpati, Ornella Piazza; 1/30/24Summary: Palliative care in the ICU should involve a multidisciplinary team, to mitigate patients suffering and futility. Providing spiritual support in the ICU is an important aspect of holistic patient care too. Increasingly sophisticated tools for diagnosing and treating pain, as those involving artificial intelligence, might favour disparities in access, cause informed consent problems, and surely, they need prudence and reproducibility. Pain clinicians worldwide continue to face the ethical dilemma of prescribing opioids for patients with chronic noncancer pain. Balancing the need for effective pain relief with the risk of opioid misuse, addiction, and overdose is a very controversial task.
Increasing access to care: Designing a blended curriculum to educate adult hospice nurses in caring for pediatric patients
01/31/24 at 04:00 AMIncreasing access to care: Designing a blended curriculum to educate adult hospice nurses in caring for pediatric patientsNursing Forum, by Paige L. McDonald, Samia M. Abdallah, Laurie B. Lyons, and Deborah Fisher; 1/29/24Access to care for pediatric hospice patients is inhibited by a lack of providers specifically educated to care for pediatric patients. Education that seeks to address this gap in care must develop the specific knowledge and skills required to care for pediatric patients, and this education must also be delivered in a format that enables convenient access to providers.
Anorexia Nervosa: Evaluating disparities in places of death in the United States over 22 years using the CDC WONDER database
01/31/24 at 04:00 AMAnorexia Nervosa: Evaluating disparities in places of death in the United States over 22 years using the CDC WONDER databaseCureus / NCBI, by Nirmal Patel, Rahul Tyagi, Deepanwita Biswas, Ayesha Birjees, Chetana Rajesh 6, Sadia Khan; posted via NCBI 1/30/24Conclusions:[This] study found that death in home and hospice was more common than in medical or hospital nursing facilities in all four analyzed groups. These findings highlight the critical need for significant advancements in end-of-life care, particularly in home and hospice settings.
New UMass Chan patient communication training simulation program receives funding via Catalyst Award
01/30/24 at 04:04 AMNew UMass Chan patient communication training simulation program receives funding via Catalyst AwardUMass Chan News, by Pat Sargent; 1/29/24The program, “Apology and Disclosure: Developing Competency for Patient Safety and Equity,” is led by Stacy E. Potts, MD, MEd, professor of family medicine & community health and senior associate dean for graduate medical education and clinical affairs; and Sunita Puri, MD, MS, associate professor of medicine and program director of the hospice and palliative medicine fellowship. ... The Josiah Macy Jr. Foundation Catalyst Award is for $50,000 over one year.
Criteria for enrollment of patients with COPD in palliative care trials: A systematic review
01/30/24 at 04:00 AMCriteria for enrollment of patients with COPD in palliative care trials: A systematic reviewJ Pain Symptom Manage, by Natalia Smirnova, Allison V Lange, Amanda Glickman, Kristen Desanto, Cara L McDermott , Donald R Sullivan, David B Bekelman, Dio Kavalieratos; 1/25/24Context: Use of palliative care interventions in chronic obstructive pulmonary disease (COPD) has increased in recent years and inclusion criteria used to identify patients with COPD appropriate for palliative care vary widely. We evaluated the inclusion criteria to identify ways to improve enrollment opportunities for patients with COPD.
Regular primary care nurse visits can improve home care outcomes, study finds
01/30/24 at 04:00 AMRegular primary care nurse visits can improve home care outcomes, study findsMcKnights Home Care, by Adam Healy; 1/23/24A planned visit program involving primary healthcare nurse practitioners (PHCNPs) can reduce rates of hospitalization and emergency department use among home care patients, researchers found in a recent study published by the Journal of Evaluation in Clinical Practice.
Will scandal at Dana-Farber Cancer Institute cause big damage?
01/30/24 at 04:00 AMWill scandal at Dana-Farber Cancer Institute cause big damage? Modern Healthcare, by Caroline Hudson; 1/29/24Allegations of data manipulation in Dana-Farber Cancer Institute's research has sparked intense scrutiny of a long-revered pillar in cancer treatment and put its once-sparkling reputation into question. ... Retaining Dana-Farber's long-term standing and preserving its bottom line will depend on how fast the institute moves to control the fallout from a scandal that has made national headlines, marketing and risk management experts said.
Hospice Nurse Shares The unexplained experience with a patient that changed her view on death and dying
01/30/24 at 04:00 AMHospice Nurse Shares The unexplained experience with a patient that changed her view on death and dyingYour Tango, by Nia Tipton; 1/29/24Death is the most mysterious part of the cycle of life for many individuals. What happens when we die? Is it peaceful? Is it scary? The unknown of what becomes of our souls once our physical presence leaves this Earth can be a daunting thought, but a hospice nurse named Julie offered some insight that she was a firsthand witness to after an elderly patient she'd been looking after passed away.
Sojourns Scholar grant funds Doyon’s project to improve refugee palliative care
01/29/24 at 09:03 AMSojourns Scholar grant funds Doyon’s project to improve refugee palliative care Boise State News; 1/26/24Assistant Professor Katherine (Kate) Doyon was recently announced as one of the Cambia Health Foundation’s 2023 Sojourns Scholars. ... Doyon’s project will create an online curriculum for community health workers who work with seriously-ill resettled refugees in Idaho. The curriculum will integrate palliative care principles into their training. Grounding her work in cultural humility, Doyon’s goal is to collaboratively develop, assess and distribute the curriculum by partnering with resettled refugees, clinicians who care for refugees and resettlement agencies.
New blood test that screens for Alzheimer’s may be a step closer to reality, study suggests
01/29/24 at 04:00 AMNew blood test that screens for Alzheimer’s may be a step closer to reality, study suggestsCNN, by Jacqueline Howard; 1/22/24Testing a person’s blood for a type of protein called phosphorylated tau, or p-tau, could be used to screen for Alzheimer’s disease with “high accuracy,” even before symptoms begin to show, a new study suggests.
Most US adults fail to recognize heart disease as leading killer of Americans, study finds
01/29/24 at 04:00 AMMost US adults fail to recognize heart disease as leading killer of Americans, study findHCP Live, by Patrick Campbell; 1/24/24The American Heart Association's annual report on heart disease and stroke statistics for 2024 sheds new light on the impact and level of public education surrounding the impact of heart disease and stroke in the US and abroad.