Literature Review
All posts tagged with “Headlines.”
“To prescribe or not to prescribe, that is the question”: Perspectives on opioid prescribingfor chronic, cancer‐related pain from clinicians who treat pain in survivorship
04/21/24 at 03:40 AM“To prescribe or not to prescribe, that is the question”: Perspectives on opioid prescribingfor chronic, cancer‐related pain from clinicians who treat pain in survivorshipCancer, by Hailey W Bulls, Megan Hamm, Julia Wasilewski, Donna Olejniczak, Sarah G Bell, Jane M Liebschutz; 4/24Opioid pain management in cancer survivorship is a complex and understudied topic. ... Participants suggested that opportunities to improve chronic cancer pain care include developing clear, systematic guidance for chronic cancer pain management, facilitating clinician communication and consultation, creating tailored survivorship care plans in partnership with patients, and developing accessible, evidence-based, complementary pain treatments.
‘Are nursing homes our only option?’ These centers offer older adults an alternative.
04/21/24 at 03:35 AM‘Are nursing homes our only option?’ These centers offer older adults an alternative. Rhode Island Current, by Anna Claire Vollers; 4/12/24PACE centers attract bipartisan interest and, in some states, scrutiny. ... PACE (Program of All-Inclusive Care for the Elderly) centers provide government-funded medical care and social services to people older than 55 whose complex medical needs qualify them for nursing home care, but who can live at home with the right sort of help. ... Nationally, PACE centers are owned by a variety of health care organizations, including nonprofits, for-profit companies, large health care systems and religious organizations. ... [The] explosive growth has come with challenges ...
A process evaluation of a palliative care social work intervention for cancer patients in skilled nursing facilities
04/21/24 at 03:30 AMA process evaluation of a palliative care social work intervention for cancer patients in skilled nursing facilitiesJournal of Palliative Medicine, by Sarguni Singh, MD; Ashley Dafoe, MA; Dana Lahoff, LCSW; Laurel Tropeano, LCSW; Bree Owens, LCSW; Erin Nielsen, LCSW; John Cagle, MSW, PhD; Hillary D. Lum, MD, PhD; Brooke Dorsey Holliman, PhD; Stacy Fischer, MD; 4/24Assessing and Listening to Individual Goals and Needs (ALIGN) is a palliative care social work intervention that aims to improve delivery of goal-concordant care for hospitalized older adults with cancer discharged to skilled nursing facilities. ... ALIGN offers support in prognostic understanding, communication, and decision making during a pivotal time when patient and caregivers' goals have not been met and they are reassessing priorities.
Hospices and emergency preparedness planning: A scoping review of the literature
04/21/24 at 03:25 AMHospices and emergency preparedness planning: A scoping review of the literatureJournal of Palliative Care, by Janna E Baker Rogers; 4/24Palliative and end-of-life care, as provided by hospices, are important elements of a healthcare response to disasters. A scoping review of the literature was conducted to examine and synthesize what is currently known about emergency preparedness planning by hospices.
Executive Personnel Changes - 4/19/24
04/21/24 at 03:20 AMExecutive Personnel Changes - 4/19/24
The HAP Foundation conducts research study on Black Americans’ experience with serious illness care in Chicago
04/21/24 at 03:15 AMThe HAP Foundation conducts research study on Black Americans’ experience with serious illness care in ChicagoThe HAP Foundation, by Rachel French; 4/9/24 The HAP Foundation and NORC at the University of Chicago have completed a joint research project to understand the knowledge, attitudes, and experiences of Black Americans around serious illness care in Chicago. Through a community-based participatory research design, narratives from Black individuals living in Chicago were captured by focus groups and in-depth interviews. “Community-Based Study: Prioritizing Dignity and Respect in End-of-Life Care for Black Chicagoans” is being distributed widely to health care providers and the community to encourage conversations and create change in behavioral patterns during end-of-life care.Editor's Note: Click here for this downloadable, 17 page booklet.
LGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says
04/21/24 at 03:10 AMLGBTQ+ individuals have higher rates of cancer because of disparities in modifiable risk factors, ACS says ONS Voice [Oncology Nursing Society]; by Magdalen Millman; 4/18/24 About 7% of the U.S. population identifies as LGBTQ+, but understanding cancer in this population is difficult because surveillance data are limited to national surveys on risk factors and screening, the American Cancer Society (ACS) observed in a special section of its Cancer Facts and Figures 2024 report on cancer in the LGBTQ+ community. More than 50% of LGBTQ+ individuals have experienced harassment such as slurs, violence, microaggressions, and sexual harassment, even in healthcare settings. “One in 6 LGBTQ+ adults, and 1 in 5 transgender adults specifically, avoid health care due to previous discrimination,” ACS reported. It’s one factor implicated for the disparities affecting LGBTQ+ individuals’ access to cancer care, including prevention, screening, diagnosis, treatment, and palliative care. Editor's Note: Click here for this site's downloadable pdf, Cancer Facts and Figures 2024, Special Section: Cancer in People Who Identify as Lesbian, Gay, Bisexual, Transgender, Queer, or Gender-nonconforming. Pair this with another article in today's newsletter, "Stillwater Hospice earns SAGECare credential for LGBTQ+ care."
Today is National Healthcare Decisions Day
04/21/24 at 03:05 AMToday is National Healthcare Decisions Day.Are your advance directives in place? When did you last update them? Have you communicated your decisions with those involved? Use and share these resources with your employees and volunteers.
Physician coaching by professionally trained peers for burnout and well-being: A randomized clinical trial
04/21/24 at 03:00 AMPhysician coaching by professionally trained peers for burnout and well-being: A randomized clinical trial JAMA Network; by Stephanie B. Kiser, MD, MPH; J. David Sterns, MD, MPH; Po Ying Lai, MS; et al; 4/12/24Findings: In this randomized clinical trial of 138 physicians, participants who received 3 months of coaching by professionally trained physician peers had a statistically significant reduction in interpersonal disengagement and burnout, with improvement in professional fulfillment and work engagement.
Lens X: A practical approach to taking care of your people
04/20/24 at 03:05 AMLens X: A practical approach to taking care of your peopleThe Journal of Character & Leadership Development, by Daphne DePorres, Matthew Orlowsky, Matthew Horner, David Levy; 4/24Graduates of the United States Air Force Academy (USAFA), as commissioned officers, are charged to “take care of their people.” While this leadership aphorism makes sense, this article describes what it means in practice. An interdisciplinary USAFA team explored the dynamics of leader development from multiple angles, resulting in a focus on two dimensions (or “lenses”) that help a leader understand what actions can be taken to help an employee achieve subjective well-being at work. The intent is to draw attention to the nature of the interaction with organizational members that foster engagement and need fulfillment. We do that by focusing a leader’s attention on needs, narratives, and micro-exchanges. Those interactions, behav-iors, and micro-exchanges are the foundations of and the most tangible, changeable element of climate and culture. This practical lens equips any leader to seize every opportunity to foster fulfillment of the psychological needs for belonging, agency, and efficacy. This framework can be used by anyone but is particularly relevant to supervisors and USAFA cadets who will be entrusted to lead an all-volunteer military force.Publisher's note: An interesting article on leadership and change management by my friend and colleague Dave Levy, PhD, Professor of Management and Leadership at the US Air Force Academy. He also co-authored three books: The 52nd floor: Thinking deeply about leadership, Attitudes aren't free: Thinking deeply about diversity in the US Armed Forces and Echoes of mind: Thinking deeply about humanship.
Summaries: FFY 2025 Hospice, Inpatient Rehabilitation Facility, Skilled-Nursing Facility Medicare Payment Rules
04/19/24 at 03:00 AMSummaries: FFY 2025 Hospice, Inpatient Rehabilitation Facility, Skilled-Nursing Facility Medicare Payment Rules California Hospital Association, 4/17/24 What’s happening: Summaries of the hospice wage index, inpatient rehabilitation facility (IRF) prospective payment system (PPS), and skilled-nursing facility (SNF) PPS proposed rules are now available.What else to know: Comments on the proposed rules are due by May 28. The members-only summaries, from Health Policy Alternatives, Inc., describe proposals for the post-acute care Medicare prospective payment systems for federal fiscal year 2025:
Health care workers aid community members with end-of-life care directives
04/18/24 at 03:00 AMHealth care workers aid community members with end-of-life care directives The Journal - Martinsburg, WV; by Tom Markland; 4/16/24Health care workers from Berkeley Medical Center and Hospice of the Panhandle came together on Tuesday to help members of the community learn and assemble various advanced directives concerning end-of-life care. According to a study by the University of Chicago, only 22% of U.S. adults have completed any advanced directive for their end-of-life care. Tuesday’s event aimed to help boost that that number in the Eastern Panhandle. As of 2 p.m. on Tuesday afternoon, more than 35 people had been through the program, completing paperwork for their medical power of attorney, living will or both for free.Editor's Note: We thank and celebrate all hospice and palliative organizations that participated in the National Healthcare Decisions Day, Tuesday April 16, 2024! Collectively, what supportive connections you have made. Individually for each person and with their families, these conversations and advance directives will continue to unfold through years ahead, when needed most.
NHPCO's CaringInfo program launches new consumer blog, insights
04/17/24 at 03:00 AMNHPCO's CaringInfo program launches new consumer blog, insights NHPCO Press Release; 4/15/24 CaringInfo, a program of the National Hospice and Palliative Care Organization (NHPCO), has launched a new consumer blog, Insights, offering timely and practical content on serious-illness care and services from a variety of perspectives in both English and Spanish. ... CaringInfo also offers more information about advance directives and free advance directives and instructions for all 50 states plus Puerto Rico and Washington DC in both English and Spanish, downloadable as PDF files.
Mayo Clinic Minute: Creating an advance directive for your future well-being
04/16/24 at 03:00 AMMayo Clinic Minute: Creating an advance directive for your future well-being
Draft Code of Conduct to ensure the use of AI in health and health care meets its potential reliably and safely - Survey/feedback requested
04/15/24 at 03:00 AMNew paper outlines Draft Code of Conduct to ensure that the use of AI in health and health care meets its full potential reliably and safelyNational Academy of Medicine; 4/8/24 While AI holds immense promise for revolutionizing health care and improving health outcomes, it is not without significant risk. ... A new NAM Perspectives Commentary outlines a draft framework for achieving accurate, safe, reliable, and ethical AI advancements that can transform health, health care, and biomedical science. ... The NAM Leadership Consortium is seeking input from stakeholders on the Code Principles and Commitments to ensure responsible and equitable use of AI in health, health care, and biomedical science. Share your experiences and feedback ... Participate in the survey.
Association of frailty and cardiopulmonary resuscitation outcomes in older U.S. Veterans
04/14/24 at 04:00 AMAssociation of frailty and cardiopulmonary resuscitation outcomes in older U.S. VeteransAmerican Journal of Hospice and Palliative Medicine, by Dominique M Tosi, MD; Marlena C Fernandez, MD; Shivaan Oomrigar, MD; Lorena P Burton, MD; Iriana S Hammel, MD; Andrew Quartin, MD; Jorge G Ruiz, MD; 4/24CPR outcomes were not different depending on frailty status in our Veteran population. With these results, we cannot use frailty - as measured by the VA-FI - as a prognosticator of CPR outcomes in Veterans.
‘We’re the telescope looking forward’: Medical ethicists ask tough questions as part of $66 million research project
04/14/24 at 03:55 AM‘We’re the telescope looking forward’: Medical ethicists ask tough questions as part of $66 million research project CU Department of Medicine, by Mark Harden; 4/5/24 In the original “Jurassic Park” movie, after the process of bringing dinosaurs back to life is explained to a team of consultants, one of them voices a warning: “Your scientists were so preoccupied with whether or not they could, they didn’t stop to think if they should.” University of Colorado Department of Medicine faculty members will be asking the “should” question years before there’s an answer to “could.” They’ve joined in a nationwide study of whether tiny, battery-powered electric devices and genetic material, swallowed in capsule form, could one day replace surgery or injections as treatments for metabolic diseases such as diabetes and obesity.
Where you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over time
04/14/24 at 03:50 AMWhere you begin is not necessarily where you end: the mental and physical health trajectories of cancer caregivers over timeSupportive Care in Cancer, by Maureen Wilson Genderson, Maria D. Thomson, Laura A. Siminoff; 10/23Cancer caregiving, a critical component in the cancer-care model, has deleterious effects on the caregiver’s physical and mental health. The degree to which these negative effects are uniformly experienced by caregivers is unclear; effects may be exacerbated at the end of life when caregiving is intensified. Not all caregivers have the support of an additional involved support person (secondary caregiver). The impact of the secondary caregiver’s absence on the primary caregiver’s well-being is understudied.
Do end-of-life outcomes differ by assisted living memory-care designation?
04/14/24 at 03:45 AMDo end-of-life outcomes differ by assisted living memory-care designation?Journal of the American Geriatric Society, by Xiao Joyce Wang, Portia Y Cornell, Emmanuelle Belanger, Kali S Thomas; 4/24Residential care/assisted living (RC/AL) is an increasingly common place of end-of-life care for persons with Alzheimer's disease and related dementia (ADRD), who have unique care needs as their health declines. Approximately 22% of RC/ALs provide specialized memory care (memory-care RC/AL). Understanding how end-of-life outcomes differ by memory care among residents with ADRD could facilitate aging/dying in place for this population. The objective of this paper is to examine if end-of-life outcomes (i.e., mortality, hospice use, and number of days receiving hospice in the last month of life) differ between residents with ADRD who moved to memory-care RC/AL, compared with residents with ADRD who moved to RC/AL without memory care (general RC/AL).
[Psychology Today] Facing Mortality Honestly
04/14/24 at 03:40 AM[Psychology Today] Facing Mortality Honestly Psychology today, by Patricia Prijatel; 4/6/24 Personal Perspective: Being Mortal, by Atul Gawander, explores end-of-life-care. I read Being Mortal by Atul Gawande when it was first published in 2014 and haven’t stopped talking about it. It shot to the top of my list as one of the most important books I’ve ever read. After 10 years, I read it again to see if it held up. It did. I was as entranced the second time as the first—even more so because, as it happens, I am also now 10 years older.
Neuropsychiatric effects associated with opioid-based management for palliative care patients
04/14/24 at 03:35 AMNeuropsychiatric effects associated with opioid-based management for palliative care patientsCurrent Pain and Headache Reports, by Alan D Kaye, Kylie Dufrene, Jada Cooley, Madeline Walker, Shivam Shah, Alex Hollander, Sahar Shekoohi, Christopher L Robinson; 4/24The abundance of opioids administered in the palliative care setting that was once considered a standard of care is at present necessitating that providers evaluate patients for unintentional and deleterious symptomology related to aberrant opioid use and addiction. ... By having an increased understanding and awareness of potential opioid neuropsychiatric effects, patient quality of life can be improved, healthcare system costs can be decreased, and patient outcomes can be met and exceeded.
I work with dying Trump supporters. It's ... confusing
04/14/24 at 03:25 AMI work with dying Trump supporters. It's ... confusingDaily Kos, by Scott Janssen; 4/6/24I’m driving down a gravel road in rural North Carolina, looking at mailbox numbers. A hospice social worker, I’m headed to meet Petey, a patient dying of metastatic cancer. ... A few homes down I see a ranch style house with a Trump flag hanging limp from what looks like a homemade flagpole. ...Publisher's Note: In our advocacy, we often say "death and hospice are bipartisan." This (inflammatory) opinion piece challenges us to ethically wrestle with our biases (political or otherwise) to professionally provide excellent end-of-life care to all the people we have the privilege to serve.Editor's Note: In day-to-day care--no matter political, religious, or other beliefs--what can you support, within the appropriate scope of your professional role? What is untenable; you cannot support? Examine the term "moral distress."
Bereaved Parent Support Study: Seeking Participants
04/14/24 at 03:20 AMBereaved Parent Support Study: Seeking Participants Sylvester Comprehensive Cancer Center/University of Miami Miller School of Medicine, Memorial Sloan Kettering Cancer Cancer, St. Jude Children's Hospital, and Children's Hospital of Philadelphia; 4/2/24This program is offered as a research study examining three types of support for bereaved parents who have lost a child to cancer. This is a National Institutes of Health-funded trial taking place at Sylvester Comprehensive Cancer Center/University of Miami Miller School of Medicine, Memorial Sloan Kettering Cancer Center, St. Jude Children's Hospital, and Children's Hospital of Philadelphia; however, families need not have received care from one of these institutions. ... For those assigned to receive counseling, services will be provided through videoconferencing, and all study activities can be completed from the participant’s home. ... There will be no charge for any support offered through the study. ... [Click on the title's link for more information.] Editor's Note: If your hospice does not have bereavement services tailored to the needs of parents who have lost a child, consider this opportunity for free support from these reputable sources. Click on the title's link for eligibility requirements and descriptions.
Lutheran Senior Services/Diakon agreement forms one of largest US nonprofit LTC organizations
04/14/24 at 03:20 AMLutheran Senior Services/Diakon agreement forms one of largest US nonprofit LTC organizations McKnights Senior Living, by Kathleen Steele Gaivin; 3/29/24 Diakon Senior Living operations and its four continuing care retirement / life plan communities will become part of Lutheran Senior Services under an agreement ... that the organizations say will create one of the largest nonprofit senior living and care organizations in the country. The transaction is pending regulatory approvals and is expected to close this summer.
Fostering respect and appreciation seen as keys to retaining direct care workers
04/14/24 at 03:15 AMFostering respect and appreciation seen as keys to retaining direct care workersMcKnights Online Forum, by Kimberly Bonvissuto; 3/27/24 Expressions of appreciation and respect can go a long way in addressing senior living’s direct care workforce crisis, according to a panel of direct workers and employers who addressed what makes employees want to stay — or go. ... Nate Hamme, president and executive director of the Ceca Foundation, ... said that the most important part of employee recognition is listening to people. ... He added that there is a science to recognition backed by research into what motivates people and implementing programs around that. ... Recognition programs, Hamme added, should focus on IMPACT: inclusive, mission-aligned, public, authentic, consistent and timely.