Literature Review

Palliative medicine helps stage IV melanoma survivor reclaim her life after treatmentAtrium Health; 1/1/24After a stage IV malignant melanoma diagnosis, brain surgery, radiation therapy and immunotherapy, Kate Crawford, 45, has reclaimed her quality of life thanks to palliative medicine at Atrium Health Levine Cancer. ...  While she has a vibrant, positive energy, the cancer treatments and disease itself led to numerous side effects and symptoms that drastically affected her quality of life. But thanks to palliative medicine at Levine Cancer, Kate says she feels more clear than she has in years. And her family says: “Kate is back.”

Serious Medical Errors Rose After Private Equity Firms Bought HospitalsNew York TimesDecember 26, 2023The rate of serious medical complications increased in hospitals after they were purchased by private equity investment firms, according to a major study of the effects of such acquisitions on patient care in recent years. The study, published in JAMA on Tuesday, found that, in the three years after a private equity fund bought a hospital, adverse events including surgical infections and bed sores rose by 25 percent among Medicare patients when compared with similar hospitals that were not bought by such investors. The researchers reported a nearly 38 percent increase in central line infections, a dangerous kind of infection that medical authorities say should never happen, and a 27 percent increase in falls by patients while staying in the hospital. 

The Language of Hospice Can Help Us Get Better at Discussing DeathTIMEDecember 18, 2023Just because death is inevitable doesn’t make it easy or natural to talk about. In a new study, researchers wondered if hospice workers—experts in end-of-life care—had lessons to teach the rest of us when it came to speaking with patients and families about death. Daniel Menchik, an associate professor of sociology at the University of Arizona who studies the use of language in different fields of medicine, spent eight months sitting in on team meetings at a hospice care facility that were also open to patients’ families. ... In the study, Menchik noticed that hospice workers used three different types of verbs in meetings with family members: predictive, subjunctive, and imperative. Predictive verbs are used to assert things about the future and include words like “will” and “going to.” Imperative verbs carry a similar firmness, but include a call to action; the most common one Menchik encounters in medical settings is “should.” Subjunctive verbs convey some sort of personal stance when talking about the future. “Think,” “feel,” “want,” and many other expressive phrases fall in this category. When a family starts hospice care, “their capabilities to engage in intense conversations [about death] are usually pretty limited,” Menchik says. But he believes that hospice workers help bridge that gap by minimizing their use of imperative verbs. In meetings he observed, imperative verbs made up just 17% of the verb phrases used by hospice professionals. That’s fairly uncommon in medicine. Editor's Note: Use this article to examine the language used in your team meetings; to strengthen your orientation of employees from non-hospice settings; to engage your admissions nurses in a lively dialogue about its applicability to their experiences with patients and families.

How one woman is honoring her late husband’s memory with a grief program at SargentoSheboygan (WI) PressDecember 17, 2023Plymouth, WI—Shirley Krause and her husband Randy Susen were inseparable for 30 years. ... Susen passed away July 4, 2020, at age 64, nearly a year after going to the ICU for the brain injury. ... Krause, a supply chain technology principal at Sargento, launched a life planning series in July focused on a grief and end-of-life planning for employees, one of several efforts she’s pursuing to honor her husband’s memory, along with hosting a widows’ support group, advocating for nursing home residents’ rights and supporting other families with traumatic brain injury survivors. 

Helping hands in hospiceC-Ville (Charlottesville, VA)December 13, 2023Charlottesville, VA—It’s a conversation starter you might throw out with a group of friends hanging out at a winery, or after a large informal family supper: “What would you like to do before you die?” The answers are probably interesting, intriguing, even surprising. The discussion could inspire someone in the group to make those dreams happen. But for Beth Eck, director of end-of-life doula services for Hospice of the Piedmont, the real question is: “Have you said what needs to be said?” 

New documentary revisits Terri Schiavo caseAxiosDecember 13, 2023A new documentary revisits the decades-old legal fight concerning Terri Schiavo—a Tampa Bay woman who remained in a persistent vegetative state for over ten years before she died in 2005. “Between Life & Death: Terri Schiavo’s Story” explores how the pro-life movement used Schiavo to further their aims and examines how her right-to-die case laid “the groundwork for a post-Roe America.” 

Awareness, Education Keys to Trauma-Informed Hospice CareHospice NewsDecember 7, 2023Having a greater understanding around the impacts of trauma and abuse can help hospices improve end-of-life experiences for patients and working conditions for staff. Training and education are keys to caring for patients and employees with unique needs impacted by trauma and abuse. ... Abuse and trauma experiences impact those delivering and receiving hospice care in many ways, some evident and some less apparent, according to Carole Fisher, president, National Partnership for Healthcare and Hospice Innovation. ... "The impacts of trauma and abuse are important to include in staff training and education, as well as patient care delivery approaches and employee policies," Fisher stated. ... "Trauma-informed care involves having a complete understanding of a person’s overall life experiences and orienting health services toward healing," according to Lara McKinnis, professional development specialist at Teleios Collaborative Network.