Literature Review

Increasing longevity, decreasing health quality: A close look at American health trendsBNN, by Ayesha Mumtaz; 1/16/24Recent data paints a concerning picture of Americans’ health despite an increase in longevity. While people are living longer, the quality of their health during these extended years is deteriorating. 

Palliative telecare improves quality of life for those with chronic illnesses, and results last for months: StudyMedical Xpress, by CU Anschutz Medical Campus; 1/16/24Researchers from the University of Colorado Anschutz Medical Campus have found that a team intervention, provided by phone, leads to persistent improvements in depression, anxiety, and quality of life for people managing chronic illnesses. Additionally, researchers found that the improvement in quality of life results last months after intervention concludes.

NAVC announces Pet Peace of Mind as the 2024 NAVC gives Marquee Award recipient

Black caregivers' symptom management, cultural, and religious experiences with home hospice careJournal of Pain and Symptom Management, by Taeyoung Park, Danetta H Sloan, Dulce M Cruz-Oliver, Manney Cary Reid, Sara Czaja, Ronald D Adelman, Ritchell Dignam, Veerawat Phongtankuel; 8/23 Objectives: This study seeks to address this knowledge gap by applying qualitative methods to understand Black/African American caregivers' experiences around symptom management, cultural, and religious challenges during home hospice care.

A dying person is the last to lose this sense. The scientists' discovery may be surprising.247 News Agency; 1/10/24Researchers analyzed the brain activity of 30 people to check their reactions before death. As a result of the research, it turned out that the last sense that leaves the body of a dying person is hearing. 

Use of palliative care for ICU patients, familiesReview of Doherty, C., Feder, S., Gillespie-Heyman, S., & Akgün, K. M. (2023). Easing Suffering for ICU Patients and Their Families: Evidence and Opportunities for Primary and Specialty Palliative Care in the ICU. Journal of Intensive Care Medicine. Yale School of Medicine, review by Chigoziri Knokwo; 1/8/24... The authors identify the most commonly worrisome symptoms affecting ICU patients as the inability to communicate, pain, difficulty breathing, and thirst. They also highlight distressing experiences for families and caregivers of patients in the ICU, particularly depression and complicated grief. They recommend the continued incorporation of humanistic palliative care principles, considering perspectives from a more diverse representation of countries and cultures, particularly more resource-limited settings.

CDC map shows dramatic increase in illness nationwide: See where it’s worstNexstar Media Wire News / The Hill, by Alix Martichoux; 1/5/24What a difference a week can make. New data released by the Centers for Disease Control and Prevention Friday shows an 18% jump in people testing positive for influenza last week. The number of people going to the doctor with symptoms of respiratory illness — whether it be the flu, COVID, RSV, or none of the above — also continues to trend upward. Now, according to the CDC, 21 states and New York City are experiencing “very high” levels of sickness.

Home health agencies grapple with 'acuity creep' as patient needs become more complexHome Health Care News, by Patrick Filbin; 1/5/24As the demand for home-based care continues to rise, so does the need for more intensive care plans as patients continue to be sicker and more complex. Home health agencies are feeling this “acuity creep,” and they’re adjusting. But at times, it’s hard to keep up. “When I’m talking about acuity creep, I’m thinking about how much need do the patients in our care models require?” Michael Johnson, president of home health and hospice at Bayada Home Health Care, said. “It’s not just medical needs, either — there’s a social need as well."

Financial hardship drives unhappiness in people living with dementia, study findsMcKnights Long-Term Care News, by Kristen Fischer; 1/4/24A new study is uncovering just how tough it can be financially to live with dementia. The report, published Dec. 29 in the Journal of the American Geriatrics Society, found that nearly 56% of people with dementia face financial hardships. Those financial challenges are linked with worse reported satisfaction with life and healthcare. ... The study examined data from 534 participants with dementia who shared details on satisfaction with their lives and their healthcare. The researchers compared that data to information from questionnaires from 576 people who were newly diagnosed with cancer and receiving treatment.

Palliative care providers can enhance care coordination Hospice News, by Rachel Edwards; 1/2/24Fragmented health care has significant ties to adverse outcomes in patients with chronic or serious illnesses. Palliative care providers’ ability to navigate the health care system, coordinate the delivery of care, interact regularly with patients and facilitate communication between providers can reduce this fragmentation. This type of coordination can improve outcomes, decrease costs and offer patients a better quality of life.

Medscape: Long COVID has caused thousands of US deaths: New CDC dataMedscape Medical News, by Lisa Rapaport; 1/3/24While COVID has now claimed more than 1 million lives in the United States alone, these aren't the only fatalities caused at least in part by the virus. A small but growing number of Americans are surviving acute infections only to succumb months later to the lingering health problems caused by long COVID. ... At least 4600 Americans have died from long COVID since the start of the pandemic, according to new estimates from the CDC.

Should patients be allowed to die from anorexia?DNYUZ; 1/3/24The doctors told Naomi that she could not leave the hospital. She was lying in a narrow bed at Denver Health Medical Center. Someone said something about a judge and a court order. Someone used the phrase “gravely disabled.” Naomi did not think she was gravely disabled. Still, she decided not to fight it. She could deny that she was mentally incompetent — but this would probably just be taken as proof of her mental incompetence. Of her lack of insight. She would, instead, “succumb to it.” [Read more of Naomi's story, followed by this examination of palliative care.]The field of palliative care was developed in the 1960s and ’70s, as a way to minister to dying cancer patients. Palliative care offered “comfort measures,” like symptom management and spiritual guidance, as opposed to curative treatment, for people who were in pain and would never get better. Later, the field expanded beyond oncology and end-of-life care — to reach patients with serious medical illnesses like heart disease, H.I.V. and AIDS, kidney failure, A.L.S. and dementia. Some people who receive palliative care are still fighting their diseases; in these cases, the treatment works to mitigate their suffering. [Read more of this discussion of emerging issue.]

A medication mistake cost a Lockport woman her life. A new grant aims to help others avoid same fateThe Buffalo News, by Scott Scanlon; 1/2/24 In a perfect health care system, patients who ended up in the hospital would start to feel better soon and go home with a recovery plan, along with any medications designed to help in that process. ... “All medications have side effects, and some are especially harmful in older adults,” UB officials said in announcing a four-year, $1.95 million grant focused on improving medication prescribing.